Health-care Worker Engagement in Federally Qualified Health Centers and Associations with Confidence in Making Health-care Recommendations: Evidence from the Louisiana Community Engagement Alliance

Erin Peacock; Leia Y Saltzman; Joshua L Denson; Sara Al-Dahir; Michelle Wilson; Alecia Cyprian; Darie Gilliam; Stephenie Harris; Katie Parnell; Diem Nguyen; Kabrina Smith; Shondra Williams; Gary Wiltz; Keith Winfrey; LaKeisha Williams; Marie Krousel-Wood

doi:10.1016/j.mcna.2023.06.009

Health-care Worker Engagement in Federally Qualified Health Centers and Associations with Confidence in Making Health-care Recommendations: Evidence from the Louisiana Community Engagement Alliance

Med Clin North Am. 2023 Nov;107(6):963-977. doi: 10.1016/j.mcna.2023.06.009. Epub 2023 Jun 30.

Authors

Erin Peacock¹, Leia Y Saltzman², Joshua L Denson³, Sara Al-Dahir⁴, Michelle Wilson⁵, Alecia Cyprian⁶, Darie Gilliam⁷, Stephenie Harris⁸, Katie Parnell⁸, Diem Nguyen⁹, Kabrina Smith¹⁰, Shondra Williams¹¹, Gary Wiltz¹², Keith Winfrey⁹, LaKeisha Williams¹³, Marie Krousel-Wood¹⁴

Affiliations

¹ Department of Medicine, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA; Center for Health Outcomes, Implementation, and Community-Engaged Science (CHOICES), Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA. Electronic address: epeacoc@tulane.edu.
² Tulane University School of Social Work, 127 Elk Place, New Orleans, LA 70112, USA.
³ Department of Medicine, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA.
⁴ Division of Clinical and Administrative Sciences, Xavier University of Louisiana College of Pharmacy, 1 Drexel Drive, New Orleans, LA 70125, USA.
⁵ Department of Medicine, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA; Center for Health Outcomes, Implementation, and Community-Engaged Science (CHOICES), Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA.
⁶ Southeast Community Health Systems, 6351 Main Street, Zachary, LA 70791, USA.
⁷ RKM Primary Care, 11990 Jackson Street, Clinton, LA 70722, USA.
⁸ CommuniHealth Services, 314 N Franklin Street, Bastrop, LA 71220, USA.
⁹ NOELA Community Health Center, 13805 Chef Menteur Highway, New Orleans, LA 70129, USA.
¹⁰ CareSouth Medical and Dental, 3111 Florida Street, Baton Rouge, LA 70806, USA.
¹¹ InclusivCare, 4028 US Highway 90, Avondale, LA 70094, USA.
¹² Teche Action Clinic, 1115 Weber Street, Franklin, LA 70538, USA.
¹³ Division of Clinical and Administrative Sciences, Xavier University of Louisiana College of Pharmacy, 1 Drexel Drive, New Orleans, LA 70125, USA; Center for Minority Health and Health Disparities Research and Education, Xavier University of Louisiana College of Pharmacy, 1 Drexel Drive, New Orleans, LA 70125, USA.
¹⁴ Department of Medicine, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA; Center for Health Outcomes, Implementation, and Community-Engaged Science (CHOICES), Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA; Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, 1440 Canal Street, New Orleans, LA 70112, USA.

PMID: 37806728
PMCID: PMC10948011 (available on 2024-11-01)
DOI: 10.1016/j.mcna.2023.06.009

Abstract

Throughout the coronavirus disease 2019 (COVID-19) pandemic, there have been numerous demands on primary care practices and providers affecting work engagement and burnout, which can affect health-care delivery and patient outcomes. We determined potentially modifiable factors associated with work engagement among employees of federally qualified health centers (FQHCs) throughout Louisiana. Resilient coping, spirituality, and social support were associated with being engaged at work. FQHC employees perceiving a more chaotic work environment and those with depressive or anxiety symptoms were less likely to be engaged at work. Being engaged was associated with confidence in COVID-19 vaccine recommendation for adults.

Keywords: COVID-19; Health-care worker burnout/engagement; Race differences; Trusted messenger; Vaccine/booster uptake.

Publication types

Review

MeSH terms

Adult
Burnout, Professional* / epidemiology
Burnout, Professional* / prevention & control
COVID-19 Vaccines
COVID-19*
Health Services Accessibility
Humans
Louisiana

Substances

COVID-19 Vaccines

Abstract

Publication types

MeSH terms

Substances

Grants and funding