APPENDIX C

References

DEFINITIONS

American Medical Association (AMA). 2020. Jo Shapiro, MD, Explores Peer Support Implementation During a Crisis. Available at: https://www.ama-assn.org/practice-management/sustain-ability/jo-shapiro-md-explores-peer-support-implementation-during-crisis (accessed June 13, 2022).

APA Dictionary of Psychology. 2022. Stigma. Available at: https://dictionary.apa.org/stigma (accessed June 13, 2022).

Center for Creative Leadership. 2022. What is Psychological Safety at Work? Available at: https://www.ccl.org/articles/leading-effectively-articles/what-is-psychological-safety-at-work/ (accessed June 13, 2022).

Danna, K., and R. W. Griffin. 1999. Health and well-being in the workforce: A review and synthesis of the literature. Journal of Management 25(3). https://doi.org/10.1177/014920639902500305.

Doble, S. E., and J. C. Santha. 2008. Occupational well-being: Rethinking occupational therapy outcomes. Canadian Journal of Occupational Therapy 75(3):184–190. https://doi.org/10.1177/000841740807500310.

Edmondson, A. C. 2018. The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. Hoboken, NJ: John Wiley & Sons.

Health Resources and Services Administration (HRSA). 2021. Health Workforce Strategic Plan 2021. Available at: https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/about-us/

hhs-healthworkforce-strategic-plan-2021.pdf (accessed June 13, 2022).

Litz, B. T., N. Stein, E. Delaney, L. Lebowitz, W. P. Nash, C. Silva, and S. Maguen. 2009. Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clinical Psychology Review 29(8):695–706. https://doi.org/10.1016/j.cpr.2009.07.003.

Morley, G., J. Ives, C. Bradbury-Jones, and F. Irvine. 2017. What is ‘moral distress’? A narrative synthesis of the literature. Nursing Ethics 26(3):646–662. https://doi.org/10.1177/0969733017724354.

National Academies of Sciences, Engineering, and Medicine (NASEM). 2017. Communities in Action: Pathways to Health Equity. Washington, DC: The National Academies Press. https://doi.org/10.17226/24624.

NASEM. 2019. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. Washington, DC: The National Academies Press. https://doi.org/10.17226/25521.

National Institute for Occupational Safety and Health (NIOSH). 2016. Healthcare Workers: Work Stress & Mental Health. Available at: https://www.cdc.gov/niosh/topics/healthcare/workstress.html (accessed June 13, 2022).

National Institutes of Health (NIH). 2021. Cultural Respect. Available at: https://www.nih.gov/institutes-nih/nih-office-director/office-communications-public-liaison/clear-communica-tion/cultural-respect (accessed August 31, 2022).

World Health Organization (WHO). 2007. Everybody’s Business – Strengthening Health Systems to Improve Health Outcomes: WHO’s Framework for Action. Available at: https://apps.who.int/iris/handle/10665/43918 (accessed June 13, 2022).

WHO. 2008. Closing the Gap in a Generation: Health Equity Through Action on the Social Determinants of Health - Final Report of the Commission on Social Determinants of Health. Available at: https://www.who.int/publications/i/item/WHO-IER-CSDH-08.1 (accessed August 31, 2022).

WHO. 2022. Mental Health: Strengthening our Response. Available at: https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response (accessed August 31, 2022).

INTRODUCTION

117th Congress. 2021. H.R. 1667 – Dr. Lorna Breen Health Care Provider Protection Act. Available at: https://www.congress.gov/bill/117th-congress/house-bill/1667 (accessed June 13, 2022).

Abbasi, J. 2022. Pushed to their limits, 1 in 5 physicians intends to leave practice. JAMA 327(15):1435-1437. https://doi.org/10.1001/jama.2022.5074.

American Academy of Orthopedic Surgeons (AAOS). n.d. COVID-19 Member Resource Center. Available at: https://www.aaos.org/about/covid-19-information-for-our-members/healthcare-policy-updates/ (accessed June 13, 2022).

American Hospital Association (AHA). 2021. Strengthening the Health Care Workforce. Available at: https://www.aha.org/system/files/media/file/2021/11/strengthening-the-health-care-workforce-II.pdf (accessed June 13, 2022).

Archambault, J. 2022. 10 State Health Policy Changes that should Outlive COVID-19. Available at: https://spn.org/blog/10-state-health-policy-changes-that-should-outlive-covid-19/ (accessed June 13, 2022).

Berg, S. 2021. Half of Health Workers Report Burnout Amid COVID-19. American Medical Association. Available at: https://www.ama-assn.org/practice-management/physician-health/half-health-workers-report-burnout-amid-covid-19 (accessed June 13, 2022).

Center for American Progress (CAP). 2020. On the Frontlines at Work and at Home: The Disproportionate Economic Effects of the Coronavirus Pandemic on Women of Color. Available at: https://www.americanprogress.org/article/frontlines-work-home/ (accessed June 17, 2022).

de Beaumont. 2021. 2021 Findings. Available at: https://debeaumont.org/phwins/2021-findings/ (accessed June 13, 2022).

Frogner, B. K., and J. S. Dill. 2022. Tracking turnover among health care workers during the COVID-19 pandemic: A cross-sectional study. JAMA Health Forum 3(4):e220371. https://doi.org/10.1001/jamahealthforum.2022.0371.

Hardy, L. J., A. Mana, L. Mundell, M. Neuman, S. Benheim, and E. Otenyo. 2021. Who is to blame for COVID-19? Examining politi-

cized fear and health behavior through a mixed methods study in the United States. PLoS One. https://doi.org/10.1371/journal.pone.0256136.

Jones, G. M., N. A. Roe, L. Louden, and C. R. Tubbs. 2017. Factors Associated with Burnout Among US Hospital Clinical Pharmacy Practitioners: Results of a Nationwide Pilot Survey. Hospital Pharmacy 52(11):742–751. https://doi.org/10.1177/0018578717732339.

