203 Participants Needed

Evidence-Based Quality Improvement for Burnout

Recruiting at 4 trial locations
EA
Overseen ByEric A Apaydin, PhD
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: VA Greater Los Angeles Healthcare System
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to find ways to reduce burnout among primary care staff at VA clinics. Researchers will use an approach called evidence-based quality improvement (EBQI) to develop and test strategies to lower burnout. They will compare these new strategies to usual care to determine which works better. Good candidates for the trial include primary care providers, nurses, or administrative staff working in regular care teams at selected VA clinics.

As an unphased trial, this study offers participants the opportunity to contribute to innovative solutions that could enhance workplace well-being.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this evidence-based quality improvement approach is safe for reducing burnout?

Research has shown that evidence-based quality improvement (EBQI) is generally safe in healthcare settings. This method aims to enhance hospital and clinic operations and achieve better outcomes.

In past studies, EBQI has been linked to reduced burnout among healthcare workers. For instance, one study found that EBQI decreased feelings of emotional exhaustion and boosted job satisfaction. These positive changes suggest that EBQI can be beneficial without causing harm.

No major negative effects have been reported with EBQI, indicating that participants in EBQI projects have not experienced harmful side effects. It is important to note that EBQI focuses on changing work processes rather than introducing new medications or treatments, which typically carry more risks.

Overall, EBQI appears to be a well-accepted approach that helps reduce burnout and improve working conditions in healthcare settings.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores a unique approach to reducing burnout among healthcare professionals through Evidence-Based Quality Improvement (EBQI). Unlike traditional methods that may focus on individual strategies like mindfulness or stress management, EBQI emphasizes a systematic approach to developing and implementing burnout reduction interventions tailored to the specific needs of a clinic. This technique actively involves the research team for a year, with the potential for sustainable, long-term benefits as clinic leadership and staff continue these interventions. Researchers hope to find out how this structured, collaborative methodology can effectively address burnout and improve healthcare environments.

What evidence suggests that evidence-based quality improvement is effective for reducing burnout?

Studies have shown that evidence-based quality improvement (EBQI) methods can help reduce burnout among healthcare workers. In this trial, participants in the EBQI arm will experience these methods, which previous research has shown to significantly improve mental health and overall well-being. Research consistently shows that these strategies effectively prevent burnout. Additionally, EBQI methods can lighten the workload for healthcare providers, allowing them to focus more on patient care, which reduces the risk of burnout and mistakes. Overall, these methods have effectively boosted work engagement, quality of life, and resilience.36789

Are You a Good Fit for This Trial?

This trial is for VA primary care providers and staff experiencing burnout. It aims to improve their work life by testing a new approach to reduce stress and enhance job satisfaction.

Inclusion Criteria

5 primary care clinics (2 VA Medical Centers [VAMCs] and 3 community-based outpatient clinics [CBOCs]) in 2 VA healthcare systems in 1 VA Veterans Integrated Service Network
Primary care providers, registered nurses, clinical associates (e.g., licensed vocational or practical nurses), or administrative associates (e.g., clerks) on regular Patient-Aligned Care Team (PACT) teamlets at a study site.

Exclusion Criteria

Members of special types of PACT teamlets at a study site.
All other VAMCs and CBOCs
Other primary care professionals at a study site

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention Implementation

EBQI-facilitated interventions are actively managed by the research team to reduce burnout

1 year
Ongoing management and support

Passive Continuation

Interventions may be passively continued by clinic leadership, providers, and staff

Following years

Follow-up

Participants are monitored for burnout, depression, turnover intent, and workplace drivers of burnout

3 years
Annual survey administrations

What Are the Treatments Tested in This Trial?

Interventions

  • Evidence-based quality improvement (EBQI)
Trial Overview The study tests an evidence-based quality improvement (EBQI) method designed to lower burnout in VA primary care settings. Participants will help create and then try out these new strategies in a controlled, phased manner.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Evidence-based quality improvement (EBQI)Experimental Treatment1 Intervention
Group II: Usual careActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

VA Greater Los Angeles Healthcare System

Lead Sponsor

Trials
53
Recruited
8,700+

VA Office of Research and Development

Collaborator

Trials
1,691
Recruited
3,759,000+

Citations

Evidence-Based Quality Improvement to Reduce VA ...Organizational interventions to reduce burnout are more effective than individual interventions, but no single organizational intervention is applicable to all ...
Implementing an Evidence-Based Intervention for Nurse ...Evaluation data from pre- and post-intervention surveys demonstrated statistically significant improvements in psychological outcomes, with high ...
An Evidence-Based Approach for Decreasing Burnout in ...Evidence: The literature evidence consistently demonstrated positive outcomes in preventing burnout among healthcare workers through the ...
Reducing Clinical Documentation Burden: An Evidence ...These interventions may enable clinicians to spend more time delivering patient care, thus decreasing risk of burnout, errors, and harm. Additional EBP and QI ...
Workplace interventions to improve well-being and reduce ...Effective outcomes were reported in 29 studies, with significant improvements in well-being, work engagement, quality of life and resilience, ...
Influence of Burnout on Patient Safety: Systematic Review ...Data on method, participants, interventions, and outcomes were analyzed and extracted by two independent reviewers. In order to assess the risk of bias and the ...
Nurse Burnout and Patient Safety, Satisfaction, and Quality ...In this systematic review and meta-analysis, nurse burnout was found to be associated with lower health care quality and safety and lower patient satisfaction.
Long-term impact of evidence-based quality improvement for ...Main outcome measures were the emotional exhaustion subscale from the Maslach Burnout Inventory, and job satisfaction. Results. Six of 26 ...
Reducing Clinical Documentation Burden: An Evidence ...Administrative burden has been linked to clinician errors and burnout. This evidence-based quality improvement initiative evaluated 4 mutually ...
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