The WISER Study

WISER 研究

基本信息

批准号：
9256504
负责人：
Jochen Profit
金额：
$ 55.09万
依托单位：
STANFORD UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-08-01 至 2019-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9256504
关键词：
Absenteeism Achievement Address Adoption Affect Attention Behavior Behavior Therapy California Caregivers Caring Child Climate Clinical Cohort Studies Collaborations Discipline of Nursing Education Effectiveness Emotional Ensure Environment Equipment and supply inventories Exercise Feedback Happiness Health Health Personnel Health Professional Healthcare Healthcare Systems Individual Infant Infection Intensive Care Units Interdisciplinary Study Intervention Interview Knowledge Learning Measurable Measures Mental Depression Methods Mission Modeling Movement National Institute of Child Health and Human Development Neonatal Intensive Care Units Neonatal Nursing Nurse Practitioners Nurses Online Systems Outcome Patients Perception Performance Perinatal Physicians Positioning Attribute Premature Infant Process Program Effectiveness Provider Psychology Quality of Care Randomized Controlled Trials Research Research Infrastructure Research Personnel Resources Safety Sampling Scientific Advances and Accomplishments Source Stress Stressful Event Surveys Technology Testing Text Time United States Universities Vermont Very Low Birth Weight Infant Well in self Work Workplace burnout career life balance collaborative care combat design evidence base exhaustion experience follow up assessment follow-up health care delivery implementation science improved informant innovation insight neonatal patient patient safety prevent primary outcome programs public health relevance resilience respiratory scale up secondary outcome tertiary care tool volunteer webinar

项目摘要

DESCRIPTION (provided by applicant): This proposal serves the mission of the NICHD to ensure that all children have the chance to achieve their full potential for healthy and productive lives. Optimizing provider well-being is critical to the delivery of safe and high quality care to he most vulnerable of patients: very preterm babies. Major innovative objectives of this proposal include testing the Web-based Implementation for the Science of Enhancing Resilience (WISER) program's effectiveness in enhancing resilience among Neonatal Intensive Care Unit (NICU) health workers, evaluating its effect on unit safety culture, and examining its effect on clinical outcomes in preterm infants. The WISER program is an established but low-intensity yet engaging intervention, which integrates education and behavior modification to boost provider well-being and resilience in order to create an organizational environment which prevents patient harm. Care for the more than 50,000 very low birth weight (VLBW; < 1500 gm) infants born annually in the United States is challenging and expensive. Quality of care and outcomes vary widely. Increasing technical demands and patient acuity have pushed burnout among health workers to the breaking point. The few tested interventions that improve caregiver resilience lack feasibility for widespread adoption. We must improve health workers' ability to cope with the stress at the workplace in order to create an environment that supports safer, better care. This study is designed to achieve the following aims: 1. Test the effectiveness of WISER in improving NICU health professional resilience; 2. Test the effectiveness of WISER in improving patient safety and organizational outcomes; 3. Test the sustainability of WISER; and 4. Describe the barriers and facilitators of the WISER program. We propose to test the effectiveness of the WISER Program in the NICU setting using a stepped-wedge mixed-methods randomized controlled trial (swRCT) at six tertiary care NICUs. The results of this trial will also provide insights into the causal relations between health worker resilience, the organizational environment, and clinical outcomes among infants born VLBW. This proposal builds on and expands the existing collaborative relationships among the expert interdisciplinary research team. If successful, this proposal will represent a breakthrough for the neonatal patient safety movement and provide a model for scaling up nationally.

描述（由应用程序提供）：该提案符合NICHD的使命，以确保所有儿童都有机会实现其健康和生产力的全部潜力居住。优化提供者的福祉对于最脆弱的患者提供安全和高质量的护理至关重要：非常早产。该提案的主要创新目标包括测试基于Web的实施，以提高弹性（WISER）计划在增强新生儿重症监护室（NICU）卫生工作者之间的韧性方面的有效性，评估其对单位安全文化的影响，并检查其对早产儿的临床量的影响。 WISER计划是一项既定但低强度但引人入胜的干预措施，它将教育和行为修改整合起来，以提高提供者的福祉和韧性，以创造一种防止患者伤害的组织环境。照顾超过50,000个非常低的出生体重（VLBW； <<1500 gm）在美国出生的婴儿是挑战且昂贵的。护理质量和结果差异很大。提高技术需求和患者的敏锐度已将卫生工作者的倦怠推向了破裂点。少数改善照顾者弹性的测试干预措施缺乏采用宽度的可行性。我们必须提高卫生工作者应对工作场所压力的能力，以创造一个支持更安全，更好护理的环境。这项研究旨在实现以下目的：1。测试Wiser在改善NICU卫生专业韧性方面的有效性； 2。测试明智的有效性在改善患者的安全和组织成果方面； 3。测试明智的可持续性；和4。描述明智的计划的障碍和促进者。我们建议使用六个三级护理NICUS的阶梯式瓦格混合方法随机对照试验（SWRCT）在NICU设置中测试WISER计划的有效性。这项试验的结果还将提供有关卫生工作者的韧性，组织环境和婴儿VLBW婴儿的临床结果之间灾难性关系的见解。该建议在专家跨学科研究团队之间建立并扩展了现有的协作关系。如果成功，该提案将代表新生儿患者安全运动的突破，并为全国范围扩大规模提供模型。