Mindfulness Integrated Cognitive Behavioural Intervention: Effects on Palliative Cancer Care Professionals

2021 ◽  
pp. bmjspcare-2021-003318
Author(s):  
Amanpreet Kaur ◽  
Mahendra P Sharma ◽  
Santosh K Chaturvedi
Keyword(s):  
Traumatic Stress ◽  
Secondary Traumatic Stress ◽  
Cancer Care ◽  
Well Being ◽  
Psychological Well Being ◽  
Mindfulness Skills ◽  
Professional Quality ◽  
Cognitive Behavioural

ObjectiveBeing a palliative cancer care professional is challenging and stressful. In recent decades, there has been more interest in mindfulness to improve overall well-being of healthcare professionals. Mindfulness integrated cognitive behavioural interventions (MICBI) are more practical, flexible and understandable than traditional psychological therapies alone. There is a dearth of studies in India with no psychological intervention in palliative cancer care professionals to date. The aim was to examine the effects of MICBI for professional care workers at palliative cancer care centres in Bengaluru city of Southern India.MethodsA single group study design was adopted with pre, post and 3-month follow-up assessment with a sample of 25 participants working full-time at a hospice. The MICBI programme was for six sessions, once a week for 2–2.5 hours. Outcome variables were professional quality of life measures (burnout, secondary traumatic stress and compassion satisfaction), psychological well-being score and mindfulness skills score (assessed using Professional Quality of Life Scale-V.5, Psychological Well-Being Scale and Five Facet Mindfulness Questionnaire). Wilcoxon signed rank test and Friedman test analysed differences between pre, post and follow-up data.ResultsThe MICBI could significantly reduce burnout and secondary traumatic stress; it improved compassion satisfaction, psychological well-being and mindfulness skills; treatment gains were maintained at 3 months follow-up.ConclusionsMICBI was feasible and effective for palliative cancer care professionals with implications for training, practice and future research.PROSPERO registration numberThe study was registered under the Clinical Trials Registry- India (CTRI) (number: CTRI/2018/03/019170).

Compassion Satisfaction, Burnout, and Secondary Traumatic Stress Among Critical Care Nurses in Iran

2019 ◽  
Vol 31 (1) ◽  
pp. 59-66 ◽  
Author(s):  
Sedigheh Salimi ◽  
Vahid Pakpour ◽  
Azad Rahmani ◽  
Marian Wilson ◽  
Hossein Feizollahzadeh
Keyword(s):  
Quality Of Life ◽  
Critical Care ◽  
Compassion Fatigue ◽  
Traumatic Stress ◽  
Secondary Traumatic Stress ◽  
Compassion Satisfaction ◽  
Critical Care Nurses ◽  
Professional Quality Of Life ◽  
Professional Quality

Introduction: This study investigated the relationship between compassion fatigue and compassion satisfaction among Iranian nurses working in critical care units. Method: A cross-sectional, descriptive survey using the Professional Quality of Life instrument was administered to 400 nurses working in the intensive care units of Iranian hospitals. Results: High risk levels of burnout and secondary traumatic stress existed among 42% and 96% of participants, respectively. Significant positive relationships were detected between burnout and secondary traumatic stress. An inverse relationship was detected between measures of compassion fatigue and compassion satisfaction. Discussion: To ensure culturally congruent care, it is important to evaluate professional quality of life within the context of specific cultures and societies. Iranian critical care nurses are at risk for burnout and secondary traumatic stress. Personal self-care and organizational wellness approaches that consider cultural norms should be designed to boost compassion satisfaction and reduce negative effects of stressful work environments.

