Randomized controlled trial of the "WISER" intervention to reduce healthcare worker burnout.

Randomized controlled trial of the "WISER" intervention to reduce healthcare worker burnout.
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DOI:
10.1038/s41372-021-01100-y
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发表时间:
2021-09
期刊:
Journal of perinatology : official journal of the California Perinatal Association
影响因子:
--
通讯作者:
Sexton JB
Sexton JB
中科院分区:
其他
文献类型:
--
作者:
Profit J;Adair KC;Cui X;Mitchell B;Brandon D;Tawfik DS;Rigdon J;Gould JB;Lee HC;Timpson WL;McCaffrey MJ;Davis AS;Pammi M;Matthews M;Stark AR;Papile LA;Thomas E;Cotten M;Khan A;Sexton JB

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测试基于网络的实施,以提高弹性科学(WISER)干预在减少医护人员(HCW)倦怠方面的功效。RCT使用两组HCW(每组4个NICU),以改善HCW健康(主要结局:倦怠)。队列1接受WISER,而队列2作为候补对照。队列相似,主要是女性(83%)和护士(62%)。在队列1和队列2中,分别有182例和299例启动了WISER,100例和176例完成了1个月随访,78例和146例完成了6个月随访。相对于对照组,WISER降低了倦怠(-5.27(95%CI:-10.44,-0.10),p = 0.046)。合并调整后的队列结果显示,1个月时,报告有关结果的HCW百分比显着下降,(−6.3%(95%CI:− 11.6%,−1.0%); p = 0.008),次要结局抑郁(−5.2%(95%CI:−10.8,−0.4); p = 0.022)和工作生活一体化(−11.8%(95%CI:−17.9,−6.1); p < 0.001)。6个月后得到改善。WISER似乎可以持久改善HCW的健康状况。NCT02603133; https://clinicaltrials.gov/ct2/show/NCT02603133
Test web-based implementation for the science of enhancing resilience (WISER) intervention efficacy in reducing healthcare worker (HCW) burnout. RCT using two cohorts of HCWs of four NICUs each, to improve HCW well-being (primary outcome: burnout). Cohort 1 received WISER while Cohort 2 acted as a waitlist control. Cohorts were similar, mostly female (83%) and nurses (62%). In Cohorts 1 and 2 respectively, 182 and 299 initiated WISER, 100 and 176 completed 1-month follow-up, and 78 and 146 completed 6-month follow-up. Relative to control, WISER decreased burnout (−5.27 (95% CI: −10.44, −0.10), p = 0.046). Combined adjusted cohort results at 1-month showed that the percentage of HCWs reporting concerning outcomes was significantly decreased for burnout (−6.3% (95%CI: −11.6%, −1.0%); p = 0.008), and secondary outcomes depression (−5.2% (95%CI: −10.8, −0.4); p = 0.022) and work-life integration (−11.8% (95%CI: −17.9, −6.1); p < 0.001). Improvements endured at 6 months. WISER appears to durably improve HCW well-being. NCT02603133; https://clinicaltrials.gov/ct2/show/NCT02603133
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