Kahan, S. and J. J. Avritt. 2015. Leading the Way to Scalable Social Change. Available at: https://visionaryleadership.com/christina-economos-leading-the-way-to-scalable-social-change/ (accessed June 13, 2022).

Khan, A., S. Jain, and V. Arora. 2022. The Demise of the Social Contract in Medicine: Recent Health Policy Changes Benefit Patients but Ignore Demoralized Health Care Workers. Available at: https://www.medpagetoday.com/opinion/second-opinions/96536 (accessed June 13, 2022).

Knoll, C., A. Watkins, and M. Rothfeld. 2020. ‘I couldn’t do anything’: The virus and an E.R. doctor’s suicide. The New York Times, July 11. Available at: https://www.nytimes.com/2020/07/11/nyregion/lorna-breen-suicide-coronavirus.html (accessed June 5, 2022).

Lai, A. Y., and B. P. I. Fleuren. 2022. Clarifying the concepts of joy and meaning for work in health care. Journal of Hospital Management and Health Policy. Available at: https://jhmhp.amegroups.com/article/view/6816 (accessed June 13, 2022).

Larkin, H. 2021. Navigating attacks against health care workers in the COVID-19 era. JAMA 325(18): 1822-1824. https://doi.org/10.1001/jama.2021.2701.

Maslach, C. 2018. Job burnout in professional and economic contexts. In Diversity in Unity: Perspectives from Psychology and Behavioral Sciences, edited by A. A. Ariyanto, H. Muluk, P. Newcombe, F. P. Piercy, E. K. Poerwandari, and S. H. R. Suradijono. London, England: Routledge.

National Academies of Sciences, Engineering, and Medicine (NASEM). 2019. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. Washington, DC: The National Academies Press. https://doi.org/10.17226/25521.

National Academy of Medicine (NAM). 2022a. Clinician Burnout Crisis in the Era of COVID-19: Insights from the Frontline of Care. Available at: https://nam.edu/initiatives/clinician-resilience-and-well-being/clinician-burnout-crisis-in-the-era-of-co-vid-19/ (accessed June 13, 2022).

NAM. 2022b. Clinician Retention in the Era of COVID: Uniting the Health Workforce to Optimize Well-Being. Presentations from Rachel Villanueva and Kim Templeton. Available at: https://nam.edu/event/clinician-retention-in-the-era-of-covid-uniting-the-health-workforce-to-optimize-well-being/ (accessed June 13, 2022).

Nundy, S., L. A. Cooper, and K. S. Mate. 2022. The Quintuple Aim for Health Care Improvement: A New Imperative to Advance Health Equity. JAMA 327(6): 521-522. https://doi.org/10.1001/jama.2021.25181.

Patel, S. K., M. J. Kelm, P. W. Bush, H.-J. Lee, and A. M. Ball. 2021. Prevalence and risk factors of burnout in community pharmacists. Journal of the American Pharmacists Association 61(2):145–150. https://doi.org/10.1016/j.japh.2020.09.022.

Stone, K. W., K. W. Kintziger, M. A. Jagger, and J. A. Horney. 2021. Public health workforce burnout in the COVID-19 response. U.S. International Journal of Environmental Research and Public Health 18(8). https://doi.org/10.3390/ijerph18084369.

Templeton, K., C. Bernstein, J. Sukhera, L. M. Nora, C. Newman, H. Burstin, C. Guille, L. Lynn, M. L. Schwarze, S. Sen, and N. Busis. 2019. Gender-based differences in burnout: Issues faced by women physicians. NAM Perspectives. Discussion Paper, National Academy of Medicine, Washington, DC. https://doi.org/10.31478/201905a.

Thomas-Hawkins, C., P. Zha, L. Finn, and S. Ando. 2022. Effects of Race, Workplace Racism, and COVID Worry on the Emotional Well-Being of Hospital-Based Nurses: A Dual Pandemic. Behavioral Medicine. https://doi.org/10.1080/08964289.2021.1977605.

United Nations Human Rights Office of the High Commissioner (UNHR). 2020. Racial Discrimination in the Context of the COVID-19 Crisis. Available at: https://www.ohchr.org/sites/default/files/Documents/Issues/Racism/COVID-19_and_Racial_Dis-crimination.pdf (accessed June 17, 2022).

Yi, S. 2020. I’m an Asian American doctor on the front lines of two wars: Coronavirus and racism. The Lily, April 21. Available at: https://www.thelily.com/im-an-asian-american-doctor-on-the-front-lines-of-two-wars-coronavirus-and-racism/ (accessed June 13, 2022).

CHAPTER 1: PRIORITY AREA: CREATE AND SUSTAIN POSITIVE WORK AND LEARNING ENVIRONMENTS AND CULTURE

Accreditation Council for Graduate Medical Education (ACGME). 2019. CLER Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care. Available at: https://www.acgme.org/globalas-sets/pdfs/cler/1079acgme-cler2019pte-brochdigital.pdf (accessed June 13, 2022).

Amaya, M., B. M. Melnyk, B. Buffington, and L. Battista. 2017. Workplace wellness champions: Lessons learned and implications for future programming. Available at: https://nam.edu/wp-content/uploads/2019/09/Worksite-Wellness-Champions-Article-Amaya-Melnyk-Battista-BHAC-Journal-June-2017.pdf (accessed June 13, 2022).

American Association of Critical-Care Nurses. n.d.a. Beacon awards. Available at: https://www.aacn.org/nursing-excellence/bea-con-awards (accessed June 13, 2022).

American Association of Critical-Care Nurses. n.d.b. Standards for establishing and sustaining a healthy work environment. Available at: https://www.aacn.org/nursing-excellence/healthy-work-environments (accessed June 13, 2022).

American Hospital Association. 2018. Culture of Well-Being. Available at: https://www.aha.org/system/files/2018-10/plf-case-study-avera-health.pdf (accessed June 13, 2022).

