{"id":26770,"date":"2024-10-23T14:26:17","date_gmt":"2024-10-23T18:26:17","guid":{"rendered":"https:\/\/positiveexperience.org\/?p=26770"},"modified":"2024-10-24T15:25:00","modified_gmt":"2024-10-24T19:25:00","slug":"case-study-how-tufts-pediatrics-is-building-resilience-among-its-staff-and-patients-through-hope","status":"publish","type":"post","link":"https:\/\/positiveexperience.org\/news\/case-study-how-tufts-pediatrics-is-building-resilience-among-its-staff-and-patients-through-hope\/","title":{"rendered":"Case Study: How Tufts Pediatrics is building resilience among its staff and patients through HOPE"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row remove_bottom_col_margin=&#8221;true&#8221;][vc_column][vc_column_text css=&#8221;&#8221;]\n<h2><strong>Partner<\/strong><\/h2>\n<p>Tufts Medicine Pediatric Primary Care &#8211; Boston[\/vc_column_text]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:20px;\"><\/div><figure class=\"vcex-image vcex-module wpex-mb-0 wpex-text-left\"><div class=\"vcex-image-inner wpex-relative wpex-inline-block\"><img loading=\"lazy\" class=\"vcex-image-img wpex-align-middle\" decoding=\"async\" src=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMP-logo-300x62.png\" alt=\"Tufts Medicine Pediatrics logo\" srcset=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMP-logo-300x62.png 300w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMP-logo-300x62@2x.png 600w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMP-logo.png 690w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMP-logo-300x62@2x.png 2x\" width=\"300\" height=\"62\"><\/div><\/figure><div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:20px;\"><\/div>[vc_column_text css=&#8221;&#8221;]<a href=\"https:\/\/www.tuftsmedicine.org\/services-treatments\/pediatrics\/pediatric-primary-care\">Tufts Medicine Pediatric Primary Care<\/a> in partnership with Boston Children offers services for all ages, from babies to young adults and everyone in between. They provide the care that families need, whether it&#8217;s for regular checkups or diagnosing illnesses. Their <a href=\"https:\/\/www.tuftsmedicine.org\/get-care\/locations\/tufts-medical-center\/tufts-medicine-pediatric-primary-care-boston\">Boston-based<\/a> clinic is located on the main campus of Tufts Medical Center.[\/vc_column_text][\/vc_column][\/vc_row][vc_row remove_bottom_col_margin=&#8221;true&#8221;][vc_column][vc_column_text css=&#8221;&#8221;]\n<h2>Goals<\/h2>\n<p>Tufts Pediatrics identified the following goals for implementing the HOPE framework:<\/p>\n<ul>\n<li>Increase equitable access to positive childhood experiences (PCEs)<\/li>\n<li>Center the family\u2019s goals leading to more client-centered and goal-concordant care<\/li>\n<li>Increase staff retention and satisfaction<\/li>\n<\/ul>\n[\/vc_column_text][vc_column_text css=&#8221;&#8221;]\n<h2>Implementation<\/h2>\n<p>Working towards these goals, Tufts Pediatrics prioritized programmatic efforts to build resilience among staff and families and strengthened its commitment to fostering a patient- and family-centered culture. The clinic implemented the HOPE framework through the\u00a0<a href=\"https:\/\/positiveexperience.org\/train-with-us\/certification-programs\/hope-informed-organizational-certification\/\">HOPE-Informed Organizational Certification<\/a>\u00a0program and created meaningful improvements to their staff support and development, physical spaces, and policy updates.[\/vc_column_text][\/vc_column][\/vc_row][vc_row remove_bottom_col_margin=&#8221;true&#8221;][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column width=&#8221;2\/3&#8243;]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:40px;\"><\/div><div class=\"wpex-slider-preloaderimg \"><img width=\"900\" height=\"675\" src=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_mural-900x675-1.jpg\" class=\"skip-lazy\" alt=\"Welcome mural in different languages displayed in the Tufts Pediatrics waiting room.