Mindfulness: Assessing the Feasibility of a Pilot Intervention to Reduce Stress and Burnout

2018 ◽  
Vol 37 (2) ◽  
pp. 175-188 ◽  
Author(s):  
Kate M. Montanari ◽  
Cassandra L. Bowe ◽  
Sherry S. Chesak ◽  
Susanne M. Cutshall
Keyword(s):  
Design Method ◽  
Low Cost ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Personal Accomplishment ◽  
Positive Finding ◽  
Post Intervention ◽  
Post Test ◽  
The Mean ◽  
Stress At Work

Purpose: To examine the feasibility of a brief mindfulness intervention and to reduce nurse stress and burnout in an inpatient medical unit. Design: Single-arm, pre/post test study design. Method: Perceived Stress Scale (PSS), Maslach Burnout Inventory (MBI), and pre/post demographic questionnaires given at pre-intervention (baseline) and 6 weeks post-intervention. Intervention effectiveness was compared between the pre-survey ( N = 52) and post-survey ( N = 33). Five choices were offered to inpatient staff: a guided mindfulness CD, soothing sounds machine with a breathing technique instructional, mindfulness prompts, a journal, and water/snacks during six consecutive weekends. Findings: The mean PSS score did not improve and demonstrated a slight increase during the six-weekend intervention. However, mean MBI scores for the subscales of emotional exhaustion and depersonalization did demonstrate improvement as evident by decreased scores. Additionally, the mean MBI score for the subscale of personal accomplishment also improved with increased scores. Qualitative themes were positive and included relaxation, nourishment, and refocus. Majority of participants (75%) perceived the intervention as being effective or very effective in reducing stress at work. Respondents were “interested” or “very interested” in continuing a similar intervention in the future (84.9%). Conclusion: The improvement in scores for the MBI measures were a positive finding. The intervention was low cost, individualized, and accessible. The feasibility and perceptions of the intervention’s effectiveness has positive implications for the well-being of nurses.

scholarly journals Increasing Resident Physician Well-Being through a Motivational Fitness Curriculum: A Pilot Study

2020 ◽  
Vol 13 ◽  
pp. 228-234
Author(s):  
Ruth Nutting ◽  
Justin Grant ◽  
Samuel Ofei-Dodoo ◽  
Matthew Runde ◽  
Kethlyn Staab ◽  
...  
Keyword(s):  
Pilot Study ◽  
Family Medicine ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Resident Physician ◽  
Personal Accomplishment ◽  
Depression Anxiety Stress Scale ◽  
Post Intervention ◽  
Resident Physicians ◽  
Fitness Curriculum

Introduction. Healthcare professionals who participate in regular exercise better manage job related stressors, utilize fewer sick days, and discuss fitness with patients at increased rates. Although resident physicians are aware of the health benefits of exercise their rates of exercise are much lower than among medical trainees and practicing physicians. Resident physicians have reported lack of time for traditional structured workouts as one of the greatest barriers to fitness. This study sought to increase resident physician well-being by providing brief workouts through a motivational fitness curriculum. Methods. This pilot study utilized a nonexperimental design; a pre-/post-intervention consisted of a 10-month motivational fitness curriculum. Thirteen family medicine residents at a training program in the midwestern United States participated in this study. The Depression Anxiety Stress Scale-21 (DASS-21) and the Abbreviated Maslach Burnout Inventory (MBI-9) were used to measure the participants’ well-being, pre- and post-curriculum. Standard descriptive statistics and paired samples t-test were used to analyze the data. Results. Twenty-eight percent (13/36) of eligible first-year and second-year family medicine resident physicians participated in the study. On the DASS-21, study participants displayed an improvement in depression, anxiety, and stress scores post-curriculum. On the MBI-9, the participants reported decreased score in emotional exhaustion, but there were no changes in depersonalization and personal accomplishment scores over time.Conclusion. A motivational fitness curriculum may be a convenient way to support well-being among resident physicians. These findings were salient, as graduate medical education programs can implement similar initiatives to support resident physicians’ psychological and physical well-being.

scholarly journals Grandparent Resilience: Improving Self-Efficacy in Grandparents Raising Grandchildren

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 510-510
Author(s):  
Aimee Fox ◽  
Nathaniel Riggs ◽  
Loriena Yancura ◽  
Christine Fruhauf
Keyword(s):  
Self Efficacy ◽  
Emotional Health ◽  
Well Being ◽  
Individual Variability ◽  
Health Issues ◽  
Grandparents Raising Grandchildren ◽  
Post Intervention ◽  
Paired Samples ◽  
Post Test