American Hospital Association. 2019. Well-being playbook: A guide for hospital and health system leaders. Available at: https://www.aha.org/system/files/media/file/2019/05/plf-well-655being-playbook.pdf (accessed June 13, 2022).

American Medical Association (AMA). 2020. Joy in medicine health system recognition program. Available at: https://www.ama

assn.org/system/files/2020-10/joy-award-brochure.pdf (accessed June 13, 2022).

American Nurses Credentialing Center. n.d.a. Pathway to excellence program. Available at: https://www.nursingworld.org/organizational-programs/pathway/ (accessed June 13, 2022).

American Nurses Credentialing Center. n.d.b. Magnet recognition program. Available at: https://www.nursingworld.org/organizational-programs/magnet/ (accessed June 13, 2022).

American Nurses Association (ANA). 2022. Survey Shows Substantial Racism in Nursing. Available at: https://www.nursingworld.org/practice-policy/workforce/clinical-practice-material/national-commission-to-address-racism-in-nursing/sur-vey-shows-substantial-racism-in-nursing/ (accessed June 6, 2022).

American Nurses Foundation (ANF). n.d. A nurse’s guide to preventing compassion fatigue, moral distress, and burnout. Available at: https://www.nursingworld.org/continuing-education/online-courses/a-nurses-guide-to-preventing-compassion-fatigue-moral-distress-and-burno-12b2af6c/ (accessed June 13, 2022).

American Pharmacists Association and the National Alliance of State Pharmacy Associations. n.d. The pharmacist’s fundamental rights and responsibilities. Available at: https://www.pharmacist.com/pharmacistsresponsibilities (accessed June 13, 2022).

American Society of Health-System Pharmacists. n.d. ASHP certified center of excellence in medication-use safety and pharmacy practice. Available at: https://www.ashp.org/pharmacy-practice/certified-center-of-excellence?loginreturnUrl=SSOCheckOnly (accessed June 13, 2022).

Barrett, E., N. M. Salas, C. Dewey, J. Ripp, and S. T. Hingle. 2021. A call to action: align well-being and antiracism strategies. ACP Internist. Available at: https://acpinternist.org/archives/2021/03/a-call-to-action-align-well-being-and-antiracism-strategies.htm (accessed June 13, 2022).

Bhatnagar, S., J. Harris, T. Hartnett, G. W. Hoagland, J. Ruff, M. W. Serafini, and D. McDonough. 2022. The Impact of COVID-19 on the Rural Health Care Landscape. Bipartisan Policy Center. Avail-

able at: https://bipartisanpolicy.org/report/the-impact-of-covid-19-on-the-rural-health-care-landscape/ (accessed August 31, 2022).

Dyrbye, L. N., T. D. Shanafelt, C. A. Sinsky, P. F. Cipriano, J. Bhatt, A. Ommaya, C. P. West, and D. Meyers. 2017. Burnout among health care professionals: A call to explore and address this underrecognized threat to safe, high-quality care. NAM Perspectives. Discussion Paper, National Academy of Medicine, Washington, DC. https://doi.org/10.31478/201707b.

Hu, Y.-Y., R. J. Ellis, D. B. Hewitt, A. D. Yang, E. O. Cheung, J. T. Moskowitz, J. R. Potts, J. Buyske, D. B. Hoyt, T. J. Nasca, and K. Y. Bilimoria. 2019. Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training. New England Journal of Medicine 381(18):1741–1752. https://doi.org/10.1056/NEJMsa1903759.

Institute for Healthcare Improvement. n.d. “What matters to you?” Conversation guide for improving joy in work. Available at: https://www.ihi.org/resources/Pages/Tools/Joy-in-Work-What-Matters-to-You-Conversation-Guide.aspx (accessed June 13, 2022).

KaufmanHall. 2022. National Hospital Flash Report: August 2022. Available at: https://www.kaufmanhall.com/insights/research-report/national-hospital-flash-report-august-2022 (accessed September 25, 2022).

Leape, L. L., M. F. Shore, J. L. Dienstag, R. J. Mayer, S. Edgman-Levitan, G. S. Meyer, and G. B. Healy. 2012. Perspective: A Culture of Respect, Part 2: Creating a Culture of Respect. Academic Medicine 87(7):853–858. https://doi.org/10.1097/ACM.0b013e3182583536.

Nasca, T. J., K. B. Weiss, and J. P. Bagian. 2014. Improving Clinical Learning Environments for Tomorrow’s Physicians. New England Journal of Medicine 370(11): 991-993. https://doi.org/10.1056/NEJMp1314628.

National Academies of Sciences, Engineering, and Medicine (NASEM). 2019. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. Washington, DC: The National Academies Press. https://doi.org/10.17226/25521.

National Academy of Medicine (NAM). n.d. Valid and reliable survey instruments to measure burnout, well-being, and other work-re-

lated dimensions. Available at: https://nam.edu/valid-reliable-survey-instruments-measure-burnout-well-work-related-dimensions/ (accessed June 13, 2022).

NAM. 2022a. Clinician Burnout Crisis in the Era of COVID-19: Insights from the Frontline of Care. Available at: https://nam.edu/initiatives/clinician-resilience-and-well-being/clinician-burnout-crisis-in-the-era-of-covid-19/ (accessed June 13, 2022).

NAM. 2022b. Clinician Retention in the Era of COVID: Uniting the Health Workforce to Optimize Well-Being. Presentations from Rachel Villanueva and Kim Templeton. Available at: https://nam.edu/event/clinician-retention-in-the-era-of-covid-uniting-the-health-workforce-to-optimize-well-being/ (accessed June 13, 2022).

National Commission to Address Racism in Nursing. 2021. Survey shows substantial racism in nursing. Available at: https://www.nursingworld.org/~48f9c5/globalassets/practiceandpolicy/workforce/commission-to-address-racism/infographic--national-nursing-survey_understanding-racism-in-nursing.pdf (accessed June 13, 2022).

