Workforce Engagement for Compassionate Advocacy, Resilience, and Empowerment (WE CARE)

Authors:
  • JTJoseph R. Msn Travis
    Joseph R. Msn Travis
  • CBCindy Msn Blackburn
    Cindy Msn Blackburn
  • JCJa-Lin Msn Carter
    Ja-Lin Msn Carter
  • AHAllyson G. PhD Hall
    Allyson G. PhD Hall
  • KMKatherine A. Meese
    Katherine A. Meese
  • RMRebecca S. PhD Miltner
    Rebecca S. PhD Miltner
  • AMAoyjai P. PhD Montgomery
    Aoyjai P. PhD Montgomery
  • JSJill Dnp Stewart
    Jill Dnp Stewart
  • ARAsiah Bsn Ruffin
    Asiah Bsn Ruffin
  • DMDana M. Msn Morson
    Dana M. Msn Morson
  • SPShea PhD Polancich
    Shea PhD Polancich
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Abstract
Poor well-being and burnout among the nursing workforce were heightened by the COVID-19 pandemic. The purpose of this study was to deliver, spread, and sustain an evidence-based wellness program, Workforce Engagement for Compassionate Advocacy, Resilience, and Empowerment (WE CARE), for nurse leaders, staff registered nurses (RNs), and patient care technicians (PCTs) to ameliorate or prevent burnout, promote resilience, and improve the work environment. The program included Community Resiliency Model (CRM) training provided by a certified 6-member wellness team. A baseline and 6-month follow-up survey included measures of well-being, moral distress, burnout, resilience, perceived organizational support (POS), job satisfaction, intent to leave (ITL), and work environment. A total of 4900 inpatient RNs, PCTs, and leaders of a 1207-bed academic medical center in the southeastern United States were analyzed. From baseline (n = 1533) to 6-month follow-up (n = 1457), well-being, moral distress, burnout, job satisfaction, and work environment improved; however, resilience, POS, and ITL did not. Although we have seen some improvements in well-being and mental health indicators, it is still early in the intervention period to have reached a critical mass with the training and other interventions. The mental health and work environment issues among nurses are so complex, no one-size-fits-all intervention can resolve.

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