Relational Playbook Pilot Study

Study Summary

Background: The Veterans Health Administration (VA) is prioritizing employee well-being due to crisis levels of clinician burnout and turnover. The VA aims to achieve this by becoming a "Best Place to Work" while delivering high quality, safe and equitable care to Veterans using learning health system (LHS) and high reliability organization (HRO) principles. The National Academy of Medicine (NAM) has proposed organizations create supportive learning environments to improve workforce well-being. However, there is no one-size-fits all solution. While the VA has invested in system level well-being efforts, including the Reduce Employee Burnout and Optimize Organizational Thriving (REBOOT) initiative, there is little guidance for teams on how to create supportive learning environments. To fill this gap, we developed The Relational Playbook. The Playbook consists of research-based resources and 50 evidence-based interventions for nurse managers to implement to change their team cultures including how to create joy in work and address difficult relationships. To support managers implementing the Playbook, the investigators propose leadership coaching as a novel implementation strategy. Significance: The significance of this project is the potential to provide frontline managers with resources and research-based tools to create supportive learning environments that enhance employee well-being. Additionally, the study will contribute to the fields of implementation, LHS and HRO science and the VA efforts to enhance employee well-being and reduce burnout and turnover. Innovation and Impact: The proposed research is innovative in that it attempts to shift the current model for the creation of supportive learning environments from an organization-level focus to the team level - where Veterans receive care. The investigators will partner with VA cardiac catheterization laboratories (CCLs) as a model LHS for this work. The investigators aim to implement and establish the feasi

Primary Outcome

At baseline, CCL managers will take the 64-item Learning Environment Survey (\>4-7 Likert) and 12-item Readiness to Change survey (\>4-5 Likert scale). At 6 months after Playbook implementation, CCL managers will be interviewed to understand progress on improvement goals. CCL managers will retake the 64-item Learning Environment Survey and a take the 15-item Acceptability, Appropriateness, Feasibility of Intervention Measures Survey (1-5 likert) to identify trends and changes over time. Feasibil

Interventions

• BEHAVIORAL The Relational Playbook
• BEHAVIORAL Leadership Coaching