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. 2023 May 12;2023(5):CD002892. doi: 10.1002/14651858.CD002892.pub6

Finnema 2005.

Study characteristics
Methods RCT, the Netherlands
Participants 99 nursing assistants
Interventions 1) Experimental: Integrated emotion‐oriented care: Basic training course of two days with an intermediary period of two weeks for homework (for all staff members on intervention wards) addressing staff members' own experience, phases of ego‐experience of the demented residents and the application of (non‐)verbal empathic skills.
Advanced course of seven days spread out over seven to eight months for five people from each intervention ward and an Adviser course of 10 days over nine months for one person from each intervention ward.
2) Control: Training and support in giving usual care
Outcomes The Organization and Stress Scale
Identification  
Notes OSS included in analysis 3.1
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "A pretest‐posttest control group design with matched groups (randomized clinical trial) was used" (p. 331)
Allocation concealment (selection bias) Unclear risk Not reported.
Blinding of participants and personnel (performance bias)
All outcomes High risk Participants were not blinded
Blinding of outcome assessment (detection bias)
All outcomes High risk Participants were not blinded whereas outcomes are self‐reported.
Incomplete outcome data (attrition bias)
All outcomes High risk "During the experimental period 25 nursing assistants dropped out due to: illness (11), pregnancy (2), and transfer (9). In three cases questionnaires were missing. Data analysis was carried out on 99 'complete' cases. Drop‐out did not differ between the groups..." (p. 333)
Selective reporting (reporting bias) High risk For nursing assistants results consist of covariance analyses that were not prespecified.
Other bias Low risk We did not identify any indications of other sources of bias.