Briefs and Summaries – Clinician Well-Being Knowledge Hub

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

NAM — Tue, 04 Jan 2022 14:35:08 +0000

This brief serves as a call to action to improve clinician
wellbeing and its impacts on patient care and safety,
providing a framework for the relationship between clinician wellbeing and patient care and safety, a summary of research findings, and a review of evidence-based policies to build support.

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.

Health Care Professionals Get Serious About Their Health

NAM — Thu, 15 Aug 2019 19:00:19 +0000

In 2013, University of Indiana Health invested in Fitbit Health Solutions, registering employees and ordering FitBit devices. They started a three-month step challenge and offered different prizes to participant. After the program, 40% of employees decreased their BMI, 60% of participants of diabetes decreased their hemoglobin A1c, and 92% of employees said they would continue to use their Fitbit devices.

Guideline for Team Communication

NAM — Wed, 14 Aug 2019 20:34:17 +0000

The Guideline for Team Communication, approved by the AORN Guidelines Advisory Board, provides guidance and recommendations for improving preoperative team communication through a culture of safety that incorporates team and simulation training, standardized transfer of patient information, briefings and debriefings, time outs, and surgical safety checklists. The guidelines and recommendations are based off a systematic evidence review of literature publications related to preoperative communication, from 2011 to 2017, in Ovid MEDLINE, EBSCO CINAHL, Scopus, and Cochrane Databases.

The Royal Society of Medicine Open Section’s Medical Humanities Conference: Physician Resilience and Compassionate Practice

NAM — Mon, 22 Jul 2019 19:08:11 +0000

Published in London Journal of Primary Care, the following is a summary of the Royal Society of Medicine Open Section’s medical humanities conference. Parallels between medicine and theater are used to reflect on dichotomy of consistency and change and that of the objective and the subjective in healthcare. The takeaway is for clinicians to hold onto resilience and compassion which are often at odds with the pressures of working within systems. Lastly, Professor Bowman concludes that in order to ask someone to practice in a compassionate way, like an actor in a play, clinicians need rehearsal to better give voice to values.

Cultivating Resilience: Personally and for Our Profession

NAM — Mon, 01 Apr 2019 19:27:50 +0000

The American Pediatric Association Presidential Address by Maryellen E. Gusic in 2016 focuses on cultivating resilience in the face of burnout. She highlights burnout statistics, intervention studies and Laura Dunn’s conceptual model in an effort to articulate the importance of finding meaning and cultivating resilience in ourselves. With an optimistic epilogue, she calls to action personal, institutional, and organizational efforts to promote vitality and combat burnout through active engagement.

More Women Than Men Enrolled in U.S. Medical Schools in 2017

NAM — Fri, 22 Feb 2019 19:19:31 +0000

The following press release from AAMC reveals that in 2017, more women than men enrolled in U.S. medical schools. Female matriculants increased by 3.2% this year, while male matriculants declined by 0.3%. While the majority of matriculants this year were female, males remained a slight majority (50.4%) of applicants. Additionally, an AAMC annual survey of matriculating medical students found that having a work-life balance rather than a “stable, secure future” was an “essential consideration” in their career paths after medical school.

Physician burnout: can we make a difference together?

NAM — Fri, 22 Feb 2019 18:37:59 +0000

In the following study, 74 physicians participated in 19 biweekly discussion groups, incorporating elements of mindfulness, reflection, shared experiences, and small-group learning for 9 months. The following were assessed using validated metrics: meaning in work, empowerment and engagement in work, burnout, symptoms of depression, quality of life, and job satisfaction. Empowerment and engagement at work increased, while rates of depersonalization, emotional exhaustion, and overall burnout decreased substantially in the trial intervention arm.

Transforming clinical documentation in EHRs for 2020: Recommendations from University of Minnesota’s big data conference working group

NAM — Mon, 04 Feb 2019 17:52:58 +0000

In 2014, a group of diverse informatics leaders from practice, academia, and the software industry formed to address how best to transform electronic documentation to provide knowledge at the point of care and to deliver value to front line nurses and nurse leaders. This presentation reports the recommendations from this Working Group geared towards a 2020 framework. The recommendations propose redesign to optimize nurses’ documentation efficiency while contributing to knowledge generation and attaining a balance that ensures the capture of nursing’s impact on safety, quality, yet minimizes “death by data entry.”

Impact of Longitudinal Electronic Health Record Training for Residents Preparing for Practice in Patient-Centered Medical Homes

NAM — Mon, 04 Feb 2019 17:17:30 +0000

The following study, published in the Permanente Journal, explores the educational outcomes associated with comprehensive EHR training for family medicine residents. The PCMH EHR training consisted of case-based routine clinic visits delivered to 3 resident cohorts and participants completed an EHR competency self-assessment. Comprehensive training designed to improve EHR competencies among residents practicing in a PCMH resulted in improved assessment scores. Findings indicate EHR training as part of resident exposure to the PCMH measurably improves self-assessed competencies, even among residents less engaged in EHR training.