Joanne E Jordan, Kerryn Garner, Kate Bones, Lisa McKenzie, Mark Linzer, Cheryl Rathert, Elizabeth Goelz, Jesse McCall, Eleanor Sawyer, Briana Baass, Fiona Herco
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Scalable interventions to address burnout are critical to protect HCW well-being.</p><p><strong>Purpose: </strong>Underpinned by the Conservation of Resources theory, this study examines the impacts of a statewide improvement initiative (the Initiative), using the Institute for Healthcare Improvement Joy in Work (JiW) Framework, to reduce burnout and increase joy at work across participating health care organizations in Victoria, Australia.</p><p><strong>Methodology/approach: </strong>An impact evaluation was undertaken utilizing a mixed-methods design. Quantitative outcomes included burnout and joy at work measured using an adapted Mini Z tool. In-depth interviews with implementation teams sought insights into the effectiveness of interventions.</p><p><strong>Results: </strong>Overall, 20 teams from 17 organizations across diverse health care settings and geographical locations participated. 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引用次数: 0
摘要
背景：医护人员（HCWs）的职业倦怠会对个人健康、患者、组织和医疗系统造成严重影响。全球证据表明，COVID-19 大流行加剧了职业倦怠的风险。目的：在资源保护理论的支持下，本研究采用澳大利亚维多利亚州医疗保健改进研究所的 "工作中的快乐"（JiW）框架，对一项全州范围的改进措施（该措施）的影响进行了研究，该措施旨在减少倦怠感，并在参与的医疗保健机构中增加工作中的快乐：采用混合方法进行影响评估。定量结果包括使用改编的 Mini Z 工具测量的工作倦怠和工作快乐程度。对实施团队的深入访谈旨在了解干预措施的有效性：共有来自不同医疗机构和地理位置的 17 个组织的 20 个团队参与。在全州范围内，由于数据有限，职业倦怠和工作快乐方面的结果尚无定论。然而，在报告了充足数据的八个团队中，有五个团队在一项或多项成果上取得了可衡量的改善。定性数据显示，该倡议增加了工作场所的资源和支持，例如为高危工作者提供 "许可"，让他们优先考虑工作中的幸福感，改善管理层与高危工作者之间的沟通，增强高危工作者的团队精神和友情，从而使工作场所更安全、更积极：在不同环境中实施的 JiW 框架为各组织提供了一个结构化流程，以制定多方面的改进措施，从而增加资源，改善高危职业工人的福祉。与个人幸福感支持相比，这种方法提供了组织层面的变革和扩展潜力。
Improving joy at work and reducing burnout in health care workers in Victoria, Australia using the Institute for Healthcare Improvement joy in work framework: A mixed-methods study.
Background: Burnout in health care workers (HCWs) has serious ramifications for individual well-being, patients, organizations, and health systems. Global evidence demonstrates the COVID-19 pandemic has amplified the risk of burnout. Scalable interventions to address burnout are critical to protect HCW well-being.
Purpose: Underpinned by the Conservation of Resources theory, this study examines the impacts of a statewide improvement initiative (the Initiative), using the Institute for Healthcare Improvement Joy in Work (JiW) Framework, to reduce burnout and increase joy at work across participating health care organizations in Victoria, Australia.
Methodology/approach: An impact evaluation was undertaken utilizing a mixed-methods design. Quantitative outcomes included burnout and joy at work measured using an adapted Mini Z tool. In-depth interviews with implementation teams sought insights into the effectiveness of interventions.
Results: Overall, 20 teams from 17 organizations across diverse health care settings and geographical locations participated. At a statewide level, outcomes in burnout and joy at work were inconclusive due to limited data. However, five out of eight teams reporting sufficient data achieved measurable improvements in one or more outcomes. Qualitative data revealed the Initiative increased workplace resources and supports such as providing "permission" for HCWs to prioritize well-being at work, improved communications between management and HCWs, and increased HCWs' teamwork and camaraderie, resulting in safer and more positive workplaces.
Conclusion and practice implications: The JiW Framework, implemented across diverse settings, provided organizations with a structured process to develop multifaceted improvements that resulted in enhanced resources that appeared to improve HCW well-being. Compared to individual well-being support, this approach offers organization-level change and scalability potential.
期刊介绍：
Health Care Management Review (HCMR) disseminates state-of-the-art knowledge about management, leadership, and administration of health care systems, organizations, and agencies. Multidisciplinary and international in scope, articles present completed research relevant to health care management, leadership, and administration, as well report on rigorous evaluations of health care management innovations, or provide a synthesis of prior research that results in evidence-based health care management practice recommendations. Articles are theory-driven and translate findings into implications and recommendations for health care administrators, researchers, and faculty.
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