Provider Wellness and Unit Culture

Burnout & Resilience

Health care provider well-being is critical to high quality of care delivery. However, about a third of all care providers report severe burnout syndrome. Supported by funding from the National Institute of Health, we are collaborating with Dr. Bryan Sexton at the Duke Patient Safety Center to implement a novel intervention program, called WISER (Web-based Implementation of the Science of Enhancing Resilience), to reduce burnout. On each day with a scheduled WISER activity, participants receive a text message containing a link that takes them to a webpage with a video on scientifically-proven ways to combat burnout and a short activity that puts those strategies into action. Example topics include cultivating gratitude, taking note of good or awe-inspiring moments in the day, and performing acts of kindness.

Would your unit or clinic like to join a future cohort of WISER? Click here to join our interest list!

Related Publications:

Context in Quality of Care: Improving Teamwork and Resilience

Factors Associated with Provider Burnout in the NICU

Burnout in the Neonatal Intensive Care Unit and its Relation to Healthcare-Associated Infections

The Associations between Work-Life Balance Behaviours, Teamwork Climate and Safety Climate

Check out a brief video introduction to the WISER program here

Safety Climate Strength

Safety climate carries importance as a marker of patient safety attitudes within health care units, but the significance of intra-unit agreement of safety climate perceptions (termed safety climate strength) is poorly understood. This study seeks to examine the interaction of safety climate perceptions and safety climate strength in relation to quality of care (operationalized as post-menstrual age at discharge) among very low birth weight neonates in California neonatal intensive care units. This analysis is expected to provide an assessment of the importance of safety climate strength in evaluating the safety attitudes and practices of a unit.

Related Publications:

Teamwork in the NICU Setting and Its Association with Health Care-Associated Infections in Very Low-Birth-Weight Infants

High-Performing NICU Teams

Fragile, preterm infants receive prolonged and intensive interventions from a team of highly subspecialized medical, nursing and ancillary care personnel. NICU care providers work in concert to deliver intensive care under demanding conditions: responding effectively to rapidly changing clinical conditions and making decisions in the face of considerable uncertainty. We are applying insights from high performance sports to help NICU teams succeed under these complex conditions. Our recent work in collaboration with team science expert, Dr. Eduardo Salas, identified principles and practices that elite soccer teams use to respond effectively under dynamically changing conditions. We will apply these insights to develop and test interventions that improve NICU team performance not only during rapid response situations but also in routine processes of care.

Related Publications:

If Health Care Teams Had to Win Championships: Insights From High-Performance Sports