Abstract
ObjectiveTest web-based implementation for the science of enhancing resilience (WISER) intervention efficacy in reducing healthcare worker (HCW) burnout.DesignRCT using two cohorts of HCWs of four NICUs each, to improve HCW well-being (primary outcome: burnout). Cohort 1 received WISER while Cohort 2 acted as a waitlist control.ResultsCohorts were similar, mostly female (83%) and nurses (62%). In Cohorts 1 and 2 respectively, 182 and 299 initiated WISER, 100 and 176 completed 1-month follow-up, and 78 and 146 completed 6-month follow-up. Relative to control, WISER decreased burnout (−5.27 (95% CI: −10.44, −0.10), p = 0.046). Combined adjusted cohort results at 1-month showed that the percentage of HCWs reporting concerning outcomes was significantly decreased for burnout (−6.3% (95%CI: −11.6%, −1.0%); p = 0.008), and secondary outcomes depression (−5.2% (95%CI: −10.8, −0.4); p = 0.022) and work-life integration (−11.8% (95%CI: −17.9, −6.1); p < 0.001). Improvements endured at 6 months.ConclusionWISER appears to durably improve HCW well-being.Clinical Trials NumberNCT02603133; https://clinicaltrials.gov/ct2/show/NCT02603133
Highlights
Burnout is characterized as a state of depletion, detachment, and cynicism resulting from prolonged high levels of stress [1]
Cluster randomized controlled trial (RCT) in eight academic levels 4 neonatal intensive care unit (NICU) randomized to two cohorts of four NICUs each
In cohort 1, 182 respondents initiated the intervention by clicking a WISER text or email message
Summary
Burnout is characterized as a state of depletion, detachment, and cynicism resulting from prolonged high levels of stress [1]. Health care workers (HCWs) in general, especially critical care workers, are at risk for burnout [2, 3], fueled by changes in technology and guidelines, endeavors for highquality care, and emotional challenges of dealing with critically ill patients and their families [4,5,6]. One of three domains of burnout, affects 25–50% of neonatal intensive care unit (NICU) HCWs [1, 5], with up to half of nurses and physicians across specialties meeting criteria for severe burnout [7,8,9]
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