Improving Resilience and Combating Burnout in US Army Health Care Teams
Improving Resilience and Combating Burnout in US Army Health Care Teams
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DOI：
10.3122/jabfm.2020.03.190350
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发表时间：
2020-05-01
影响因子：
2.9
通讯作者：
Brown, Jill A.
中科院分区：
文献类型：
--
作者：
Coleman, Alyssa M.;Hartzell, Meredith M.;Brown, Jill A.
简介：2015年，陆军外科医生办公室为医疗保健团队调整了退伍军人健康管理课程，以实施整体健康实践，提高医疗保健电车和患者护理的弹性。在8个军事诊所的保健小组中试行了“走向健康”陆军课程。在20个小时的课程，医疗保健团队学习的技术，以提高他们的弹性，并创建行动计划，将整体健康到工作场所，一个已知的因素，减少burnus.Methods：本课程的过程和结果进行评估，使用组内设计。调查管理的医疗保健团队在precourse和2个月的后续行动，186名参与者完成了这两个surveillance.Results：团队成员之间的倦怠没有显着变化，从precourse（52%，n = 96），后续（48%，n = 90）。在随访中，团队成员描述了使用自我护理的弹性建设策略，显着提高了他们的自我效能，在以患者为中心的护理之家模式中全面治疗患者，并报告了对以患者为中心的护理之家的满意度增加（均为p < 0.01）。然而，70%（n = 131）的团队成员报告说，他们还没有完成行动计划的实施，并没有报告提高工作satisfactions.Discussion：知情的文献，移动到健康结合了个人的弹性干预与组织变革，促进行动计划，以减轻倦怠。这篇文章探讨了为什么在干预后的2个月内倦怠没有显著变化的潜在原因。减少医疗团队的倦怠对于确保向军队及其受益者提供最佳医疗保健至关重要。
Introduction: In 2015, the Army Office of the Surgeon General adapted a Veterans Health Administration course for health care teams to implement holistic health practices to improve the resiliency of health care trams and patient care. The Army course Move to Health was piloted in health care teams at 8 military clinics. During the 20-hour course, health care teams learned techniques to improve their resiliency and created action plans to incorporate holistic health into the workplace, a known factor in decreasing burnout.Methods: A process and outcome evaluation of this course was conducted using a within-group design. Surveys were administered to health care teams at precourse and 2-month follow-up, and 186 participants completed both surveys.Results: Burnout among team members did not significantly change from precourse (52%, n = 96) to follow-up (48%, n = 90). At follow-up, team members described using resiliency building strategies for self-care, significantly improved their self-efficacy to treat patients holistically in the patient-centered care home model, and reported increased satisfaction with patient centered care home (all are p < 0.01). However, 70% (n = 131) of team members reported that they had not completed action plan implementation and did not report improved job satisfaction.Discussion: Informed by the literature, Move to Health combines an individual resiliency intervention with organizational change, facilitating action plans to mitigate burnout. This manuscript explores potential reasons for why burnout did not significantly change within the 2-month period following the intervention. Reducing burnout among health care teams is vital to ensure that optimal health care is provided to the military and its beneficiaries.