National Institute for Occupational Safety and Health. n.d. NIOSH safe patient handling and mobility. Available at: https://www.cdc.gov/niosh/topics/safepatient/default.html (accessed June 13, 2022).

National Institute for Occupational Safety and Health. 2020. NIOSH total worker health program. Available at: https://www.cdc.gov/niosh/twh/default.html (accessed June 13, 2022).

Perlo J., B. Balik, S. Swensen, A. Kabcenell, J. Landsman, and D. Feeley. 2017. IHI framework for improving joy in work. IHI White Paper. Cambridge, Massachusetts: Institute for Healthcare Improvement. Available at: https://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Improving-Joy-in-Work.aspx.

Prasad, S. J., P. Nair, K. Gadhvi, I. Barai, H. S. Danish, and A. B. Philip. 2016. Cultural humility: treating the patient, not the illness. Medical Education Online 21:30908. https://doi.org/10.3402/meo.v21.30908.

Shanafelt, T., and C. Sinsky. 2020a. Chief wellness officer roadmap. American Medical Association. Available at: https://edhub.ama-assn.org/steps-forward/module/2767764 (accessed June 13, 2022).

Shanafelt, T., and C. Sinsky. 2020b. Establishing a chief wellness officer position. American Medical Association. Available at: https://edhub.ama-assn.org/steps-forward/module/2767739?resultClick=1&bypassSolrId=J_2767739 (accessed June 13, 2022).

Shanafelt, T., J. Goh, and C. Sinsky. 2017. The Business Case for Investing in Well-Being. JAMA Internal Medicine 177(12):1826-1832. https://doi.org/10.1001/jamainternmed.2017.4340.

Sokol-Hessner, L., P. H. Folcarelli, C. L. Annas, S. M. L. Brown, L. Fernandez, S. D. Roche, B. S. Lee, and K. E. Sands. 2018. A Road Map for Advancing the Practice of Respect in Health Care: The Results of an Interdisciplinary Modified Delphi Consensus Study. The Joint Commission Journal on Quality and Patient Safety 44:8.

Wright, A. 2021. Rural hospitals can’t find the nurses they need to fight COVID. Pew Trusts, September 1. Available at: https://www.pewtrusts.org/en/research-and-analysis/blogs/state-line/2021/09/01/rural-hospitals-cant-find-the-nurses-they-need-to-fight-covid (accessed June 13, 2022).

CHAPTER 2: PRIORITY AREA: INVEST IN MEASUREMENT, ASSESSMENT, STRATEGIES, AND RESEARCH

American Association of Critical-Care Nurses. n.d. Healthy work environment assessment tool. Available at: https://www.aacn.org/nursing-excellence/healthy-work-environments/aacn-healthy-work-environment-assessment-tool (accessed June 13, 2022).

American Medical Association (AMA). 2018. Organizational cost of physician burnout. Available at: https://edhub.ama-assn.org/steps-forward/interactive/16830405 (accessed June 13, 2022).

AMA. 2020. Cultivating leadership: Measure and assess leader behaviors to improve professional well-being. Available at: https://edhub.ama-assn.org/steps-forward/module/2774089 (accessed June 13, 2022).

American Nurses Foundation. 2022. Pulse on the nation’s nurses survey series: COVID-19 two year impact assessment survey. Available at: https://www.nursingworld.org/practice-policy/work-environment/health-safety/disaster-preparedness/coronavirus/

what-you-need-to-know/covid-19-impact-assessment-sur-vey---the-second-year/ (accessed June 13, 2022).

Brady, K. J. S., P. Ni, L. Carlasare, T. D. Shanafelt, C. A. Sinsky, M. Linzer, M. Stillman, and M. T. Trockel. 2022. Establishing Crosswalks Between Common Measures of Burnout in US Physicians. Journal of General Internal Medicine 37(4):777–784. https://doi.org/10.1007/s11606-021-06661-4.

Dyrbye, L. N., D. Meyers, J. Ripp, N. Dalal, S. B. Bird, and S. Sen. 2018. A pragmatic approach for organizations to measure health care professional well-being. NAM Perspectives. Discussion Paper, National Academy of Medicine, Washington, DC. https://doi.org/10.31478/201810b.

Dyrbye, L. N., D. Satele, and T. Shanafelt. 2016. Ability of a 9-Item Well-Being Index to Identify Distress and Stratify Quality of Life in U.S. Workers. Journal of Occupational Environmental Medicine 58(8):810-817. https://doi.org/10.1097/JOM.0000000000000798.

Dzau, V., D. Kirch, V. Murthy, and T. Nasca. 2020. Preventing a parallel pandemic — A national strategy to protect clinicians’ well-being. New England Journal of Medicine 383(6): 513-515. https://www.nejm.org/doi/full/10.1056/NEJMp2011027.

Mayer, T., A. Venkatesh, and D. M. Berwick. 2021. Criterion-Based Measurements of Patient Experience in Health Care: Eliminating Winners and Losers to Create a New Moral Ethos. JAMA 326(24):2471–2472. https://doi.org/10.1001/jama.2021.21771.

Melnyk, B., and M. Amaya. 2018. Wellness culture and environment support scale. Available at: https://nam.edu/wp-content/uploads/2022/01/Wellness-Culture-and-Environment-782Scale.pdf (accessed June 13, 2022).

National Academy of Medicine. n.d. Valid and reliable survey instruments to measure burnout, well-being, and other work-related dimensions. Available at: https://nam.edu/valid-reliable-survey-instruments-measure-burnout-well-work-related-di-mensions/ (accessed June 13, 2022).

National Academies of Sciences, Engineering, and Medicine (NASEM). 2019. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. Washington, DC: The National Academies Press. https://doi.org/10.17226/25521.

National Institute for Occupational Safety and Health. n.d. NIOSH Worker well-being questionnaire (WELLBQ). Available at: https://www.cdc.gov/niosh/twh/wellbq/default.html (accessed June 13, 2022).

