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Item 247 Identifying Factors that Contribute to Joy and Gratitude for Emergency Medicine Healthcare Workers Amidst the COVID-19 Pandemic(Elsevier, 2021-10) Kelker, H.; Cushman, E.; Munson, C.; Yoder, K.; Musey, P.; Reed, K.; Henderson, B.; Vynas, P.; Johnson, O.; Welch, J.; Emergency Medicine, School of MedicineStudy Objective: During COVID-19, emergency medicine (EM) providers have labored to protect the health of their patients, often at the expense of their own well-being. Increased demands imposed on providers without intentional efforts to evaluate and improve wellness can lead to burnout, attrition, and compromise patient care. Practices that promote mindfulness, reflection and gratitude have been shown to reduce burnout. The Institute for Healthcare Improvement (IHI) Framework for Improving Joy In Work provides an approach to restore joy and engagement by first identifying elements that "matter most” to healthcare workers. The objective of this study was to identify common themes and associations that contribute to EM provider and staff (1) joy in work, (2) gratitude, and (3) personal wellness. Methods: This descriptive study used an electronic survey tool with open-ended questions adapted from the IHI framework to assess what matters most. Q1: What brings you joy in your work? Q2: Thinking back to what matters most, what are you grateful for? Q3: What do you do to maintain your personal wellness? In Nov. 2020, email listservs were used to recruit a voluntary sample of emergency physicians, advanced practice providers (APPs), residents, fellows, nurses and staff from 10 academic and community hospitals. Data were managed in Qualtrics and Excel. Qualitative analysis used inductive thematic coding by two authors independently, with verification by a third. Information redundancy signaled saturation for common themes. Pivot tables examined themes across demographics, and associations were analyzed with 2x2 contingency tables using chi-square, Fisher’s exact tests, and odds ratios (95% CI). Results: Of 254 respondents, 63% were female and 89% identified as White. Roles were 32% physicians, 8% APPs, 16% residents/fellows, and 44% nurses/staff. Response rates were 39-54% for providers. Common themes for joy in work were patient care (47%) and teamwork/camaraderie (43%), followed by feeling valued/appreciated (13%), making a difference (13%), and teaching/mentoring (9%). EM providers at academic sites were more likely to find joy in teaching/mentoring than those in the community (p=0.01; OR 10.5, 95% CI 1.3-82.6). For gratitude, themes were teamwork/ camaraderie (13%), family (12%), health (7%), and supportive work environment (7%). Themes for maintaining personal wellness were physical exercise (46%), time with family and friends (32%), hobbies (15%), and self-care (13%). Conclusions: Results of this study reveal common themes for EM providers and staff surrounding joy, gratitude, and wellness. By identifying elements that matter most, systems can take the next steps in the IHI framework to support and rejuvenate their healthcare team. Implications from our findings suggest that practices and future research to remove barriers and encourage meaningful provider-patient interactions, team camaraderie, teaching/mentoring, physical activity, and time with family/friends could increase joy and fulfillment for frontline healthcare workers.Item Better together: Integrative analysis of behavioral gratitude in close relationships using the three-factorial interpersonal emotions (TIE) framework(APA, 2022) Chang, Yen-Ping; Dwyer, Patrick C.; Algoe, Sara B.; School of PhilanthropySeveral lines of research document various relational and personal benefits of gratitude and its key behavioral manifestation, expressed gratitude. Integrating these lines, we propose the three-factorial interpersonal emotions (TIE) analytical framework, using two directions of gratitude behavior—expression and receipt of the expression—perspectives of both individuals reporting those behaviors—the acting self and the observing partner—and two temporal scopes to examine gratitude—the dispositional and the situational (operationalized as one’s 2-week average thanking behavior and daily variations around the average, respectively). These describe eight (2 × 2 × 2) prototypical aspects of behavioral manifestations of interpersonal emotions such as expressed gratitude. We demonstrate the TIE model using a well-powered dyadic daily-diary dataset of naturally emerging gratitude interactions within romantic couples. Results show all aspects of situational gratitude behavior uniquely forecast daily increases in relationship satisfaction; these effects