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Provider Resilience

“Health care professionals know that they need to take care of themselves and tend to know what to do to fight stress—they just don’t take the time to do it.”  That is according to the National Center for Telehealth and Technology (T2), which brings to health care providers a mobile app designed to guide users on a daily path toward resilience. It is a reality check, like a call from a loved one, reminding the user to take a break and care for him- or herself before returning to work.

Part of self-care is avoiding compassion fatigue, which means avoiding negative feelings toward the ability to complete a job effectively or handle work-related stress. Compassion fatigue has 2 components, according to T2: burnout and secondary traumatic stress. To avoid or combat compassion fatigue, the app gives frontline providers tools to keep themselves productive and emotionally healthy as they help our nation’s service members, veterans, and their families.

DASHBOARD

The app’s home screen is a dashboard, which tracks wellbeing across 4 parameters, all based on self-assessments: vacation time, burnout scale, builders and killers checklist, and professional quality-of-life (ProQOL) measures. Each of these 4 assessments calculates the user’s resilience rating, displayed by a colored meter measuring from 0 (low) to 100 (high).

Beneath the resilience rating meter is a prominent vacation clock, running time down to the minute since the user’s last recorded vacation day. To measure burnout, the app offers a survey for 10 measures that should be updated by the user at least once a week. The question asked of users is, “How would you describe yourself as you approach your workday today?” All measures, including happy, trapped, satisfied, and preoccupied, can be rated from “Not at All” to “Very Much So.”  

Builders and Killers is a daily check-in on the user’s work-life balance. Selecting from a quick 10-item checklist across 2 pages is all it takes to update this section. Items from the list include “Did you take a short walk” and “Did you come to work sick today?” There are even 2 editable items where the user may enter his or her own “Personal Killer.”

The professional quality-of-life (ProQOL) quiz is the longest of all—30 questions—but the resilience rating relies on an update only every 30 days. This quiz measures 3 critical components of ProQOL: compassion satisfaction, burnout, and secondary traumatic stress. Average scores provide the following output for each section:

1. Compassion Satisfaction: “You’ve scored in the average range of Compassion Satisfaction. … This suggests that you don’t find your work to be consistently satisfying, but that you do derive some degree of satisfaction from your daily work activities."

2. Burnout: “Your Burnout score is in the average range. … This may indicate that you are currently experiencing frustration in your work and may be feeling discouraged or ineffective. It may be worth reviewing your answers to see if you can pin down the source of these feelings and determine how you might improve your experience at work.”

3. Secondary Traumatic Stress: “If you are working with clients or patients who are describing highly traumatic experiences, be sure to focus on self-care, which includes maintaining physical, emotional, social, and spiritual supports.”

The dashboard also tracks how many days until the user needs to update each section, and daily reminders (push notifications) to do so may be modified in Settings.

TOOLS

There are 7 videos currently loaded into the app. Two informational videos (both running under 10 minutes) cover burnout and secondary traumatic stress so that users can gain a richer understanding either of what they are experiencing or what they are trying to avoid. The remaining 5 videos are shorter and  can be found in the “Remind Me Why I Do This” menu. These videos cover important patient characteristics that have been found to lead to compassion fatigue, including alcohol, anger, depression, depression support, and stigma.

Scrolling flashcards can be found in “Physical Exercise” and include an assortment of stretching exercises the user can perform at his or her work desk. And if stretching doesn’t release enough endorphins, the user can raise his or her spirit browsing the cartoons found in “I Need A Laugh.” All of the cartoons are office-related, updated daily, and archived for the user’s pleasure.

VALUE CARDS

Nearly 100 inspirational flashcards are loaded onto the app, each one defining a valuable character trait, associated quote, and affirmations. To scroll through the cards, which are listed alphabetically from “Acceptance” through “Unity,” simply swipe left or right. To flip the card over, swipe up or down on the screen.

 

 

FINAL THOUGHTS

Certain luxuries we have grown accustomed to, such as rotating a device to change display orientation, don’t perform on this app, a feature missed greatly when viewing videos and a good reason to use the app on a tablet, not a phone.

And although everyone needs the occasional short break or multiday vacation, tolerance levels differ from person to person. Hence, it is important to use the app over a period of time so that the user can learn what his or her “normal” is and track readings not necessarily against the general population, but against him- or herself on the plotted ProQOL and burnout graphs.

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“Health care professionals know that they need to take care of themselves and tend to know what to do to fight stress—they just don’t take the time to do it.”  That is according to the National Center for Telehealth and Technology (T2), which brings to health care providers a mobile app designed to guide users on a daily path toward resilience. It is a reality check, like a call from a loved one, reminding the user to take a break and care for him- or herself before returning to work.

