Rohan Moghe, Mengqi Zhu, Erin Staab, Daisy Nuñez, Sana Basheer, Wen Wan, Amanda Campbell, Michael Quinn, Cynthia T. Schaefer, Arshiya A. Baig
{"title":"实施虚拟糖尿病小组探访对员工和医疗服务提供者福祉、工作满意度和职业倦怠的影响:混合方法分析","authors":"Rohan Moghe, Mengqi Zhu, Erin Staab, Daisy Nuñez, Sana Basheer, Wen Wan, Amanda Campbell, Michael Quinn, Cynthia T. Schaefer, Arshiya A. Baig","doi":"10.1111/jep.14238","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Rationale</h3>\n \n <p>Few have assessed the impact of group visits (GVs), or shared medical appointments, on community health centre (CHC) staff and provider burnout, wellness, and job satisfaction.</p>\n </section>\n \n <section>\n \n <h3> Aims and Objectives</h3>\n \n <p>This study assesses the impact of diabetes GV implementation on staff and provider morale and burnout.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>It is a pre-post study from a larger cluster randomised trial. Two cohorts of providers and staff from 13 Midwestern CHC clinics implemented in-person (<i>N</i> = 39) and virtual (<i>N</i> = 31) GVs for adults with diabetes. Semi-structured interviews (post-implementation) and surveys (pre and post-implementation) were conducted with staff and providers in both cohorts to assess changes in burnout, staff morale, and job satisfaction, along with reported benefits and burdens of GVs. Thematic analysis of interview transcripts and significance testing for survey data was then performed.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Interview data came from the in-person cohort (<i>N</i> = 15) and the virtual cohort (<i>N</i> = 19). Survey data were collected from a total of 70 respondents from the in-person (<i>N</i> = 39) and virtual (<i>N</i> = 31) cohorts. Key results include reported improved relationships with colleagues (‘<i>it has made our professional relationships stronger and I feel more comfortable talking about other things, as well’</i>.), strengthened connections with patients (<i>‘We were able to help patients on a deeper level and provide more detail and one-on-one care’</i>.), and individual reward (<i>‘Morale has increased. They're contributing and doing something positive for the patients’</i>.). When asked about in-person versus virtual GVs, respondents noted they preferred in-person care but appreciated the flexibility virtual care afforded. Survey results revealed improved job satisfaction in the 2018 cohort and improved morale in the 2020 cohort, as well as perceived benefits including increased interprofessional collaboration and increased connection to patients.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Implementation of GVs in the CHC setting impacted key areas of burnout, including relationships, job attachment, and feelings of meaningful contribution in the workplace among providers and staff. Future clinic-based implementation studies may consider measuring staff and provider well-being as part of the evaluation.</p>\n </section>\n </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.14238","citationCount":"0","resultStr":"{\"title\":\"The Impact of Implementing Virtual Diabetes Group Visits on Staff and Provider Wellbeing, Job Satisfaction, and Burnout: A Mixed Methods Analysis\",\"authors\":\"Rohan Moghe, Mengqi Zhu, Erin Staab, Daisy Nuñez, Sana Basheer, Wen Wan, Amanda Campbell, Michael Quinn, Cynthia T. Schaefer, Arshiya A. Baig\",\"doi\":\"10.1111/jep.14238\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Rationale</h3>\\n \\n <p>Few have assessed the impact of group visits (GVs), or shared medical appointments, on community health centre (CHC) staff and provider burnout, wellness, and job satisfaction.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Aims and Objectives</h3>\\n \\n <p>This study assesses the impact of diabetes GV implementation on staff and provider morale and burnout.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>It is a pre-post study from a larger cluster randomised trial. Two cohorts of providers and staff from 13 Midwestern CHC clinics implemented in-person (<i>N</i> = 39) and virtual (<i>N</i> = 31) GVs for adults with diabetes. Semi-structured interviews (post-implementation) and surveys (pre and post-implementation) were conducted with staff and providers in both cohorts to assess changes in burnout, staff morale, and job satisfaction, along with reported benefits and burdens of GVs. Thematic analysis of interview transcripts and significance testing for survey data was then performed.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Interview data came from the in-person cohort (<i>N</i> = 15) and the virtual cohort (<i>N</i> = 19). Survey data were collected from a total of 70 respondents from the in-person (<i>N</i> = 39) and virtual (<i>N</i> = 31) cohorts. Key results include reported improved relationships with colleagues (‘<i>it has made our professional relationships stronger and I feel more comfortable talking about other things, as well’</i>.), strengthened connections with patients (<i>‘We were able to help patients on a deeper level and provide more detail and one-on-one care’</i>.), and individual reward (<i>‘Morale has increased. They're contributing and doing something positive for the patients’</i>.). When asked about in-person versus virtual GVs, respondents noted they preferred in-person care but appreciated the flexibility virtual care afforded. Survey results revealed improved job satisfaction in the 2018 cohort and improved morale in the 2020 cohort, as well as perceived benefits including increased interprofessional collaboration and increased connection to patients.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Implementation of GVs in the CHC setting impacted key areas of burnout, including relationships, job attachment, and feelings of meaningful contribution in the workplace among providers and staff. Future clinic-based implementation studies may consider measuring staff and provider well-being as part of the evaluation.</p>\\n </section>\\n </div>\",\"PeriodicalId\":15997,\"journal\":{\"name\":\"Journal of evaluation in clinical practice\",\"volume\":\"31 1\",\"pages\":\"\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2024-11-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.14238\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of evaluation in clinical practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jep.14238\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of evaluation in clinical practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jep.14238","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
The Impact of Implementing Virtual Diabetes Group Visits on Staff and Provider Wellbeing, Job Satisfaction, and Burnout: A Mixed Methods Analysis
Rationale
Few have assessed the impact of group visits (GVs), or shared medical appointments, on community health centre (CHC) staff and provider burnout, wellness, and job satisfaction.
Aims and Objectives
This study assesses the impact of diabetes GV implementation on staff and provider morale and burnout.
Methods
It is a pre-post study from a larger cluster randomised trial. Two cohorts of providers and staff from 13 Midwestern CHC clinics implemented in-person (N = 39) and virtual (N = 31) GVs for adults with diabetes. Semi-structured interviews (post-implementation) and surveys (pre and post-implementation) were conducted with staff and providers in both cohorts to assess changes in burnout, staff morale, and job satisfaction, along with reported benefits and burdens of GVs. Thematic analysis of interview transcripts and significance testing for survey data was then performed.
Results
Interview data came from the in-person cohort (N = 15) and the virtual cohort (N = 19). Survey data were collected from a total of 70 respondents from the in-person (N = 39) and virtual (N = 31) cohorts. Key results include reported improved relationships with colleagues (‘it has made our professional relationships stronger and I feel more comfortable talking about other things, as well’.), strengthened connections with patients (‘We were able to help patients on a deeper level and provide more detail and one-on-one care’.), and individual reward (‘Morale has increased. They're contributing and doing something positive for the patients’.). When asked about in-person versus virtual GVs, respondents noted they preferred in-person care but appreciated the flexibility virtual care afforded. Survey results revealed improved job satisfaction in the 2018 cohort and improved morale in the 2020 cohort, as well as perceived benefits including increased interprofessional collaboration and increased connection to patients.
Conclusions
Implementation of GVs in the CHC setting impacted key areas of burnout, including relationships, job attachment, and feelings of meaningful contribution in the workplace among providers and staff. Future clinic-based implementation studies may consider measuring staff and provider well-being as part of the evaluation.
期刊介绍:
The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.