{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T06:03:50Z","timestamp":1789365830971,"version":"build-2803163510"},"reference-count":36,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Health Serv."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Addressing the burnout epidemic in the healthcare workforce is a primary concern of the modern healthcare organization and recognized across researchers and leaders of nations. This study aims to test whether a mobilized micro-break intervention, the Wellbeing on Wheels (WOW) Cart, improved health care worker (HCW) energy perceived organizational support and work engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>\n                      This study was conducted at an independent children's hospital in the midwestern United States. Between August and September 2024. A total of 367 pediatric HCWs completed our survey. IBM's SPSS was used to analyze the data using\n                      <jats:italic>t<\/jats:italic>\n                      -tests, ANOVAs, linear regression, and polynomial regression to test our hypotheses and\n                      <jats:italic>post-hoc<\/jats:italic>\n                      analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The results of this study show that energy (\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u200932.35,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u2009.01, Cohen's\n                      <jats:italic>D<\/jats:italic>\n                      \u2009=\u20091.33), perceived organizational support (\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u200917.40,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u2009.01, Cohen's\n                      <jats:italic>D<\/jats:italic>\n                      \u2009=\u2009.92), and work engagement (\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u200920.56,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u2009.01, Cohen's\n                      <jats:italic>D<\/jats:italic>\n                      \u2009=\u20091.08) significantly increased following a visit by the WOW Cart. Further, we found that both changes in energy (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009.44,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u2009.01) and perceived organizational support (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009.32,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u2009.01) predicted increases in work engagement (\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u2009.35,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u2009.01). Our\n                      <jats:italic>post-hoc<\/jats:italic>\n                      analyses revealed nurses had a greater energy benefit [(\n                      <jats:italic>F<\/jats:italic>\n                      <jats:sub>(2, 276)<\/jats:sub>\n                      \u2009=\u20092.96,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u2009.05] compared to nurse practitioners (\n                      <jats:italic>M<\/jats:italic>\n                      <jats:sub>diff<\/jats:sub>\n                      \u2009=\u2009.82,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u2009.05) and physicians (\n                      <jats:italic>M<\/jats:italic>\n                      <jats:sub>diff<\/jats:sub>\n                      \u2009=\u2009.55,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u2009.05), but no difference between job roles for perceived organizational support [(\n                      <jats:italic>F<\/jats:italic>\n                      <jats:sub>(3, 281)<\/jats:sub>\n                      \u2009=\u2009.47,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.71] and work engagement [(\n                      <jats:italic>F<\/jats:italic>\n                      <jats:sub>(2, 283)<\/jats:sub>\n                      \u2009=\u20091.77,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.15]. Further, we found an exponential increasing benefit from the degree of change in energy for work engagement (coeff.\u2009=\u2009.53,\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u20092.949,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u2009.05). Additionally, we found a linearly increasing benefit from the degree of changes in perceived organizational support for work engagement (coeff.\u2009=\u2009\u22121.88,\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u2009\u22124.433,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u2009.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study highlights that resource-based micro-breaks may be a viable option for effective HCW well-being intervention. Moreover, interventions can be brought to point-of-care areas. Additional research should determine how long these improvements last.