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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 6 of 6 Research Studies DisplayedSexton JB, Adair KC, Cu X
Effectiveness of a bite-sized web-based intervention to improve healthcare worker wellbeing: a randomized clinical trial of WISER.
The purpose of this randomized controlled trial was to test the effectiveness of the Web-based Implementation for the Science of Enhancing Resilience (WISER) intervention, a positive psychology program constructed to improve six dimensions of the wellbeing of healthcare workers (HCW). The researchers utilized cohorts comprised of actively employed HCWs across the United States: cohort 1 received WISER web-based intervention in the form of links daily for 10 days exposing them to videos and positive psychology exercises; cohort 2 served as a 14-day waiting list control before receiving the same. The study found that at 1 week, when compared to the control group, WISER significantly improved depressive symptoms, work-life integration, happiness, emotional thriving, and emotional recovery, but not emotional exhaustion. Results of the combined cohort 1, 6, and 12 months revealed that all 6 wellbeing outcomes were significantly improved relative to the baseline. At the 6-month assessment, 87% of partifipants reported favorable impressions of WISER.
AHRQ-funded; HS027837.
Citation: Sexton JB, Adair KC, Cu X .
Effectiveness of a bite-sized web-based intervention to improve healthcare worker wellbeing: a randomized clinical trial of WISER.
Front Public Health 2022 Dec 8; 10:1016407. doi: 10.3389/fpubh.2022.1016407..
Keywords: Provider: Health Personnel, Burnout, Stress
Cardell CF, Yuce TK, Zhan T
What they are not telling us: analysis of nonresponders on a national survey of resident well-being.
The objective of this study was to characterize nonrespondents to a national survey about trainee well-being, and to examine patterns of responses to questions of a sensitive nature and assess how nonresponse biases estimates of mistreatment and well-being. The survey was administered with 2018 and 2019 American Board of Surgery In-Training Examinations and assessed demographics, dissatisfaction with education/career, mistreatment, burnout, thoughts of attrition, and suicidality. Overall response rates are high for this survey, but non-White or Hispanic residents were more likely to skip questions about racial/ethnic discrimination than White, non-Hispanic residents. Women were not more likely to omit questions regarding gender, gender identity, or sexual orientation discrimination. Prevalence estimates of burnout, suicidality, and gender discrimination were likely to be minimally impacted by nonresponse.
AHRQ-funded; HS025752.
Citation: Cardell CF, Yuce TK, Zhan T .
What they are not telling us: analysis of nonresponders on a national survey of resident well-being.
Ann Surg Open 2022 Dec; 3(4):e228. doi: 10.1097/as9.0000000000000228..
Keywords: Provider: Physician, Burnout
Livaudais M, Deng D, Frederick T
Perceived value of the electronic health record and its association with physician burnout.
The objective of this study was to investigate how seniority/years of practice, gender, and screened burnout status were associated with opinions of electronic health record (EHR) use on quality, cost, and efficiency of care. Ambulatory primary care and subspecialty clinicians at three different institutions were surveyed. Findings showed that burnout status was significantly associated with clinicians' perceived value of EHR technologies, while years of practice and gender were not.
AHRQ-funded; HS022065.
Citation: Livaudais M, Deng D, Frederick T .
Perceived value of the electronic health record and its association with physician burnout.
Appl Clin Inform 2022 Aug;13(4):778-84. doi: 10.1055/s-0042-1755372..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Burnout, Provider: Physician
Kerrissey M, Tietschert M, Novikov Z
Social features of integration in health systems and their relationship to provider experience, care quality and clinical integration.
The purpose of this study was to explore the social features of health system integration -elements of normative integration (alignment of norms) and interpersonal integration (collaboration among professionals and with patients). The researchers administered surveys to practice managers and 1,360 staff and physicians at 59 practice sites within 17 health systems, with a 61% response rate of 828. The study found that the variables of normative and interpersonal integration were both consistently related to better provider experience, perceived care quality, and clinical integration. Variance in social features of integration may help explain why some health systems are better at integrating care, highlighting normative and interpersonal integration as possible resources for improvement.
AHRQ-funded; HS024067.
Citation: Kerrissey M, Tietschert M, Novikov Z .
Social features of integration in health systems and their relationship to provider experience, care quality and clinical integration.
Med Care Res Rev 2022 Jun; 79(3):359-70. doi: 10.1177/10775587211024796..
Keywords: Burnout, Provider: Physician, Health Systems
Evans LV, Ray JM, Bonz JW
Improving patient and clinician safety during COVID-19 through rapidly adaptive simulation and a randomised controlled trial: a study protocol.
The purpose of this study will be to simultaneously assess the challenges and facilitators of COVID-19 preparedness in the emergency department (ED) and the mitigation of emergency physician stress, test the effectiveness of a simulation preparedness intervention on physician physiological stress, and improve physician preparedness while decreasing physician stress and anxiety.
AHRQ-funded; HS028340.
Citation: Evans LV, Ray JM, Bonz JW .
Improving patient and clinician safety during COVID-19 through rapidly adaptive simulation and a randomised controlled trial: a study protocol.
BMJ Open 2022 May 19;12(5):e058980. doi: 10.1136/bmjopen-2021-058980..
Keywords: COVID-19, Patient Safety, Simulation, Burnout, Provider: Clinician
Fraiman YS, Cheston CC, Cabral HJ
Effect of a novel mindfulness curriculum on burnout during pediatric internship: a cluster randomized clinical trial.
This study examined the effectiveness of a monthly mindfulness curriculum (Mindfulness Intervention for New Interns) for medical interns on emotional exhaustion (EE) as measured by the Maslach Burnout Inventory 9-question EE subscale as well as secondary outcomes of depersonalization, personal accomplishment, and burnout. This was a randomized clinical trial of 340 pediatric interns participating in 15 US pediatric training programs from June 2017 to February 2019. The intervention included 7 hour-long sessions and a monthly mindfulness refresher implemented during internship. The active control arm also included monthly 1-hour social lunches. Follow-up was done at 6 months and at month 15. Both arms’ EE scores were higher at 6 and 15 months than at baseline, but EE did not significantly differ by arm in multivariable analyses. There were also no significant differences in the 6 secondary outcomes at month 6 or month 15.
AHRQ-funded; HS000063.
Citation: Fraiman YS, Cheston CC, Cabral HJ .
Effect of a novel mindfulness curriculum on burnout during pediatric internship: a cluster randomized clinical trial.
JAMA Pediatr 2022 Apr;176(1):365-72. doi: 10.1001/jamapediatrics.2021.5740..
Keywords: Education: Curriculum, Burnout, Provider: Physician