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Conversation and Action Guide to Support Staff Wellbeing and Joy in Work During and After the COVID-19 Pandemic
During the COVID-19 pandemic, health care leaders are working to support staff who are experiencing anxiety, stress, and intense demands. This guide includes actionable ideas that leaders can quickly test during the coronavirus response, and which can build the longer-term foundation to sustain joy in work for the health care workforce.
WIHI: How to Navigate Power and Enhance Psychological Safety
February 26, 2020 | How can we better understand, and successfully navigate, the power dynamics throughout the health care workforce?
WIHI: Workload, Stress, and Patient Safety: How Human Factors Can Help
January 23, 2020 | With the growing complexity of health care, there's growing concern that health care providers are bearing a lot of the brunt. What role can human factors play in addressing these issues?
WIHI: Increasing Joy in Work: Notes from a Cardiac ICU Team
November 7, 2019 | Hear how one team at Michigan Medicine has implemented IHI's Framework for Improving Joy in Work to achieve sweeping results.
Applying Community Organizing Principles to Restore Joy in Work
Through the process of delving more deeply into the topic of fostering joy in work and reducing burnout, IHI has discovered four lessons from the field of community organizing that are readily applicable to nurture joy in the health care workforce.
Why Focusing on Professional Burnout Is Not Enough
With professional burnout rates in health care at an all-time high, IHI suggests shifting the focus from “burnout” to “joy in work.” This article describes the role of leaders and four proven steps to create joy in work.
WIHI: Mindfulness and Patient Safety
March 8, 2018 | Clinicians are discovering that practicing mindfulness can be restorative in the middle of a hectic day, create mental space to be more tuned into patients, and reduce the likelihood of medical errors.
"What Matters to You?" Conversation Guide for Improving Joy in Work
With burnout and staff turnover in health care continuing to rise at alarming rates, this resource is intended to help leaders guide conversations with colleagues about “What matters to you?” — Step 1 of the Four Steps for Leaders, described in detail in the IHI White Paper, IHI Framework for Improving Joy in Work.
WIHI: How to Beat Burnout and Create Joy in Work
September 28, 2017 | Burnout in health care is a big and complex topic. We present an action-oriented framework to help leaders and managers more effectively engage with staff to identify what gets in the way of joy in work, and to develop solutions together.
IHI Framework for Improving Joy in Work
With burnout and staff turnover in health care continuing to rise at alarming rates, this white paper describes four steps leaders can take to improve joy in work; a framework with nine critical components for ensuring a joyful, engaged workforce; key change ideas; and measurement and assessment tools.
Restoring Joy in Work for the Healthcare Workforce
While burnout in the health professions is alarmingly high, restoring joy in work is more than just reducing burnout. This article describes four key steps that leaders can take to restore, foster, and nurture joy in the health care workforce.
WIHI: Joy in Work: An Antidote to Today's Burnout in Health Care
May 5, 2016 | What can make the difference between having the tools and the support to manage new realities in health care vs. being overwhelmed and drained? Plenty. Guests share how they are addressing staff burnout and increasing joy in work for the health care workforce.
Physician-Organization Collaboration Reduces Physician Burnout and Promotes Engagement: The Mayo Clinic Experience
This article describes Mayo Clinic's model which seeks to maximize physician wellness by fostering engagement and mitigating the drivers of burnout. The model provides a path to increase physician satisfaction and meaning in work and to improve organizational effectiveness.
WIHI: Morality Matters: How to Reset the Mission of Quality Improvement
February 18, 2016 | What is the “true north” for the health care quality improvement movement? What are the questions leaders and champions of quality and safety initiatives must periodically ask themselves as a natural part of the process of seeking dramatic change? For IHI’s founder, Don Berwick, the questions, and the answers, are often moral ones.
WIHI: Making the Work of QI Less Draining and More Sustaining
June 5, 2014 | This WIHI features a discussion of ways health care organizations can be mindful of the burden constant change and improvement efforts place on frontline staff.
WIHI: Reclaiming Empathy — Best Practices for Engaging with Patients
April 10, 2014 | Why the seemingly sudden need to draw the attention of doctors and nurses to the humanness of the patients before them? We explore empathy and some of the ways today's busy and often overwhelmed caregivers can reconnect with their own feelings and the feelings of those they care for.
WIHI: New Staffing Models for Primary Care
October 10, 2013 | This WIHI looks at ways that primary care practices can delegate responsibilities and work as a team — one of the central needs for all primary care providers today. We also take a look at the LEAP project (Learning from Effective Ambulatory Practices) and discuss success factors that LEAP has identified thus far.
IHI Improvement Capability Self-Assessment Tool
The IHI Improvement Capability Self-Assessment Tool is designed to assist organizations in assessing their capability in six key areas that support improvement.
A Culture of Respect, Part 1 and Part 2
A two-part article that identifies common types of disrespectful behaviors in the health care setting and how to create a culture of respect in which such behaviors are prevented.
Healthcare Team Vitality Instrument
A short, validated instrument to measure the vitality of health care team members; developed by Betsy Lee, RN, MSPH, and Valda Upenieks, PhD, RN, as part of the Transforming Care at the Bedside initiative.
Author in the Room: Self-Care of Physicians Caring for Patients at the End of Life
April 2009 | A discussion with the author of the JAMA article "Self-Care of Physicians Caring for Patients at the End of Life."
WIHI: Alert to Change: New Models for Residency Work Hours
January 27, 2011 | There’s no magic, one-size-fits-all solution, but this WIHI talks with a group of experts to shed light on trailblazing ideas and system redesigns that everyone engaged in training health professionals can learn from.
WIHI: Nursing’s New Roadmap: Education, the Workforce, and Health Care Quality
November 18, 2010 | This WIHI reviews the recommendations of the Institute of Medicine report "The Future of Nursing: Leading Change, Advancing Health" and discusses how to turn the report into action.
Changes to Transform Care at the Bedside
A framework for change on medical-surgical units built around innovations and improvements in four main categories is described, along with specific changes you can test.
WIHI: Unprofessional Behavior Not Permitted Here
July 1, 2010 | An expert panel discusses the complicated and controversial issues of unprofessional behavior in health care, what regulators have to say about unprofessional conduct, and a new determination among professional societies and hospitals to face up to behavior that truly has no place in a safe, high-performing organization.