Notice2024-30259
Supplemental Evidence and Data Request on Impact of Healthcare Worker Safety and Wellness: A Systematic Review
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
December 19, 2024
Issuing agencies
Health and Human Services DepartmentAgency for Healthcare Research and Quality
Abstract
The Agency for Healthcare Research and Quality (AHRQ) is seeking scientific information submissions from the public. Scientific information is being solicited to inform our review on Impact of Healthcare Worker Safety and Wellness: A Systematic Review, which is currently being conducted by the AHRQ's Evidence-based Practice Centers (EPC) Program. Access to published and unpublished pertinent scientific information will improve the quality of this review.
Full Text
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<title>Federal Register, Volume 89 Issue 244 (Thursday, December 19, 2024)</title>
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[Federal Register Volume 89, Number 244 (Thursday, December 19, 2024)]
[Notices]
[Pages 103828-103830]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-30259]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
Supplemental Evidence and Data Request on Impact of Healthcare
Worker Safety and Wellness: A Systematic Review
AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS.
ACTION: Request for supplemental evidence and data submission.
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SUMMARY: The Agency for Healthcare Research and Quality (AHRQ) is
seeking scientific information submissions from the public. Scientific
information is being solicited to inform our review on Impact of
Healthcare Worker Safety and Wellness: A Systematic Review, which is
currently being conducted by the AHRQ's Evidence-based Practice Centers
(EPC) Program. Access to published and unpublished pertinent scientific
information will improve the quality of this review.
DATES: Submission Deadline on or before January 21, 2025.
ADDRESSES:
Email submissions: <a href="/cdn-cgi/l/email-protection#debbaebd9ebfb6acaff0b6b6adf0b9b1a8"><span class="__cf_email__" data-cfemail="7b1e0b183b1a13090a55131308551c140d">[email protected]</span></a>.
Print submissions:
Mailing Address: Center for Evidence and Practice Improvement, Agency
for Healthcare Research and Quality, ATTN: EPC SEADs Coordinator, 5600
Fishers Lane, Mail Stop 06E53A, Rockville, MD 20857
Shipping Address (FedEx, UPS, etc.): Center for Evidence and Practice
Improvement, Agency for Healthcare Research and Quality, ATTN: EPC
SEADs Coordinator, 5600 Fishers Lane, Mail Stop 06E77D, Rockville, MD
20857
FOR FURTHER INFORMATION CONTACT: Kelly Carper, eelephone: 301-427-1656
or email: <a href="/cdn-cgi/l/email-protection#7613061536171e0407581e1e0558111900"><span class="__cf_email__" data-cfemail="7e1b0e1d3e1f160c0f5016160d50191108">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION: The Agency for Healthcare Research and
Quality has commissioned the Evidence-based Practice Centers (EPC)
Program to complete a review of the evidence for Impact of Healthcare
Worker Safety and Wellness: A Systematic Review. AHRQ is conducting
this review pursuant to section 902 of the Public Health Service Act,
42 U.S.C. 299a.
The EPC Program is dedicated to identifying as many studies as
possible that are relevant to the questions for each of its reviews. In
order to do so, we are supplementing the usual manual and electronic
database searches of the
[[Page 103829]]
literature by requesting information from the public (e.g., details of
studies conducted). We are looking for studies that report on Impact of
Healthcare Worker Safety and Wellness: A Systematic Review. The entire
research protocol is available online at: <a href="https://effectivehealthcare.ahrq.gov/products/worker-safety-wellness/protocol">https://effectivehealthcare.ahrq.gov/products/worker-safety-wellness/protocol</a>.
This is to notify the public that the EPC Program would find the
following information on Impact of Healthcare Worker Safety and
Wellness: A Systematic Review helpful:
[ssquf] A list of completed studies that your organization has
sponsored for this topic. In the list, please indicate whether results
are available on <a href="http://ClinicalTrials.gov">ClinicalTrials.gov</a> along with the <a href="http://ClinicalTrials.gov">ClinicalTrials.gov</a>
trial number.
[ssquf] For completed studies that do not have results on
<a href="http://ClinicalTrials.gov">ClinicalTrials.gov</a>, a summary, including the following elements, if
relevant: study number, study period, design, methodology, indication
and diagnosis, proper use instructions, inclusion and exclusion
criteria, primary and secondary outcomes, baseline characteristics,
number of patients screened/eligible/enrolled/lost to follow-up/
withdrawn/analyzed, effectiveness/efficacy, and safety results.
[ssquf] A list of ongoing studies that your organization has
sponsored for this topic. In the list, please provide the
<a href="http://ClinicalTrials.gov">ClinicalTrials.gov</a> trial number or, if the trial is not registered, the
protocol for the study including, if relevant, a study number, the
study period, design, methodology, indication and diagnosis, proper use
instructions, inclusion and exclusion criteria, and primary and
secondary outcomes.
[ssquf] Description of whether the above studies constitute ALL
Phase II and above clinical trials sponsored by your organization for
this topic and an index outlining the relevant information in each
submitted file.
Your contribution is very beneficial to the Program. Materials
submitted must be publicly available or able to be made public.
Materials that are considered confidential; marketing materials; study
types not included in the review; or information on topics not included
in the review cannot be used by the EPC Program. This is a voluntary
request for information, and all costs for complying with this request
must be borne by the submitter.
The draft of this review will be posted on AHRQ's EPC Program
website and available for public comment for a period of 4 weeks. If
you would like to be notified when the draft is posted, please sign up
for the email list at: <a href="https://effectivehealthcare.ahrq.gov/email-updates">https://effectivehealthcare.ahrq.gov/email-updates</a>.
The review will answer the following questions. This information is
provided as background. AHRQ is not requesting that the public provide
answers to these questions.