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/frhs.2026.1958370","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T05:38:25Z","timestamp":1789364305000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["More than a free snack: benefits of mobilized resources and socialization for pediatric healthcare workers"],"prefix":"10.3389","volume":"6","author":[{"given":"Thomas B.","family":"Ayres","sequence":"first","affiliation":[{"name":"Center for Wellbeing, Children\u2019s Mercy Kansas City","place":["Kansas City, MO, United States"]},{"name":"Department of Pediatrics, University of Missouri-Kansas City School of Medicine","place":["Kansas City, MO, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin L.","family":"Ray","sequence":"additional","affiliation":[{"name":"Center for Wellbeing, Children\u2019s Mercy Kansas City","place":["Kansas City, MO, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aimee M.","family":"Hoflander","sequence":"additional","affiliation":[{"name":"Center for Wellbeing, Children\u2019s Mercy Kansas City","place":["Kansas City, MO, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela L.","family":"Myers","sequence":"additional","affiliation":[{"name":"Center for Wellbeing, Children\u2019s Mercy Kansas City","place":["Kansas City, MO, United States"]},{"name":"Department of Pediatrics, University of Missouri-Kansas City School of Medicine","place":["Kansas City, MO, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1105009","DOI":"10.3389\/fpubh.2023.1105009","article-title":"Creating healthy workplaces in healthcare: are we delaying progress by focusing on what we can do rather than what we should do?","volume":"11","author":"Montgomery","year":"2023","journal-title":"Front Public Health"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1056\/CAT.20.0266","article-title":"A blueprint for organizational strategies to promote the well-being of health care professionals","volume":"1","author":"Shanafelt","year":"2020","journal-title":"NEJM Catalyst"},{"key":"B3","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1016\/j.mayocp.2016.10.004","article-title":"Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout","volume":"92","author":"Shanafelt","year":"2017","journal-title":"Mayo Clin Proc"},{"key":"B4","year":""},{"key":"B5","doi-asserted-by":"crossref","DOI":"10.1016\/j.mayocp.2021.06.005","article-title":"Physician well-being 2.0: where are we and where are we going?","author":"Shanafelt","year":"2021"},{"key":"B6","doi-asserted-by":"crossref","DOI":"10.1016\/j.mayocp.2021.11.021","article-title":"Changes in burnout and satisfaction with work-life integration in physicians and the general US working population between 2011 and 2020","author":"Shanafelt","year":"2022"},{"key":"B7","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1037\/0003-066X.44.3.513","article-title":"Conservation of resources: a new attempt at conceptualizing stress","volume":"44","author":"Hobfoll","year":"1989","journal-title":"Am Psychol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"e0272460","DOI":"10.1371\/journal.pone.0272460","article-title":"\u201cGive me a break!\u201d A systematic review and meta-analysis on the efficacy of micro-breaks for increasing well-being and performance","volume":"17","author":"Albulescu","year":"2022","journal-title":"PLoS One"},{"key":"B9","doi-asserted-by":"publisher","first-page":"772","DOI":"10.1037\/apl0000308","article-title":"Daily micro-breaks and job performance: general work engagement as a cross-level moderator","volume":"103","author":"Kim","year":"2018","journal-title":"J Appl Psychol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"405","DOI":"10.5465\/amj.2011.1072","article-title":"Lunch breaks unpacked: the role of autonomy as a moderator of recovery during lunch","volume":"57","author":"Trougakos","year":"2014","journal-title":"Acad Manage J"},{"key":"B11","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1037\/apl0000891","article-title":"Daily microbreaks in a self-regulatory resources lens: perceived health climate as a contextual moderator via microbreak autonomy","volume":"107","author":"Kim","year":"2022","journal-title":"J Appl Psychol"},{"key":"B12","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1016\/j.jvb.2014.08.005","article-title":"Micro-breaks matter: a diary study on the effects of energy management strategies on occupational well-being","volume":"85","author":"Zacher","year":"2014","journal-title":"J Vocat Behav"},{"key":"B13","doi-asserted-by":"publisher","first-page":"649","DOI":"10.3233\/WOR-182772","article-title":"Evidence-based intraoperative microbreak activities for reducing musculoskeletal injuries in the operating room","volume":"60","author":"Coleman Wood","year":"2018","journal-title":"Work"},{"key":"B14","doi-asserted-by":"publisher","first-page":"21603","DOI":"10.1038\/s41598-024-72825-x","article-title":"The impact of hedonic social media use during microbreaks on employee resources recovery","volume":"14","author":"Grobelny","year":"2024","journal-title":"Sci Rep"},{"key":"B15","doi-asserted-by":"publisher","first-page":"9972","DOI":"10.1007\/s12144-021-02300-7","article-title":"Daily micro-break activities and workplace well-being: a recovery perspective","volume":"42","author":"Nie","year":"2023","journal-title":"Curr Psychol"},{"key":"B16","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1177\/15480518241305683","article-title":"Exploitative leadership and employees\u2019 unethical behavior from the perspective of ego depletion theory: the moderating effect of microbreaks","volume":"32","author":"Nie","year":"2025","journal-title":"J Leadersh Organ Stud"},{"key":"B17","doi-asserted-by":"publisher","first-page":"2026206","DOI":"10.1080\/23311916.2022.2026206","article-title":"Effects of active microbreaks on the physical and mental well-being of office workers: a systematic review","volume":"9","author":"Radwan","year":"2022","journal-title":"Cogent Eng"},{"key":"B18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jss.2020.01.007","article-title":"Microbreaks in laparoscopic appendectomy have no effect on surgeons\u2019 performance and well-being","volume":"251","author":"Kromberg","year":"2020","journal-title":"J Surg