Web-based Implementation for the Science of Enhancing Resilience Study (WISER)
Burnout, Professional, Resilience, Psychological
About this trial
This is an interventional treatment trial for Burnout, Professional focused on measuring healthcare, burnout, resilience, fatigue, NICU, safety culture, quality of care
Eligibility Criteria
Inclusion Criteria:
- Location: newborn center, i.e. the NICU or a step down unit
Provider:
- Primary work place is the Newborn Center
- Full time equivalent of >=40%
- Date of hire more than 4 weeks prior to start of the intervention
Provider groups:
- Attendings that identify your newborn center as their primary site of work (not physicians from satellite NICUs)
- NICU fellows
- Nurse practitioners
- Physician Assistants
- Nurses, including nurse leadership (managers, educators)
- Nurse Assistant
- Respiratory care providers
- Transport specialists if primarily neonatal transport team
- Newborn Center Social workers
- Newborn Center Clerks
- Newborn Center Pharmacists
- Newborn Center Physical, Occupational, Speech, and Developmental Therapists
- Newborn Center Nutritionists
- Newborn Center Lactation Consultants
Exclusion Criteria:
- Location: Labor and delivery or the newborn nursery
- Provider: Work is delivered mostly outside the newborn center (this may affect providers who delivery services across the hospital such as residents, surgeons, anesthesia, consultants, nutritionists, PT/OT (these are included if they are mostly dedicated to the newborn center)
- Float personnel
- Does not speak english
- Cannot operate computer or smart phone
Sites / Locations
- Lucile Packard Children's Hospital at Stanford
- Stanford University Medical Center
- Beth Israel Deconness Medical Center
- University of New Mexico
- University of North Carolina at Chapel Hill Children's Hospital
- Duke University Health System
- Vanderbilt University
- Baylor College of Medicine
- University of Texas, Houston
Arms of the Study
Arm 1
Arm 2
Arm 3
Other
Other
Experimental
Cohort 1
Cohort 2
Cohort 3 (July cohort) WISER 2.0
The intervention will begin for all NICUs, with baseline surveys as necessary pre-work. For those unable to attend, a link to the baseline survey will be emailed with site champion instructions to complete in groups at staff meetings and during shift change. Two weeks later, three randomly (random number generator) assigned NICUs (block 1) included in the first block webinar will then receive Module 1 of the intervention with Modules 2-6 being rolled out monthly. The second block of three NICUs starts approximately six-month later.
This second block of 3 NICUs will start approximately six-months after roll-out of group 1. At time point 0 this NICUs in this group will receive a lecture on safety culture, unrelated to the burnout intervention.
Individually randomized to one of two cohorts. Cohort 1 to start will serve as the waitlist control 1 before starting their version of the intervention. Each cohort will experience modified versions of WISER, which only differ by the spacing of intervention. Participants will receive 10-day sequential or 10-day non-sequential rollout of the resilience tools. Seq will receive the tools on ten consecutive days. NSeq will receive messages daily noThursdays, Fridays and Saturdays. Days 1 through 3 will be offered 3GT. Day 4 will continue with 3GT but add a single day activity for Gratitude. Day 5 adds a single activity for Awe. Day 6 adds a single day activity for RAK. Days 7 -10 the participant is offered the choice of Gratitude, Awe or RAK to accompany their daily 3GT. At 1 month follow-up time point, participants will receive 8 days of the 1 Good Chat tool, as a booster. At 6 month follow-up, participants will receive a gratitude exercise.