Background The coronavirus disease 2019 (COVID‐19) pandemic led to social isolation which both threatens mental health and has been shown to increase the risk for early death by 50%, and to contribute to increased rates of heart disease, hypertension, stroke, and inflammation. Local problem No identified special programs to address loneliness related to social isolation were in place. This project aimed to improve adult coping with COVID‐19 in the community to 80% over 8 weeks. Methods Three interventions were implemented concurrently and studied through Plan–Do–Study–Act cycles. Each cycle started with a test of change, followed by data collection and analysis using run charts, aggregate data tables, and field notes. This analysis guided the design of new tests of change for each intervention in the following cycle. Iterative changes were introduced through four cycles over 8th weeks. Interventions These included a data‐gathering survey, a telehealth teach‐back tool and a telehealth listening tool. All interventions were implemented remotely through telehealth contacts. Results The project engaged 44 participants and successfully addressed loneliness by creating a social connection with 100% of participants and 82% of participants learned something new. Conclusion Telehealth interventions hardwired to be patient‐centered can provide isolated populations with meaningful social contact.
Background: Stress affects U.S. healthcare workers (HCWs) and costs US$191 billion annually. About 30% to 50% of healthcare providers report burnout. Based on an assessment of a U.S. rural hospital system, 94% of workers experienced negative health consequences. We conducted a quality improvement (QI) project for the purpose of implementing a stress management program for HCWs in a hospital system. Methods: A total of 500 HCWs were informed of the program through hospital communication channels. Using the Plan–Do–Study–Act (PDSA) process, we screened workers presenting to the occupational health clinic for care. Project team members recruited other workers for stress screening throughout the organization. Interventions included contacting workers with elevated scores on the Perceived Stress Survey (PSS; N = 213). The nurse practitioner scheduled them for a shared-decision-making (SDM) appointment ( N = 33) where workers were informed of and encouraged to participate in stress reduction activities. Surveys were used to assess effectiveness of SDM appointments and the stress reduction activities. After each 2-week PDSA cycle, interventions were adjusted. Findings: Of the 42% ( N = 213) of workers who were screened for stress, 24% ( n = 52) had elevated scores. Fifty percent ( n = 26) completed an SDM appointment. Participants reported an 86% assurance level that they would use personalized stress management plans. Participants utilizing the interventions ( n = 271) reported 25% to 72% reduced stress levels. Conclusions/Application to Practice: This successful project, in a rural setting, included workers across job classifications. Team engagement, PSS screening, SDM opportunities, and stress management activities were project strengths. This low-cost project can be replicated.
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