Holistic Nursing in Practice: Mindfulness-Based Yoga as an Intervention to Manage Stress and Burnout

2020 ◽  
pp. 089801012092158
Author(s):  
Kelly Hilcove ◽  
Catherine Marceau ◽  
Prachi Thekdi ◽  
Linda Larkey ◽  
Melanie A. Brewer ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Perceived Stress ◽  
Short Form ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Control Group ◽  
Medical Outcomes ◽  
Yoga Intervention ◽  
Stress Scale ◽  
Outcomes Study

Purpose Effects of a mindfulness-based (MB) yoga practice on stress, burnout, and indicators of well-being among nurses and health care professionals (HCPs). Design A randomized controlled trial, 80 HCPs assigned to either MB yoga intervention or control group. Method The MB yoga intervention group ( n = 41) attended weekly yoga classes and practiced yoga independently. The control group ( n = 39) did not receive the yoga intervention. Study participants completed pre- and postintervention questionnaires, instruments included (a) Perceived Stress Scale; (b) Maslach Burnout Inventory; (c) Vitality subscale of the Medical Outcomes Study Short Form–36; (d) Global Sleep Quality item, (e) Mindfulness Awareness Survey, and (f) subscale of the Brief Serenity Scale. Diurnal salivary cortisol and blood pressure were assessed pre and postintervention. Results Significant improvements ( p < .01) noted in MB yoga compared with control for self-reported factors, including stress (Perceived Stress Scale), burnout (Maslach Burnout Inventory), vitality (Medical Outcomes Study Short Form–36), sleep (GSQ), serenity/inner haven (IH), and mindfulness (Mindfulness Awareness Survey). Diurnal cortisol slopes and blood pressure were not significantly improved. Conclusion The MB yoga intervention had a statistically significant effect on the health and well-being of nurses and HCPs, most specifically for measures of stress; perceived stress, burnout, vitality, sleep quality, serenity, and mindfulness.

scholarly journals HEALTH-RELATED QUALITY OF LIFE OF PATIENTS WITH PERMANENT CARDIAC PACING

2020 ◽  
Vol 29 ◽  
Author(s):  
Sumaya dos Santos Gonçalo ◽  
Elisa Maia de Oliveira Grotti ◽  
Rejane Kiyomi Furuia ◽  
Rosana Aparecida Spadoti Dantas ◽  
Lídia Aparecida Rossi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Short Form ◽  
Cardiac Pacemaker ◽  
Well Being ◽  
Health Related Quality ◽  
Medical Outcomes ◽  
Related Quality ◽  
Health Related ◽  
Outcomes Study

ABSTRACT Objective: to assess the health-related quality of life of patients with a permanent cardiac pacemaker. Method: descriptive, observational, cross-sectional study conducted in the arrhythmia outpatient unit of a university hospital located in the interior of São Paulo, Brazil. The consecutive and non-probabilistic sample was composed of both sexes, older than 29 years old, having a pacemaker for at least one month. Those lacking the cognitive condition to answer the questionnaires, as well as those with dyspnea, weakness, or fatigue at the time the instruments were applied, or with an implantable cardioverter defibrillator, were excluded. The generic instrument Medical Outcomes Study 36 - Item Short-Form Health Survey, composed of 36 questions distributed into eight domains along with the specific instrument Assessment of Quality of Life and Related Events, composed of 20 questions distributed into three domains, were used to assess health-related quality of life. Results: 88 patients participated; most were men, had a partner, and were aged 64.3 (±13) years old on average. The domains from the Medical Outcomes Study 36 that obtained the highest means, that is, were the best-rated, were Social Functioning (78.1; ±26.8) and Emotional Well-Being (68.2; ±23.9), while the lowest means were obtained by Physical Health (48.2; ±41.4) and Physical Functioning (58.5; ±27.9). In regard to the Assessment of Quality of Life and Related Events, the Arrhythmia domain had the highest mean and best quality of life (78.2; ±20.7), while the lowest mean was Dyspnea (71.1; ±26.8). Conclusion: the patients gave the highest health-related quality of life ratings in regard to mental domains and the lowest ratings for the physical domains.