Sinsky, C. A., A. Rule, G. Cohen, B. G. Arndt, T. D. Shanafelt, C. D. Sharp, S. L. Baxter, M. Tai-Seale, S. Yan, Y. Chen, J. AdlerMilstein, and M. Hribar. 2020. Metrics for assessing physician activity using electronic health record log data. Journal of the American Medical Informatics Association 27(4):639–643. https://doi.org/10.1093/jamia/ocz223.

CHAPTER 3: PRIORITY AREA: SUPPORT MENTAL HEALTH AND REDUCE STIGMA

American Psychiatric Nurses Association. 2020. COVID Resources. Available at: https://www.apna.org/covid-resources/?pageid=6685 (accessed June 13, 2022).

Bellini, L. M., M. Baime, and J. A. Shea. 2002. Variation of mood and empathy during internship. JAMA 287(23):3143-3146. https://doi.org/10.1001/jama.287.23.3143.

Brooks, E. 2016. Preventing physician suicide: Identify and support at-risk physicians. American Medical Association. Available at: https://edhub.ama-assn.org/steps-forward/module/2702599 (accessed June 13, 2022).

Buselli, R., M. Corsi, A. Veltri, S. Baldanzi, M. Chiumiento, E. Del Lupo, R. Marino, G. Necciari, F. Caldi, R. Foddis, G. Guglielmi, and A. Cristaudo. 2021. Mental health of health care workers (HCWs): a review of organizational interventions put in place by local institutions to cope with new psychosocial challenges resulting from COVID-19. Psychiatry Research 299(113847). https://doi.org/10.1016/j.psychres.2021.113847.

Butler Center for Research. 2015. Health care professionals: addiction and treatment. Available at: https://www.hazeldenbettyford.org/research-studies/addiction-research/health-care-pro-fessionals-substance-abuse (accessed June 13, 2022).

Fahrenkopf, A. M., T. C. Sectish, L. K. Barger, P. J. Sharek, D. Lewin, V. W. Chiang, S. Edwards, B. L. Wiedermann, and C. P. Landrigan. 2008. Rates of medication errors among depressed and burnt

out residents: prospective cohort study. BMJ 336(7642):488-491. https://doi.org/10.1136/bmj.39469.763218.BE.

Fang, Y., A. S. B. Bohnert, K. Pereira-Lima, J. Cleary, E. Frank, Z. Zhao, W. Dempsey, and S. Sen. 2022. Trends in Depressive Symptoms and Associated Factors During Residency, 2007 to 2019: A Repeated Annual Cohort Study. Annals of Internal Medicine 175(1):56-64. https://doi.org/10.7326/M21-1594.

Federation of State Medical Boards (FSMB). 2018. Physician Wellness and Burnout. Available at: https://www.fsmb.org/siteas-sets/advocacy/policies/policy-on-wellness-and-burnout.pdf (accessed June 13, 2022).

Godfrey, K., and S. Scott. 2020. At the heart of the pandemic: nursing peer support. Nurse Leader 19(2):188–193. https://doi.org/10.1016/j.mnl.2020.09.006.

Guille, C., E. Frank, Z. Zhao, D. A. Kalmbach, P. J. Nietert, D. A. Mata, and S. Sen. 2017. Work-Family Conflict and the Sex Difference in Depression Among Training Physicians. JAMA Internal Medicine 177(12):1766–1772. https://doi.org/10.1001/jamain-ternmed.2017.5138.

Halter, M. J., D. G. Rolin, M. Adamaszek, M. C. Ladenheim, and B. F. Hutchens. 2019. State Nursing Licensure Questions About Mental Illness and Compliance With the Americans With Disabilities Act. Journal of Psychosocial Nursing and Mental Health Services 57(8):17–22. https://doi.org/10.3928/02793695-20190405-02.

Institute for Healthcare Improvement. 2020a. Conversation and action guide to support staff well-being and joy in work during and after the COVID-19 pandemic. Available at: https://www.ihi.org/resources/Pages/Tools/Conversation-Guide-to-Support-Staff-Wellbeing-Joy-in-Work-COVID-19.aspx (accessed June 13, 2022).

Institute for Healthcare Improvement. 2020b. “Psychological PPE”: Promote health care workforce mental health and well-being. Available at: https://www.ihi.org/resources/Pages/Tools/psychological-PPE-promote-health-care-workforce-mental-health-and-well-being.aspx (accessed June 13, 2022).

Mata, D. A., M. A. Ramos, N. Bansal, R. Khan, C. Guille, E. Di Angelantonio, and S. Sen. 2015. Prevalence of Depression and De-

pressive Symptoms Among Resident Physicians: A Systematic Review and Meta-analysis. JAMA 314(22):2373–2383. https://doi.org/10.1001/jama.2015.15845.

McKay, D. and G. J. G. Asmundson. 2020. COVID-19 stress and substance use: Current issues and future preparations. Journal of Anxiety Disorders 74:102274. https://doi.org/10.1016/j.janxdis.2020.102274.

Melnyk, B. M., S. A. Kelly, J. Stephens, K. Dhakal, C. McGovern, S. Tucker, J. Hoying, K. McRae, S. Ault, E. Spurlock, and S. B. Bird. 2020. Interventions to Improve Mental Health, Well-Being, Physical Health, and Lifestyle Behaviors in Physicians and Nurses: A Systematic Review. American Journal of Health Promotion 34(8). https://doi.org/10.1177/0890117120920451.

Mental Health Technology Transfer Center Network. n.d. Provider well-being for behavioral health professionals. Substance Abuse and Mental Health Services Administration. Available at: https://mhttcnetwork.org/centers/mhttc-network-coordinating-office/provider-well-being (accessed June 13, 2022).

Muñoz, R. F., W. R. Beardslee, and Y. Leykin. 2012. Major depression can be prevented. American Psychologist 67(4):285–295. https://doi.org/10.1037/a0027666.

