异步跨专业健康课程对医护人员职业倦怠的可行性及影响。

HCA healthcare journal of medicine Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI:10.36518/2689-0216.1778
Mari Ricker, Audrey J Brooks, Mei-Kuang Chen, Joy Weydert, Amy Locke, E Kyle Meehan, Paula Cook, Patricia Lebensohn, Victoria Maizes
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引用次数: 0

摘要

背景:福利措施是培养员工参与度和创建有效医疗生态系统的重要组成部分。医疗保健专业人员(HCP)的职业倦怠现象十分普遍,而且自 COVID-19 大流行以来,职业倦怠现象愈演愈烈。2014 年,在卫生资源与服务管理局的资金支持下,安德鲁-威尔中西医结合中心创建了一门针对医护人员幸福感的在线课程。该课程随后在医学住院医师中进行了研究,并于 2020 年进行了修订。在本研究中,我们将探讨该课程对更大系统的影响,以及对保健专业人员的长期影响:医疗保健专业人员幸福感课程是一门 4.5 小时的互动在线教育课程,旨在探讨个人幸福感、幸福感的促进因素和阻碍因素,以及影响医疗保健系统幸福感整体影响的系统性因素。参与者是通过整合医学与健康学术联盟的机构成员招募的,他们被随机分配到积极组或候补对照组。分别在课程前、课程后 1 个月和课程后 6 个月对职业倦怠、同情心、复原力和生活方式行为进行评估:职业倦怠的人格解体和情感衰竭测量结果显示,积极参与者的职业倦怠状况有了显著改善,并在课程结束后的 6 个月内得以持续。然而,积极组的复原力和同情心测量结果均无明显改善。起初,积极组的学员在个人成就感方面有所改善;然而,两组学员的个人成就感总体上都有所下降。最值得注意的是,许多积极参与者采用了新的促进健康的行为;95%的参与者至少采用了一种从课程中学到的新的生活方式:这项针对跨专业保健医生的简短、异步、在线健康课程的研究表明,该课程与个人职业倦怠指标的改善有关,并能为保健医生提供健康行为教育和专业参与框架。
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The Feasibility and Impact of an Asynchronous Interprofessional Well-Being Course on Burnout in Health Care Professionals.

Background: Well-being initiatives are essential components in fostering an engaged workforce and creating an effective health care ecosystem. Health care professional (HCP) burnout is widespread and has worsened since the COVID-19 pandemic. In 2014, with Health Resources and Services Administration funding support, the Andrew Weil Center for Integrative Medicine created an online course for HCP well-being. It was subsequently studied in medical residents and revised in 2020. In this study, we explore the impact of the course across larger systems, as well as the long-term impact on HCPs.

Methods: The Health Care Professional Well-Being course is 4.5 hours of interactive online education that explores personal well-being, promoters and detractors of well-being, and systemic factors that influence the overall impact of well-being in health care systems. Participants were recruited through institutional members of the Academic Consortium for Integrative Medicine and Health and were randomized to either active or waitlist control groups. Assessments were taken pre-course, 1-month post-course, and 6-months post-course in the areas of burnout, compassion, resiliency, and lifestyle behaviors.

Results: Burnout measures of depersonalization and emotional exhaustion showed a significant improvement amongst active participants, sustained for 6 months after the course. However, no significant improvement in either the resiliency or the compassion measurements was noted for the active group. Initially, the active group showed improvement in personal accomplishment; however, both groups showed a decline overall. Most noteworthy, a large number of active participants demonstrated adoption of new health-promoting behavior; 95% incorporated at least 1 new lifestyle behavior learned from the course.

Conclusion: This study of a brief, asynchronous, online well-being course with interprofessional HCPs, demonstrates that the course is associated with improvement in individual burnout measures and can educate HCPs about healthy behaviors and a framework for professional engagement.

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