Developing a relational playbook for cardiology teams to cultivate supportive learning environments, enhance clinician well‐being, and veteran care
Abstract Introduction Despite the Veterans Health Administration (VA) efforts to become a learning health system (LHS) and high‐reliability organization (HRO), interventions to build supportive learning environments within teams are not reliably implemented, contributing to high levels of burnout, t...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-04-01
|
| Series: | Learning Health Systems |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/lrh2.10383 |
| _version_ | 1827281209597624320 |
|---|---|
| author | Heather M. Gilmartin Brigid Connelly Edward Hess Candice Mueller Mary E. Plomondon Stephen W. Waldo Catherine Battaglia |
| author_facet | Heather M. Gilmartin Brigid Connelly Edward Hess Candice Mueller Mary E. Plomondon Stephen W. Waldo Catherine Battaglia |
| author_sort | Heather M. Gilmartin |
| collection | DOAJ |
| description | Abstract Introduction Despite the Veterans Health Administration (VA) efforts to become a learning health system (LHS) and high‐reliability organization (HRO), interventions to build supportive learning environments within teams are not reliably implemented, contributing to high levels of burnout, turnover, and variation in care. Supportive learning environments build capabilities for teaching and learning, empower teams to safely trial and adapt new things, and adopt highly reliable work practices (eg, debriefs). Innovative approaches to create supportive learning environments are needed to advance LHS and HRO theory and research into practice. Methods To guide the identification of evidence‐based interventions that cultivate supportive learning environments, the authors used a longitudinal, mixed‐methods design and LHS and HRO frameworks. We partnered with the 81 VA cardiac catheterization laboratories and conducted surveys, interviews, and literature reviews that informed a Relational Playbook for Cardiology Teams. Results The Relational Playbook resources and 50 evidence‐based interventions are organized into five LHS and HRO‐guided chapters: Create a positive culture, teamwork, leading teams, joy in work, communication, and high reliability. The interventions are designed for managers to integrate into existing meetings or trainings to cultivate supportive learning environments. Conclusions LHS and HRO frameworks describe how organizations can continually learn and deliver nearly error‐free services. The Playbook resources and interventions translate LHS and HRO frameworks for real‐world implementation by healthcare managers. This work will cultivate supportive learning environments, employee well‐being, and Veteran safety while providing insights into LHS and HRO theory, research, and practice. |
| first_indexed | 2024-04-24T08:55:21Z |
| format | Article |
| id | doaj.art-621cf15a234f4752a9d7dfb64006c8d2 |
| institution | Directory Open Access Journal |
| issn | 2379-6146 |
| language | English |
| last_indexed | 2024-04-24T08:55:21Z |
| publishDate | 2024-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Learning Health Systems |
| spelling | doaj.art-621cf15a234f4752a9d7dfb64006c8d22024-04-16T08:09:56ZengWileyLearning Health Systems2379-61462024-04-0182n/an/a10.1002/lrh2.10383Developing a relational playbook for cardiology teams to cultivate supportive learning environments, enhance clinician well‐being, and veteran careHeather M. Gilmartin0Brigid Connelly1Edward Hess2Candice Mueller3Mary E. Plomondon4Stephen W. Waldo5Catherine Battaglia6Denver/Seattle Center of Innovation for Veteran‐Centered and Value Driven Care VHA Eastern Colorado Healthcare System Aurora Colorado USADenver/Seattle Center of Innovation for Veteran‐Centered and Value Driven Care VHA Eastern Colorado Healthcare System Aurora Colorado USADenver/Seattle Center of Innovation for Veteran‐Centered and Value Driven Care VHA Eastern Colorado Healthcare System Aurora Colorado USACART Program, Office of Quality and Patient Safety Veterans Health Administration Washington DC USADepartment of Health Systems Management and Policy University of Colorado, School of Public Health Aurora Colorado USACART Program, Office of Quality and Patient Safety Veterans Health Administration Washington DC USADenver/Seattle Center of Innovation for Veteran‐Centered and Value Driven Care VHA Eastern Colorado Healthcare System Aurora Colorado USAAbstract