A study of the relationship between resilience, burnout and coping strategies in doctors

2017 ◽  
Vol 94 (1107) ◽  
pp. 43-47 ◽  
Author(s):  
R Scott McCain ◽  
Nicola McKinley ◽  
Martin Dempster ◽  
W Jeffrey Campbell ◽  
Stephen J Kirk
Keyword(s):  
Quality Of Life ◽  
Traumatic Stress ◽  
Secondary Traumatic Stress ◽  
Compassion Satisfaction ◽  
Coping Mechanisms ◽  
Professional Quality Of Life ◽  
Maladaptive Coping ◽  
Targeted Interventions ◽  
Professional Quality

Purpose of the studyThe aim of this study was to measure resilience, coping and professional quality of life in doctors.Study designA cross-sectional study using an online questionnaire in a single National Health Service trust, including both primary and secondary care doctors.Results283 doctors were included. Mean resilience was 68.9, higher than population norms. 100 (37%) doctors had high burnout, 194 (72%) doctors had high secondary traumatic stress and 64 (24%) had low compassion satisfaction. Burnout was positively associated with low resilience, low compassion satisfaction, high secondary traumatic stress and more frequent use of maladaptive coping mechanisms, including self-blame, behavioural disengagement and substance use. Non-clinical issues in the workplace were the main factor perceived to cause low resilience in doctors.ConclusionsDespite high levels of resilience, doctors had high levels of burnout and secondary traumatic stress. Doctors suffering from burnout were more likely to use maladaptive coping mechanisms. As doctors already have high resilience, improving personal resilience further may not offer much benefit to professional quality of life. A national study of professional Quality of Life, Coping And REsilience, which we are proposing to undertake, will for the first time assess the UK and Ireland medical workforce in this regard and guide future targeted interventions to improve professional quality of life.

scholarly journals Professional quality of life as potential mediators of the association between anxiety and depression among Chinese health-care clinicians

2020 ◽  
pp. 009121742091339
Author(s):  
Guojun Xie ◽  
Wendy Li ◽  
Brett McDermott
Keyword(s):  
Quality Of Life ◽  
Traumatic Stress ◽  
Indirect Effects ◽  
Secondary Traumatic Stress ◽  
Compassion Satisfaction ◽  
Anxiety And Depression ◽  
Tripartite Model ◽  
Professional Quality Of Life ◽  
Professional Quality

Objective Building upon the tripartite model of anxiety and depression, the current study aims to examine mechanisms of comorbidity between anxiety and depression using the ProQOL (Professional Quality of Life; including the constructs of burnout, secondary traumatic stress, and compassion satisfaction) in a sample of Chinese health-care clinicians. Method A randomized cross-sectional survey was distributed to 1620 participants who were recruited from eight state-owned hospitals in a city in southern China between January and May 2017. A total of 1562 questionnaires were returned (a response rate of 96.4%). After the cases with more than 10% missing variables and multivariate outliers being removed, 1423 valid cases remained. Multiple mediator models were used for mediation analysis that was conducted using the PROCESS v3.1 macro for SPSS. Results The indirect effects of anxiety upon depression through burnout (a1 = . 601 (95% confidence interval (CI): .552, .650), p < .001; b1 = .137 (95% CI: .101, .174), p < .001) and compassion satisfaction (a3= −.297 (95% CI: −.352, −.241), p < .001; b3 = −.069 (95% CI: −.100, −.039), p < .001) were significant, while there was no evidence that anxiety influenced depression by changing secondary traumatic stress. The indirect effects of depression upon anxiety through secondary traumatic stress (a2 = . 535 (95% CI: .483, .588), p < .001); b2 = .154 (95% CI: .120, .188), p < .001) were both positive and significant, while there was no evidence that depression influenced anxiety by changing burnout and compassion satisfaction. Conclusions In the current sample, burnout and compassion satisfaction mediated the effect of anxiety upon depression and secondary traumatic stress mediated the effect of depression upon anxiety. The findings of the current study offer support to the tripartite model.

scholarly journals Professional quality of life and resilience in emergency department healthcare professionals during COVID-19 in Hong Kong: A cross-sectional study