Participation in a Yoga Study Decreases Stress and Depression Scores for Incarcerated Women

2020 ◽  
Author(s):  
Traci H. Lundstrom ◽  
Courtney A. Rocheleau ◽  
Dimpna Flores Guerra ◽  
Cynthia A. Erickson
Keyword(s):  
Perceived Stress ◽  
Stress Reduction ◽  
Program Analysis ◽  
Well Being ◽  
Incarcerated Women ◽  
Control Group ◽  
Yoga Intervention ◽  
Transient Nature ◽  
Before And After ◽  
Term Basis

Abstract Incarcerated individuals exhibit a high incidence of stress-related disorders, including addiction and posttraumatic stress disorder (PTSD), as well as the added stress of captivity. Access to stress-reduction tools is limited for these individuals. One possible approach may be regular structured yoga classes. Using two approaches, we tested the effectiveness of a brief, intensive yoga intervention in a population of incarcerated women in a county jail. The first approach was an examination of archival data collected as part of a program analysis. Individuals showed considerable reduction in self-reported stress following a single yoga session. The second approach was an experimental study using a week-long yoga intervention. Thirty-four participants were assigned to either the yoga or control group for the first week. In the second week, the conditions were reversed. Participants were assessed weekly, before and after intervention. Baseline scores revealed high rates of depression, stress, and exposure to traumatic life events compared to normative data. Stress and depression were assessed using the Perceived Stress Scale and Beck Depression Inventory, respectively. Compared to controls, participants reported less depression after a week of daily yoga sessions. Perceived stress declined under both control and yoga conditions. Due to the transient nature of the jail institution, it is important to examine interventions that can be provided on a short-term basis. Although there were limitations in this study, the results support the conclusion that the brief yoga intervention had a positive effect on participants’ well-being.

PFLEGEprevent – Präventiv der Arbeitsbelastung von Pflegekräften begegnen. Ergebnisse einer randomisiert kontrollierten Interventionsstudie zur Wirksamkeit einer Präventionsmaßnahme für Pflegekräfte

2020 ◽  
Author(s):  
Veronika Ehegartner ◽  
Michaela Kirschneck ◽  
Eva M Wilhelm ◽  
Dieter Frisch ◽  
Angela Schuh ◽  
...  
Keyword(s):  
Perceived Stress ◽  
Short Form ◽  
Well Being ◽  
Short Form Health Survey ◽  
Work Ability Index ◽  
Stress Scale ◽  
Form Health ◽  
Ability Index ◽  
Short Form Health

Zusammenfassung Hintergrund Pflegekräfte in Deutschland sind zunehmend von physischen und psychischen Belastungen beeinträchtigt, was sich negativ in den Krankheitstagen und Frühberentungszahlen niederschlägt. Im Projekt PFLEGEprevent wurde ein Präventionsprogramm entwickelt, das auf die speziellen Bedürfnisse des Pflegepersonals ausgerichtet ist, damit deren Ressourcen im Umgang mit Arbeitsbelastungen und Herausforderungen des beruflichen Alltags gestärkt werden. Das Präventionsprogramm wurde in einer RCT mit Pflegekräften implementiert und auf seine Wirksamkeit in den Bereichen Stress, Arbeitsfähigkeit und Lebensqualität hin evaluiert. Methodik Die randomisiert kontrollierte Interventionsstudie wurde im Wartegruppendesign mit 6 Erhebungszeitpunkten über 9 Monate durchgeführt. Die Datenerhebung der Zielgrößen erfolgte über validierte Instrumente: Perceived Stress Questionnaire (PSQ), Perceived Stress Scale (PSS), Work Ability Index (WAI), Erholungs-Belastungs-Fragebogen für den Arbeitskontext (EBF-Work 27), Short-Form-Health Survey (SF-12) und WHO-Five Well-Being Index (WHO-5). Neben deskriptiven Analysen wurde der t-Test für unabhängige Stichproben verwendet, um die Veränderungen in der primären und den sekundären Zielgrößen zwischen den Studiengruppen zu vergleichen. Ergebnisse Es nahmen 125 (92% weiblich, Durchschnittsalter 46,7 Jahre) Pflegekräfte an der Studie teil. Es zeigten sich signifikante Gruppenunterschiede in den Veränderungen der Zielgröße zu den Follow-up-Messungen bis zu 9 Monaten. Besonders das Stressempfinden reduzierte sich in der Interventionsgruppe langfristig. Das allgemeine Wohlbefinden in dieser Gruppe verbesserte sich zu allen Erhebungszeitpunkten signifikant zum Ausgangswert. Schlussfolgerung Die Evaluation des Präventionsprogrammes zeigte noch nach 9 Monaten einen positiven Effekt in der gemessenen Zielgröße PSQ zum Stresserleben. In den weiteren Zielgrößen konnten signifikante Gruppenunterschiede zu den Nacherhebungszeitpunkten nach 1 und 3 Monaten gezeigt werden.

