Evaluation of ARROW’s Workforce Resiliency Training: A Qualitative Study Público

Abstract

Background: The World Health Organization (WHO) describes burnout as phenomenon that occurs in the occupational context when chronic work stress is not well managed and may be manifested through feelings of exhaustion, negative feelings towards the job, and diminished professional productivity. Atlanta’s Resiliency Resources for Frontline Workers (ARROW) is a program aimed at delivering evidence-based resiliency training to frontline workers employed at Emory Healthcare and Grady Health System in Atlanta, Georgia. Although evidence-based interventions are proven to be effective, it is necessary to evaluate the implementation of the program to assess for program barriers and facilitators unique to the context and setting in which they are delivered.

Methods: A qualitative approach was taken to assess the emic perspective of past program participants. Four online, one-hour, semi-structured interviews with seven full-time employees from Emory Healthcare were conducted. Verbatim transcripts were created for the purposes of coding and analysis. The focus of this research was led by the following evaluation question: What are the implementation barriers and facilitators to ARROW’s resiliency training?

Results: The resiliency training provided knowledge and skills that could be utilized to mitigate the factors contributing to burnout. Among all the skills learned, meditation was frequently reported to be utilized and effective in managing stressful situations. Additionally, increased knowledge on the importance of self-care helped participants refocus and prioritize their well-being. Barriers to the adoption of the skills learned included lack of time, staff shortages, increased work demands, and a work culture that does not prioritize well-being. Facilitators included schedule flexibility, supportive department leaders, and participation in other organizational level well-being programs.

Discussion: ARROW’s training program was reported to have a positive impact on participants, and the skills and knowledge learned have been used to support other members of their respective teams. While the training was effective, participants reported a need for ARROW to increase their programmatic reach to influence the work culture and promote resilience among other frontline workers. Based on the research findings, recommendations were developed to improve ARROW programming.

Table of Contents

INTRODUCTION 1

 

LITERATURE REVIEW 2

 

METHODS 11

 

RESULTS 19

 

DISCUSSION 28

 

RECOMMENDATIONS 32

 

CONCLUSION 35

 

REFERENCES 36

 

APPENDIX A: ONLINE DISCUSSION PROTOCOL 42

 

APPENDIX B: RECRUITMENT FORM 45

 

APPENDIX C: CODEBOOK 47

 

About this Master's Thesis

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School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	M.P.H.
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Mental Health Health Sciences, Public Health
Palavra-chave	Burnout Community Based Resiliency Model Resiliency Evidence-Based Program Cognitively-Based Compassionate Training Evaluation
Committee Chair / Thesis Advisor	Mary Beth Weber, Emory University
Committee Members	Lilian Madrigal, Emory University
Partnering Agencies	Emory University schools, faculty or affiliated programs

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