Randomized controlled trial of the "WISER" intervention to reduce healthcare worker burnout

被引：17

作者：

Profit, Jochen ^{[1
,2
,3
]}

Adair, Kathryn C. ^{[4
,5
]}

Cui, Xin ^{[1
,2
,3
]}

Mitchell, Briana ^{[1
,2
]}

Brandon, Debra ^{[6
,7
]}

Tawfik, Daniel S. ^{[2
,8
]}

Rigdon, Joseph ^{[9
]}

Gould, Jeffrey B. ^{[1
,2
,3
]}

Lee, Henry C. ^{[1
,2
,3
]}

Timpson, Wendy L. ^{[10
]}

McCaffrey, Martin J. ^{[11
,12
]}

Davis, Alexis S. ^{[1
,2
]}

Pammi, Mohan ^{[13
,14
]}

Matthews, Melissa ^{[15
,16
]}

Stark, Ann R. ^{[17
]}

Papile, Lu-Ann ^{[18
]}

Thomas, Eric ^{[19
,20
]}

Cotten, Michael ^{[21
,22
]}

Khan, Amir ^{[18
]}

Sexton, J. Bryan ^{[4
,5
]}

机构：

[1] Stanford Univ, Dept Pediat, Sch Med, Div Neonatal & Dev Med, Palo Alto, CA 94304 USA

[2] Lucile Packard Childrens Hosp, Palo Alto, CA USA

[3] Calif Perinatal Qual Care Collaborat, Palo Alto, CA USA

[4] Duke Univ, Sch Med, Duke Univ Hlth Syst, Dept Psychiat, Durham, NC 27708 USA

[5] Duke Univ Hlth Syst, Duke Ctr Healthcare Safety & Qual, Durham, NC 27710 USA

[6] Duke Univ, Sch Nursing, Durham, NC USA

[7] Duke Univ, Dept Pediat, Sch Med, Durham, NC USA

[8] Stanford Univ, Sch Med, Dept Pediat, Div Pediat Crit Care Med, Palo Alto, CA 94304 USA

[9] Wake Forest Sch Med, Dept Biostat & Data Sci, Winston Salem, NC 27101 USA

[10] Beth Israel Deaconess Med Ctr, Dept Neonatol, Boston, MA 02215 USA

[11] Univ N Carolina, Div Neonatal Perinatal Med, Sch Med, Chapel Hill, NC 27515 USA

[12] Univ N Carolina, Childrens Hosp, Chapel Hill, NC 27515 USA

[13] Baylor Coll Med, Sect Neonatol, Houston, TX 77030 USA

[14] Texas Childrens Hosp, Houston, TX 77030 USA

[15] Univ Texas Hlth Sci Ctr Houston, Dept Pediat Neonatol, Houston, TX 77030 USA

[16] Childrens Mem Hermann Hosp, Houston, TX USA

[17] Harvard Med Sch, Dept Pediat, Div Newborn Med, Boston, MA 02115 USA

[18] Univ New Mexico, Sch Med, Dept Pediat, Div Neonatol, Albuquerque, NM 87131 USA

[19] Univ Texas Hlth Sci Ctr Houston, Dept Internal Med, Houston, TX 77030 USA

[20] Mem Hermann Med Ctr, Houston, TX USA

[21] Duke Univ, Div Pediat Neonatol, Sch Med, Durham, NC USA

[22] Duke Univ Hosp, Durham, NC USA

来源：

JOURNAL OF PERINATOLOGY | 2021年 / 41卷 / 09期

关键词：

POSITIVE EMOTIONS; PHYSICIAN BURNOUT; PATIENT SAFETY; VALIDATION; DEPRESSION; OUTCOMES;

D O I：

10.1038/s41372-021-01100-y

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective Test web-based implementation for the science of enhancing resilience (WISER) intervention efficacy in reducing healthcare worker (HCW) burnout. Design RCT using two cohorts of HCWs of four NICUs each, to improve HCW well-being (primary outcome: burnout). Cohort 1 received WISER while Cohort 2 acted as a waitlist control. Results Cohorts were similar, mostly female (83%) and nurses (62%). In Cohorts 1 and 2 respectively, 182 and 299 initiated WISER, 100 and 176 completed 1-month follow-up, and 78 and 146 completed 6-month follow-up. Relative to control, WISER decreased burnout (-5.27 (95% CI: -10.44, -0.10), p = 0.046). Combined adjusted cohort results at 1-month showed that the percentage of HCWs reporting concerning outcomes was significantly decreased for burnout (-6.3% (95%CI: -11.6%, -1.0%); p = 0.008), and secondary outcomes depression (-5.2% (95%CI: -10.8, -0.4); p = 0.022) and work-life integration (-11.8% (95%CI: -17.9, -6.1); p < 0.001). Improvements endured at 6 months. Conclusion WISER appears to durably improve HCW well-being.

引用

页码：2225 / 2234

页数：10

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