scholarly journals Greater Experience of Negative Non-Target Emotions by Patients with Neurodegenerative Diseases Is Related to Lower Emotional Well-Being in Caregivers

2017 ◽  
Vol 44 (5-6) ◽  
pp. 245-255 ◽  
Author(s):  
Kuan-Hua Chen ◽  
Jenna L. Wells ◽  
Marcela C. Otero ◽  
Sandy J. Lwi ◽  
Claudia M. Haase ◽  
...  
Keyword(s):  
Neurodegenerative Diseases ◽  
Short Form ◽  
Well Being ◽  
Future Research ◽  
Medical Outcomes ◽  
Positive Target ◽  
Survey Results ◽  
Outcomes Study ◽  
Patients Experience ◽  
Short Form Health

Background: Behavioral symptoms in patients with neurodegenerative diseases can be particularly challenging for caregivers. Previously, we reported that patients with frontotemporal dementia (FTD) and Alzheimer's disease (AD) experienced emotions that were atypical or incongruent with a given situation (i.e., non-target emotions). Aim: We tested the hypothesis that greater experience of non-target emotions by patients is associated with lower caregiver emotional well-being. Methods: 178 patients with FTD, AD, or other neurodegenerative diseases and 35 healthy individuals watched 3 films designed to induce amusement, sadness, and disgust, and then reported their emotions during the films. Caregivers of the patients reported their own emotional well-being on the Medical Outcomes Study 36-item Short-Form Health Survey. Results: In response to the amusement and sadness (but not disgust) films, greater experience of non-target emotions by patients was related to lower caregiver emotional well-being. These effects were specific to patients' experience of negative non-target emotions (i.e., not found for positive non-target emotions or for negative or positive target emotions). Conclusion: The findings reveal a previously unstudied patient behavior that is related to worse caregiver emotional well-being. Future research and clinical assessment may benefit from evaluating non-target emotions in patients.

Functional status and well-being in patients with glaucoma as measured by the medical outcomes study Short Form-36 questionnaire

Ophthalmology ◽  
1998 ◽  
Vol 105 (11) ◽  
pp. 2112-2116 ◽  
Author(s):  
M.Roy Wilson ◽  
Anne L Coleman ◽  
Fei Yu ◽  
Eric G Bing ◽  
Irene Fong Sasaki ◽  
...  
Keyword(s):  
Functional Status ◽  
Short Form ◽  
Well Being ◽  
Medical Outcomes ◽  
Short Form 36 ◽  
Outcomes Study

Exploring the associations between spiritual well-being, burden, and quality of life in family caregivers of cancer patients

2018 ◽  
Vol 17 (03) ◽  
pp. 294-299 ◽  
Author(s):  
Roberta Spatuzzi ◽  
Maria Velia Giulietti ◽  
Marcello Ricciuti ◽  
Fabiana Merico ◽  
Paolo Fabbietti ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Family Caregivers ◽  
Caregiver Burden ◽  
Short Form ◽  
Well Being ◽  
Medical Outcomes ◽  
Spiritual Well Being ◽  
Outcomes Study

