Thriving Together: Supporting Resilience in the Healthcare Workforce
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,362
- 试验地点
- 4
- 主要终点
- Change in Generalized Anxiety Disorder-7 scale (GAD-7) score
研究概览
简要总结
Health care workers (HCW) face distressing work related situations that pose a threat to the HCW's resilience and well-being. Hospital-based peer support programs can improve HCW well-being, but there are few programs and little data for settings outside of hospitals. The program would adapt, implement, and evaluate an evidence-informed peer support program (RISE) in ambulatory practices, rural hospitals, Federally Qualified Health Centers (FQHC), and community based organizations (CBOs). The hypothesis is that the availability of peer support will improve the culture of well-being, and the resilience and well-being of HCW in participating organizations. The research has the potential to improve the quality of life of HCW and the quality of care available to diverse organizations and the populations the HCW serve.
详细描述
Health care workers (HCW) face distressing work related situations that pose a threat to the HCW's resilience and well-being. Hospital-based peer support programs can improve HCW well-being, but there are few programs and little data for settings outside of hospitals. The program would adapt and implement an evidence-informed peer support program ((Resilience in Stressful Events = RISE) in ambulatory practices, rural hospitals, Federally Qualified Health Centers (FQHC), and community based organizations (CBOs). The hypothesis is that the availability of peer support will improve the culture of well-being, and the resilience and well-being of HCW in participating organizations.
The objectives are to:
- Adapt and implement the RISE hospital peer support model in other health care contexts where HCW experience distressing events in the HCW's work.
- Adapt and implement the Mental Emotional and Spiritual Help (MESH) collaborative model to provide a coordinated continuum of HCW support programs.
- Adapt and implement a curriculum targeted at supporting organizational leaders during times of crisis which focuses on communication skills and understanding of fundamental psychological responses to stress.
- Evaluate the program's effect on the culture of wellbeing, and the resilience and well-being of HCW in participating organizations.
The design of the study is a mixed-methods evaluation of the implementation of training and organizational structures to support HCW at different types of healthcare organizations (45 John Hopkins Community Physicians (JHCP) outpatient primary care clinics, 3 rural hospitals, 3 Federally Qualified Health Centers, and 3 community-based social service organizations - for a total 54 practice sites).
Based on the training, participating organizations will develop the organizations' own volunteer-based team to provide confidential, timely, peer support for HCW who encounter stressful, patient-related events. The RISE team is available on-call 24/7 to respond to calls and provide in person or virtual psychological first aid sessions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Health care worker employed at participating implementation health care site/organization
排除标准
- •Age less than 18 years
结局指标
主要结局
Change in Generalized Anxiety Disorder-7 scale (GAD-7) score
时间窗: Baseline, 1 and 2 years
Score on 7-item scale to measure anxiety
次要结局
- Change in Maslach Burnout Inventory 2-item (MBI-2) scale score(Baseline, 1 and 2 years)
- Change in Patient Health Questionnaire-2 (PHQ-2) score(Baseline, 1 and 2 years)
- Change in Adult PROMIS Short Form v.1.0 Sleep Disturbance 4a score(Baseline, 1 and 2 years)
- Change in Impact of Event Scale-Revised (IES-R) score(Baseline, 1 and 2 years)
- Change in Connor-Davidson Resilience Scale 2-item score(Baseline, 1 and 2 years)