Usset Timothy J, Godzik Cassandra, Harris J Irene, Wurtz Rebecca M, Pyne Jeffrey M, Edmonds Stephanie W, Prunty April, Brown Rebecca J L, Bardach Shoshana H, Bradley Joel M, Hubble Christopher L, Oliver Brant J, Pepin Renee L, Currier Joseph, Smith Andrew J
School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA.
VA Maine Healthcare System, Augusta, ME 04330, USA.
Behav Sci (Basel). 2024 Sep 10;14(9):796. doi: 10.3390/bs14090796.
The healthcare industry continues to experience high rates of burnout, turnover, and staffing shortages that erode quality care. Interventions that are feasible, engaging, and impactful are needed to improve cultures of support and mitigate harm from exposure to morally injurious events. This quality improvement project encompassed the methodical building, implementation, and testing of RECONN (Reflection and Connection), an organizational intervention designed by an interdisciplinary team to mitigate the impact of moral injury and to increase social support among nurses. This quality improvement project was conducted in a medical intensive care unit (MICU) in a rural, academic medical center. We employed an Evidence-Based Quality Improvement (EBQI) approach to design and implement the RECONN intervention while assessing the feasibility, acceptability, and preliminary effectiveness via surveys ( = 17). RECONN was found acceptable and appropriate by 70% of nurses who responded to surveys. Preliminary effectiveness data showed small to moderate effect sizes for improving social support, moral injury, loneliness, and emotional recovery. Further evaluation is warranted to establish the effectiveness and generalizability of RECONN to other healthcare settings.
医疗行业持续面临着高倦怠率、高人员流动率和人员短缺的问题，这些问题侵蚀了优质护理。需要采取可行、有吸引力且有影响力的干预措施，以改善支持性文化，并减轻因接触道德伤害事件而造成的危害。这个质量改进项目包括对RECONN（反思与联系）进行系统构建、实施和测试，RECONN是一个由跨学科团队设计的组织干预措施，旨在减轻道德伤害的影响，并增强护士之间的社会支持。这个质量改进项目是在一家农村学术医疗中心的医学重症监护病房（MICU）进行的。我们采用基于证据的质量改进（EBQI）方法来设计和实施RECONN干预措施，同时通过调查（n = 17）评估其可行性、可接受性和初步有效性。对调查做出回应的护士中有70%认为RECONN是可接受且合适的。初步有效性数据显示，在改善社会支持、道德伤害、孤独感和情绪恢复方面，效应量为小到中等。有必要进行进一步评估，以确定RECONN在其他医疗环境中的有效性和普遍性。
