An interventional study of SEM DESTINO in Aggression, Critical Care Staff and Workplace Violence, sponsored by Hospital Israelita Albert Einstein. Not yet recruiting. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-02.
Sponsored by Hospital Israelita Albert Einstein · Not applicable, Interventional, and Supportive care
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*
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.
248 studies on the registry are indexed under Aggression; 41 are open to participants now.
This study's planned enrollment of 100 is above the median of 80 across 221 interventional studies indexed under Aggression.
Browse Aggression studies →Hospital Israelita Albert Einstein is the lead sponsor of 147 studies on the registry; 32 are open to participants now.
Counted across the registry records on this site, refreshed daily.
-family members of patients or intensive care unit staff
All participants will be part of a single arm titled "Structured Conflict Management Program". The intervention is an organizational and behavioral program that introduces a Conflict Mediation Team and a Singular Care Plan Committee in the intensive care unit, grounded in nonviolent communication. 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.
Behavioral: SEM 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
-conflict index
the rate of significant conflicts per 100 ICU admissions.
Time frame: 12 months
Prevalence of post-traumatic stress symptoms in ICU family member
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.
Time frame: 6 months after ICU discharge
No study locations are listed for this record.
Plan to share: No — sensible data HIPPA ACT
No publications or documents are linked to this record.
This study is not yet recruiting, as verified in May 2026. You cannot join it, but the record below documents what was studied.
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