Nash, M. P., R. J. Westphal, P. J. Watson, and B. T. Litz. 2010. Combat and Operational Stress First Aid: Caregiver Training Manual. Washington, DC: U.S. Navy, Bureau of Medicine and Surgery. Available at: https://www.academia.edu/20978265/Combat_Operational_Stress_First_Aid_Manual (accessed June 13, 2022).

National Academies of Sciences, Engineering, and Medicine (NASEM). 2019. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. Washington, DC: The National Academies Press. https://doi.org/10.17226/25521.

National Academy of Medicine and All In. 2022. 2022 healthcare workforce rescue package. Available at: https://www.allinforhealthcare.org/pages/2022-healthcare-workforce-rescue-package (accessed June 13, 2022).

National Alliance on Mental Illness (NAMI). n.d. Health care professionals. Available at: https://www.nami.org/Your-Journey/Frontline-Professionals/Health-Care-Professionals. (accessed June 13, 2022).

Shapiro, J. 2020. Peer support programs for physicians. American Medical Association. Available at: https://edhub.ama-assn.org/steps-forward/module/2767766 (accessed June 13, 2022).

U.S. Burden of Disease Collaborators. 2013. The State of US Health, 1990-2010: Burden of Diseases, Injuries, and Risk Factors. JAMA 310(6):591-608. https://doi.org/10.1001/jama.2013.13805.

World Health Organization (WHO). 2018. Mental Health: Strengthening our Response. Available at: https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response (accessed June 13, 2022).

CHAPTER 4: PRIORITY AREA: ADDRESS COMPLIANCE, REGULATORY, AND POLICY BARRIERS FOR DAILY WORK

Agency for Healthcare Research and Quality. n.d. NASA task load index. Available at: https://digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/nasa-task-load-index (accessed June 13, 2022).

American Medical Association. 2022a. Debunking regulatory myths. Available at: https://www.ama-assn.org/practice-management/sustainability/debunking-regulatory-myths. (accessed June 13, 2022).

American Medical Association. 2022b. Saving time playbook. Available at: https://www.ama-assn.org/system/files/ama-steps-forward-saving-time-playbook.pdf (accessed June 13, 2022).

Ashton, M. 2019. Getting rid of stupid stuff: reduce the unnecessary daily burdens for clinicians. American Medical Association. Available at: https://edhub.ama-assn.org/steps-forward/module/2757858. (accessed June 13, 2022).

American Occupational Therapy Association. n.d. Occupational therapy licensure compact. Available at: https://www.aota.org/advocacy/issues/ot-licensure-compact. (accessed June 13, 2022).

Centers for Medicare and Medicaid Services (CMS). 2020. CMS Takes Action Nationwide to Aggressively Respond to Coronavirus National Emergency. Available at: https://www.cms.gov/news-room/press-releases/cms-takes-action-nationwide-aggres-

sively-respond-coronavirus-national-emergency (accessed September 14, 2022).

Definitive Healthcare and Vocera. 2019. Cognitive Overload in Healthcare: How to Ease the Pain. Available at: https://www.definitivehc.com/blog/healthcare-cognitive-overload (accessed June 17, 2022).

Erickson, S. M., B. Rockwern, M. Koltov, and R. M. McLean. 2017. Putting patients first by reducing administrative tasks in health care: A position paper of the American College of Physicians. Annals of Internal Medicine 166(9):659-661. https://www.acp-journals.org/doi/pdf/10.7326/M16-2697.

Padden, J. 2019. Documentation Burden and Cognitive Burden: How Much is Too Much Information? Computational Informatics Nursing. https://doi.org/10.1097/cin.0000000000000522 (accessed June 17, 2022).

Rossetti, S. C., S. T. Rosenbloom, D. R. Levy, K. Cato, D. Detmer, K. B. Johnson, J. Murphy, M. Hobensack, R. Lee, E. Lucas, A. Moy, C. Sachson, J. Schwartz, J. Williamson, and J. Withall. 2021. 25x5 Symposium to Reduce Documentation Burden on U.S. Clinicians by 75% by 2025 Summary Report. Available at: https://www.dbmi.columbia.edu/wp-content/uploads/2021/12/25x5-Summary-Report.pdf (accessed February 27, 2023).

Sinsky, C. 2014. Team documentation: Improve efficiency of EHR documentation. American Medical Association. Available at: https://edhub.ama-assn.org/steps-forward/module/2702598 (accessed June 13, 2022).

Sinsky, C. 2015. Lean health care: Eliminate waste and spend more time with patients. American Medical Association. Available at: https://edhub.ama-assn.org/steps-forward/module/2702597 (accessed June 13, 2022).

Sinsky, C., and M. Linzer. 2020. Practice and policy reset post-COVID-19: Reversion, transition, or transformation? Health Affairs 39(8) https://doi.org/10.1377/hlthaff.2020.00612.

Sinsky, C. A., L. Daugherty Biddison, A. Mallick, A. Legreid Dopp, J. Perlo, L, Lynn, and C. D. Smith. 2020. Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being. NAM Perspectives. Discussion Paper, National Academy of Medicine, Washington, DC. https://doi.org/10.31478/202011a.

Smith, C. D., C. Balatbat, S. Corbridge, A. L. Dopp, J. Fried, R. Harter, S. Landefeld, C. Martin, F. Opelka, L. Sandy, L. Sato, and C. Sinsky. 2018. Implementing optimal team-based care to reduce clinician burnout. NAM Perspectives. Discussion Paper, National Academy of Medicine, Washington, DC. https://doi.org/10.31478/201809c.

CHAPTER 5: PRIORITY AREA: ENGAGE EFFECTIVE TECHNOLOGY TOOLS

American Hospital Association. 2018a. HCA healthcare program to streamline documentation for nursing. Available at: https://www.aha.org/system/files/2018-10/plf-case-study-HCA-health.pdf (accessed June 13, 2022).

