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“My Voice Does Not Matter…” A Qualitative Analysis of Clinician Experiences with Psychological Safety, the Work Environment, and Burnout
11-27-24
Clinician burnout remains prevalent, exacerbated by factors such as inadequate staffing, a lack of organizational support, devaluation, and poor interpersonal relations. Amidst provider shortages, the nurse practitioner (NP) workforce is expanding, paralleling high rates of burnout. This study,...
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Psychological Safety Is Associated with Better Work Environment and Lower Levels of Clinician Burnout
07-17-24
Burnout is attributed to negative work environments and threatens patient and clinician safety. Psychological safety is the perception that the work environment is safe for interpersonal risk-taking and may offer insight into the relationship between the work environment and burnout.
In this...
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The Social Ecology of Burnout: A Framework for Research on Nurse Practitioner Burnout
05-03-24
The US health system is burdened by rising costs, workforce shortages, and unremitting burnout. Well-being interventions have emerged in response, yet data suggest that the work environment is the problem. Nurse practitioner (NP) burnout is associated with structural and relational factors in the...
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Moral Injury Awareness and Prevention in Healthcare Organizations: A Blueprint Informed by the COVID-19 Pandemic
04-19-24
Moral injury is lasting psychological and spiritual distress that stems from violating one’s values or feeling betrayed by a trusted institution or authority. Moral injury is associated with post-traumatic stress (PTSD), depression, anxiety, substance use, functional impairments, and suicide risk....
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Health Workforce Research Centers Annual Report, 2023
08-30-23
Important health workforce research that we undertake here is part of a national effort to monitor and plan for the health care needs of US residents. The UCSF Health Workforce Research Center on Long-Term Care (UCSF HWRC), housed at Healthforce Center, is a dynamic hub of policy-oriented research...
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Impact of COVID‐19 on Occupational Injuries and Illnesses Among Nursing Care Facility Workers: Analysis of California Workers' Compensation Data, 2019–2021
08-28-23
Background: The COVID‐19 pandemic greatly affected health care workers, both physically and psychologically, by increasing their workload and stress. This may also have increased their risk of occupational injuries. This study analyzed workers' compensation (WC) claims among California nursing care...
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Be Kind. Use Systems. Improve Care
01-26-23
Most people’s perspective of health care carries an expectation that patients will be treated with kindness and empathy by health care workers. However as rates of burnout among workers rise, empathy and patience are in shorter supply. What can organizations do to support their staff to deliver...
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Personal Care Aides: Assessing Self-Care Needs and Worker Shortages in Rural Areas
10-20-22
Previous research has documented shortages of personal care aides who provide Medicaid home and community-based services, but there are few detailed geographic data to determine the areas of greatest need and assess the availability of personal care aides nationwide. Using 2013–17 data from the...
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Impact of a Well-being Promotion (WelPro) Training Program on APPE Conference Leaders
12-10-21
The objective of this pilot study is to evaluate the attitudes and self-efficacy of Advanced Pharmacy Practice Experience (APPE) Conference Leaders (CLs) after completing the Well-being Promotion (WelPro) training program developed at the University of California, San Francisco (UCSF) School of...
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Advancing Health Worker Well-Being: Trends and Opportunities
09-01-21
Health systems are uniquely positioned to advance health equity in communities by ensuring that workers are well, resilient, and equipped to deliver high-quality care. The COVID-19 pandemic has shown how work environments in health systems affects the well-being of workers, whose capacity to...
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CIN Connections, Summer 2021: Caring and Sharing: Supporting the Primary Care Workforce
06-21-21
The California Improvement Network is a community of health care professionals committed to identifying and spreading better ideas for care delivery. The summer 2021 issue of CIN Connections contains strategies and reflections from health care leaders as they wrestle with increased levels of...
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Frequency of Violence Toward Health Care Workers in United States Inpatient Psychiatric Hospitals: A Systematic Review of Literature
01-01-20
The purpose of this systematic review is to determine the frequency of violent or aggressive behaviour towards healthcare workers in inpatient psychiatric settings in the United States. To achieve this aim, five databases were searched to find English-language quantitative studies reporting...
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CIN Connections, Spring 2018: Healing the Healers
04-20-18
The California Improvement Network’s report, CIN Connections: Healing the Healers, features actionable information to tackle provider burnout and promote well-being at health care organizations. It includes an interview with Mickey Trockel, MD, PhD, from Stanford Medicine WellMD Center, who...
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Changes in Nurse Satisfaction in California, 2004 to 2008
07-11-10
AIM: To examine whether there were improvements in the satisfaction of hospital-employed registered nurses (RNs) in the mid-2000s.
BACKGROUND: In recent years, many hospitals have made efforts to improve workplace characteristics, in order to improve nurse satisfaction and retention. There has...
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The Impact of Hospital Unions on Nurse Wages in the United States (Honolulu, HI)
03-01-09
Research shows that unions have some effect on nurse wages, for example a modest effect on the wage structure by eliminating race gaps on one hand, but giving lower premiums for experience.
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Nurse Satisfaction and the Implementation of Minimum Nurse Staffing Regulations
02-01-08
In 1999, California passed the first legislation in the United States to establish minimum staffing levels for licensed nurses in hospitals. Implementation of the regulation began in 2004. This article examines whether nurses who work in hospitals in California have perceived improvements in their...