Abstract Grandparents often protect against childhood trauma and promote resilience through their nurturance, love, and support when raising grandchildren. Despite the beneficial role grandparents have on their grandchildren, grandparents may experience challenges of their own, including physical, mental, and emotional health issues, lack of resources, and social isolation. Few interventions exist to help grandparents successfully adapt to the challenges they face as primary parenting figures. The purpose of this study was to test preliminary efficacy of a strengths-based intervention for grandparents raising grandchildren aimed at increasing self-care behaviors, managing emotions, and connecting to community resources. Grandparents (N = 137) providing primary care to grandchildren were recruited to participate in a single-group, pre- and post-test design, 6-week intervention. Self-efficacy was assessed at baseline, post-intervention, and at a 6-month follow-up. To evaluate who the intervention might be most beneficial for, grandparents’ service knowledge, perceived support from others, and length of care provided, measured at baseline, were analyzed for moderating effects. Results of paired-samples t-tests reveal significant increases in self-efficacy (p = .013) from baseline to post-test, which were maintained at the 6-month follow-up (p = .010). Hierarchical multiple regression showed interaction effects of the hypothesized moderators were not significant, indicating improvements in self-efficacy regardless of individual variability at baseline. As demonstrated, interventions can be effective at increasing self-efficacy in grandparents raising grandchildren and strengths-based approaches have the potential to provide universal benefits to grandparents, thus improving functioning in grandfamilies and promoting the health and well-being of grandparents and their grandchildren.

Self-Reported Emotional Intelligence, Burnout and Engagement among Staff in Services for People with Intellectual Disabilities

2004 ◽  
Vol 95 (2) ◽  
pp. 386-390 ◽  
Author(s):  
Auxiliadora Durán ◽  
Natalio Extremera ◽  
Lourdes Rey
Keyword(s):  
Emotional Intelligence ◽  
Intellectual Disabilities ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Personal Accomplishment ◽  
Work Related ◽  
Significant Relationships ◽  
People With Intellectual Disabilities ◽  
Mood Scale ◽  
The Relationship

This study examined the relationship among dimensions of self-reported Emotional Intelligence, Engagement and Burnout, using the Trait Meta-Mood Scale, Maslach Burnout Inventory and Utrecht Work Engagement Scale in a sample of Spanish professionals who work at institutions for people with intellectual disabilities. The results showed that Emotional Clarity was significantly associated with Personal Accomplishment ( r = .25) and Dedication ( r = .25). Further, Repair to moods was significantly correlated with all Engagement dimensions (.20 Vigor, .30 Dedication, .36 Absorption) and with Personal Accomplishment (.31). These findings extend previous research with college students in which Clarity and Repair to moods subscales were relevant predictors of well-being indexes and interpersonal functioning and suggest that the Trait Meta-Mood Scale subscales also show significant relationships with emotional functioning and work-related variables in a professional sample.

Burnout and Workplace Deviance among Flight Attendants in Taiwan

2007 ◽  
Vol 101 (2) ◽  
pp. 457-468 ◽  
Author(s):  
Su-Chiun Liang ◽  
An-Tien Hsieh
Keyword(s):  
Emotional Exhaustion ◽  
Deviant Behavior ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Workplace Deviance ◽  
Personal Accomplishment ◽  
Three Dimensions ◽  
Flight Attendants ◽  
Hierarchical Regression ◽  
Voluntary Behavior

The relationship between burnout and workplace deviance, identified as a component of job performance, was examined. Burnout was assessed with the Maslach Burnout Inventory which has three dimensions, Emotional Exhaustion, Depersonalization, and Reduced Personal Accomplishment. Workplace deviance was defined as voluntary behavior that violates significant organizational norms and threatens the well-being of an organization, its members, or both. This was assessed with the Workplace Deviance Scale, measuring the extent to which the participants had engaged in workplace deviant behavior such as taking property from work without permission, making fun of someone at work, or cursing at someone at work. Anonymous questionnaires with stamped envelopes were distributed to a sample of 1,470 Taiwanese flight attendants at the Arrival Hall of Taiwan Taoyuan International Airport. A response rate of 22.45% was obtained. After cases with missing data ( n = 27) had been eliminated, the sample totaled 303, 17 men and 286 women. The average age was 28.7 yr. ( SD = 4.6). Results of hierarchical regression showed that Depersonalization scores were significantly predictive of Workplace Deviance scores but not Emotional Exhaustion and Reduced Personal Accomplishment scores. Possible reasons and implications of these findings were discussed.

