At ENHANCE, we support healthcare providers by improving their communication skillfulness. Combined with the Flinders Program, we also have the resources to facilitate attention to their own health. We firmly believe that caring for the physical and emotional well-being of caregivers is essential to reimagining healthcare.

The combination of physical, mental, and emotional labor takes an alarming toll on the 7.8 million health professionals (practitioners and technical workers) in the United States, resulting in obesity, chronic conditions, mental health issues and a 5% greater risk of being hospitalized. 

This is Serious. But We Can Help. 

Nurses, as the largest group of healthcare workers,  are significantly at risk, with grueling demands impacting both their well-being and potentially patient care.  A 2014 article in The Online Journal of Issues in Nursing explains that:

Lack of sleep with disruption of circadian rhythms may have significant health related outcomes, such as chronic diseases and/or obesity. Other studies found that women with more years of rotating night shift work were more likely to have a higher body mass index (BMI) and were at increased risk of developing Type 2 diabetes.

In addition to disrupted sleep patterns, "nursing ranks among the worst occupations in terms of work-related injuries, and studies have shown that in a given year, nearly half of all nurses will have struggled with lower back pain," as well as a rate of depression almost double that of the national average (17% vs 9%).

The impact of nurses' suffering does not end there.  Within the last five years assorted nursing studies have reported these additional findings:

Nurses' patients are at a 20% increase for fall risk or medication error when the nurse is in pain or depressed.

Nurses' health issues are estimated to cost the health care system $2 billion annually from increased falls and medication error alone

There is a culture of "presenteeism" (reduced on-the-job productivity as a result of health problems) in the health care system, which rewards nurses for forgoing sick days, and encouraging them to work even when they themselves are sick or injured. Although the costs are harder to track than absenteeism, it might have a greater adverse impact on patient care

There is an aging nursing population with 40% of nurses being 50 years or older.


Physicians. Suffer. Too.

I have to credit Flinders with my successful transition to a much happier situation. In short, though I came to the course to help others make the changes that they needed to make in their lives, I have instead used the course to help me make the changes that I needed to make in my own.”

Family Practice Physician

Like nurses, thousands of articles suggest the increasing risks contributing to the decline of physician well-being, and their costly impact on healthcare.

The NEJM Catalyst, synthesizes
 these factors affecting physicians, and their collective impact stating:


“Physicians have been hard-hit by the organizational transformation of the health care system, resulting in an epidemic of burnout and declining professional fulfillment. They have suffered a reduction in their sense of professional autonomy, have experienced a significant increase in clerical duties, and are beholden to a growing array of imperfect and inconsistent quality and productivity metrics.


“Medical training has historically acculturated physicians to deny their own self-care in the service of others.


Health care organizations must embrace their responsibility to build an efficient practice environment and to foster a culture of wellness while also supporting physicians’ efforts to improve their own resilience.“