Developing an Intervention Package to Promote High Quality Connections Among Healthcare Providers

项目摘要/摘要 劳伦·E·贝尼谢克博士是一名工业组织心理学家，也是 约翰霍普金斯医学院麻醉学和重症监护医学系，以及CORE 阿姆斯特朗患者安全和质量研究所的教师。贝尼谢克博士的长期职业目标是 通过促进以下方面的增长，改善对医护人员及其患者有意义的结果 心理健康的工作场所，保护员工免受伤害，同时支持 他们的身体、精神和社会福利。这个目标包括成为一名独立的调查员 进行严谨的跨学科研究，促进职业安全的科学和实践 和健康心理学。为此，Benishek博士在技能和研究经验的基础上进行了扩展 从她的博士和博士后培训中获得。具体地说，她将继续接受高级培训和 辅导(1)积极的组织心理学，(2)使用定性方法和分析，以及(3) 应用实施科学。拟议研究的具体目标是：(1)进行系统的 审查以完善集成的跨学科概念模型，该模型描述了 质量联系(HQC)和确定候选HQC干预措施的列表；(2)确定和选择个人 和系统层面的干预，以多管齐下的干预方案，以改善医疗保健中的卫生质量控制；以及 (3)在麻醉科试行HQC干预方案和评估工具。因此， 建议的研究与NIOSH的战略计划相一致，以促进安全和健康的工作设计和良好的 应对与医疗保健和社会援助部门有关的挑战以及 跨行业的工人健康。拟议的研究还通过以下方式满足研究到实践(R2P)的目标 描述确定基于证据的最佳实践并将其应用于现实世界的研究计划 医疗保健工作环境。重要的是，拟议的工作解决了影响更多人的流行病的负担 超过50%的经历倦怠的医生通过解决需要创造一个更有同理心和 在这群工人中形成一种支持性的归属感，并承诺通过采取第一个行动来产生影响 逐步开发在医疗保健领域建立社会关系所需的知识和工具。 拟议研究的预期成果包括改善供应商HQC的一揽子干预措施 以及描述调查结果的出版物和演示文稿。中间结果包括地方政策的变化 支持HQC以及改进和扩展干预措施的方向，以获得更大的成功和更广泛的范围 领养。预期的最终结果包括更大的医护人员幸福感和社区意识，以及 归属感转化为更好的患者护理质量和体验。完成拟议的研究 将有意义地促进职业幸福感的科学和实践，并改善 医护人员的经历，最终，病人得到蓬勃发展的提供者的照顾。

PROJECT SUMMARY/ABSTRACT Lauren E. Benishek, PhD, is an Industrial-Organizational Psychologist and Assistant Professor in the Department of Anesthesiology and Critical Care Medicine at the Johns Hopkins School of Medicine, and core faculty in the Armstrong Institute for Patient Safety and Quality. Dr. Benishek's long-term career goal is to improve outcomes meaningful to healthcare workers and their patients by facilitating growth of psychologically healthy workplaces that protect employees from harm while simultaneously bolstering their physical, mental, and social well-being. This goal includes becoming an independent investigator conducting rigorous, interdisciplinary research that advances the science and practice of occupational safety and health psychology. To this end, Dr. Benishek builds on and expands the skills and research experiences afforded from her doctoral and postdoctoral training. Specifically, she will pursue advanced training and mentoring in (1) positive organizational psychology, (2) employing qualitative methods and analysis, and (3) applying implementation science. The specific aims of the proposed research are: (1) Conduct a systematic review to refine an integrated, transdisciplinary conceptual model that describes core components of high- quality connections (HQCs) and identify a list of candidate HQC interventions; (2) Identify and select individual and system-level interventions for a multi-pronged intervention package to improve HQCs in healthcare; and (3) pilot test the HQC intervention package and evaluation tools within an anesthesiology department. As such, the proposed research aligns with NIOSH's Strategic plan to promote safe and healthy work design and well- being by addressing challenges pertaining to the Healthcare and Social Assistance sector and the Total Worker Health cross-sector. The proposed research also meets research-to-practice (r2p) objectives by describing a research program that identifies evidence-based best practices and applies them to a real-world healthcare work context. Importantly, the proposed work addresses the burden of an epidemic affecting more than 50% of physicians who experience burnout by addressing the need to create a more empathetic and supportive culture of belonging among this group of workers and promises to have impact by taking the first step towards developing the knowledge and tools needed to build social connections in healthcare. Anticipated outputs of the proposed research include an intervention package for improving providers' HQCs and publications and presentations describing findings. Intermediate outcomes include local policy changes that support HQCs and directions for improving and scaling interventions for greater success and broader adoption. Expected end outcomes include greater healthcare worker well-being and sense of community and belonging that translates to improved patient care quality and experience. Completing the proposed research stands to meaningfully advance both the science and practice of occupational well-being and improve the experience of healthcare workers and, ultimately, patients being cared for by flourishing providers.