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A study of the TARE communication model for improving outpatient nurse–patient communication and nurse work-related burnout

Development and empirical evaluation of a service recovery theory-based TARE model in outpatient departments: a multi-campus stepped-wedge cluster randomized controlled trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2600126621
Enrollment
Unknown
Registered
2026-06-12
Start date
2026-06-25
Completion date
Unknown
Last updated
2026-07-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Work-related burnout

Interventions

Control group:Standard care
Experimental group:TARE structured outpatient nurse-patient communication model intervention

Sponsors

The FIrst Affiliated Hospital, College of Medicine, Zhejiang University
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1.Currently employed nurses who hold valid Nurse Qualification Certificates and Nurse Practicing Certificates issued by the People's Republic of China, and are registered to practice in the outpatient department of our hospital. 2.Participants were required to be assigned to designated positions within the 53 randomized nursing functional units, with a continuous working duration of = 6 months in their current roles. 3.Participants must be directly engaged in frontline clinical nursing or patient-facing service roles (including but not limited to triage and consultation, phlebotomy and injections, wound and ostomy care, and general service desk reception), defined as personnel who require direct, face-to-face communication with patients or their families in their daily work. 4.Voluntarily gave informed consent to participate in this study, agreed to attend the TARE model training and subsequent follow-ups, and signed the written informed consent form.

Exclusion criteria

Exclusion criteria: 1.Nurses were excluded if they were assigned to the outpatient department but engaged in positions without direct patient contact, such as purely administrative duties, inventory and logistics management, or research archive organization. 2.Nurses were excluded if they were nursing interns on clinical rotation, visiting nurses, or probationary nurses who had not yet obtained independent practice qualifications. 3.Nurses were excluded if they had definitive plans to take maternity leave, extended sick leave, off-site training, or to resign during the 24-week study period, resulting in an expected absence from duty of more than 4 weeks. 4.Nurses were excluded if they had a documented history of severe psychiatric disorders (e.g., major depressive disorder, bipolar disorder), or if they were currently receiving psychotropic medication or psychological crisis intervention.

Design outcomes

Primary

MeasureTime frame
Composite incidence rate of adverse nurse-patient communication events;

Secondary

MeasureTime frame
Nurse work-related burnout score (CBI score);Rate of negative outpatient evaluations;Clinical Communication Quality Index (CCQI);

Countries

China

Contacts

Public ContactWU JUN

The FIrst Affiliated Hospital, College of Medicine, Zhejiang University

wujun1985@gmail.com+86 137 3813 8313

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Jul 23, 2026