AbstractObjectiveThe spiritual dimension is important in the process of coping with stress and may be of special relevance for those caring for cancer patients in the various phases of caregivership, although current attention is most prevalent at the end of life. This study explores the associations among spiritual well-being (SWB), caregiver burden, and quality of life (QoL) in family caregivers of patients with cancer during the course of the disease.MethodThis is a cross-sectional study. All participants (n = 199) underwent the following self-report questionnaires: the SWB-Index, the Medical Outcomes Study Short Form, and the Caregiver Burden Inventory (CBI). SWB scores were dichotomized at a cutoff corresponding to the 75th percentile. Statistical analyses were made using the Student t or by chi-square test to compare high and low SWB groups.ResultThe high SWB group reported significantly better Medical Outcomes Study Short Form scores in bodily pain (p = 0.035), vitality (p &lt; 0.001), social activities (p = 0.001), mental health (p &lt; 0.001), and in standardized mental component subscales (p &lt; 0.001) than the low SWB group. No significant differences were detected between the two SWB groups in physical activity, physical role, general health, emotional status, and standardized physical component scale. The high SWB group also had better CBI scores in the physical (p = 0.049) and developmental burden (p = 0.053) subscales. There were no significant differences in the other CBI scores (overall and sections).Significance of resultsThis study points out that high SWB caregivers have a more positive QoL and burden. Knowledge of these associations calls for more attention on the part of healthcare professionals toward spiritual resources among family cancer caregivers from the moment of diagnosis and across the entire cancer trajectory.

Burnout of the Mind – Burnout of the Body?

2018 ◽  
Vol 32 (1) ◽  
pp. 30-42 ◽  
Author(s):  
Claudia Traunmüller ◽  
Kerstin Gaisbachgrabner ◽  
Helmut Karl Lackner ◽  
Andreas R. Schwerdtfeger
Keyword(s):  
Blood Pressure ◽  
Allostatic Load ◽  
Maslach Burnout Inventory ◽  
The Body ◽  
Lower Percentage ◽  
Control Group ◽  
Urinary Catecholamines ◽  
Morning Cortisol ◽  
The Mind ◽  
Cortisol Increase

Abstract. In the present paper we investigate whether patients with a clinical diagnosis of burnout show physiological signs of burden across multiple physiological systems referred to as allostatic load (AL). Measures of the sympathetic-adrenergic-medullary (SAM) axis and the hypothalamic-pituitary-adrenal (HPA) axis were assessed. We examined patients who had been diagnosed with burnout by their physicians (n = 32) and were also identified as burnout patients based on their score in the Maslach Burnout Inventory-General Survey (MBI-GS) and compared them with a nonclinical control group (n = 19) with regard to indicators of allostatic load (i.e., ambulatory ECG, nocturnal urinary catecholamines, salivary morning cortisol secretion, blood pressure, and waist-to-hip ratio [WHR]). Contrary to expectations, a higher AL index suggesting elevated load in several of the parameters of the HPA and SAM axes was found in the control group but not in the burnout group. The control group showed higher norepinephrine values, higher blood pressure, higher WHR, higher sympathovagal balance, and lower percentage of cortisol increase within the first hour after awakening as compared to the patient group. Burnout was not associated with AL. Results seem to indicate a discrepancy between self-reported burnout symptoms and psychobiological load.

