A Design Thinking, Systems Approach to Well-Being Within Education and Practice Proceedings of a Workshop (2019) / Chapter Skim
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Appendix B: The Importance of Well-Being in the Health Care Workforce
Appendix B: The Importance of Well-Being in the Health Care Workforce
Pages 61-74
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be expanded to include a Fourth Aim of "improving the work life of health care clinicians and staff." Having control over one's time may improve the health professional's stress level (Benson et al., 2016; Campo et al., 2009; Hale et al., 2006; Long et al., 2013) , but nurses and doctors in particular are under intense pressure to spend less time with patients and more time performing administrative duties despite the toll it is taking on them (Shanafelt and Noseworthy, 2016; VITAL WorkLife, 2015)
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Physicians are stressed about issues such as inadequate time with patients, electronic health records, administrative requirements, and high turnover rate of other health professions and support staff (VITAL WorkLife, 2015)
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There have been numerous mental health initiatives proposed and implemented at health care organizations and educational institutions. These include mindfulness training, hiring scribes to reduce administrative workload, and offering rewards like prepared meals and housecleaning for work outside of one's clinical requirements (The Washington Post, 2015)
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program, faculty are taught how to apply a meditative process in small group settings and become more aware of their thoughts and feelings. The trained faculty then return to their institutions and apply what they learned, including creating safe spaces for medical students to share personal experiences.
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Social Cohesion Wellness Programs Some student/trainee wellness programs emphasize social cohesion as a key element. Wellness for medical residents was promoted at the Mayo Clinic through a team-based, 12-week, incentivized exercise program that showed improved quality of life and less burnout in physician trainees who participated in the program (Weight et al., 2013)
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(2014) reported that by reassigning experienced advanced care nurse practitioners to the Vanderbilt University Medical Center Division of Trauma step-down unit, patient length of stay decreased, saving almost $9 million in hospital charges.
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The intervention involved setting up a moral distress consultation service for relevant parties to discuss the identified ethical or moral issue in a safe space. Often, the problem started as a specific patient incident but through reflective discussions, it became clear that the issue went beyond the single case to involve work units or the entire organization.
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One way that work units have facilitated collaboration, while promoting compassionate care and team support, is through Schwartz Center Rounds. These are opportunities for health care staff to come together on a regular basis to share and discuss personal thoughts and feelings on emotional aspects of patient care in a safe space.
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. In addition to improved staff morale and fewer medical errors among hospital employees, the program also aided the facilitators themselves by improving their lives emotionally, personally, and professionally.
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Each work unit and facility has unique assets and challenges. Using a design thinking, systems approach helps to tailor interventions to the needs of the population, and the capabilities and constraints of the staff working within the organization.
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2010. A comprehensive medical student wellness program–– design and implementation at Vanderbilt School of Medicine.
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2017. Predicting medical students who will have difficulty during their clinical training.
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2008. The teen medical academy: Using academic enhancement and instructional enrichment to address ethnic disparities in the American healthcare workforce.
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on my mind: A qualitative study of how staff and managers understand health care's Triple Aim. BMC Health Services Research 17:98.
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