Nicholas A. Giordano PhD, RN, FAAN (is an Assistant Professor at the Nell Hodgson Woodruff School of Nursing, Emory University.), Ingrid M. Duva PhD, MN, RN (is an Assistant Clinical Professor, at the Nell Hodgson Woodruff School of Nursing, Emory University.), Beth Ann Swan PhD, RN, CHSE, FAAN, ANEF (is a Professor at the Nell Hodgson Woodruff School of Nursing, Emory University.), Theodore M. Johnson II MD, MPH (is a Professor in the Department of Medicine and in the Department of Family and Preventive Medicine, Emory University School of Medicine. He is also an Investigator with the Birmingham/Atlanta VA Geriatrics Rehabilitation, Education, and Clinical Center and the Atlanta Veterans Affairs Healthcare System.), Jeannie P. Cimiotti PhD, RN, FAAN (is an Associate Professor at the Nell Hodgson Woodruff School of Nursing, Emory University with a Secondary Appointment in the Department of Health Policy and Management, Rollins School of Public Health, Emory University.), Dorian A. Lamis PhD, ABPP (is an Associate Professor in the Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine.), JoAnna Hillman MPH (is the Owner of and Principal Evaluator at Hillman Associates, LLC, Pittsburgh.), Janelle Gowgiel MPH (is a Business Consultant–Patient Access at Southeast Permanente Medical Group, Atlanta.), Kristin Giordano MPH (is an Evaluation Specialist at the Emory Centers for Public Health Training and Technical Assistance, Rollins School of Public Health, Emory University.), Nikki Rider ScD, MPP (is a Director in the Center for Program Evaluation and Quality Improvement, Emory Centers for Public Health Training and Technical Assistance, Rollins School of Public Health, Emory University.), Lisa Muirhead DNP, APRN-BC, ANP, FAANP, FAAN (is a Professor at the Nell Hodgson Woodruff School of Nursing, Emory University.), Michelle Wallace DNP, RN, TCRN, NEA-BC, FACHE (is the Chief Nursing Officer at Grady Memorial Hospital, Atlanta.), Tim Cunningham DrPH, RN, MSN, FAAN (is the former Co-Chief Well-Being Officer at Emory Healthcare, Atlanta), Maureen Shelton MDiv, ACPE (is the System Director of Education, Spiritual Health at Emory Healthcare, Emory University.), Timothy Harrison MS (is the Associate Director for Cognitively-Based Compassion Training, Center for Contemplative Science and Compassion-Based Ethics, Emory University.), LaTanya Holland MBA (is the Project Coordinator/Executive Assistant, Nell Hodgson Woodruff School of Nursing, Emory University.), Ammar A. Rashied MS (is a Biostatistician, Biostatistics Collaboration Core, Department of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University.), Jennifer S. Mascaro PhD (is an Associate Professor in the Department of Family and Preventive Medicine, Emory University School of Medicine. Please address correspondence to Nicholas A. Giordano)
{"title":"Effects of a Workplace Well-Being Program on Professional Quality of Life Among Health Care Personnel","authors":"Nicholas A. Giordano PhD, RN, FAAN (is an Assistant Professor at the Nell Hodgson Woodruff School of Nursing, Emory University.), Ingrid M. Duva PhD, MN, RN (is an Assistant Clinical Professor, at the Nell Hodgson Woodruff School of Nursing, Emory University.), Beth Ann Swan PhD, RN, CHSE, FAAN, ANEF (is a Professor at the Nell Hodgson Woodruff School of Nursing, Emory University.), Theodore M. Johnson II MD, MPH (is a Professor in the Department of Medicine and in the Department of Family and Preventive Medicine, Emory University School of Medicine. He is also an Investigator with the Birmingham/Atlanta VA Geriatrics Rehabilitation, Education, and Clinical Center and the Atlanta Veterans Affairs Healthcare System.), Jeannie P. Cimiotti PhD, RN, FAAN (is an Associate Professor at the Nell Hodgson Woodruff School of Nursing, Emory University with a Secondary Appointment in the Department of Health Policy and Management, Rollins School of Public Health, Emory University.), Dorian A. Lamis PhD, ABPP (is an Associate Professor in the Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine.), JoAnna Hillman MPH (is the Owner of and Principal Evaluator at Hillman Associates, LLC, Pittsburgh.), Janelle Gowgiel MPH (is a Business Consultant–Patient Access at Southeast Permanente Medical Group, Atlanta.), Kristin Giordano MPH (is an Evaluation Specialist at the Emory Centers for Public Health Training and Technical Assistance, Rollins School of Public Health, Emory University.), Nikki Rider ScD, MPP (is a Director in the Center for Program Evaluation and Quality Improvement, Emory Centers for Public Health Training and Technical Assistance, Rollins School of Public Health, Emory University.), Lisa Muirhead DNP, APRN-BC, ANP, FAANP, FAAN (is a Professor at the Nell Hodgson Woodruff School of Nursing, Emory University.), Michelle Wallace DNP, RN, TCRN, NEA-BC, FACHE (is the Chief Nursing Officer at Grady Memorial Hospital, Atlanta.), Tim Cunningham DrPH, RN, MSN, FAAN (is the former Co-Chief Well-Being Officer at Emory Healthcare, Atlanta), Maureen Shelton MDiv, ACPE (is the System Director of Education, Spiritual Health at Emory Healthcare, Emory University.), Timothy Harrison MS (is the Associate Director for Cognitively-Based Compassion Training, Center for Contemplative Science and Compassion-Based Ethics, Emory University.), LaTanya Holland MBA (is the Project Coordinator/Executive Assistant, Nell Hodgson Woodruff School of Nursing, Emory University.), Ammar A. Rashied MS (is a Biostatistician, Biostatistics Collaboration Core, Department of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University.), Jennifer S. Mascaro PhD (is an Associate Professor in the Department of Family and