\" data-no-lazy=\"1\" srcset=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_mural-900x675-1.jpg 900w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_mural-900x675-1-300x225.jpg 300w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_mural-900x675-1-768x576.jpg 768w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_mural-900x675-1-300x225@2x.jpg 600w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><\/div><div class=\"vcex-module wpex-slider slider-pro no-margin-thumbnails vcex-image-gallery-slider wpex-mb-0\" data-thumbnails=\"true\" data-thumbnail-height=\"auto\" data-loop=\"true\" data-buttons=\"false\" data-fade-arrows=\"false\"><div class=\"wpex-slider-slides sp-slides\"><div class=\"wpex-slider-slide sp-slide\"><div class=\"wpex-slider-media\"><img width=\"900\" height=\"675\" src=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_mural-900x675-1.jpg\" class=\"skip-lazy\" alt=\"Welcome mural in different languages displayed in the Tufts Pediatrics waiting room.\" data-no-lazy=\"1\" srcset=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_mural-900x675-1.jpg 900w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_mural-900x675-1-300x225.jpg 300w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_mural-900x675-1-768x576.jpg 768w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_mural-900x675-1-300x225@2x.jpg 600w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><div class=\"wpex-slider-caption sp-layer wpex-clr sp-black sp-rounded\" data-position=\"bottomCenter\"  data-show-transition=\"up\"  data-hide-transition=\"down\"  data-width=\"100%\"  data-show-delay=\"500\"><p>Murals by local artists that welcome patients in different languages displayed in the waiting room.<\/p>\n<\/div><\/div><\/div><div class=\"wpex-slider-slide sp-slide\"><div class=\"wpex-slider-media\"><img width=\"900\" height=\"675\" src=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_community_resource_center-900x675-1.jpg\" class=\"skip-lazy\" alt=\"Community resource center located next the front reception desk at Tufts Pediatrics\" data-no-lazy=\"1\" srcset=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_community_resource_center-900x675-1.jpg 900w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_community_resource_center-900x675-1-300x225.jpg 300w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_community_resource_center-900x675-1-768x576.jpg 768w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_community_resource_center-900x675-1-300x225@2x.jpg 600w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><div class=\"wpex-slider-caption sp-layer wpex-clr sp-black sp-rounded\" data-position=\"bottomCenter\"  data-show-transition=\"up\"  data-hide-transition=\"down\"  data-width=\"100%\"  data-show-delay=\"500\"><p>Community resource corner located next the reception desk that includes clothing, books, and resource pamphlets in different languages.<\/p>\n<\/div><\/div><\/div><div class=\"wpex-slider-slide sp-slide\"><div class=\"wpex-slider-media\"><img width=\"900\" height=\"675\" src=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_artwork-900x675-1.jpg\" class=\"skip-lazy\" alt=\"Display artwork in the Tufts Pediatrics waiting room.\" data-no-lazy=\"1\" srcset=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_artwork-900x675-1.jpg 900w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_artwork-900x675-1-300x225.jpg 300w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_artwork-900x675-1-768x576.jpg 768w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_artwork-900x675-1-300x225@2x.jpg 600w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><div class=\"wpex-slider-caption sp-layer wpex-clr sp-black sp-rounded\" data-position=\"bottomCenter\"  data-show-transition=\"up\"  data-hide-transition=\"down\"  data-width=\"100%\"  data-show-delay=\"500\"><p>Artwork by local artists inspired by the Four Building Blocks of HOPE displayed in the waiting room.<\/p>\n<\/div><\/div><\/div><div class=\"wpex-slider-slide sp-slide\"><div class=\"wpex-slider-media\"><img width=\"900\" height=\"675\" src=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TM_building_block_worksheet_examples-900x675-1.jpg\" class=\"skip-lazy\" alt=\"Examples of completed Building Blocks worksheets.\" data-no-lazy=\"1\" srcset=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TM_building_block_worksheet_examples-900x675-1.jpg 900w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TM_building_block_worksheet_examples-900x675-1-300x225.jpg 300w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TM_building_block_worksheet_examples-900x675-1-768x576.jpg 768w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TM_building_block_worksheet_examples-900x675-1-300x225@2x.jpg 600w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><div class=\"wpex-slider-caption sp-layer wpex-clr sp-black sp-rounded\" data-position=\"bottomCenter\"  data-show-transition=\"up\"  data-hide-transition=\"down\"  data-width=\"100%\"  data-show-delay=\"500\"><p>Examples of children completing the Building Blocks of HOPE worksheet while waiting to be seen.