
Ask for feedback to disrupt turnover with Dr. Nicola De Paul
06/12/22 • 24 min
Healthcare leaders can ask for feedback from their staff by using local well-being surveys to respond to the crisis of clinician burnout and turnover in our healthcare system.
It is fabulous that many healthcare organizations are tuning in to the challenges that clinicians are experiencing related to systemic burnout and systemic causes of turnover. But recognizing that there is a problem is not sufficient and sometimes leaders lack clarity about what their clinical employees need and how to respond.
Taking the time to use a simple tool such as a well-being survey can help healthcare leaders make significant progress toward identifying and addressing their employees’ needs for systemic support.
And, as always, thank you for listening!
Additional Resources:
Organizational Support
Healthcare providers’ perceived support from their organization is associated with lower burnout and anxiety amid the COVID-19 pandemic - Reitz (2021) -
From PLOS ONE: https://dx.plos.org/10.1371/journal.pone.0259858
The Role of Perceived Organizational Support in Mental Health of Healthcare Workers During the COVID-19 Pandemic: A Cross-Sectional Study - Chatzitoffis et al. (2021) -
https://www.frontiersin.org/article/10.3389/fpsyt.2021.707293
Physician Burnout
Sara Berg - Practice Management & Physician Burnout- https://www.ama-assn.org/practice-management/physician-health/physician-burnout-which-medical-specialties-feel-most-stress
Program Evaluation & Study Design
Real-world program evaluation, Funderburk & Shepardson (2017) - https://pubmed.ncbi.nlm.nih.gov/28617014/
Wellness Programs
Michelle Barton - Stop framing wellness programs around self-care - https://hbr.org/2022/04/stop-framing-wellness-programs-around-self-care
Healthcare leaders can ask for feedback from their staff by using local well-being surveys to respond to the crisis of clinician burnout and turnover in our healthcare system.
It is fabulous that many healthcare organizations are tuning in to the challenges that clinicians are experiencing related to systemic burnout and systemic causes of turnover. But recognizing that there is a problem is not sufficient and sometimes leaders lack clarity about what their clinical employees need and how to respond.
Taking the time to use a simple tool such as a well-being survey can help healthcare leaders make significant progress toward identifying and addressing their employees’ needs for systemic support.
And, as always, thank you for listening!
Additional Resources:
Organizational Support
Healthcare providers’ perceived support from their organization is associated with lower burnout and anxiety amid the COVID-19 pandemic - Reitz (2021) -
From PLOS ONE: https://dx.plos.org/10.1371/journal.pone.0259858
The Role of Perceived Organizational Support in Mental Health of Healthcare Workers During the COVID-19 Pandemic: A Cross-Sectional Study - Chatzitoffis et al. (2021) -
https://www.frontiersin.org/article/10.3389/fpsyt.2021.707293
Physician Burnout
Sara Berg - Practice Management & Physician Burnout- https://www.ama-assn.org/practice-management/physician-health/physician-burnout-which-medical-specialties-feel-most-stress
Program Evaluation & Study Design
Real-world program evaluation, Funderburk & Shepardson (2017) - https://pubmed.ncbi.nlm.nih.gov/28617014/
Wellness Programs
Michelle Barton - Stop framing wellness programs around self-care - https://hbr.org/2022/04/stop-framing-wellness-programs-around-self-care
Previous Episode

Indigenous solutions for Western medicine with Dr. Orlando Sanchez
Integrate indigenous strategies and cultural practices to create a more prosperous and sustainable healthcare organization.
Dr. Sanchez shares how he has developed bicultural competence and his perspective on how our healthcare system can grow from cultural encapsulation toward cultural competence and sensitivity. He also explores how healthcare leaders can work to retain ethnic minority trainees and professionals by creating space for indigenous and ethnic minority values.
Finally, he reminds us that while there may not be one clear solution to all healthcare challenges, we can work together to do our part to create transformation.
Bio: Dr. Orlando Sanchez is an indigenous neuropsychologist who has learned to integrate his indigenous perspective into the Western framework of the U.S. healthcare system.
Next Episode

A chaplain's approach to caring for employees with Leah Klug
Chaplains model using spiritual tools to build community and caring in the most complex clinical settings.
Chaplain Leah Klug shares how she and her palliative care team quickly equipped clinicians within their healthcare system with the palliative care skills required to navigate the challenges associated with caring for a massive influx of dying patients throughout the COVID pandemic.
She also shares how her team works to help healthcare providers to develop rituals to grieve their losses, maintain their human dignity, and reaffirm their identity as healers in challenging circumstances.
Leah also discusses how a healthy team functioning benefits from a grounding in each team member’s spiritual tradition (whether mindfulness practice or rocking out to Meatloaf).
Finally, she shares her perspective on healthcare providers as “essential” humans whose clinicians and healthcare leaders must prioritize spiritual and emotional needs.
Bio: Leah Klug is a Seattle-based palliative care chaplain. She has spent her career as a spiritual care specialist helping to meet the spiritual needs of clinicians and patients within public sector healthcare systems.
Additional Resources:
Spiritual Care
Transforming Chaplaincy - Desjardins & Redl (2022):
https://www.google.com/url?q=https://www.transformchaplaincy.org/wp-content/uploads/2022/02/eBook-final-22.2.27.pdf&source=gmail&ust=1655077157656000&usg=AOvVaw1gh-8ee_tItCIua8psA0ws
Moral Injury
APA Guidelines for Managing Moral Injury (2020): https://www.google.com/url?q=https://www.psychiatry.org/File%2520Library/Psychiatrists/APA-Guidance-COVID-19-Moral-Injury.pdf&source=gmail&ust=1655077157657000&usg=AOvVaw1nOACskv_yOGT51YmRPE-F
Moral Injury in times of COVID-19- Williams, Brundage, & Williams (2020): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7195905/
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