Protocol of randomized-controlled trial to examine the effectiveness of three different interventions to reduce healthcare provider burnout.

IF 2.7 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Catalina Ruple, John Brodhead, Lila Rabinovich, Doerte U Junghaenel, Tiffany Nakamura, Jonathan Wong, Sophia De-Oliveira, Joan Brown, Phuong Nguyen, Jenny Horn, Renee Middleton, Michelle Brahe, Cheng Wen, Sujeet Rao, Caroline Nguyen, Gil Shlamovitz, Dara Marino, Felipe Osorno, Steven Siegel
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引用次数: 0

Abstract

Background: Burnout is among the greatest challenges facing healthcare today. Healthcare providers have been found to experience burnout at significant rates, with COVID-19 exacerbating the challenge. Burnout in the healthcare setting has been associated with decreases in job satisfaction, productivity, professionalism, quality of care, and patient satisfaction, as well as increases in career choice regret, intent to leave, and patient safety incidents. In this context, there is a growing need to reduce provider burnout through targeted interventions, yet little is known about what types of interventions may be most effective. The present study aims to contribute to and extend prior literature by using rigorous randomized controlled trial (RCT) methodology with a parallel group design to examine the effectiveness of different interventions in decreasing mental distress, increasing self-efficacy and attenuating inefficiencies and dissatisfiers in the work environment to achieve sustainable improvement.'

Methods: The present study is an ongoing randomized controlled trial (RCT) that examines the effectiveness of three different types of interventions to reduce provider burnout: an intervention targeting emotional wellbeing and resilience, Electronic Health Record (EHR) skills training, and performance improvement training, relative to a no-treatment control group. This study aims to enroll a total of 400 healthcare providers in a large urban hospital system. Outcomes will be assessed at post-treatment and 6-month follow-up. Key outcomes include burnout, emotional health, intent to leave, EHR mastery, and confidence in performance improvement. Changes in outcome measurements from baseline to post-intervention across the intervention and control groups will be conducted using linear mixed-effects models (LMM).

Discussion: This study is novel in that it compares several interventions addressing both personal as well as system-level drivers of provider burnout that have been theorized to operate among healthcare providers. In addition, post-treatment and longer-term follow-up assessments will provide insight into the maintenance of effects. Another innovation is the inclusion of different types of patient-facing providers in the study population (doctors, nurses, and therapists).

Trial registration: This study was registered at ClinicalTrials.gov (NCT05780892) on March 10th, 2023.

检查三种不同干预措施减少医疗保健提供者职业倦怠的有效性的随机对照试验方案。
背景:职业倦怠是当今医疗保健面临的最大挑战之一。研究发现,医疗保健提供者的倦怠率很高,而COVID-19加剧了这一挑战。医疗保健环境中的职业倦怠与工作满意度、生产力、专业性、护理质量和患者满意度的降低以及职业选择后悔、离职意图和患者安全事件的增加有关。在这种情况下,越来越需要通过有针对性的干预措施来减少提供者的倦怠,但人们对哪种干预措施可能最有效知之甚少。本研究旨在补充和扩展已有文献,采用严格的随机对照试验(RCT)方法,采用平行组设计,考察不同干预措施在减少精神痛苦、提高自我效能、减轻工作环境中的低效率和不满意因素方面的有效性,以达到持续改善的目的。方法:目前的研究是一项正在进行的随机对照试验(RCT),研究了三种不同类型的干预措施对减少提供者倦怠的有效性:针对情绪健康和恢复力的干预措施,电子健康记录(EHR)技能培训和绩效改进培训,相对于无治疗对照组。本研究的目的是在一个大型城市医院系统中招募400名医疗保健提供者。结果将在治疗后和6个月随访时进行评估。主要的结果包括倦怠、情绪健康、离职意向、电子病历掌握和对绩效改善的信心。干预组和对照组从基线到干预后的结果测量变化将使用线性混合效应模型(LMM)进行。讨论:这项研究的新颖之处在于,它比较了几种干预措施,既解决了个人的,也解决了系统层面的供应商倦怠驱动因素,这些干预措施已被理论化,可以在医疗保健提供者中运作。此外,治疗后和长期随访评估将有助于深入了解效果的维持情况。另一项创新是在研究人群中纳入了不同类型的面向患者的提供者(医生、护士和治疗师)。试验注册:本研究于2023年3月10日在ClinicalTrials.gov (NCT05780892)注册。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Health Services Research
BMC Health Services Research 医学-卫生保健
CiteScore
4.40
自引率
7.10%
发文量
1372
审稿时长
6 months
期刊介绍: BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.
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