Building the Healthy Practice Resource - Technical Report
October 2023
Sponsored by HRRIPromoting public protection involves supporting and sustaining healthcare providers’ well-being and healthy practice through continuing competence via ongoing self-assessment and development.
The Healthy Practice Resource includes modules on emotional, mental, social, financial, and physical well-being, as well as work-related well-being, work role support, benefits and wellness, practice climate, and compassion.
Authors
A. Gibbons
G. Fisher
Executive Summary
The Healthcare Regulatory Research Institute (HRRI) aims to “enhance regulation in support of public protection.” To support the evolving needs of the healthcare environment, meeting regulatory requirements is necessary but no longer sufficient. Promoting public protection involves supporting and sustaining healthcare providers’ well-being and healthy practice through continuing competence via ongoing self-assessment and development. Healthy practice combines personal and professional well-being with the health and effectiveness of the practice environment (organizational supports/culture). This report outlines the development of the Healthy Practice Resource for healthcare providers. The Healthy Practice Resource is an online, self-guided evidence-based, modular resource with a strong psychometric foundation to encourage self-reflection, provide feedback, and connect providers with resources to support healthy practice.
This report describes the results of a pilot study to evaluate and refine the items comprising the Healthy Practice Resource (HPR). The HPR consists of 10 modules across personal well-being domains (physical health, work-related well-being, emotional well-being, mental well-being, social and non-work well-being, financial well-being), and aspects of healthy practice (work role supports, practice climate, compassion, and benefits and wellness). The initial HPR item pool consisted of 441 items across 72 topics selected from primarily existing validated measures. N=755 healthcare providers in the U.S. completed at least one module. Results provided strong empirical support for the items and modules. The items were carefully reviewed to refine and shorten each module to yield a survey response time of 5-8 minutes per module.
The final recommended HPR item list includes 68 scales (335 items in total, with an average of 4.92 items per scale) and 6 checklist measures (not meant to be aggregated into scales, but useful for providing feedback). Each module includes 2-13 measures, with modules ranging in length from 14 to 64 items (average = 39.33 items per module). All final scales show good internal consistency reliability (all Cronbach's alpha > .70, average alpha = .87) and each scale shows good fit to a single factor model, demonstrating that the items within each scale function well together. We removed items that showed evidence of redundancy or problematic wording. We are confident that the recommended final items represent efficient and appropriate measures of the intended concepts, capturing each concept in enough depth to provide meaningful feedback but without unnecessary length.
The next step to complete the HPR development is to gather resource information for use when compiling individual feedback reports tailored to each healthcare provider based on their responses to the items in each self-administered questionnaire. The HPR offers a unique, evidence-based approach to self-assessment to promote healthy practice.
Additional Resources
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