PRP016: An Examination of Factors that Affect Healthcare Worker Well-Being and Resilience During COVID-19

Lindsay Munn, PhD, MSN, RN; Maureen Swick, NEA-BC; Robert Rose; Tsai-Ling Liu; Britney Broyhill, ARNP, DNP; Luci New, MSN, RN, CRNA; Michael Gibbs

Abstract

Context: Burnout within the healthcare workforce is recognized as a crisis, and past studies suggest that frontline healthcare workers experience emotional exhaustion, burnout, and depression at higher rates than the general population. The emergence of the novel Coronavirus Disease 2019 (COVID-19) has led to greater uncertainty in the work environment along with potential threats to personal safety, which likely pose a greater threat to the well-being of the healthcare workforce. During this time, resilience is likely be more critical than ever.

Objective: The primary objective of the study is to identify modifiable factors within our healthcare organization that affect healthcare worker well-being and resilience during the COVID-19 pandemic. A secondary objective of the study is to evaluate the effect of resilience on the overall well-being of healthcare workers.

Study Design: Cross-sectional, descriptive design using a one-time online survey.

Analysis: Descriptive, correlational statistics, and multiple regression analysis will be used to evaluate the variables of study.

Setting: Atrium Health, which is a large non-profit healthcare system with approximately 12 million patient encounters per year across the Southeastern US.

Population: Nurses (Registered Nurses and Licensed Practical Nurses), Healthcare Technicians/Certified Nursing Assistants (CNAs), and Respiratory Therapists who work at Atrium Health Carolinas Medical Center or Atrium Health Mercy. Advanced Practice Providers (Nurse Practitioners, Physician Assistants, Nurse Anesthetists, and Nurse Midwives) employed across the Atrium Health System in both inpatient and outpatient settings.

Instruments: The outcome variables are measured with the following instruments: 1). The Well-Being Index (WBI), a 9-item index designed to assess depression, anxiety, stress, fatigue, burnout, quality of life, meaning in work, and work-life integration; 2).The Connor-Davidson Resilience Scale (CD-RISC10), a 10-item valid and reliable measure of resilience.

Outcome Measures: The two outcome variables of the study are Well-Being and Resilience.

Results: Study is underway.

Expected Outcomes: We anticipate valuable information on well-being and resilience within the healthcare workforce. This information will be used to better understand the effects of COVID-19 on well-being and resilience in order to maximize well-being and resilience in our healthcare workforce in the future.
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Tim Riley
triley1@pennstatehealth.psu.edu 11/22/2020

Excellent work!  Appreciate the use of a validated well-being metric.  Our survey on burnout in May 2020 was mostly on faculty, so this is a nice corollary.  Our poster is here https://www.napcrg.org/conferences/annual/na20-poster-hall/posteronresearchinprogress/1852/.  I would be curious regarding the status of the pandemic when this survey was done - so much seems to change month to month.  Nice work!

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