Res"},{"key":"B19","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1108\/02683940710733115","article-title":"The job demands-resources model: state of the art","volume":"22","author":"Bakker","year":"2007","journal-title":"J Manag Psychol"},{"key":"B20","author":"Meijman","year":""},{"key":"B21","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1002\/smi.2604","article-title":"From recovery to regulation: an attempt to reconceptualize \u2018recovery from work\u2019","volume":"30","author":"Zijlstra","year":"2014","journal-title":"Stress Health"},{"key":"B22","doi-asserted-by":"publisher","first-page":"1334","DOI":"10.1177\/0149206314527130","article-title":"Getting to the \u201cCOR\": understanding the role of resources in conservation of resources theory","volume":"40","author":"Halbesleben","year":"2014","journal-title":"J Manage"},{"key":"B23","doi-asserted-by":"publisher","first-page":"103659","DOI":"10.1016\/j.jvb.2021.103659","article-title":"Employee motivation profiles, energy levels, and approaches to sustaining energy: a two-wave latent-profile analysis","volume":"131","author":"Parker","year":"2021","journal-title":"J Vocat Behav"},{"key":"B24","doi-asserted-by":"publisher","first-page":"1077","DOI":"10.1007\/s00420-015-1039-9","article-title":"Patterns of daily energy management at work: relations to employee well-being and job characteristics","volume":"88","author":"Kinnunen","year":"2015","journal-title":"Int Arch Occup Environ Health"},{"key":"B25","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1037\/apl0000032","article-title":"Relational energy at work: implications for job engagement and job performance","volume":"101","author":"Owens","year":"2016","journal-title":"J Appl Psychol"},{"key":"B26","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1146\/annurev-orgpsych-012119-044917","article-title":"Perceived organizational support: why caring about employees counts","volume":"7","author":"Eisenberger","year":"2020","journal-title":"Annu Rev Organ Psychol Organ Behav"},{"key":"B27","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1037\/0021-9010.87.4.698","article-title":"Perceived organizational support: a review of the literature","volume":"87","author":"Rhoades","year":"2002","journal-title":"J Appl Psychol"},{"key":"B28","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1111\/j.1464-0597.2007.00285.x","article-title":"Workaholism, burnout, and work engagement: three of a kind or three different kinds of employee well-being?","volume":"57","author":"Schaufeli","year":"2008","journal-title":"Appl Psychol"},{"key":"B29","doi-asserted-by":"publisher","first-page":"639","DOI":"10.1007\/s10869-022-09813-3","article-title":"Normalizing the use of single-item measures: validation of the single-item compendium for organizational psychology","volume":"37","author":"Matthews","year":"2022","journal-title":"J Bus Psychol"},{"key":"B30","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1027\/1015-5759\/a000699","article-title":"Single item measures in psychological science","volume":"38","author":"Allen","year":"2022","journal-title":"Eur J Psychol Assess"},{"key":"B31","doi-asserted-by":"publisher","first-page":"1482016","DOI":"10.3389\/fpsyg.2024.1482016","article-title":"Comparison of different reliability estimation methods for single-item assessment: a simulation study","volume":"15","author":"Zhang","year":"2024","journal-title":"Front Psychol"},{"key":"B32","doi-asserted-by":"publisher","first-page":"781","DOI":"10.1080\/1359432X.2022.2050218","article-title":"Time to recharge batteries\u2013development and validation of a pictorial scale of human energy","volume":"31","author":"Weigelt","year":"2022","journal-title":"Eur J Work Organ Psychol"},{"key":"B33","doi-asserted-by":"publisher","first-page":"406","DOI":"10.24425\/119509","article-title":"Measurement of work engagement with single-item measure","volume":"49","author":"Kulikowski","year":"2018","journal-title":"Polish Psychological Bulletin"},{"key":"B34","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1177\/1948550618757600","article-title":"Response surface analysis in personality and social psychology: checklist and clarifications for the case of congruence hypotheses","volume":"10","author":"Humberg","year":"2019","journal-title":"Soc Psychol Personal Sci"},{"key":"B35","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1007\/s10869-010-9183-4","article-title":"Polynomial regression with response surface analysis: a powerful approach for examining moderation and overcoming limitations of difference scores","volume":"25","author":"Shanock","year":"2010","journal-title":"J Bus Psychol"},{"key":"B36","doi-asserted-by":"publisher","first-page":"2682","DOI":"10.1016\/j.mayocp.2021.06.005","article-title":"Physician well-being 2.0: where are we and where are we going?","volume":"96","author":"Shanafelt","year":"2021","journal-title":"Mayo Clin Proc"}],"container-title":["Frontiers in Health Services"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/frhs.2026.1958370\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T05:38:26Z","timestamp":1789364306000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/frhs.2026.1958370\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,14]]},"references-count":36,"alternative-id":["10.3389\/frhs.2026.1958370"],"URL":"https:\/\/doi.org\/10.3389\/frhs.2026.1958370","relation":{},"ISSN":["2813-0146"],"issn-type":[{"value":"2813-0146","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,14]]},"article-number":"1958370"}}