2021 ◽  
pp. 102490792110491
Author(s):  
Cho Lee Wong ◽  
Bun Young ◽  
Berachah Sze Chung Lui ◽  
Alice Wai Yi Leung ◽  
Jerome Lok Tsun So
Keyword(s):  
Quality Of Life ◽  
Emergency Department ◽  
Hong Kong ◽  
Traumatic Stress ◽  
Secondary Traumatic Stress ◽  
Healthcare Professionals ◽  
Compassion Satisfaction ◽  
Professional Quality Of Life ◽  
Professional Quality

Background: The professional quality of life of healthcare professionals in emergency departments may be compromised during the COVID-19 pandemic. Objectives: This study aims to examine professional quality of life and resilience as well as their relationships among emergency department healthcare professionals in Hong Kong during the COVID-19 outbreak. Methods: This study employed a cross-sectional design. Healthcare professionals (doctors and nurses) working in emergency departments in Hong Kong were recruited via snowball sampling. The Professional Quality of Life Scale, version 5, and the 10-item Connor-Davidson Resilience Scale were used to assess their positive (compassion satisfaction) and negative (secondary traumatic stress and burnout) aspects of professional quality of life and self-reported resilience. Socio-demographics and work-related characteristics were also analysed. Results: A total of 106 participants provided valid responses. The results showed an overall moderate level of compassion satisfaction, secondary traumatic stress and burnout among emergency department healthcare professionals. The mean score of the 10-item Connor-Davidson Resilience Scale was 23.8. Backward linear regression analyses revealed self-reported resilience was the only significant predictor of compassion satisfaction (regression coefficient B = 0.875; p < 0.001), secondary traumatic stress (B = −0.294, p < 0.001) and burnout (B = −0.670; p < 0.001), explaining 70.6%, 18.5% and 59.8% of total variance, respectively. Conclusion: Emergency department healthcare professionals in Hong Kong experienced an overall moderate level of professional quality of life during the COVID-19 outbreak. Those with a higher level of self-reported resilience had better compassion satisfaction and lower levels of secondary traumatic stress and burnout. The results support the importance of developing interventions that foster resilience among this group of emergency department healthcare professionals to combat COVID-19.

scholarly journals PROFESSIONAL QUALITY OF LIFE AND COPING IN A REFERENCE HOSPITAL FOR VICTIMS OF SEXUAL VIOLENCE

2020 ◽  
Vol 29 ◽  
Author(s):  
Thayane Martins Dornelles ◽  
Andreia Barcellos Teixeira Macedo ◽  
Sônia Beatriz Cocaro de Souza
Keyword(s):  
Quality Of Life ◽  
Coping Strategies ◽  
Traumatic Stress ◽  
Secondary Traumatic Stress ◽  
Compassion Satisfaction ◽  
Professional Quality Of Life ◽  
Professional Quality ◽  
Medium Level ◽  
And Coping

ABSTRACT Objective: to verify the relationship between professional quality of life scores and coping strategies in the multidisciplinary health team that assists children and adolescents victims of sexual violence. Method: a cross-sectional study carried out in a public hospital of Porto Alegre, Brazil. Data collection took place from July to October 2018, using the Professional Quality of Life Scale and the Inventory of Coping Responses at Work. The analysis was performed using the Kruskal-Wallis test and Pearson's Correlation Coefficient. Regression was used for independent variables with p ≤ 0.05 in the bivariate analyses. Results: the professionals showed a medium level in the compassion satisfaction dimension (54.2%), medium level for secondary traumatic stress (50.8%), and medium level for Burnout (61%). Regarding the coping strategies, the decision-making strategy showed a weak correlation with the compassion satisfaction dimension (0.261), and the emotional extravasation strategy showed a moderate correlation with secondary traumatic stress (0.485) and Burnout (0.399). The female gender was associated with secondary traumatic stress (p=0.002). Conclusion: the identification of coping strategies such as decision-making can help the professionals to increase the levels of compassion satisfaction. In situations of suffering in daily work, management to avoid emotional extravasation should take place, preventing high levels of compassion fatigue. Such information is important to support public policies on occupational health, as well as programs to promote occupational health.