The Effects of a Caffeine Placebo and Experimenter Expectation on Blood Pressure, Heart Rate, Well-Being, and Cognitive Performance

2001 ◽  
Vol 6 (1) ◽  
pp. 15-25 ◽  
Author(s):  
Harald Walach ◽  
Stefan Schmidt ◽  
Yvonne-Michelle Bihr ◽  
Susanne Wiesch
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Cognitive Task ◽  
Well Being ◽  
Control Group ◽  
Double Blind ◽  
Main Effect ◽  
The Difference ◽  
Being There ◽  
To Receive

We studied the effect of experimenter expectations and different instructions in a balanced placebo design. 157 subjects were randomized into a 2 × 4 factorial design. Two experimenters were led to expect placebos either to produce physiological effects or not (pro- vs. antiplacebo). All subjects except a control group received a caffeine placebo. They were either made to expect coffee, no coffee, or were in a double-blind condition. Dependent measures were blood pressure, heart rate, well-being, and a cognitive task. There was one main effect on the instruction factor (p = 0.03) with the group “told no caffeine” reporting significantly better well-being. There was one main effect on the experimenter factor with subjects instructed by experimenter “proplacebo” having higher systolic blood pressure (p = 0.008). There was one interaction with subjects instructed by experimenter “proplacebo” to receive coffee doing worse in the cognitive task than the rest. Subjects instructed by experimenter “antiplacebo” were significantly less likely to believe the experimental instruction, and that mostly if they had been instructed to receive coffee. Contrary to the literature we could not show an effect of instruction, but there was an effect of experimenters. It is likely, however, that these experimenter effects were not due to experimental manipulations, but to the difference in personalities.

scholarly journals Effects of an 8-Week Yoga-Based Physical Exercise Intervention on Teachers’ Burnout

2021 ◽  
Vol 13 (4) ◽  
pp. 2104
Author(s):  
Francesca Latino ◽  
Stefania Cataldi ◽  
Francesco Fischetti
Keyword(s):  
Physical Exercise ◽  
Exercise Intervention ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Emotional Awareness ◽  
Body Awareness ◽  
Control Group ◽  
Professional Burnout ◽  
Yoga Practice ◽  
Professional Educators

The purpose of this quasi-experimental study was to investigate the efficacy of an 8-week yoga-based physical exercise program to improve mental and emotional well-being and consequently reduce burnout among teachers. We considered yoga because it is a discipline that enhances body awareness and encourages the contact with nature and the respect for every form of life, with a view to a more sustainable and greener global system. We recruited 40 professional educators (40–47 years), teachers in a public high school who reported perceiving signs of stress and emotional discomfort. We randomly assigned the 40 professional educators to either an experimental yoga practice (~60 min, twice a week) group (n = 20) or a control group (n = 20) that received a nonspecific training program (~60 min, twice a week). At baseline and after training we administered the Maslach Burnout Inventory: Educators Survey (MBI-ES) and the State Mindfulness Scale (SMS) to assess teachers’ perceived level of awareness and professional burnout. We found a significant Time × Group interaction for the MBI-ES and SMS, reflecting a meaningful experimental group improvement (p < 0.001). No significant pre–post changes were found in the control group. The results suggest that an 8-week yoga practice could aid teachers to achieve a greater body and emotional awareness and prevent professional burnout.

Yoga as a Preventive Health Care Program for White and Black Elders: An Exploratory Study

1983 ◽  
Vol 17 (3) ◽  
pp. 169-176 ◽  
Author(s):  
David Haber
Keyword(s):  
Blood Pressure ◽  
Low Income ◽  
Blood Pressure Level ◽  
Well Being ◽  
Daily Basis ◽  
Pressure Level ◽  
Control Group ◽  
Daily Routine ◽  
Psychological Well Being ◽  
Black Elders

A ten-week yoga program was implemented with sixty-one white and forty-five low-income black elders at two community sites, along with a pretest-posttest control group research design with random assignment at each site. White elders attended class regularly, practiced yoga on their own on a daily basis, improved psychological well-being, and lowered their systolic blood pressure level, in comparison to a control group. Black elders, on the other hand, attended the once-a-week class regularly but did not practice on their own on a daily basis. Thus, they did not improve psychological well-being nor reduce blood pressure level in comparison to a control group. Social analysts suggest that low-income minority elders need more frequent contact with structured leadership in order to adhere to a daily routine that may lead to psychological and physical change. Other directions for controlled follow-up studies are suggested.

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