Part of self-care is avoiding compassion fatigue, which means avoiding negative feelings toward the ability to complete a job effectively or handle work-related stress. Compassion fatigue has 2 components, according to T2: burnout and secondary traumatic stress. To avoid or combat compassion fatigue, the app gives frontline providers tools to keep themselves productive and emotionally healthy as they help our nation’s service members, veterans, and their families.

DASHBOARD

The app’s home screen is a dashboard, which tracks wellbeing across 4 parameters, all based on self-assessments: vacation time, burnout scale, builders and killers checklist, and professional quality-of-life (ProQOL) measures. Each of these 4 assessments calculates the user’s resilience rating, displayed by a colored meter measuring from 0 (low) to 100 (high).

Beneath the resilience rating meter is a prominent vacation clock, running time down to the minute since the user’s last recorded vacation day. To measure burnout, the app offers a survey for 10 measures that should be updated by the user at least once a week. The question asked of users is, “How would you describe yourself as you approach your workday today?” All measures, including happy, trapped, satisfied, and preoccupied, can be rated from “Not at All” to “Very Much So.”  

Builders and Killers is a daily check-in on the user’s work-life balance. Selecting from a quick 10-item checklist across 2 pages is all it takes to update this section. Items from the list include “Did you take a short walk” and “Did you come to work sick today?” There are even 2 editable items where the user may enter his or her own “Personal Killer.”

The professional quality-of-life (ProQOL) quiz is the longest of all—30 questions—but the resilience rating relies on an update only every 30 days. This quiz measures 3 critical components of ProQOL: compassion satisfaction, burnout, and secondary traumatic stress. Average scores provide the following output for each section:

1. Compassion Satisfaction: “You’ve scored in the average range of Compassion Satisfaction. … This suggests that you don’t find your work to be consistently satisfying, but that you do derive some degree of satisfaction from your daily work activities."

2. Burnout: “Your Burnout score is in the average range. … This may indicate that you are currently experiencing frustration in your work and may be feeling discouraged or ineffective. It may be worth reviewing your answers to see if you can pin down the source of these feelings and determine how you might improve your experience at work.”

3. Secondary Traumatic Stress: “If you are working with clients or patients who are describing highly traumatic experiences, be sure to focus on self-care, which includes maintaining physical, emotional, social, and spiritual supports.”

The dashboard also tracks how many days until the user needs to update each section, and daily reminders (push notifications) to do so may be modified in Settings.

TOOLS

There are 7 videos currently loaded into the app. Two informational videos (both running under 10 minutes) cover burnout and secondary traumatic stress so that users can gain a richer understanding either of what they are experiencing or what they are trying to avoid. The remaining 5 videos are shorter and  can be found in the “Remind Me Why I Do This” menu. These videos cover important patient characteristics that have been found to lead to compassion fatigue, including alcohol, anger, depression, depression support, and stigma.

Scrolling flashcards can be found in “Physical Exercise” and include an assortment of stretching exercises the user can perform at his or her work desk. And if stretching doesn’t release enough endorphins, the user can raise his or her spirit browsing the cartoons found in “I Need A Laugh.” All of the cartoons are office-related, updated daily, and archived for the user’s pleasure.

VALUE CARDS

Nearly 100 inspirational flashcards are loaded onto the app, each one defining a valuable character trait, associated quote, and affirmations. To scroll through the cards, which are listed alphabetically from “Acceptance” through “Unity,” simply swipe left or right. To flip the card over, swipe up or down on the screen.

 

 

FINAL THOUGHTS

Certain luxuries we have grown accustomed to, such as rotating a device to change display orientation, don’t perform on this app, a feature missed greatly when viewing videos and a good reason to use the app on a tablet, not a phone.

And although everyone needs the occasional short break or multiday vacation, tolerance levels differ from person to person. Hence, it is important to use the app over a period of time so that the user can learn what his or her “normal” is and track readings not necessarily against the general population, but against him- or herself on the plotted ProQOL and burnout graphs.

“Health care professionals know that they need to take care of themselves and tend to know what to do to fight stress—they just don’t take the time to do it.”  That is according to the National Center for Telehealth and Technology (T2), which brings to health care providers a mobile app designed to guide users on a daily path toward resilience. It is a reality check, like a call from a loved one, reminding the user to take a break and care for him- or herself before returning to work.

