Organizational resilience: a novel strategy for improving ICU outcomes

Active Project Grant Awarded Last action

Award ID
R01HL163177
Recipient
Awarding agency
Obligated
$5,345,642

Award facts

Assistance listing
93.837 Cardiovascular Diseases Research
Completion date 72% complete
Place of performance
Orange, CT 06477, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
Intensive care unit (ICU) teams (i.e., nurses, physicians, and respiratory therapists) have some of the highest rates of burnout in healthcare. Burnout is an occupational phenomenon resulting from chronic workplace stress and is characterized by exhaustion, depersonalization, and reduced professional efficacy. Burnout has been associated with poorer safety ratings, quality of care, and patient outcomes. Interventions to reduce burnout have focused on individual clinicians, but this approach neglects the organizational factors contributing to burnout, and consequently, has been only marginally effective. Organizational resilience is a promising approach for addressing burnout in ICU teams and improving outcomes in patients with acute respiratory failure. Organizational resilience is the capacity of a complex adaptive system to anticipate stressors, perform under stressful conditions, and adapt moving forward. While the relationships among organizational resilience and employee health and performance outcomes have been described in other settings, organizational resilience has not been measured in healthcare settings. Our scientific premise is that the key to improving ICU clinician burnout and preventing adverse outcomes in patients with acute respiratory failure is to investigate the role of organizational factors in ICU resilience. When icus are more organizationally resilient, clinicians feel better equipped to manage workplace stressors, and thus are more likely to provide high-quality care for patients with acute respiratory failure. Capitalizing on our team's expertise in ICU organization and survey research, our partnership with commonspirit health, the 4TH largest U.S. Healthcare system with hospitals in 21 states, and our preliminary data, we propose a novel mixed-methods sequential explanatory design study that examines resilience as an organizational phenomenon. We will administer a survey about resilience (connor-davidson resilience scale and LEE ET AL's measure of organizational resilience), burnout (two single-item maslach burnout inventory measures), and wellbeing (who-5) to 6000 clinicians working in 60 icus at two timepoints to examine the dynamics of individual and organizational resilience over time (aim 1). We will then test the interdependent contributions of individual and organizational resilience to patient outcomes (mortality and ventilator-free days) and clinician outcomes (burnout and wellbeing) (aim 2). Lastly, we will qualitatively describe the relationships between work environment, ICU organizational resilience, and interprofessional care and characterize perceived barriers and facilitators of organizational resilience (aim 3). Our long-term goal is to develop a multi-pronged intervention that will enhance ICU resilience. Our objective in this proposal is to empirically test the relationship between resilience and patient and clinician outcomes so that administrators, policymakers, and researchers can more appropriately target efforts to support ICU clinicians. This project addresses a major GAP in understanding how to best support a valuable healthcare resource: the clinicians that care for mechanically ventilated adults.

Transactions

Action Obligated Date
Amendment $583,063
Amendment $59,555
Amendment $535,992
Amendment $535,992
Amendment $47,338
Amendment $47,338
Amendment $532,558
Amendment $532,558
Amendment $532,558
Amendment $646,230
Amendment $646,230
Original award $646,230
Show all 12

Subawards

Subrecipient Amount Awarded
Commonspirit Health Research Institute The scope of work for CommonSpirit Health will include coordination of site data collection, recruitment of participants, overseeing survey administration,… $62,713
The Johns Hopkins University The scope of work for the Johns Hopkins University (JHU) will include quantitative data management and analyses for Aim 1 and 2 and interpretation of the… $206,495
University Of North Carolina At Chapel Hill The appropriate programmatic and administrative personnel at the university of north carolina at chapel hill are prepared to establish a subcontract agreement… $122,254
Commonspirit Health Research Institute The scope of work for CommonSpirit Health will include coordination of site data collection, recruitment of participants, overseeing survey administration,… $437,581
Regents Of The University Of Michigan The scope of work for the University of Michigan will include quantitative data management and analyses for Aim 1 and 2 and, interpretation of the results,… $118,955
University Of North Carolina At Chapel Hill The appropriate programmatic and administrative personnel at the University of North Carolina at Chapel Hill are prepared to establish a subcontract agreement… $542,541

Quick answers

Who received award R01HL163177?

R01HL163177 was awarded to Yale Univ by National Heart Lung and Blood Institute (National Institutes of Health) on May 1, 2023.

How much is award R01HL163177 worth?

$5,345,642 has been obligated on R01HL163177.

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