Nurse – Clinician Well-Being Knowledge Hub

A Call to Action: Improving Clinician Well-Being and Patient Care and Safety

NAM — Fri, 13 Mar 2020 13:18:44 +0000

The Health Policy Institute of Ohio collaborated with The Ohio State University College of Nursing Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Healthcare to create A Call to Action: Improving Clinician Well-Being and Patient Care and Safety. The Call to Action outlines the bi-directional relationship between clinician well-being and patient care, calls attention to the health problems clinicians face related to burnout, and highlights the need for a comprehensive approach to prevention, treatment, and recovery efforts. As part of this approach, state policymakers and healthcare leaders have an important role in implementing evidence-informed policies and practices such as advancing positive organizational culture, promoting wellness programs, reducing stigma toward seeking mental health treatment, increasing access to mental health services, and monitoring the data on student and clinician wellness.

Exploring Moral Resilience Toward A Culture of Ethical Practice

NAM — Wed, 18 Sep 2019 20:58:54 +0000

This report published by the American Nurses Association discusses a call to action for improving moral resilience in order to address ethical challenges that nurses face. Moral resilience is seen as an important capacity for nurses to cultivate due to the many challenges faced in an inherently stressful environment. Transforming individual and team distress along with the organizational culture that contributes to this will create conditions where moral and ethical practice can thrive. The report includes recommendations from an individual and organizational level to apply interventions that foster moral resilience.

Building a Program on Well-Being: Key Design Considerations to Meet the Unique Needs of Each Organization

NAM — Wed, 18 Sep 2019 14:12:19 +0000

This journal article published by Academic Medicine discusses the need for health care institutions to pursue provider well-being as a core organizational strategy. Extensive evidence demonstrates the link between physician/nurse burnout and patient outcomes. There are also four major drivers that motivate the need to build well-being programs to address burnout: the moral-ethical case (caring for people), business case (cost of turnover), tragic case (physician suicide), regulatory case (accreditation requirements). Having a well-being program symbolizes an organizational commitment to well-being. The authors suggest having efforts led by a c-suite leader through a chief wellness officer or similar position. They also recommend creating a framework around high professional fulfillment rather than just mitigating burnout. Efforts to promote well-being in the workforce provide a vital infrastructure for health care organizations to achieve their mission.

Bellin Health Team-Based Care: The Model in Action—Care Team Meeting

NAM — Thu, 15 Aug 2019 20:46:19 +0000

The following video, created by Bellin Health, models its team-based care plan in action by recording what a typical care team meeting would look like. It highlights the importance of highlighting achievements and successes by its staff, reviewing quality measures, and discussing cases as a team. This care team meeting also includes a behavioral health consultant, clinical pharmacist, and a diabetic educator, thereby emphasizing the need for multidisciplinary collaboration.

Bellin Health Team-Based Care: The Model in Action—The Office Visit

NAM — Thu, 15 Aug 2019 20:45:17 +0000

The following video, created by Bellin Health, models its team-based care plan in action by recording what a typical office visit would look like. It highlights the interaction between the care team coordinator, physician, and patient, while simultaneously providing definitions, goals, and additional information their individual roles.

Clinician Well-Being at Virginia Mason Kirkland Medical Center: A Case Study

NAM — Fri, 26 Jul 2019 13:41:32 +0000

The following case study highlights organizational initiatives from the Virginia Mason Kirkland Medical Center that have demonstrated success in supporting well-being and preventing burnout among practicing clinicians.

The case study is intended to inform and inspire organizations facing similar challenges and seeking similar outcomes. Although there is no one-size-fits-all solution for clinician well-being, techniques and resources described in the case studies may provide a useful starting point for other groups.

Clinician Well-Being at The Ohio State University: A Case Study

NAM — Fri, 26 Jul 2019 13:39:36 +0000

The following case study highlights organizational initiatives from The Ohio State University that have demonstrated success in supporting well-being and preventing burnout among practicing clinicians, trainees, and/or students. This case study provides highlights from the College of Medicine, College of Nursing, Wexner Medical Center, and Emergency Medicine Residency Program.

Bellin Health Team-Based Care: The Model in Action—In Between Visit Workflow

NAM — Mon, 29 Apr 2019 15:55:18 +0000

The following video, created by Bellin Health models its team-based care plan in action by recording what the typical workflow of the day would look like. It includes a brief huddle of core team to create a list of action items, using the EHR to perform pre-visit preparation and identify care gaps, and using verbal communication

The emotional needs of care recipients and the psychological well-being of informal caregivers: implications for home care clinicians

NAM — Wed, 03 Apr 2019 17:59:56 +0000

This exploratory research study, published in Home Health Care Nurse, studied perceived difficulty of emotional and physical care, perceived quality of care, demographic items, health status, and a measure of psychological well-being. Findings suggest that psychological well-being of informal caregivers is diminished when they are in poorer health, are older, or experience greater difficulty meeting the care recipients’ emotional care needs. The article suggests conducting further research.

Emotional exhaustion and workarounds in acute care: cross sectional tests of a theoretical framework

NAM — Wed, 03 Apr 2019 17:55:21 +0000

Published in International Journal of Nursing Studies, a conceptual model is closely examined to link the clinical work environment with workarounds by clinicians, and hypothesizes that burnout, specifically emotional exhaustion, would mediate these relationships. Findings from structural modeling indicate, contrary to expectations, that physical environment was directly and negatively related to workarounds, potentially illustrating a risk factor for patient safety.