Evidence map›Paper›PMID 38249843›Full record

ArticleLearning health systems2024

Developing LHS scholars' competency around reducing burnout and moral injury.

Sirin Yilmaz, Michele LeClaire, Abbie Begnaud, Warren McKinney, Kasey R Boehmer, Cory Schaffhausen, Mark Linzer

Open access · goldAbstract read
In one paragraph

Article in Learning health systems, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Sirin YilmazClinical Ethics, Hennepin Healthcare Minneapolis Minnesota USA.
Michele LeClaireDepartment of Medicine Minneapolis VA Health Care System Minneapolis Minnesota USA.
Abbie BegnaudDepartment of Medicine University of Minnesota Minneapolis Minnesota USA.
Warren McKinneyDepartment of Medicine Hennepin Healthcare Research Institute (HHRI) Minneapolis Minnesota USA.
Kasey R BoehmerDepartment of Medicine, Division of Health Care Delivery Research and Knowledge and Evaluation Research (KER) Unit Mayo Clinic Rochester Minnesota USA.
Cory SchaffhausenDepartment of Medicine Hennepin Healthcare Research Institute (HHRI) Minneapolis Minnesota USA.
Mark LinzerClinical Ethics, Hennepin Healthcare Minneapolis Minnesota USA.
Hennepin Healthcare Research Institute · USUniversity of Minnesota · USMayo Clinic in Florida · US

Funding

Minnesota Learning Health System Mentored Career Development Program (MN-LHS)K12HS026379 · AHRQ · UNIVERSITY OF MINNESOTA · PI BEEBE, TIMOTHY, LINZER, MARK · 2018 to 2022
$2.9M
The Role of Patient Capacity in Chronic Kidney Disease TrajectoriesK01DK133643 · NIDDK · MAYO CLINIC ROCHESTER · PI Kasey Boehmer · 2023 to 2026
$601k
AHRQ HHS K12 HS026379
6 · The paper itself

Abstract

Despite the known benefits of supportive work environments for promoting patient quality and safety and healthcare worker retention, there is no clear mandate for improving work environments within Learning Health Systems (LHS) nor an LHS wellness competency. Striking rises in burnout levels among healthcare workers provide urgency for this topic. Methods: We brought three experts on moral injury, burnout prevention, and ethics to a recurring, interactive LHS training program "Design Shop" session, harnessing scholars' ideas prior to the meeting. Generally following SQUIRE 2.0 guidelines, we evaluated the prework and discussion via informal content analysis to develop a set of pathways for developing moral injury and burnout prevention programs. Along these lines, we developed a new competency for moral injury and burnout prevention within LHS training programs. Results: In preparation for the session, scholars differentiated moral injury from burnout, highlighted the profound impact of COVID-19 on moral injury, and proposed testable interventions to reduce injury. Scholar and expert input was then merged into developing the new competency in moral injury and burnout prevention. In particular, the competency focuses on preparing scholars to (1) demonstrate knowledge of moral injury and burnout, (2) measure burnout, moral injury, and their remediable predictors, (3) use methods for improving burnout, (4) structure training programs with supportive work environments, and (5) embed burnout and moral injury prevention into LHS structures. Conclusions: Burnout and moral injury prevention have been largely omitted in LHS training. A competency related to burnout and moral injury reduction can potentially bring sustainable work lives for scholars and their colleagues, better incorporation of their science into clinical practice, and better outcomes for patients.

Indexed as

burnoutethical climateLHS (learning health system)moral injury

Identifiers

PMID38249843
PMCPMC10797582
OpenAlexW4381149321

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.