Views of Greenery and Psychological Well-Being in Residential Aged Care Facilities: Longitudinal Associations

2021 ◽  
pp. 193758672110597
Author(s):  
Takemi Sugiyama ◽  
Alison Carver ◽  
Masaaki Sugiyama ◽  
Alanna Lorenzon ◽  
Tanya E. Davison
Keyword(s):  
Well Being ◽  
Aged Care ◽  
Residential Aged Care ◽  
Psychological Well Being ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities ◽  
Objectively Measured

Objectives: This study examined associations of objectively measured views of greenery in residential aged care facilities (RACFs) with changes in multiple psychological well-being measures among residents who were newly admitted to RACFs. Methods: Data were collected from 52 residents (mean age: 84, 73% women) of 13 RACFs, located in Melbourne, Australia. The outcomes were changes in depression, stress, anxiety, and quality of life (QoL) between baseline and 8-week follow-up. The exposure measures were the amount and presence of greenery visible from participant’s bedroom and common areas (lounge, dining). Greenery was categorized as being either within or beyond the RACF perimeter. Results: Regression analyses found that greenery visible from participant’s bedroom was not associated with any outcomes. The amount of greenery visible from common areas within the RACF perimeter was adversely related to stress, unexpectedly: Each additional 1 m2 of greenery was associated with a greater increase in stress ( b = 0.05; 95% CI [0.07, 0.94]). However, greenery visible from common areas beyond the perimeter contributed favorably to stress and QoL. The presence of such greenery was associated with a lower increase in stress ( b = −3.99; 95% CI [−7.75, −0.23]; reference: no greenery), and a 1 m2 increment was associated with a greater increase in QoL ( b = 0.07; 95% CI [0.02, 0.11]). Conclusion: Views of greenery outside of the RACF from lounge and dining areas may be protective against residents’ stress increase and improve their QoL. Locating residents in areas with such outdoor views may prevent their psychological condition from worsening.

scholarly journals Finnish paramedics’ professional quality of life and associations with assignment experiences and defusing use – a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Christoffer R. Ericsson ◽  
Hilla Nordquist ◽  
Veronica Lindström ◽  
Ann Rudman
Keyword(s):  
Quality Of Life ◽  
Traumatic Stress ◽  
Secondary Traumatic Stress ◽  
Traumatic Events ◽  
Professional Quality Of Life ◽  
Cross Sectional ◽  
Professional Quality ◽  
Quality Of Life Scale ◽  
Life Scale

Abstract Background Paramedics experience traumatic events and social emergencies during assignments while also being subjected to verbal and physical threats. Consequently, they are at risk for burnout and secondary traumatic stress, factors inherent to professional quality of life. Defusing and peer-support potentially decrease such symptoms; however, perceived defusing needs and use are not always balanced. Our aim was to explore Finnish paramedics’ professional quality of life, using the Professional Quality of Life Scale, with associations to EMS assignment experiences as well as formal and informal defusing need and use over a 12-month period. Methods A quantitative study of 257 Finnish paramedics using a cross-sectional design. Study outcomes were secondary traumatic stress (STS), compassion satisfaction (CS), and burnout (BO) scores using the modified 9-item Short Professional Quality of Life scale (ProQOL). Likert-type scales were used to collect participants’ recollections of assignment experiences and defusing from a 12-month period. Associations were explored using Spearman’s correlation coefficients. Results Short ProQOL score medians were STS 4.00 (IQR 3), BO 6.00 (IQR 3) and CS 13.00 (IQR 3). STS and BO correlated to experiences of social emergencies and traumatic events while BO correlated to experiences of threat situations (r = 0.206, p = .001). Paramedics perceived a need for defusing in general associated with STS (r = 0.178, p < .001) and participated in informal defusing. Participation in defusing of any form did not associate with ProQOL scores. Conclusions Finnish paramedics’ more frequent experiences of social emergencies, traumatic events, and paramedic-directed threat situations were associated with higher levels of STS and BO. STS was also associated with paramedics’ increased need for defusing and use of informal peer defusing, although neither STS, BO or CS scores associated to any defusing form. Managing paramedics STS and BO, while fostering CS, could therefore be a future research focus.

