Results from the National Taskforce for Humanity in Healthcare's Integrated, Organizational Pilot Program to Improve Well-Being.
Abstract
<h4>Background</h4>In health care, burnout remains a persistent and significant problem.
Evidence now exists that organizational initiatives are vital to address health care
worker (HCW) well-being in a sustainable way, though system-level interventions are
pursued infrequently.<h4>Methods</h4>Between November 2018 and May 2020, researchers
engaged five health system and physician practice sites to participate in an organizational
pilot intervention that integrated evidence-based approaches to well-being, including
a comprehensive culture assessment, leadership and team development, and redesign
of daily workflow with an emphasis on cultivating positive emotions.<h4>Results</h4>All
primary and secondary outcome measures demonstrated directionally concordant improvement,
with the primary outcome of emotional exhaustion (0-100 scale, lower better; 43.12
to 36.42, p = 0.037) and secondary outcome of likelihood to recommend the participating
department's workplace as a good place to work (1-10 scale, higher better; 7.66 to
8.20, p = 0.037) being statistically significant. Secondary outcomes of emotional
recovery (0-100 scale, higher better; 76.60 to 79.53, p = 0.20) and emotional thriving
(0-100 scale, higher better; 76.70 to 79.23, p = 0.27) improved but were not statistically
significant.<h4>Conclusion</h4>An integrated, skills-based approach, focusing on team
culture and interactions, leadership, and workflow redesign that cultivates positive
emotions was associated with improvements in HCW well-being. This study suggests that
simultaneously addressing multiple drivers of well-being can have significant impacts
on burnout and workplace environment.
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Journal articlePermalink
https://hdl.handle.net/10161/26038Published Version (Please cite this version)
10.1016/j.jcjq.2021.05.010Publication Info
Pierce, Read G; Maples, William J; Krippner, Jennifer; Sexton, J Bryan; Adams, Pam;
Amerson, Theresa; ... Duffy, M Bridget (2021). Results from the National Taskforce for Humanity in Healthcare's Integrated, Organizational
Pilot Program to Improve Well-Being. Joint Commission journal on quality and patient safety, 47(9). pp. 581-590. 10.1016/j.jcjq.2021.05.010. Retrieved from https://hdl.handle.net/10161/26038.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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John Bryan Sexton
Associate Professor in Psychiatry and Behavioral Sciences

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