Preventive Medicine, Emory University School of Medicine. Please address correspondence to Nicholas A. Giordano)","doi":"10.1016/j.jcjq.2025.04.008","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div><span>A healthy, competent, and compassionate health care workforce is critical to ensure that </span>health systems<span><span><span> can deliver high-quality, safe patient care. Therefore, health care personnel need access to scalable, recurring, evidence-based training opportunities to bolster compassion, mitigate burnout, and enhance </span>resiliency, ultimately improving their professional </span>quality of life. This evaluation examined the reach, effectiveness, adoption, implementation, and maintenance of workplace-based well-being training opportunities offered by Atlanta’s Resiliency Resource for frontline Workers (ARROW) program across two health systems.</span></div></div><div><h3>Methods</h3><div>ARROW formed through an academic practice partnership designed to introduce health care personnel to evidence-based mindfulness<span> and compassion-based training opportunities: the Community Resiliency Model (CRM) and Cognitively-Based Compassion Training (CBCT). Trainees provided evaluation feedback immediately before, two weeks after, and three months after attending a CRM or CBCT event. The Short Professional Quality of Life Scale assessed compassion fatigue, burnout, and compassion satisfaction; the Connor-Davidson Resilience Scale assessed resiliency.</span></div></div><div><h3>Results</h3><div><span><span>ARROW hosted 59 training events that directly trained 761 health care personnel. Trainees’ compassion fatigue scores, a key component of professional </span>quality of life, decreased up to three months after engaging in programming by 0.32 points (</span><em>p</em> = 0.005, <em>d</em> = -0.14). Trainees who attended CBCT events were observed to have additional declines in compassion fatigue scores, by 0.45 points (<em>p</em> = 0.016, <em>d</em> = -0.215). No differences in burnout, compassion satisfaction, or resiliency were observed. ARROW mentored 68 health care personnel to become either CRM– or CBCT–certified instructors using a train-the-trainer approach. New trainers continued to offer well-being training opportunities and reached an additional 772 colleagues.</div></div><div><h3>Conclusion</h3><div>The findings from this evaluation indicate the broad reach and sustained impact ARROW had across health systems, engaging health care personnel in workplace well-being programming to bolster professional quality of life. Specifically, improvements in compassion fatigue scores following program participation corresponded to a small effect size; however, no changes in burnout, compassion satisfaction, or resiliency were seen after engaging in ARROW programming.</div></div>","PeriodicalId":14835,"journal":{"name":"Joint Commission journal on quality and patient safety","volume":"51 9","pages":"Pages 548-557"},"PeriodicalIF":2.4000,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Joint Commission journal on quality and patient safety","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1553725025001412","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Background
A healthy, competent, and compassionate health care workforce is critical to ensure that health systems can deliver high-quality, safe patient care. Therefore, health care personnel need access to scalable, recurring, evidence-based training opportunities to bolster compassion, mitigate burnout, and enhance resiliency, ultimately improving their professional quality of life. This evaluation examined the reach, effectiveness, adoption, implementation, and maintenance of workplace-based well-being training opportunities offered by Atlanta’s Resiliency Resource for frontline Workers (ARROW) program across two health systems.
Methods
ARROW formed through an academic practice partnership designed to introduce health care personnel to evidence-based mindfulness and compassion-based training opportunities: the Community Resiliency Model (CRM) and Cognitively-Based Compassion Training (CBCT). Trainees provided evaluation feedback immediately before, two weeks after, and three months after attending a CRM or CBCT event. The Short Professional Quality of Life Scale assessed compassion fatigue, burnout, and compassion satisfaction; the Connor-Davidson Resilience Scale assessed resiliency.
Results
ARROW hosted 59 training events that directly trained 761 health care personnel. Trainees’ compassion fatigue scores, a key component of professional quality of life, decreased up to three months after engaging in programming by 0.32 points (p = 0.005, d = -0.14). Trainees who attended CBCT events were observed to have additional declines in compassion fatigue scores, by 0.45 points (p = 0.016, d = -0.215). No differences in burnout, compassion satisfaction, or resiliency were observed. ARROW mentored 68 health care personnel to become either CRM– or CBCT–certified instructors using a train-the-trainer approach. New trainers continued to offer well-being training opportunities and reached an additional 772 colleagues.
Conclusion
The findings from this evaluation indicate the broad reach and sustained impact ARROW had across health systems, engaging health care personnel in workplace well-being programming to bolster professional quality of life. Specifically, improvements in compassion fatigue scores following program participation corresponded to a small effect size; however, no changes in burnout, compassion satisfaction, or resiliency were seen after engaging in ARROW programming.
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