Ricker Mari, Brooks Audrey J, Chen Mei-Kuang, Weydert Joy, Locke Amy, Meehan E Kyle, Cook Paula, Lebensohn Patricia, Maizes Victoria
Andrew Weil Center for Integrative Medicine, University of Arizona, Tucson, AZ.
University of Arizona College of Medicine, Tucson, AZ.
HCA Healthc J Med. 2024 Jun 1;5(3):343-351. doi: 10.36518/2689-0216.1778. eCollection 2024.
Well-being initiatives are essential components in fostering an engaged workforce and creating an effective health care ecosystem. Health care professional (HCP) burnout is widespread and has worsened since the COVID-19 pandemic. In 2014, with Health Resources and Services Administration funding support, the Andrew Weil Center for Integrative Medicine created an online course for HCP well-being. It was subsequently studied in medical residents and revised in 2020. In this study, we explore the impact of the course across larger systems, as well as the long-term impact on HCPs.
The Health Care Professional Well-Being course is 4.5 hours of interactive online education that explores personal well-being, promoters and detractors of well-being, and systemic factors that influence the overall impact of well-being in health care systems. Participants were recruited through institutional members of the Academic Consortium for Integrative Medicine and Health and were randomized to either active or waitlist control groups. Assessments were taken pre-course, 1-month post-course, and 6-months post-course in the areas of burnout, compassion, resiliency, and lifestyle behaviors.
Burnout measures of depersonalization and emotional exhaustion showed a significant improvement amongst active participants, sustained for 6 months after the course. However, no significant improvement in either the resiliency or the compassion measurements was noted for the active group. Initially, the active group showed improvement in personal accomplishment; however, both groups showed a decline overall. Most noteworthy, a large number of active participants demonstrated adoption of new health-promoting behavior; 95% incorporated at least 1 new lifestyle behavior learned from the course.
This study of a brief, asynchronous, online well-being course with interprofessional HCPs, demonstrates that the course is associated with improvement in individual burnout measures and can educate HCPs about healthy behaviors and a framework for professional engagement.
幸福计划是培养敬业员工队伍和创建有效医疗保健生态系统的重要组成部分。医疗保健专业人员（HCP）职业倦怠现象普遍存在，自新冠疫情以来情况愈发严重。2014年，在卫生资源与服务管理局的资金支持下，安德鲁·韦尔综合医学中心为HCP的幸福创建了一门在线课程。该课程随后在住院医师中进行了研究，并于2020年进行了修订。在本研究中，我们探讨了该课程在更大系统中的影响，以及对HCP的长期影响。
医疗保健专业人员幸福课程是一门4.5小时的交互式在线教育课程，探讨个人幸福、幸福的促进因素和阻碍因素，以及影响医疗保健系统中幸福总体影响的系统因素。参与者通过综合医学与健康学术联盟的机构成员招募，并随机分为活跃组或候补对照组。在倦怠、同情心、恢复力和生活方式行为等方面，在课程前、课程后1个月和课程后6个月进行评估。
去个性化和情感耗竭的倦怠指标在活跃参与者中显示出显著改善，在课程结束后持续6个月。然而，活跃组在恢复力或同情心测量方面均未发现显著改善。最初，活跃组在个人成就感方面有所改善；然而，两组总体上均有所下降。最值得注意的是，大量活跃参与者展示了采用新的促进健康行为；95%的人纳入了至少一种从课程中学到的新的生活方式行为。
这项针对跨专业HCP的简短、异步在线幸福课程的研究表明，该课程与个体倦怠指标的改善相关，并且可以教育HCP关于健康行为和专业参与的框架。