Introduction Despite the Veterans Health Administration (VA) efforts to become a learning health system (LHS) and high‐reliability organization (HRO), interventions to build supportive learning environments within teams are not reliably implemented, contributing to high levels of burnout, turnover, and variation in care. Supportive learning environments build capabilities for teaching and learning, empower teams to safely trial and adapt new things, and adopt highly reliable work practices (eg, debriefs). Innovative approaches to create supportive learning environments are needed to advance LHS and HRO theory and research into practice. Methods To guide the identification of evidence‐based interventions that cultivate supportive learning environments, the authors used a longitudinal, mixed‐methods design and LHS and HRO frameworks. We partnered with the 81 VA cardiac catheterization laboratories and conducted surveys, interviews, and literature reviews that informed a Relational Playbook for Cardiology Teams. Results The Relational Playbook resources and 50 evidence‐based interventions are organized into five LHS and HRO‐guided chapters: Create a positive culture, teamwork, leading teams, joy in work, communication, and high reliability. The interventions are designed for managers to integrate into existing meetings or trainings to cultivate supportive learning environments. Conclusions LHS and HRO frameworks describe how organizations can continually learn and deliver nearly error‐free services. The Playbook resources and interventions translate LHS and HRO frameworks for real‐world implementation by healthcare managers. This work will cultivate supportive learning environments, employee well‐being, and Veteran safety while providing insights into LHS and HRO theory, research, and practice.https://doi.org/10.1002/lrh2.10383high‐reliability organizationlearning health systemveteransworkforce |
| spellingShingle | Heather M. Gilmartin Brigid Connelly Edward Hess Candice Mueller Mary E. Plomondon Stephen W. Waldo Catherine Battaglia Developing a relational playbook for cardiology teams to cultivate supportive learning environments, enhance clinician well‐being, and veteran care Learning Health Systems high‐reliability organization learning health system veterans workforce |
| title | Developing a relational playbook for cardiology teams to cultivate supportive learning environments, enhance clinician well‐being, and veteran care |
| title_full | Developing a relational playbook for cardiology teams to cultivate supportive learning environments, enhance clinician well‐being, and veteran care |
| title_fullStr | Developing a relational playbook for cardiology teams to cultivate supportive learning environments, enhance clinician well‐being, and veteran care |
| title_full_unstemmed | Developing a relational playbook for cardiology teams to cultivate supportive learning environments, enhance clinician well‐being, and veteran care |
| title_short | Developing a relational playbook for cardiology teams to cultivate supportive learning environments, enhance clinician well‐being, and veteran care |
| title_sort | developing a relational playbook for cardiology teams to cultivate supportive learning environments enhance clinician well being and veteran care |
| topic | high‐reliability organization learning health system veterans workforce |
| url | https://doi.org/10.1002/lrh2.10383 |
| work_keys_str_mv | AT heathermgilmartin developingarelationalplaybookforcardiologyteamstocultivatesupportivelearningenvironmentsenhanceclinicianwellbeingandveterancare AT brigidconnelly developingarelationalplaybookforcardiologyteamstocultivatesupportivelearningenvironmentsenhanceclinicianwellbeingandveterancare AT edwardhess developingarelationalplaybookforcardiologyteamstocultivatesupportivelearningenvironmentsenhanceclinicianwellbeingandveterancare AT candicemueller developingarelationalplaybookforcardiologyteamstocultivatesupportivelearningenvironmentsenhanceclinicianwellbeingandveterancare AT maryeplomondon developingarelationalplaybookforcardiologyteamstocultivatesupportivelearningenvironmentsenhanceclinicianwellbeingandveterancare AT stephenwwaldo developingarelationalplaybookforcardiologyteamstocultivatesupportivelearningenvironmentsenhanceclinicianwellbeingandveterancare AT catherinebattaglia developingarelationalplaybookforcardiologyteamstocultivatesupportivelearningenvironmentsenhanceclinicianwellbeingandveterancare |