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"wpex-slider-thumbnails sp-nc-thumbnails wpex-grid wpex-grid-cols-5\"><img width=\"900\" height=\"675\" src=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_mural-900x675-1.jpg\" class=\"wpex-slider-thumbnail wpex-block wpex-w-100 sp-nc-thumbnail skip-lazy\" alt=\"Welcome mural in different languages displayed in the Tufts Pediatrics waiting room.\" data-no-lazy=\"1\" srcset=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_mural-900x675-1.jpg 900w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_mural-900x675-1-300x225.jpg 300w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_mural-900x675-1-768x576.jpg 768w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_mural-900x675-1-300x225@2x.jpg 600w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><img width=\"900\" height=\"675\" src=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_community_resource_center-900x675-1.jpg\" class=\"wpex-slider-thumbnail wpex-block wpex-w-100 sp-nc-thumbnail skip-lazy\" alt=\"Community resource center located next the front reception desk at Tufts Pediatrics\" data-no-lazy=\"1\" srcset=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_community_resource_center-900x675-1.jpg 900w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_community_resource_center-900x675-1-300x225.jpg 300w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_community_resource_center-900x675-1-768x576.jpg 768w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_community_resource_center-900x675-1-300x225@2x.jpg 600w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><img width=\"900\" height=\"675\" src=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_artwork-900x675-1.jpg\" class=\"wpex-slider-thumbnail wpex-block wpex-w-100 sp-nc-thumbnail skip-lazy\" alt=\"Display artwork in the Tufts Pediatrics waiting room.\" data-no-lazy=\"1\" srcset=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_artwork-900x675-1.jpg 900w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_artwork-900x675-1-300x225.jpg 300w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_artwork-900x675-1-768x576.jpg 768w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TMC_artwork-900x675-1-300x225@2x.jpg 600w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><img width=\"900\" height=\"675\" src=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TM_building_block_worksheet_examples-900x675-1.jpg\" class=\"wpex-slider-thumbnail wpex-block wpex-w-100 sp-nc-thumbnail skip-lazy\" alt=\"Examples of completed Building Blocks worksheets.\" data-no-lazy=\"1\" srcset=\"https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TM_building_block_worksheet_examples-900x675-1.jpg 900w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TM_building_block_worksheet_examples-900x675-1-300x225.jpg 300w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TM_building_block_worksheet_examples-900x675-1-768x576.jpg 768w, https:\/\/positiveexperience.org\/wp-content\/uploads\/2024\/10\/TM_building_block_worksheet_examples-900x675-1-300x225@2x.jpg 600w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><\/div><\/div><div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:40px;\"><\/div>[\/vc_column][vc_column width=&#8221;1\/6&#8243;][\/vc_column][\/vc_row][vc_row remove_bottom_col_margin=&#8221;true&#8221;][vc_column][vc_column_text css=&#8221;&#8221;]\n<h3>Staff support and development<\/h3>\n<p>The organization trained their staff on the HOPE framework including Introduction to HOPE workshops and follow-up refreshers. HOPE trainings were also integrated into the staff onboarding process, and HOPE-specific questions were added to annual reviews.