mediate contemporaneous daily increases in life satisfaction, and are not attributable to self-disclosure, fairness, politeness, or general positivity. Alternatively, although they each show a zero-order effect, many aspects of dispositional gratitude behavior do not exert independent effects on relationship or life satisfaction, nor do they hold against the four nongratitude constructs. Exemplifying the utility of the TIE model, we conclude behavioral gratitude is an everyday phenomenon; it comprises related yet distinguishable interpersonal acts, and can be understood from the different perspectives of the actors involved. Methodologically, our work shows the value of bringing relationship–science techniques to study the social functions of emotions, and generates new questions about gratitude in everyday life.Item Thank You to Our 2018 Peer Reviewers(Wiley, 2019-04) Filippelli, Gabriel; Colwell, Rita; Anenberg, Susan C.; Balbus, John M.; Ceccarelli, Daniela; Hudson-Edwards, Karen; Jutla, Antarpreet; Miao, Chiyuan; Sandifer, Paul A.; Vengosh, Avner; Earth Sciences, School of SciencePublic trust in science, effective science communication, and rapid and constructive response to authors about their submissions are of paramount importance to the scientific enterprise and indeed to society itself. This is really at the heart of peer review—providing thoughtful insights into both the scientific quality and importance of work, and also how it is communicated to other scientists and increasingly to a broader audience. Very few opportunities exist to acknowledge the mostly anonymous process of peer review, especially given the huge increase in review requests and the relatively mechanical nature of online reviewing platforms. We continue to be humbled by the time, effort, and careful insights that our colleagues share with each other through the process of peer review. In 2018, GeoHealth benefited from more than 83 reviews provided by 53 of our peers for papers submitted to the journal. Thank you all for your awesome efforts toward advancing geohealth now and for the future.Item Thank You to Our 2020 Peer Reviewers(Wiley, 2020-03) Filippelli, Gabriel; Colwell, Rita R.; Anenberg, Susan; Balbus, John; Ceccarelli, Daniela; Hudson‐Edwards, Karen A.; Jutla, Antarpreet; Miao, Chiyuan; Sandifer, Paul A.; Vengosh, Avner; Earth Sciences, School of SciencePeer review is at the heart of the scientific endeavor, ensuring that high‐quality discoveries are communicated in effective and impactful ways. As a voluntary and mostly anonymous effort, peer review is often poorly recognized. But it is so valuable to journal Editors, and we are often so impressed by the incredibly detailed, constructive, and informative reviews that we get back from reviewers. In 2019, GeoHealth benefited from more than 94 reviews provided by 73 of our peers for papers submitted to the journal. Thank you all for being such an important part of the scientific process, advancing the communication of discoveries at the intersections of the environmental and health sciences to improve society.Item Thank You to Our 2021 Peer Reviewers(Wiley, 2022) Filippelli, Gabriel; Colwell, Rita; Anenberg, Susan; Balbus, John; Ceccarelli, Daniela; Hudson-Edwards, Karen; Jutla, Antarpreet; Miao, Chiyuan; Sandifer, Paul; Vengosh, Avner; Earth Sciences, School of Science*The editors thank the 2021 peer reviewers. *In 2021, GeoHealth benefited from 365 reviews provided by 241 of our peers. *A number of individuals submitted multiple reviews for GeoHealth in 2021.Item Thank You to Our 2022 Peer Reviewers(Wiley, 2023-05-21) Filippelli, Gabriel; Colwell, Rita R.; Anenberg, Susan; Ceccarelli, Daniela; Franklin, Meredith; Dey, Sagnik; Hudson-Edwards, Karen A.; Jutla, Antarpreet; Miao, Chiyuan; Paytan, Adina; Vengosh, Avner; Earth and Environmental Sciences, School of SciencePeer review is at the heart of the scientific endeavor, ensuring that high‐quality discoveries are communicated in effective and impactful ways. As a voluntary and mostly anonymous effort, peer review is often poorly recognized. But it is so valuable to journal Editors, and we are often so impressed by the incredibly detailed, constructive, and informative reviews that we get back from reviewers. In 2022, GeoHealth benefited from 333 reviews provided by 245 of our peers for papers submitted to the journal. Thank you all for being such an important part of the scientific process, advancing the communication of discoveries at the intersections of the environmental and health sciences to improve society. Thank you to the 245 reviewers who submitted 333 reviews in the journal last year. Individuals in italics provided two or more reviews for GeoHealth during the year.