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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.
Four Steps for Developing Reliable Processes
Creating and sustaining reliable processes to ensure health care quality and patient safety requires thoughtful planning and execution. This checklist of four steps will help ensure your systems are designed with reliability in mind.
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.
Is Your Organization Highly Reliable?
This article presents common high-reliability organization (HRO) characteristics that apply to all health care organizations seeking to improve patient safety, and cross-walks them with the IHI Framework for Safe, Reliable, and Effective Care to help leaders build a culture and learning system to support HRO characteristics and safer systems of care.
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.
Profiles in Improvement: Jennifer Lenoci-Edwards, RN, MPH, IHI Director, Patient Safety
In this profile, Jennifer Lenoci-Edwards, IHI Director of Patient Safety, talks about the experiences that shaped her passion and dedication to improving safety, and the current focus of IHI's work in patient safety, which includes safety across the continuum of care, engaging patients in safety efforts, and supporting health care teams in improving system reliability and enhancing their joy in work.
"Conversation Ready": A Framework for Improving End-of-Life Care (Second Edition)
This white paper presents a framework built on five core principles to help health care organizations and clinicians develop reliable processes to engage patients in conversations about their wishes for end-of-life care, steward that information, and provide respectful end-of-life care that is concordant with patients’ stated goals, values, and preferences.
WIHI: From Prehospital to In-Hospital: The Continuum for Time-Sensitive Care
July 24, 2014 | In this WIHI, we discuss the dramatic changes underway with emergency medical services (EMS) in both the US and globally.
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.
Always Events Toolkit
Always Events are aspects of the patient experience that are so important to patients and families that health care providers must perform them consistently for every patient, every time. The toolkit supports providers in partnering with patients and family members to co-design, reliably implement, and sustain and spread Always Events to dramatically improve the care experience.
WIHI: Improving Safety and Satisfaction in Ambulatory Care
November 7, 2013 |This WIHI dives into a three-year initiative known as PROMISES, which is charged with reducing malpractice risk in the ambulatory setting by making care safer, more efficient, and more reliable.
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.
WIHI: Recognizing Person- and Family-Centered Care: Always Events at IHI
September 26, 2013 | This WIHI looks at Always Events – a set of reliable practices that should happen for all patients, all the time – and a recognition program to spotlight organizations committed to this level of transformation.