"WISER" 干预措施减少医护人员 burnout - 1 年随访。
"WISER" intervention to reduce healthcare worker burnout - 1 year follow up.
机构信息
Perinatal Epidemiology and Health Outcomes Research Unit, Division of Neonatology, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA.
California Perinatal Quality Care Collaborative, Palo Alto, CA, USA.
出版信息
J Perinatol. 2024 Dec;44(12):1719-1723. doi: 10.1038/s41372-024-01993-5. Epub 2024 May 11.
OBJECTIVE
Test sustainability of Web-based Implementation for the Science of Enhancing Resilience (WISER) intervention efficacy in reducing healthcare worker (HCW) emotional exhaustion (EE), a key component of burnout.
DESIGN
One-year follow-up of WISER RCT using two cohorts (one waitlist control with shortened intervention period) of HCWs of four NICUs each, to improve HCW well-being (primary outcome: EE).
RESULTS
In Cohorts 1 and 2, 194 and 312 WISER initiators were identified by 1-year, and 99 and 80 completed 1-year follow-up, respectively. Combined cohort results showed that relative to baseline, at 1-year WISER decreased EE (-7.07 (95%CI: -10.22, -3.92), p < 0.001), depression (-4.49 (-6.81, -2.16), p = <0.001), and improved work-life integration (6.08 (4.25, 7.90), p = <0.001). EE continued to decline between 6-month and 1-year follow-up (p = 0.022). The percentage of HCWs reporting concerning outcomes was significantly decreased for EE (-10.9% (95%CI: -17.9%, -4.9%); p < 0.001), and secondary outcomes depression and work-life integration.
CONCLUSION
WISER improves HCW well-being for at least 1 year.
CLINICAL TRIALS NUMBER
NCT02603133; https://clinicaltrials.gov/ct2/show/NCT02603133.
目的
测试基于网络的增强弹性科学（WISER）干预减少医护人员（HCW）情绪疲惫（EE）的效果的可持续性，EE 是倦怠的一个关键组成部分。
设计
对 WISER RCT 进行为期一年的随访，采用两个队列（一个等待对照队列，干预期缩短），每个队列有四个新生儿重症监护病房（NICU）的 HCW，以改善 HCW 的健康（主要结果：EE）。
结果
在队列 1 和 2 中，分别有 194 名和 312 名 WISER 启动者在 1 年内被确定，分别有 99 名和 80 名完成了 1 年的随访。综合队列结果表明，与基线相比，WISER 在 1 年内降低了 EE（-7.07（95%CI：-10.22，-3.92），p<0.001）、抑郁（-4.49（-6.81，-2.16），p<0.001）和改善了工作-生活整合（6.08（4.25，7.90），p<0.001）。EE 在 6 个月和 1 年随访之间持续下降（p=0.022）。报告关注结果的 HCW 比例显著下降，包括 EE（-10.9%（95%CI：-17.9%，-4.9%），p<0.001）、次要结果抑郁和工作-生活整合。
结论
WISER 至少在 1 年内改善了 HCW 的健康状况。
临床试验编号
NCT02603133；https://clinicaltrials.gov/ct2/show/NCT02603133。
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