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The National Institute for Occupational Safety and Health (NIOSH)








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As the federal research agency focused on the study of worker safety and health, the National Institute for Occupational Safety and Health (NIOSH) developed and launched a national campaign to address healthcare worker burnout. NIOSH’s *Impact Wellbeing*TM campaign equips hospital leaders with evidence-informed tools and resources to improve and sustain healthcare worker wellbeing.
NIOSH intentionally focused the campaign on primary prevention in hospital settings – intervening before poor mental health outcomes occur. Healthcare workers in hospitals historically experience high levels of burnout and risk for poor wellbeing, and the pandemic exacerbated the issue.1 Hospital leaders are well-positioned to implement needed operational and cultural changes. They are also able to reach a large population of healthcare workers across all levels, departments, and job titles.Using Insights to Define*Impact Wellbeing’s*Strategic Direction**Findings revealed that healthcare workers were aware of burnout and its root causes. They also preferred to learn about existing resources and new efforts to improve professional wellbeing through resources specific to their hospitals.**To inform campaign development, NIOSH explored the intended audiences’ attitudes, beliefs, knowledge, experiences, and needs around professional wellbeing.
These findings led NIOSH to tailor the *Impact Wellbeing*campaign to support hospital leaders by equipping them with tools and resources to reduce healthcare worker burnout and position them as key messengers to reach healthcare workers.A Phased Approach
Campaign development efforts were intentionally split into **two phases** so that findings from each activity could inform the next.Phase 1: Defining Campaign Audiences, Priorities, and NeedsStaff with Shield Icon**Held two collaborative briefing sessions** with healthcare organizations, labor unions, researchers, and non-profit organizations to gather input on audience targets, overall landscape knowledge, and employer best practices. Used NIOSH’s tripartite approach of government, industry, and labor to determine session participants.Magnifying Glass Icon**Conducted****an environmental scan of 19 communication campaigns**to review existing resources and interventions that promote wellbeing among healthcare workers.Phase 2: Understanding Campaign AudiencesConversation Icon**Held****56 in-depth interviews**with healthcare workers and hospital leaders to understand knowledge, attitudes, and beliefs around professional wellbeing and test campaign messages.​Remote Meeting Icon**C****onducted two rounds of online bulletin boards with over 120 healthcare workers and hospital leaders**to test campaign creative concepts and messages and communications preferences.Key Audience Takeaways:Person with tie icon**Hospital leaders** need actionable guidance on how they can address wellbeing at their own hospital.​Healthcare Worker Icon**Healthcare workers** need hospital leaders to address the systemic factors at the root of staff burnout​.Overall Key Findings and Insights
There is **a lack of awareness of publicly-available professional wellbeing resources** for hospital leaders.
Existing **efforts to reduce healthcare worker burnout often placed responsibility on the healthcare worker** to take action.
Both **hospital leaders and healthcare workers need solutions to address burnout**.
Both audiences want to feel understood by one another but agree that improving **healthcare worker wellbeing requires a hospital-specific and leadership-led approach**.**Hospital leaders need actionable guidance** on how they can address wellbeing at their own hospital.​ They also need support and resources throughout the lifecycle of efforts to improve staff wellbeing, including strategies for measuring impact over time.
**Healthcare workers do not want efforts to focus on individual resilience**.​ Instead, they need hospital leaders to address the systemic factors at the root of staff burnout (e.g., adequate staffing, demanding work schedules, excess administrative work, etc.)​.Putting Insights into Practice
With these findings, NIOSH developed the *Impact Wellbeing* campaign to support hospital leaders in making operational improvements within their hospitals and in communicating with their healthcare workers about these efforts. As the campaign continues to evolve, it will provide customizable materials and messages to:Group Icon
**Engage hospital leaders to revise existing or implement new evidence-informed operational policies** that support healthcare worker wellbeing.Clipboard Icon
**Remove barriers and reduce stigma** that prevents healthcare workers from seeking mental health-related services and support.Hand holding heart Icon
**Reduce burnout and improve the professional wellbeing** of healthcare workers working in hospital settings.Handshake superimposed over a healthcare cross*Impact Wellbeing* was developed by NIOSH in collaboration with the Dr. Lorna Breen Heroes’ Foundation to support hospital leaders, and in turn their healthcare workforce, to improve professional wellbeing.Reference1 Smeltzer SC, Copel LC, Bradley PK, Maldonado LT, D Byrne C, Durning JD, Havens DS, Brom H, Mensinger JL, Yost J [2022]. Vulnerability, loss, and coping experiences of health care workers and first responders during the COVID-19 pandemic: A qualitative study. Int J Qual Stud Health Well-being 17(1):2066254.Share your feedback
							
					
							Last Reviewed:  October 12, 2023						Source: 	National Institute for Occupational Safety and Health
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