Sense of coherence as a predictor of quality of life in adolescents with congenital heart defects: A register-based 1-year follow-up study

2011 ◽  
Vol 26 (S2) ◽  
pp. 560-560 ◽  
Author(s):  
B. Neuner ◽  
M. Busch ◽  
J. Wellmann ◽  
U. Nowak-Göttl ◽  
H.-W. Hense
Keyword(s):  
Quality Of Life ◽  
Congenital Heart Defects ◽  
Sense Of Coherence ◽  
Congenital Heart ◽  
Linear Models ◽  
Heart Defects ◽  
Well Being ◽  
Psychological Well Being

ObjectiveSense of coherence (SOC) is a resource for health and quality of life (QoL) in adults. Aim of this investigation was to evaluate the association of SOC and QoL in adolescents with congenital heart defects (CHD).MethodObservational study among 770 adolescents aged 14 – 17 years from a national CHD register. SOC was measured at baseline with the SOC-L9 questionnaire. At baseline and at 12-months follow-up, QoL was measured with the KINDL-R questionnaire, evaluating overall well-being and six subscales. The association of SOC with QoL was evaluated in multi-level linear models separately for overall well-being and KINDL-R subscales. Initial models comprised SOC as only fixed effect while the final models were adjusted for age, gender, medical and socioeconomic status and behavioral factors.ResultsOverall well-being, self-esteem and school-related well-being was significantly higher at follow-up compared with baseline. SOC at baseline (median 50 [range: 16 – 63] points) was positively associated with overall well-being and all KINDL-R subscales. There were significant negative interactions between SOC at baseline and time to follow-up for overall well-being and all KINDL-R subscales except psychological well-being. But even in fully adjusted models associations of SOC at baseline with overall well-being and all KINDL-R subscales at follow-up remained significant.ConclusionSOC is an independent predictor of QoL in adolescents with CHD. Except for psychological well-being, this effect attenuates over one year but remains positive inoverall QoL and sub-dimensions. Further studies should evaluate whether interventions aimed to increase SOC in children with CHD improve QoL.

Displaced Syrian Mental Health Workers: An Investigation of Professional Quality of Life

2020 ◽  
Author(s):  
Aseel Hamid ◽  
Katrina Scior ◽  
Walid Abdul-Hamid ◽  
Amanda C de C Williams
Keyword(s):  
Quality Of Life ◽  
Traumatic Stress ◽  
Secondary Traumatic Stress ◽  
Health Workers ◽  
Compassion Satisfaction ◽  
Educational Background ◽  
Mental Health Workers ◽  
Professional Quality Of Life ◽  
Professional Quality

Abstract This study investigates levels of secondary traumatic stress, burnout, and compassion satisfaction in Syrian mental health workers (MHWs) in a low-resource post-conflict environment. Sixty-one Syrian MHWs completed a cross-sectional questionnaire, in Arabic, incorporating the professional quality of life (ProQOL) scale. Our Arabic-translated ProQOL scale showed acceptable internal consistency estimates of reliability for all subscales. Relative to population norms and other samples of MHWs, the Syrian MHWs showed similar levels of burnout and higher levels of secondary traumatic stress and compassion satisfaction. Those with no psychology-related educational background showed significantly higher secondary traumatic stress and burnout scores and significantly lower compassion satisfaction scores relative to those with a relevant educational background. Our findings indicate acceptable levels of ProQOL in Syrian MHWs, with the exception of those with no educational background in psychology. Training Syrian MHWs, with an emphasis on increasing the availability of educational training and adequate supervision and support, provides a sustainable solution to the provision of culturally and language-specific care in low-resource conflict settings.

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