A Mindfulness Course Decreases Burnout and Improves Well-Being among Healthcare Providers

2012 ◽  
Vol 43 (2) ◽  
pp. 119-128 ◽  
Author(s):  
Matthew J. Goodman ◽  
John B. Schorling
Keyword(s):  
Continuing Education ◽  
Stress Reduction ◽  
Healthcare Providers ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
The Body ◽  
Personal Accomplishment ◽  
Work Related ◽  
Mindfulness Based Stress Reduction ◽  
Mental Well Being

Objective: Healthcare providers are under increasing stress and work-related burnout has become common. Mindfulness-based interventions have a potential role in decreasing stress and burnout. The purpose of this study was to determine if a continuing education course based on mindfulness-based stress reduction could decrease burnout and improve mental well-being among healthcare providers, from different professions. Design: This was a pre-post observational study conducted in a university medical center. A total of 93 healthcare providers, including physicians from multiple specialties, nurses, psychologists, and social workers who practiced in both university and community settings, participated. The intervention was a continuing education course based on mindfulness-based stress reduction that met 2.5 hours a week for 8 weeks plus a 7-hour retreat. The classes included training in four types of formal mindfulness practices, including the body scan, mindful movement, walking meditation and sitting meditation, as well as discussion focusing on the application of mindfulness at work. The course was offered 11 times over 6 years. The main outcome measures were work-related burnout as measured by the Maslach Burnout Inventory and self-perceived mental and physical well-being as measured by the SF-12v2. Results: Maslach Burnout Inventory scores improved significantly from before to after the course for both physicians and other healthcare providers for the Emotional Exhaustion ( p < 0.03), Depersonalization ( p < 0.04), and Personal Accomplishment ( p < 0.001) scales. Mental well-being measured by the SF12v2 also improved significantly ( p < 0.001). There were no significant changes in the SF12v2 physical health scores. Conclusion: A continuing education course based on mindfulness-based stress reduction was associated with significant improvements in burnout scores and mental well-being for a broad range of healthcare providers.

Anxiety and Spiritual Well-Being in Nursing Students: A Cross-Sectional Study

2016 ◽  
Vol 35 (3) ◽  
pp. 261-270 ◽  
Author(s):  
Jéssika Leão Fabbris ◽  
Ana Cláudia Mesquita ◽  
Sílvia Caldeira ◽  
Ana Maria Pimenta Carvalho ◽  
Emilia Campos de Carvalho
Keyword(s):  
Nursing Students ◽  
Survey Design ◽  
Design Method ◽  
Demographic Data ◽  
Well Being ◽  
Cross Sectional Study ◽  
Lower Probability ◽  
Cross Sectional ◽  
Spiritual Well Being ◽  
The Mean

Purpose: To analyze the relation between anxiety and spiritual well-being in undergraduate nursing students. Design: Cross sectional, correlational, and survey design. Method: A total of 169 students from a Brazilian Nursing School completed three instruments: demographic data, Spiritual Well-Being Scale (SWBS), and Beck Anxiety Inventory (BAI). Findings: The mean score of SWBS was high, and the mean score of BAI was low. When experiencing anxiety, there was lower probability of experiencing high spiritual well-being. For those students considering religiosity very important, the score of SWBS was high. Students scoring lower in SWBS had more probability of experiencing moderate/high anxiety. Conclusions: Higher scores of SWBS and importance given to religiosity were related to lower scores of BAI. Also, the performance and score of spiritual well-being were related to anxiety scores. Further research is worthy to identify and validate which educational aspects could promote spiritual well-being and reduce anxiety as well as research to analyze the relation between spiritual well-being score and learning outcomes.

scholarly journals Reducing workplace burnout: The relative benefits of cardiovascular and resistance exercise

2014 ◽  
Author(s):  
Rachel J Bretland ◽  
Einar B Thorsteinsson
Keyword(s):  
Psychological Distress ◽  
Resistance Exercise ◽  
Perceived Stress ◽  
Emotional Exhaustion ◽  
Small Sample Size ◽  
Relative Effectiveness ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Small Sample ◽  
Personal Accomplishment