American Hospital Association. 2018b. Just in time: EHR training at Atlantic Medical Group. Available at: https://www.aha.org/system/files/media/file/2019/08/alliance-cs-atlantic-medical-group-FINAL.pdf (accessed June 13 2022).

Alotaibi, Y. K., and F. Federico. 2017. The impact of health information technology on patient safety. Saudi Medical Journal 38(12):1173–1180. https://doi.org/10.15537/smj.2017.12.20631.

Ehrmann, D. E., S. N. Gallant, S. Nagaraj, S. D. Goodfellow, D. Eytan, A. Goldenberg, and M. L. Mazwi. 2022. Evaluating and reducing cognitive load should be a priority for machine learning in healthcare. Nature Medicine 28(7), 1331–1333. https://doi.org/10.1038/s41591-022-01833-z.

Jin, J., J. Reimer, M. Brown, and C. Sinsky. 2022. Taming the Electronic Health Record Playbook. Available at: https://www.amaassn.org/practice-management/ama-steps-forward/taming-ehr-playbook (accessed February 27, 2023).

National Academies of Sciences, Engineering, and Medicine (NASEM). 2019. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. Washington, DC: The National Academies Press. https://doi.org/10.17226/25521.

O’Shea, D. 2020. How health care providers can use technology to help improve patient care and their practices. Modern Healthcare, December 18. Available at: https://www.modernhealth-

care.com/technology/how-health-care-providers-can-use-technology-help-improve-patient-care-and-their (accessed June 13, 2022).

Office of the National Coordinator for Health Information Technology. 2022. Trusted exchange framework and comment agreement. Available at: https://www.healthit.gov/topic/interoperability/policy/trusted-exchange-framework-and-common-agreement-tefca (accessed June 13, 2022).

Privitera, M., and K. MacNamee. 2021. Integrating patient safety and clinician wellbeing. [PowerPoint slides]. American Association for Physician Leadership. Available at: https://www.physician-leaders.org/articles/integrating-patient-safety-and-clini-cian-wellbeing

Sinsky, C. 2014. Team documentation: Improve efficiency of EHR documentation. American Medical Association. Available at: https://edhub.ama-assn.org/steps-forward/module/2702598(accessedJune13,2022).

CHAPTER 6: PRIORITY AREA: INSTITUTIONALIZE WELL-BEING AS A LONG-TERM VALUE

American Hospital Association. 2019. Well-being playbook: A guide for hospital and health system leaders. Available at: https://www.aha.org/system/files/media/file/2019/05/plf-well-being-playbook.pdf (access June 13, 2022).

American Hospital Association. 2021. Well-being playbook 2.0: a COVID-19 resource for hospital and health system leaders. Available at: https://www.aha.org/system/files/media/file/2021/02/alliance-playbook-2021_final.pdf (accessed June 13, 2022).

American Hospital Association. 2022. COVID-19: Stress and coping resources. Available at: https://www.aha.org/behavioralhealth/covid-19-stress-and-coping-resources (accessed June 13, 2022).

American Public Health Association (APHA). n.d. Prevention and public health fund fact sheet. Available at: https://www.apha.org/-/media/files/pdf/factsheets/200129_pphf_factsheet.ashx (accessed June 13, 2022).

American Society of Health-System Pharmacists (ASHP). 2021. Wellness with COVID: Contagious strategies to promote pharmacy well-being. Available at: https://nam.edu/clinicianwellbeing/wp-content/uploads/2022/01/Wellness-with-COVID-Contagious-Strategies-to-Promote-Pharmacy-Well-being.pdf (accessed June 13, 2022).

American Organization for Nursing Leadership. n.d. Leading through crisis: A resource compendium for nurse leaders. Available at: https://www.aonl.org/resources/leading-through-crisis (accessed June 13, 2022).

Barrett, E., N. M. Salas, C. Dewey, J. Ripp, and S. T. Hingle. 2021. A call to action: align well-being and anti-racism strategies. ACP Internist. Available at: https://acpinternist.org/archives/2021/03/a-call-to-action-align-well-being-and-antiracism-strategies.htm (accessed June 13, 2022).

DeChant, P. 2021. Building bridges between practicing physicians and administrators: improve physician-administrator relationships and enhance engagement. American Medical Association. Available at: https://edhub.ama-assn.org/steps-forward/module/2780305 (accessed June 13, 2022).

Farberman, R. K, M. McKillop, D. A. Lieberman, D. Delgado, C. Thomas, J. Cunningham, and K. McIntyre. 2020. The Impact of Chronic Underfunding on America’s Public Health System: Trends, Risks, and Recommendations. Available at: https://www.tfah.org/wp-content/uploads/2020/04/TFAH2020PublicHealth-Funding.pdf (accessed June 13, 2022).

Frankel, R., and G. Beyt. 2016. Appreciative inquiry principles: Ask “What went well” to foster positive organizational culture. American Medical Association. Available at: https://edhub.ama-assn.org/steps-forward/module/2702691 (accessed June 13, 2022).

Godfrey, K., and S. Scott. 2021. At the heart of the pandemic: nursing peer support. Nurse Leader 19(2): 188-193. https://doi.org/10.1016/j.mnl.2020.09.006.

Institute for Healthcare Improvement. n.d. Conversation and action guide to support staff well-being and joy in work during and after the COVID-19 pandemic. Available at: https://www.ihi.org/resources/Pages/Tools/Conversation-Guide-to-Support-Staff-

Wellbeing-Joy-in-Work-COVID-19.aspx (accessed June 13, 2022)

Institute for Healthcare Improvement. 2020. Psychological PPE: Promote health care workforce mental health and well-being. Available at: https://www.ihi.org/resources/Pages/Tools/psychological-PPE-promote-health-care-workforce-mental-health-and-well-being.aspx (accessed June 13, 2022).

Institute for Healthcare Improvement. 2021. A guide to promoting health care workforce well-being during and after the COVID-19 pandemic. Available at: https://www.ihi.org/resources/Pages/Publications/guide-to-promoting-health-care-workforce-well-being-during-and-after-the-COVID-19-pandemic.aspx (accessed June 13, 2022).