<\/p>\n<h3>Physical space improvements<\/h3>\n<p>Tufts Pediatrics wanted to make its waiting area more welcoming for its patients and to connect more children and families to the Four Building Blocks of HOPE. Changes included:<\/p>\n<ul>\n<li>Repainting the walls to brighten up the space<\/li>\n<li>Featuring murals by local artists that welcomed patients in different languages<\/li>\n<li>Featuring artwork by local artists inspired by the Four Building Blocks of HOPE<\/li>\n<li>Installing a community resource corner that included clothing, books, and resource pamphlets in different languages<\/li>\n<\/ul>\n<h3>Blocking Blocks worksheet activity<\/h3>\n<p>The organization piloted a worksheet activity based on the Four Building Blocks of HOPE. The worksheet asks children to draw or describe how they see each Building Block. This exercise serves as a conversation starter for providers about what the child does to stay healthy and to brainstorm together on areas that may need attention. Copies of the worksheet were placed in the waiting room for children to complete while waiting to be seen.<\/p>\n<h3>Late policy updates<\/h3>\n<p>Tufts Pediatrics recognized that the original language of its\u00a0late policy was too disciplinary. They updated the policy to be more understanding and accommodating to families\u2019 needs.[\/vc_column_text][vc_column_text css=&#8221;&#8221;]\n<h2>Lessons learned<\/h2>\n<h3>Parents felt seen and heard<\/h3>\n<p>Based on post-implementation interviews, parents whose families received care at Tufts Pediatrics shared that they consistently had positive experiences at the clinic. The staff showed genuine concern and compassion that made parents feel seen and heard. The updated waiting room made families feel more comfortable and welcomed while waiting to be seen.<\/p>\n<h3>Staff found fulfillment in their work<\/h3>\n<p>Staff members felt that they built stronger trust and transparency with their patients and empowered families to have a say in their care. They shared that integrating HOPE practices helped them prevent burnout and find fulfillment in their work.<\/p>\n<h3>HOPE energized the entire organization<\/h3>\n<p>Leadership at Tufts Pediatrics noted that HOPE helped energize and motivate their staff. The organization saw HOPE as not another thing to add to\u00a0their workload but a natural extension and amplification of their work with families. This helped with the buy-in and onboarding process of HOPE implementation.<\/p>\n<h3>HOPE takes time and intention to implement<\/h3>\n<p>Overall, Tufts Pediatrics observed that HOPE implementation takes time, intention, and shared accountability across the organization. The clinic started with short-term, practical, and achievable goals towards HOPE implementation. This helped the organization build momentum and excitement toward longer-term HOPE improvements.[\/vc_column_text][vc_column_text css=&#8221;&#8221;]\n<h2>Future plans<\/h2>\n<p>Tufts Pediatrics remains committed to using HOPE as a framework for supporting a compassionate, patient-centered space that promotes the well-being of its patients and staff. They plan to build upon their initial success with more targeted patient-centered improvements including updating additional policies and incorporating HOPE-inspired art in the exam rooms. The clinic is also beginning to define specific organizational outcomes, goals, and measures of success related to HOPE.[\/vc_column_text][\/vc_column][\/vc_row][vc_row remove_bottom_col_margin=&#8221;true&#8221;][vc_column]<div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:20px;\"><\/div><div class=\"vcex-module vcex-divider vcex-divider-solid vcex-divider-center wpex-mx-auto wpex-block wpex-h-0 wpex-border-b wpex-border-solid wpex-border-main\"><\/div><div class=\"vcex-spacing wpex-w-100 wpex-clear\" style=\"height:20px;\"><\/div>[vc_column_text css=&#8221;&#8221;]<em>This case study was developed in partnership with <a href=\"https:\/\/rootcause.org\/\">Root Cause<\/a>.<\/em>[\/vc_column_text][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Tufts Medicine Pediatric Primary Care implemented the HOPE framework and created improvements to their staff, physical spaces, and policies.<\/p>\n","protected":false},"author":23,"featured_media":26579,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[15],"tags":[263,83],"post_series":[],"class_list":["post-26770","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-case-study","tag-training","entry","has-media"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Case Study: How Tufts Pediatrics is building resilience among its staff and patients through HOPE | Tufts Hope<\/title>\n<meta name=\"description\" content=\"Tufts Medicine Pediatric Primary Care implemented the HOPE framework and created improvements to their staff, physical spaces, and policies.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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