Objectives. With 43% of Australians experiencing occupational burnout therapies for burnout reduction are paramount to organisational efficiency. Exercise has potential to provide a multilevel and cost effective burnout intervention. The current study aims to extend the literature by comparing cardiovascular with resistance exercise to assess their relative effectiveness against well-being, perceived stress, and burnout. Design. Participants were 49 (36 females and 13 males) previously inactive volunteers ranging in age from 19 to 68 that completed a four week exercise program of either cardiovascular, resistance, or no exercise (control). Method. Participants were measured against the Subjective Exercise Experience Scale, the Perceived Stress Scale, and the Maslach Burnout Inventory. Results. After four weeks of exercise participants had greater positive well-being and personal accomplishment, and concomitantly less psychological distress, perceived stress, and emotional exhaustion. Cardiovascular exercise was found to increase well-being and decrease psychological distress, perceived stress, and emotional exhaustion. Resistance training was noticeably effective in increasing well-being and personal accomplishment and to reduce perceived stress. Our preliminary findings revealed large effect sizes suggesting that exercise may be an effective treatment for burnout. However, given a small sample size further research needs to be conducted. Conclusion. Different types of exercise may thus help protect against burnout as exercise seems to increase well-being and personal accomplishment while decreasing psychological distress, perceived stress, and emotional exhaustion. Organisations that want to address burnout can assist by improving their employees’ access to regular exercise programs.

Vibrotactile stimulators and virtual 3-D audio countermeasures, training and motion sickness symptoms with a simulated graveyard spin illusion

2009 ◽  
Vol 18 (5-6) ◽  
pp. 287-294
Author(s):  
Lawrence T. Guzy ◽  
William B. Albery ◽  
Chuck Goodyear
Keyword(s):  
Motion Sickness ◽  
Opposite Direction ◽  
Vestibular System ◽  
Random Perturbation ◽  
Well Being ◽  
Vibrotactile Stimulation ◽  
Additional Training ◽  
Post Test ◽  
The Mean ◽  
Experimental Trials

The vestibular system by itself is incapable of effectively compensating for the graveyard spin illusion. We examined two countermeasures, i.e., efficacy of vibrotactile stimulation around the waist and virtual 3-D audio presented independently and jointly for controlling a simulated graveyard spin. We also examined: a) additional training with these countermeasures to improve "intuitiveness;" b) included non-perturbation trials along with perturbation trials; and c) monitored changes in well-being as measured by a motion sickness scale from pre- to post-test and immediately following each trial. Ten volunteers received two training and two test sessions. The somatogyral illusion was generated by accelerating a chair for 24 s until it attained a peak rotation of 120°/s and then stopped. Over the ensuing 40 s the chair rotated in one of two random perturbation patterns or remained stationary. During this period, participants were required to eliminate all movements of the chair by turning a knob in the opposite direction of perceived rotation. For the control trials, participants relied solely on vestibular signals to cancel perceived movements. For the experimental trials, vibrotactile stimulation around the waist, virtual 3-D audio, or both were presented. The mean Cancellation Error (CE) for the control trials was 52°/s. The application of the countermeasures significantly reduced the CE. Additional training and testing did not improve intuitiveness. Perturbations to the chair resulted in a higher CE than no perturbations. Motion sickness symptoms showed no differences from pre- to post-test and very rarely reported after each trial.

scholarly journals Burnout in the staff of a chronic care hospital

2018 ◽  
Vol 52 ◽  
pp. 45
Author(s):  
Maria Jose Merino-Plaza ◽  
Francisco Javier Carrera-Hueso ◽  
Nuria Arribas-Boscá ◽  
Amparo Martínez-Asensi ◽  
Emilia Trull-Maravilla ◽  
...  
Keyword(s):  
Chronic Care ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Average Score ◽  
Care Hospital ◽  
Cross Sectional ◽  
Mean Values ◽  
Fatigue Score ◽  
The Mean ◽  
Personal Fulfillment