Part of self-care is avoiding compassion fatigue, which means avoiding negative feelings toward the ability to complete a job effectively or handle work-related stress. Compassion fatigue has 2 components, according to T2: burnout and secondary traumatic stress. To avoid or combat compassion fatigue, the app gives frontline providers tools to keep themselves productive and emotionally healthy as they help our nation’s service members, veterans, and their families.

DASHBOARD

The app’s home screen is a dashboard, which tracks wellbeing across 4 parameters, all based on self-assessments: vacation time, burnout scale, builders and killers checklist, and professional quality-of-life (ProQOL) measures. Each of these 4 assessments calculates the user’s resilience rating, displayed by a colored meter measuring from 0 (low) to 100 (high).

Beneath the resilience rating meter is a prominent vacation clock, running time down to the minute since the user’s last recorded vacation day. To measure burnout, the app offers a survey for 10 measures that should be updated by the user at least once a week. The question asked of users is, “How would you describe yourself as you approach your workday today?” All measures, including happy, trapped, satisfied, and preoccupied, can be rated from “Not at All” to “Very Much So.”  

Builders and Killers is a daily check-in on the user’s work-life balance. Selecting from a quick 10-item checklist across 2 pages is all it takes to update this section. Items from the list include “Did you take a short walk” and “Did you come to work sick today?” There are even 2 editable items where the user may enter his or her own “Personal Killer.”

The professional quality-of-life (ProQOL) quiz is the longest of all—30 questions—but the resilience rating relies on an update only every 30 days. This quiz measures 3 critical components of ProQOL: compassion satisfaction, burnout, and secondary traumatic stress. Average scores provide the following output for each section:

1. Compassion Satisfaction: “You’ve scored in the average range of Compassion Satisfaction. … This suggests that you don’t find your work to be consistently satisfying, but that you do derive some degree of satisfaction from your daily work activities."

2. Burnout: “Your Burnout score is in the average range. … This may indicate that you are currently experiencing frustration in your work and may be feeling discouraged or ineffective. It may be worth reviewing your answers to see if you can pin down the source of these feelings and determine how you might improve your experience at work.”

3. Secondary Traumatic Stress: “If you are working with clients or patients who are describing highly traumatic experiences, be sure to focus on self-care, which includes maintaining physical, emotional, social, and spiritual supports.”

The dashboard also tracks how many days until the user needs to update each section, and daily reminders (push notifications) to do so may be modified in Settings.

TOOLS

There are 7 videos currently loaded into the app. Two informational videos (both running under 10 minutes) cover burnout and secondary traumatic stress so that users can gain a richer understanding either of what they are experiencing or what they are trying to avoid. The remaining 5 videos are shorter and  can be found in the “Remind Me Why I Do This” menu. These videos cover important patient characteristics that have been found to lead to compassion fatigue, including alcohol, anger, depression, depression support, and stigma.

Scrolling flashcards can be found in “Physical Exercise” and include an assortment of stretching exercises the user can perform at his or her work desk. And if stretching doesn’t release enough endorphins, the user can raise his or her spirit browsing the cartoons found in “I Need A Laugh.” All of the cartoons are office-related, updated daily, and archived for the user’s pleasure.

VALUE CARDS

Nearly 100 inspirational flashcards are loaded onto the app, each one defining a valuable character trait, associated quote, and affirmations. To scroll through the cards, which are listed alphabetically from “Acceptance” through “Unity,” simply swipe left or right. To flip the card over, swipe up or down on the screen.

 

 

FINAL THOUGHTS

Certain luxuries we have grown accustomed to, such as rotating a device to change display orientation, don’t perform on this app, a feature missed greatly when viewing videos and a good reason to use the app on a tablet, not a phone.

And although everyone needs the occasional short break or multiday vacation, tolerance levels differ from person to person. Hence, it is important to use the app over a period of time so that the user can learn what his or her “normal” is and track readings not necessarily against the general population, but against him- or herself on the plotted ProQOL and burnout graphs.

References

References

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Federal Practitioner - 31(8)
Issue
Federal Practitioner - 31(8)
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72e
Page Number
72e
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Provider Resilience
Display Headline
Provider Resilience
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The National Center for Telehealth and Technology, T2, Provider Resilience, mobile app, productivity, emotional health, compassion fatigue, burnout, secondary traumatic stress, vacation, stress, professional quality-of-life, ProQOL
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The National Center for Telehealth and Technology, T2, Provider Resilience, mobile app, productivity, emotional health, compassion fatigue, burnout, secondary traumatic stress, vacation, stress, professional quality-of-life, ProQOL
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