Advertisement
Brief Report| Volume 19, ISSUE 2, 104465, February 2023

Mitigating Burnout in a Team of Pediatric Cardiac Critical Care Advanced Practice Providers: A Team-Building Intervention

Published:November 02, 2022DOI:https://doi.org/10.1016/j.nurpra.2022.09.018

      Highlights

      • Advanced practice providers in critical care area are at high risk of experiencing burnout.
      • “What Matters to You” conversations can be used to discover drivers and mitigation strategies for burnout.
      • Team-building events may improve burnout temporarily, but long-term effects may not be sustained.
      • Team agreement documents seem to be a feasible and sustainable way to improve team climate and reduce burnout.

      Abstract

      This quality improvement project used data from individual conversations and group development theory to implement a team-building intervention to mitigate burnout and improve team climate in a group of advanced practice providers. Two validated questionnaires were used to measure the impact of a team-building workshop and the drafting of a team agreement. Results demonstrated significant improvement in team burnout scores immediately post-intervention; however, improvement was not sustained. Anecdotally, the team agreement has successfully improved conflict resolution among group members.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The Journal for Nurse Practitioners
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Pastores S.M.
        • Kvetan V.
        • Coopersmith C.M.
        • et al.
        Workforce, workload, and burnout among intensivists and advanced practice providers: a narrative review.
        Crit Care Med. 2019; 47: 550-557https://doi.org/10.1097/CCM.0000000000003637
        • Kleinpell R.
        • Moss M.
        • Good V.S.
        • Gozak D.
        • Sessler C.N.
        The critical nature of addressing burnout prevention: results from the Critical Care Societies Collaborative’s National Summit & Survey on Prevention & Management of Burnout in the ICU.
        Crit Care Med. 2020; 48: 249-253https://doi.org/10.1097/CCM.0000000000003964
        • Kleinpell R.M.
        • Grabenkort W.R.
        • Kapu A.N.
        • Constantine R.
        • Sicoutris C.
        Nurse practitioners & physician assistants in acute & critical care: a concise review of the literature and data 2008–2018.
        Crit Care Med. 2019; 42: 1442-1448https://doi.org/10.1097/CCM.0000000000003925
        • Kapu A.N.
        • Borg-Card E.
        • Jackson H.
        • et al.
        Assessing and addressing practitioner burnout: results from an advance practice registered nurse health and well-being study.
        J Am Assoc Nurse Pract. 2019; 33: 38-48https://doi.org/10.1097/JXX0000000000000324
        • Sinsky C.A.
        • Brown R.L.
        • Stillman M.J.
        • Linzer M.
        COVID-related stress and work intentions in a sample of US healthcare workers.
        Mayo Clin Proc Innovations Qual Outcomes. 2021; 5: 1165-1173https://doi.org/10.1016/j.mayopiqo.2021.08.007
        • Kase S.M.
        • Gribben J.L.
        • Waldman E.D.
        • Weintraub A.S.
        A pilot study exploring interventions for physician distress in pediatric subspecialists.
        Pediatr Res. 2020; 88: 398-403https://doi.org/10.1038/s41390-020-0805-x
        • Moss M.
        • Good V.S.
        • Gozal D.
        • Kleinpell R.
        • Sessler C.N.
        An official Critical Care Societies Collaborative Statement: burnout syndrome in critical care healthcare professionals: a call for action.
        Crit Care Med. 2016; 44: 1414-1421https://doi.org/10.1097/CCM0000000000001885
        • Vermeir P.
        • Degroote S.
        • Vandijck D.
        • et al.
        Job satisfaction in relation to communication in health care among nurses: a narrative review and practical recommendations.
        Sage Open. 2017; : 1-11https://doi.org/10.1177/2158244017711486
        • Jun J.
        • Costa D.K.
        Is it me or you? A team approach to mitigate burnout in critical care.
        Criti Care Nurs Clin North Am. 2020; 33: 395-406https://doi.org/10.1016/j.cnc.2020.05.003
        • McEwan D.
        • Ruissen G.R.
        • Eys M.A.
        • Zumbo B.D.
        • Beauchamp M.R.
        The effectiveness of teamwork training on teamwork behaviors and team performance: a systematic review and meta-analysis of controlled interventions.
        PLoS One. 2017; 12e0169604https://doi.org/10.1371/journal.pone.0169604
        • Lacerenza C.N.
        • Marlow S.L.
        • Tannenbaum S.I.
        • Salas E.
        Team development interventions: evidence-based approaches for improving teamwork.
        Am Psychol. 2018; 73: 517-531https://doi.org/10.1037/amp0000295
        • Perlo J.
        • Balik B.
        • Swensen S.
        • Kabcenell A.
        • Landsman J.
        • Feeley D.
        IHI framework for improving joy in work (IHI White Paper).
        Institute for Healthcare Improvement, Cambridge, MA2017
        • Bonebright D.A.
        40 years of storming: a historical review of Tuckman’s model of small group development.
        Hum Resource Dev Int. 2010; 13: 111-120
        • Tuckman B.W.
        • Jensen M.A.
        Stages of small-group development revisited.
        Group Organ Studies. 1977; 2: 419-2727https://doi.org/10.1177/2158244017711486
        • Demerouti E.
        • Bakker A.B.
        • Vardakou I.
        • Kantas A.
        The convergent validity of two burnout instruments: a multitrait-multimethod analysis.
        Eur J Psychol Assess. 2003; 18: 296-307
        • Demerouti E.
        • Halbesleben J.R.
        The construct validity of an alternative measure of burnout: Investigating the English translation of the Oldenburg Burnout Inventory.
        Work & Stress. 2005; 19: 208-220
        • Anderson N.R.
        • West M.A.
        Measuring climate for work group innovation: Development and validation of the team climate inventory.
        J Organ Behav. 1998; 19: 235-258

      Biography

      Melissa R. Cleveland, DNP, CPNP, is a Nurse Pracitioner at the Department of Pediatric Cardiovascular Surgery, Riley Hospital for Children at IU Health, Indianapolis, IN, and a student at Purdue University School of Nursing, Purdue University, West Lafayette, IN, She can be contacted at [email protected]

      Biography

      Tina Schade Willis, MD, is a Professor of Clinical Pediatrics in the Department of Pediatric Critical Care, Riley Hospital for Children at IU Health, Indianapolis, IN.

      Biography

      Jiayun Xu, PhD, RN, is an Assistant Professor at the Purdue University School of Nursing, Purdue University, West Lafayette, IN.

      Biography

      Gabriela Centers, MD, MSCR, is an Assistant Professor in the Department of Pediatric Critical Care, Riley Hospital for Children at IU Health, Indianapolis, IN.

      Biography

      Julian Gallegos, PhD, MBA, FNP-BC, is a Clinical Associate Professor at the Purdue University School of Nursing, West Lafayette, IN.