Building Social Support and Moral Healing on Nursing Units: Design and Implementation of a Culture Change Intervention

The healthcare industry continues to experience high rates of burnout, turnover, and staffing shortages that erode quality care. Interventions that are feasible, engaging, and impactful are needed to improve cultures of support and mitigate harm from exposure to morally injurious events. This qualit...

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Bibliographic Details
Published in:Behavioral sciences 2024-09, Vol.14 (9), p.796
Main Authors: Usset, Timothy J, Godzik, Cassandra, Harris, J Irene, Wurtz, Rebecca M, Pyne, Jeffrey M, Edmonds, Stephanie W, Prunty, April, Brown, Rebecca J L, Bardach, Shoshana H, Bradley, Joel M, Hubble, Christopher L, Oliver, Brant J, Pepin, Renee L, Currier, Joseph, Smith, Andrew J
Format: Article
Language:English
Subjects:
Burnout
Clergy
Design
Intensive care
Intervention
Medical personnel
Meetings
Mental health
moral distress
Moral injury
Nurses
Nursing
Occupational health
Pandemics
peer support
Quality improvement
resilience
Resveratrol
Social aspects
Social networks
social support
Workforce planning
Workloads
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Summary:The healthcare industry continues to experience high rates of burnout, turnover, and staffing shortages that erode quality care. Interventions that are feasible, engaging, and impactful are needed to improve cultures of support and mitigate harm from exposure to morally injurious events. This quality improvement project encompassed the methodical building, implementation, and testing of RECONN (Reflection and Connection), an organizational intervention designed by an interdisciplinary team to mitigate the impact of moral injury and to increase social support among nurses. This quality improvement project was conducted in a medical intensive care unit (MICU) in a rural, academic medical center. We employed an Evidence-Based Quality Improvement (EBQI) approach to design and implement the RECONN intervention while assessing the feasibility, acceptability, and preliminary effectiveness via surveys ( = 17). RECONN was found acceptable and appropriate by 70% of nurses who responded to surveys. Preliminary effectiveness data showed small to moderate effect sizes for improving social support, moral injury, loneliness, and emotional recovery. Further evaluation is warranted to establish the effectiveness and generalizability of RECONN to other healthcare settings.
ISSN:2076-328X
2076-328X
DOI:10.3390/bs14090796