{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T12:18:16Z","timestamp":1776860296471,"version":"3.51.2"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,3,17]],"date-time":"2022-03-17T00:00:00Z","timestamp":1647475200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007217","name":"Health Services Research and Development","doi-asserted-by":"publisher","award":["1IK2HX002587\u201001A1"],"award-info":[{"award-number":["1IK2HX002587\u201001A1"]}],"id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services 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linear mixed effect models adjusting for other covariates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data collection<\/jats:title><jats:p>Participants responded to a web\u2010only survey from August through September 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal findings<\/jats:title><jats:p>There was a significant association between higher average LEHRs scores and (1) higher job satisfaction (2) lower burnout, (3) lower intent to leave, (4) lower cath lab turnover in the previous 12\u2009months, and (5) higher perceived safety climate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Learning environments and use of reliability enhancing work practices are potential new avenues to support satisfaction and safety climate while lowering burnout, intent to leave, and turnover in a diverse US health care workforce that serves a vulnerable and marginalized population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.13907","type":"journal-article","created":{"date-parts":[[2022,3,17]],"date-time":"2022-03-17T08:32:36Z","timestamp":1647505956000},"page":"385-391","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Learning environments, reliability enhancing work practices, employee engagement, and safety climate in <scp>VA<\/scp> cardiac catheterization laboratories"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0264-4059","authenticated-orcid":false,"given":"Heather M.","family":"Gilmartin","sequence":"first","affiliation":[{"name":"Denver\/Seattle Center of Innovation for Veteran\u2010Centered and Value Driven Care VHA Eastern Colorado Healthcare System  Aurora Colorado USA"},{"name":"Department of Health Systems, Management and Policy University of Colorado, School of Public Health  Aurora Colorado 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