Schmidt, M., and R. Aly. 2020. A Call to Action: Improving Clinician Well-Being and Patient Care and Safety. Health Policy Institute of Ohio. Available at: https://www.healthpolicyohio.org/a-call-to-action/ (accessed June 13, 2022).

Shanafelt, T. D., and J. H Noseworthy. 2017. Executive leadership and physician well-being: Nine organizational strategies to promote engagement and reduce burnout. Mayo Clinic Proceedings 92(1): 129–146. https://doi.org/10.1016/j.mayocp.2016.10.004.

Shanafelt, T. D., E. Schein, L. B. Minor, M. Trockel, P. Schein, and D. Kirch. 2019. Healing the Professional Culture of Medicine. Mayo Clinic Proceedings 94(8): 1556–1566. https://doi.org/10.1016/j.mayocp.2019.03.026.

Sinsky, C., T. Shanafelt, and M. L. Murphy. 2017. Creating the organizational foundation for joy in medicine: Organizational changes lead to physician satisfaction. American Medical Association. Available at: https://edhub.ama-assn.org/steps-forward/module/2702510 (accessed June 13, 2022).

Swenson, S. and T. Shanafelt. 2020. Cultivating leadership: Measure and assess leader behaviors to improve professional well-being. American Medical Association. Available at: https://edhub.ama-assn.org/steps-forward/module/2774089 (accessed June 13, 2022).

Uniformed Services University: Center for the Study of Traumatic Stress. n.d. Grief leadership: leadership in the wake of tragedy.

Available at: https://www.cstsonline.org/assets/media/documents/CSTS_FS_Grief_Leadership_in_theWake_of_Trag-edy.pdf (accessed June 13, 2022).

CHAPTER 7: PRIORITY AREA: RECRUIT AND RETAIN A DIVERSE AND INCLUSIVE HEALTH WORKFORCE

Association of American Medical Colleges. 2022. Matriculating Student Questionnaire. Available at: https://www.aamc.org/data-reports/students-residents/report/matriculating-student-questionnaire-msq (accessed June 13, 2022).

Barrett, E., S. T. Hingle, C. D. Smith, and D. V. Moyer. 2021a. Getting through COVID-19: Keeping clinicians in the workforce. Annals of Internal Medicine 174(11): 1614–1615. https://doi.org/10.7326/M21-3381.

Barrett, E., N. M. Salas, C. Dewey, J. Ripp, and S. T. Hingle. 2021b. A call to action: align well-being and anti-racism strategies. ACP Internist. Available at: https://acpinternist.org/archives/2021/03/a-call-to-action-align-well-being-and-antiracism-strategies.htm (accessed June 13, 2022).

Bhatnagar, S., J. Harris, T. Hartnett, G. W. Hoagland, J. Ruff, M. W. Serafini, and D. McDonough. 2022. The Impact of COVID-19 on the Rural Health Care Landscape. Bipartisan Policy Center. Available at: https://bipartisanpolicy.org/report/the-impactof-covid-19-on-the-rural-health-care-landscape/ (accessed August 31, 2022).

Boyle, P. 2021. Medical school applicants and enrollments hit record highs; underrepresented minorities lead the surge. Association of American Medical Colleges News. Available at: https://www.aamc.org/news-insights/medical-school-applicants-and-enrollments-hit-record-highs-underrepresented-minori-ties-lead-surge (accessed June 13, 2022).

Costa, D. K., and C. R. Friese. 2022. Policy strategies for addressing current threats to the U.S. nursing workforce. New England Journal of Medicine 386(26):2454-2456. https://doi.org/10.1056/NEJMp2202662.

National Academies of Sciences, Engineering, and Medicine (NASEM). 2021. The Future of Nursing 2020-2030: Charting a

Path to Achieve Health Equity. Washington, DC: The National Academies Press. https://doi.org/10.17226/25982.

National Academy of Medicine (NAM). 2022. Clinician Retention in the Era of COVID: Uniting the Health Workforce to Optimize Well-Being. Presentations from Rachel Villanueva and Kim Templeton. Available at: https://nam.edu/event/clinician-retention-in-the-era-of-covid-uniting-the-health-workforce-to-opti-mize-well-being/ (accessed June 13, 2022).

Pollack, R. 2022. Solving workforce challenges is key to advancing health. Modern Healthcare. Available at: https://www.modernhealth-care.com/opinion-editorial/solving-workforce-challenges-key-advancing-health (accessed June 13, 2022).

Shanafelt, T. D. 2021. Physician well-being 2.0: Where are we and where are we going? Mayo Clinic Proceedings 96(10): 2682–2693. https://doi.org/10.1016/j.mayocp.2021.06.005.

Sinsky, C. A., L. Daugherty Biddison, A. Mallick, A. Legreid Dopp, J. Perlo, L, Lynn, and C. D. Smith. 2020. Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being. NAM Perspectives. Discussion Paper, National Academy of Medicine, Washington, DC. https://doi.org/10.31478/202011a.

Smith C. D., C. Balatbat, S. Corbridge, A. L. Dopp, J. Fried, R. Harter, S. Landefeld, C. Martin, F. Opelka, L. Sandy, L. Sato, and C. Sinsky. 2018. Implementing optimal team-based care to reduce clinician burnout. NAM Perspectives. Discussion Paper, National Academy of Medicine, Washington, DC. https://doi.org/10.31478/201809c.

Warnick, A. 2021. Interest in public health degrees jumps in wake of pandemic: Applications rise. The Nation’s Health 51(6): 1-12. Available at: https://www.thenationshealth.org/content/51/6/1.2 (accessed February 5, 2023).

Yong, E. 2021. Why health care workers are quitting in droves. The Atlantic. Available at: https://www.theatlantic.com/health/archive/2021/11/the-mass-exodus-of-americas-health-care-workers/620713/ (accessed June 13, 2022).