OBJECTIVE: To estimate the prevalence of Burnout in a medium or long-stay hospital, to monitor its evolution and to highlight the importance of cut-off points used to avoid distortions in the interpretation of the results. METHODS: Two cross-sectional studies (2013–2016) were carried out, applying the Spanish version of the Maslach Burnout Inventory to the staff of a chronic care hospital (n = 323). Result variables were: Burnout prevalence and a high degree of affectation of the subscales and predictor variables: sociodemographic characteristics and factors that trigger and modulate the syndrome. The association between variables was quantified using odds ratio. RESULTS: The participation rate went from 31.5% to 39.3%. The professionals presented a mean level of Burnout in both moments, observing a lower degree of affectation of the depersonalization subscales and personal accomplishment in the 2016 cut-off. The average score of the subscales in 2016 was 21.5 for emotional fatigue, 4.7 for depersonalization and 41.7 for personal fulfillment, compared to the values of emotional fatigue = 21.6, depersonalization = 6.9 and personal fulfillment = 36.3 obtained in 2013. The emotional fatigue score was slightly higher than the mean value of the national studies (19.9), while the rest of the values were similar to the mean values of the studies considered. The prevalence of Burnout and the interpretation of the results varied significantly according to the cut-off points considered. In both studies, sociodemographic variables showed little significance, while social support and interpersonal relationships were associated with the degree of burnout among professionals. CONCLUSIONS: Our prevalence of Burnout was similar to that of other studies consulted, although the emotional component is more marked in our environment. The interpretation of the results varied significantly according to the cut-off points applied, due to the cross-cultural differences.

scholarly journals Burnout Rates Amongst General Orthopaedic Surgeons and Subspecialists

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0006
Author(s):  
Robert Nugent ◽  
Tara E. Gaston ◽  
Michael Markowitz ◽  
Joseph N. Daniel ◽  
Quincy Cheesman
Keyword(s):  
Sports Medicine ◽  
Demographic Data ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Older Age ◽  
Personal Accomplishment ◽  
Cross Sectional ◽  
Orthopaedic Surgeons ◽  
Factors Associated ◽  
Increased Risk

Category: Other Introduction/Purpose: Burnout affects physicians in a multitude of ways, resulting in low levels of personal accomplishment (PA), depersonalization (DP), and high emotional exhaustion (EE). Overall, burnout has a direct impact on physician well-being and can negatively impact personal relationships, contribute to drug or alcohol use, and result in reduced outcomes in the work field. Although orthopaedic surgeon burnout rates of up to 50-60% have been reported, there have been no studies comparing burnout rates by orthopaedic subspecialty. The primary goal of this study is to examine the prevalence of burnout amongst orthopedic generalists and subspecialists. Given that a multitude of factors may contribute to burnout, a secondary goal is to identify trends in demographic data that may contribute to burnout. Methods: This was a multicenter, cross-sectional study conducted from March 2019 through December 2019 involving 149 orthopaedic surgeons with all orthopaedic subspecialties represented. The survey utilized an abbreviated 12-item Maslach Burnout Inventory - Human Services Survey (aMBI-HSS) to assess burnout. The aMBI-HSS consisted of three subcategories; PA, DP, and EE, each of which represented their own burnout score. Depression was also assessed in order to identify any correlation to increased burnout. Finally, independent factors, including demographics, personal characteristics, professional characteristics, and family life/spousal support were collected to assess how they contributed to burnout. Univariate and bivariate regression was performed to identify independent variables for multivariate regression analysis. Three separate generalized linear regressions were then performed to assess which independent factors led to an increase or decrease in the EE, DP, or PA burnout scores. Results: Mean burnout amongst all respondents was 62.29%, with 16.7% screening positive for depression. Oncology (100%), Sports Medicine (67.70%), and Trauma (62.50%) were the three specialties with highest burnout. In contrast, lowest burnout rates were seen in Shoulder and Elbow (50.0%), Pediatrics (51.6%), and Foot and Ankle (53.8%). Trauma (50.0%), Oncology (40.0%), and General (20.0%) had the highest rates of depression, while Shoulder and Elbow (0.00%), Spine (0.00%), and Sports Medicine (6.5%) had the lowest rates of depression. Independent factors associated with increased risk of burnout included Oncology subspecialty, older age, and increased debt. Contrarily, independent factors associated with decreased burnout were more years in practice, more hours worked per week, more time spent with family and close friends, work environment satisfaction, and home life satisfaction. Conclusion: Burnout is a growing problem amongst physicians. This study sought to determine which orthopaedic subspecialties had the highest rates of burnout and depression, while identifying any secondary contributing factors. Our study found that orthopaedic Trauma and Oncology had the highest rates of burnout and depression. Additionally, older age and higher debt load contributed to an increased rate of burnout and depression. As this is only a small representation of the orthopaedic surgical community, larger studies are necessary to help further understand burnout and elucidate effective treatment options for orthopaedic surgeons.

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