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

项目总结/摘要 劳伦·E Benishek博士是一位工业组织心理学家和助理教授， 约翰霍普金斯医学院麻醉学和重症监护医学系， 阿姆斯特朗患者安全与质量研究所（Armstrong Institute for Patient Safety and Quality）Benishek博士的长期职业目标是 通过促进增长，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。这一目标包括成为一名独立调查员 开展严谨的跨学科研究，推动职业安全的科学和实践 健康心理学。为此，Benishek博士建立并扩展了技能和研究经验， 从她的博士和博士后培训中获得。具体来说，她将接受高级培训， 指导（1）积极的组织心理学，（2）采用定性方法和分析，以及（3） 应用实施科学。本研究的具体目标是：（1）进行系统的 审查以完善一个综合的、跨学科的概念模型， （2）确定和选择个人 以及系统层面的干预措施，以多管齐下的干预措施，改善医疗保健的HQC;以及 (3)在麻醉科内对HQC干预包和评估工具进行试点测试。因此，在本发明中， 拟议的研究符合NIOSH的战略计划，以促进安全和健康的工作设计和良好的- 通过应对与医疗保健和社会援助部门以及总人口有关的挑战， 工人健康跨部门。拟议的研究也符合研究到实践（r2 p）的目标， 描述了一个研究项目，该项目确定了基于证据的最佳实践，并将其应用于现实世界。 医疗保健工作背景。重要的是，拟议的工作涉及影响更多人的流行病的负担， 超过50%的医生谁的经验倦怠，通过解决需要创造一个更有同情心， 支持性的文化归属感在这一群体的工人，并承诺通过采取第一个影响， 进一步发展在医疗保健领域建立社会联系所需的知识和工具。 拟议研究的预期成果包括一套改善供应商HQC的干预措施 以及描述调查结果的出版物和演示文稿。中期成果包括地方政策变化 支持HQC和改进和扩大干预措施的方向，以取得更大的成功， 领养预期的最终结果包括更好的医护人员福祉和社区意识， 这将转化为改善患者护理质量和体验。完成拟议的研究 站在有意义地推进科学和实践的职业福祉，并提高 医疗保健工作者的经验，并最终，病人被蓬勃发展的提供者照顾。

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.