Contextual Question: What are the manifestations of impaired safety
and wellbeing of HCWs, such as burnout, moral injury, emotional
exhaustion, staff turnover, and physical injuries?
Key Questions (KQ)
KQ 1: What are the associations between healthcare delivery
conditions and HCW burnout?
KQ 2: What are the associations between HCW burnout and outcomes
for patients, HCW families, healthcare delivery organizations, and
society?
KQ 3: What are the effectiveness and harms of system-level
interventions targeting HCW burnout?
PECOTS (Populations, Exposures, Comparators, Outcomes, Timing and Setting) Eligibility Criteria for All Key Questions
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Element Key Question 1 Key Question 2 Key Question 3
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Population....................... HCWs at all organizational levels (e.g., those who provide direct patient care, support personnel, managers,
executives) Examples:
<bullet> Physicians.
<bullet> Nurses: registered nurses and advanced practice nurses.
<bullet> Pharmacists.
<bullet> Allied healthcare professionals (e.g., respiratory therapists, physical therapists, social workers,
emergency medical technicians).
<bullet> Support personnel (e.g., environmental services).
<bullet> Managers.
<bullet> Executives.
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Exposure......................... All healthcare delivery conditions HCW burnout, including instruments System-level programs: interventions
associated with the included studies such as: that intend to reduce or prevent HCW
will be recorded as exposures, <bullet> Maslach Burnout Inventory burnout through the elimination or
including <bullet> Oldenburg Burnout Inventory substitution of occupational
<bullet> Societal conditions, <bullet> Copenhagen Burnout Inventory hazards.
including federal and state laws like <bullet> Two-Item Maslach Burnout Exclude: interventions that enable
nurse staffing laws, policies like Inventory the occupational hazard to remain in
pandemic restrictions and <bullet> Physician Worklife Study place (engineering, administrative
credentialing, and unemployment, Single Item Question controls) or increase the individual
healthcare utilization, and <bullet> ProQOL Burnout scale capacity to cope with the hazard
unionization rates. <bullet> Institute for Professional (PPE, resilience training).
<bullet> Organizational factors such Worklife Mini Z Survey
as payment model, level of care,
precarious and unstable scheduling,
safety culture.
<bullet> Job and task-specific
factors, such as occupational class,
shift characteristics, working hours,
occupational stressors, support,
teamwork, and workplace hazards
Individual factors, such as age and
experience.
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Comparator....................... Other healthcare delivery condition. Other levels of HCW burnout. <bullet> Other intervention.
<bullet> No intervention.
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Outcomes......................... HCW burnout, including instruments <bullet> HCW family outcomes, such as: HCW burnout, including instruments
such as: [cir] Marital/relationship stress such as:
<bullet> Maslach Burnout Inventory measured by a partner <bullet> Maslach Burnout Inventory.
<bullet> Oldenburg Burnout Inventory [cir] Divorce/separation rates <bullet> Oldenburg Burnout Inventory.
<bullet> Copenhagen Burnout Inventory <bullet> Patient outcomes, such as: <bullet> Copenhagen Burnout
<bullet> Two-Item Maslach Burnout [cir] Safety Inventory.
Inventory [cir] Satisfaction <bullet> Two-Item Maslach Burnout
<bullet> Physician Worklife Study [cir] Adverse events Inventory.
Single Item Question [cir] Mortality <bullet> Physician Worklife Study
<bullet> Professional Quality of Life <bullet> Healthcare organization Single Item Question.
(ProQOL) Burnout scale outcomes, such as: <bullet> ProQOL Burnout scale.
<bullet> Institute for Professional [cir] Productivity (including <bullet> Institute for Professional
Worklife Mini Z Survey presenteeism, absenteeism, work- Worklife Mini Z Survey.
related injuries and illnesses)
[cir] Staff turnover (including due to
retirement, leaving the profession,
mortality, or suicide)
<bullet> Societal outcomes, such as:
[cir] Workforce shortages
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Mediating Factors................ <bullet> Individual factors such as stress, satisfaction, wellbeing, engagement, sleep quality, suicidal ideation,
depression, anxiety, meaningful work, mattering, moral distress or injury, workplace injury or illness.
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Modifying Factors................ [cir] Demographic characteristics: (e.g., age, sex, race, ethnicity).
[cir] Occupational title (e.g., physician, nurse, allied health professional, other).
[cir] Educational attainment (e.g., high school, some college, college degree, graduate degree).
[cir] Experience (e.g., number of years employed).
[cir] Income (e.g., household income, socioeconomic status).
[cir] Time (e.g., year of outcome ascertainment, or binned by pre-, concurrent and post-pandemic).
[cir] Shift characteristics: (e.g., timing, duration, knowledge of shift, mandatory overtime).
[cir] Job tasks (e.g., patient-facing vs. non-patient-facing, physical demands as high, moderate, low).
[cir] Geographic location (e.g., U.S. census region, urban vs. suburban vs. rural).
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Study Designs.................... <bullet> Cross-sectional studies. <bullet> Randomized controlled
<bullet> Cohort studies. trials.
<bullet> Non-randomized controlled
trials.
<bullet> Observational cohort studies
with a comparison group.
<bullet> Pre-post studies (with
adjustment for confounders).
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Timing........................... Published since 2014.
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Settings......................... All U.S. healthcare delivery settings where HCWs work (e.g., ambulatory, prehospital, emergency, various inpatient
services, post-acute or skilled nursing/long-term care, including medical, surgical, and mental health care
settings).
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Abbreviations: HCW = healthcare worker; PPE = personal protective equipment, ProQOL = Professional Quality of Life.
Dated: December 12, 2024.
Marquita Cullom,
Associate Director.
[FR Doc. 2024-30259 Filed 12-18-24; 8:45 am]
BILLING CODE 4160-90-P
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