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. 2015 Sep;4(5):16-22.
doi: 10.7453/gahmj.2015.042. Epub 2015 Sep 1.

Prioritizing Clinician Wellbeing: The University of Virginia's Compassionate Care Initiative

Susan Bauer-Wu  1 , Dorrie Fontaine  2
Affiliations

Prioritizing Clinician Wellbeing: The University of Virginia's Compassionate Care Initiative

Susan Bauer-Wu et al. Glob Adv Health Med. 2015 Sep.

Abstract
in English, Chinese, Spanish

Background: Working in healthcare is increasingly challenging for nurses, physicians, and other health professionals. Ongoing high stress takes a toll on clinicians and interferes with the quality of their patient care. Fostering clinician wellbeing needs to be a priority; if not, the human and financial consequences are significant.

Objective: To describe the University of Virginia (UVA) School of Nursing's Compassionate Care Initiative (CCI) as an example of an organizational case study that is engaged in multipronged efforts to cultivate a resilient healthcare workforce committed to high-quality, compassionate, relationship-based care.

Methods: This case report describes the development, implementation, and evaluation of the CCI at UVA. Various elements of the program are reviewed, which include harnessing talents and interests of the larger institution in the establishment of Compassionate Care Ambassadors, outreach to the community, innovative student-specific educational activities, and a national media program.

Conclusion: The UVA CCI is a successful model of an organizational effort to promote clinician wellbeing and resilience. Aspects from this program can be adapted to other organizations that are committed to addressing this critical issue in US healthcare today.

背景：护士、医生和其他医疗专 业人员面临的医疗保健工作挑战 性越来越大。持续的高压力影响 了临床医生，并干扰了他们为患 者提供的护理的质量。因而需要 优先照顾临床医生的健康；如果 不能，将造成越来越明显的人员 和财务后续问题。目的：作为一个组织病例研究示 例描述弗吉尼亚大学 (UVA) 护 理学院的慈善关怀护理倡议，显示多管齐下努力培养一个弹性医 疗 工 作 队 伍 ， 致 力 于 提 供 高 品 质、富于同情心、基于良好关系 的护理。方法：本病例报告描述了 UVA 慈 善关怀护理倡议的开发、实施和 评价。对此项目的各项内容进行 审核，其中包括治理人才和关注 确立慈善关怀大使的较大机构、 推广至社区、创新学生特定教育 活动和国家媒体计划。结论：UVA 慈善关怀护理倡议是 一个改善临床医师健康和韧性的 组织工作的成功模型。此项目的 各方面可供致力于解决当今美国 医疗保健中此关键性问题的其他 组织使用。.

Antecedentes: trabajar en la asistencia sanitaria plantea cada vez más retos para el personal de enfermería, los médicos y demás profesionales sanitarios. Un alto nivel de estrés continuo pasa factura a los clínicos e interfiere con la calidad de la atención que prestan a sus pacientes. Fomentar el bienestar del clínico debe ser una prioridad; si no, las consecuencias humanas y financieras serán importantes.

Objetivo: describir la Iniciativa de cuidados paliativos de la escuela de enfermería de la Universidad de Virginia (University of Virginia, UVA) como ejemplo de un estudio de caso organizativo dedicado a medidas multidisciplinarias destinadas a cultivar un personal sanitario resistente y comprometido con una atención sanitaria de alta calidad, paliativa y personalizada.

Métodos: este caso clínico describe el desarrollo, la implantación y la evaluación de la Iniciativa de cuidados paliativos de la UVA. Se revisan diversos elementos del programa, lo cual incluye el aprovechamiento de los talentos e intereses de la institución mayor en el establecimiento de Embajadores de cuidados paliativos, el alcance comunitario, actividades educativas innovadoras específicas para cada estudiante, y un programa nacional de medios de comunicación.

Conclusión: la Iniciativa de cuidados paliativos de la UVA es un modelo satisfactorio de una iniciativa organizativa destinado a promover el bienestar y la resistencia del clínico. Es posible adaptar aspectos de este programa a otras organizaciones que se han comprometido a abordar esta cuestión crítica del sistema sanitario estadounidense actual.

Keywords: Resilience; academic health sciences; burnout; clinician wellbeing; compassionate care; healthy work environment; interprofessional; nursing education; relationship-based care.

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