Intensive Care Unit Conflict Mediation Study

A Multidisciplinary Framework for ICU Conflict Mediation: Rationale and Methodological Approach to Enhancing Safety and Care Quality

Status

Not yet recruiting

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT07621874

Acronym

"GIRAFFE"

Enrollment

100

Registered

2026-06-02

Start date

2026-10-01

Completion date

2027-08-01

Last updated

2026-06-02

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

Conditions

Aggression, Critical Care Staff, Workplace Violence

Keywords

Aggression, critical care, Workplace violence

Brief summary

To evaluate the impact of a structured, multidisciplinary conflict management program incorporating an interprofessional Singular Care Plan \*PAS\* Committee and a Conflict Mediation Team on the incidence and severity of conflicts, family satisfaction, and staff well-being in an adult intensive care unit \*ICU\*

Detailed description

The allocation is non randomized because the intervention is implemented at the level of the intensive care unit and cannot ethically or practically be restricted to a subset of patients or staff. The masking status is open label, as it is not feasible to blind staff or families to the presence of a conflict mediator or the convening of a committee. The primary purpose of the study is health services research, specifically the evaluation of an institutional policy for conflict management and its impact on conflict dynamics, safety and experience in critical care.

Interventions

BEHAVIORALSEM DESTINO

The Conflict Mediation Team is composed of trained facilitators who can be activated by any assistential collaborator when a conflict in progress exceeds the collaborator's capacity to manage it. The Singular Care Plan Committee is convened by the facilitator in complex cases that require broader, interprofessional analysis and the elaboration of a documented care plan based on the SEM DESTINO mnemonic

Study design

Allocation

Intervention model

SINGLE_GROUP

Primary purpose

SUPPORTIVE_CARE

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

-family members of patients or intensive care unit staff

Design outcomes

Primary

Measure	Time frame	Description
-conflict index	12 months	the rate of significant conflicts per 100 ICU admissions.
Prevalence of post-traumatic stress symptoms in ICU family member	6 months after ICU discharge	Proportion of ICU family members with post-traumatic stress symptoms, defined as an Impact of Event Scale-6 (IES-6) mean item score \> 1.75, assessed 6 months after ICU discharge of the index patient.

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 3, 2026