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Identification and Research of Impacts of Social Categorization Process in Nurse Triage (SOCIAL SORTING) (SOCIALSORTING)

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ClinicalTrials.gov Identifier: NCT03379961
Recruitment Status : Completed
First Posted : December 20, 2017
Last Update Posted : May 8, 2018
Sponsor:
Information provided by (Responsible Party):
University Hospital, Angers

Brief Summary:

Social Sorting is a: non interventional, observational, qualitative and multicenter research. It investigates three French emergency units in three French centers (UH of Angers, H of Le Mans, H of Laval).

It is a research based on nursing sciences and social-psychology and it proposes to study the process of social categorization that intervenes during triage nursing.

The process of social categorization has developped since the beginning of XX century (LIPPMANN, in 1922, in United States, he gave the first definition of stereotype// DURKHEIM, in France described step by step the individuals and the collectives representations.

During XX century the social psychology developed a lot of studs about group dynamics (social categorization, influence phenomenon, conspiracy theories,...) within several domains : industry, politics, public services as police, social units,... and also in healthcare (but always about a social categorisation in particular and often with a limited study of impacts).

Social Sorting includes all social categorization as possible and search to do a scientific evaluation of their impact.


Condition or disease
Socialised Disturbance of Conduct

  Show Detailed Description

Study Type : Observational [Patient Registry]
Actual Enrollment : 504 participants
Observational Model: Other
Time Perspective: Prospective
Target Follow-Up Duration: 2 Days
Official Title: Identification of Social Categorisation Process Who Intervene During Patient Nurse Triage and Research of Them Impacts in Cares.
Actual Study Start Date : January 10, 2018
Actual Primary Completion Date : February 17, 2018
Actual Study Completion Date : February 17, 2018



Primary Outcome Measures :
  1. Number of patient stigmatized during nurse triage [ Time Frame: 5 months ]
    It is the percent of patient stigmatised among the 504 contexts of triage nursing observed. To determine that, each situation of triage nursing will be examined by three analysts individually. After this time of individual analysis, there will be a time of collegial analysis. To consider that a nurse triage include social categorization it will take a collegial decision-making. A patient is considered like stigmatized when one or several social traits are mentioned during it triage nursing. For instance, if a fireman brings with a patient with twisted ankle and if he mentions that a patient is homosexual during his transmission. Homosexuality in this situation has not interest to taking care. It would have been different if this same patient were come to treat a sexual infection.


Secondary Outcome Measures :
  1. Nature of social categorization [ Time Frame: 5 months ]
    the description of the social categorization process observed during the triage, its nature (including verbal, non-verbal and written categorization) and themes (sociocultural origin, sex, age...). To determine that, each situation of nurse triage will be examined by three analysts individually. After this time of individual analysis, there will be a time of collegial analysis. For each analysis, analysts will have to define if one social categorization is mentions on verbal only or in non-verbal too for instance.

  2. Risk factors of social categorization [ Time Frame: 5 months ]
    The research of links between the social categorization process in triage nursing and the risk factors which may increase the presence of it. The factors examined are : the context of sorting (flow of patients, people who are presents during the triage...) the specificities of any players in care relationship (sex, age, behavior...), the level of aggressiveness ( does it have a link between the presence of a social categorization and the level of aggressiveness ?). To determine that, analysts will compare if, for example, all patients coming for abdominal pain (with same clinical exam, same level of pain) during a sunday night will be sort similarly.

  3. Links between social categorisation and elements of medical care [ Time Frame: 5 months ]
    the research of links between the existence of a social categorization process during the sorting and elements of medical care (waiting time, quality and nature of installation, pain support,...). To determine that analysts will compare if all patients, for example, wich coming with dyspnea (with same clinical exam) will be evaluate with the same emergency level or if subsaharan patients will be evaluate diferently.



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Probability Sample
Study Population

Investigators wish a participation equal or superior to 50 percent of total number of nurses in centers.

504 triage nurses will be include, it represent 168 per center (one an hour during a week), 6 per periods (nights, days, weeks, weekends). We justify this choice by desire to produce qualitative and exhaustive results and necessity to respect constraints, practicability and cost.

Criteria

Inclusion Criteria:

  • all nurses who accept micro and all patients over the age of majority

Exclusion Criteria:

  • all nurses who do not accept micro and all minor patients

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03379961


Locations
France
CHU Angers
Angers, France
CH Laval
Laval, France
CH Le Mans
Le Mans, France
Sponsors and Collaborators
University Hospital, Angers
Investigators
Principal Investigator: Pilleron BP Benjamin, nurse UH Angers

Responsible Party: University Hospital, Angers
ClinicalTrials.gov Identifier: NCT03379961     History of Changes
Other Study ID Numbers: PHRIP-16-0206
First Posted: December 20, 2017    Key Record Dates
Last Update Posted: May 8, 2018
Last Verified: May 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by University Hospital, Angers:
social categorization
nurse sorting
emergencies units