Mindfulness and compassion training for clinicians: a qualitative study

2021 ◽  
Author(s):  
Clémence Brun ◽  
Alexis Akinyemi ◽  
Laurène Houtin ◽  
Claire Mizzi ◽  
Thierry Cardoso ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Positive Impact ◽  
Quality Care ◽  
Training Programme ◽  
Mindfulness Training ◽  
Psychological Consequences ◽  
Care Programme ◽  
Work Related ◽  
Training Programmes ◽  
High Level

Objectives: Providing quality care requires compassion, and encouraging caregivers to develop a patient-centred care relationship could be beneficial for both patients and caregivers. Such a goal can be achieved through mindfulness-based programmes, which can improve caregivers’ compassion and self-compassion. They are particularly relevant for caregivers, as they have a high risk of experiencing work-related burnout due to the high level of involvement required in their work. We hypothesised that a mindfulness training programme specifically focused on situations that are relevant for caregivers could improve patient–caregiver relationships and the care provided by the latter. Methods: We conducted a qualitative study with 10 interviews designed to explore the perceived psychological consequences of such training programmes amongst caregivers who experienced a mindfulness training programme specifically elaborated for the medical staff at APHP Sorbonne University (i.e., the Mindfulness Based (MB) CARE programme). Results: Content analysis results showed that the training had an overall positive impact on the caregivers’ ability to feel compassion toward their patients and themselves. The caregivers were more attentive to their patients and their needs, without being able to articulate how well they were paying attention to them. The programme also helped them develop kindness towards themselves and their patients. The participants were better able to accept more sympathetically the difficult experiences they might encounter in the workplace or those reported by their patients. Conclusions: We conclude that professional mindfulness training programmes could be operational levers for institutions aiming at fostering a more compassionate caregiver–patient relationship, which in turn, can improve the efficiency of care provision.

scholarly journals Work-related stress in specialists in occupational health in Croatia: a pilot study

2020 ◽  
Vol 71 (4) ◽  
pp. 375-380
Author(s):  
Azra Huršidić Radulović ◽  
Ana Marija Varošanec
Keyword(s):  
Pilot Study ◽  
Occupational Health ◽  
High Stress ◽  
Health Department ◽  
Average Score ◽  
Public Health Department ◽  
Work Related ◽  
Medium Level ◽  
Training Programmes ◽  
High Level

AbstractThe aim of this study was to assess psychosocial stress-related risks in 70 specialists in occupational health (SOHs) who answered the questionnaire designed in 2016 by the Croatian Institute of Public Health – Department of Occupational Health. The average score of 119.7 points (±28.9; range: 38–175) of maximum 275 points revealed medium level of stress. Eighteen respondents had a high level of stress (>135 points). The most prominent and the only stressor with high stress scores was pressure at work, paperwork and multitasking items in particular. After having grouped the SOHs into three groups by type of organisation in which they work, our results singled out SOHs working in public institutions as having the highest levels of stress (average of 143 points). They reported high pressure at work, work overload, and poor relationship with superiors (in terms of communication and support). SOHs working in healthcare centres and private outpatient clinics also reported higher pressure at work, but the latter had no problems with relationship with superiors, while healthcare centre SOHs complained of work underload and advancement constraints. Differences in relationship with superiors, disagreement/conflicts at work and advancement constraints reflect different organisation of work, which was confirmed by later analysis of subgroups. The findings of this pilot study could be of value for SOHs who are engaged in training programmes as examiners and educators, yet they call for further improvement of the questionnaire and for continued investigation that could give a better insight into the role of various stressors in work efficiency and satisfaction among SOHs.

scholarly journals Ten years of NIHR research training: perceptions of the programmes: a qualitative interview study

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e046410
Author(s):  
Paula Burkinshaw ◽  
Louise D Bryant ◽  
Caroline Magee ◽  
Peter Thompson ◽  
Lisa Ann Cotterill ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Research Training ◽  
Research Capacity ◽  
Training Programme ◽  
Allied Health Professionals ◽  
North West ◽  
North East ◽  
Qualitative Interview Study ◽  
Research Careers ◽  
Training Programmes

ObjectivesThe UK National Institute for Health Research (NIHR) training programmes were created to build and sustain research capacity in healthcare. Following the training programme 10-year strategic review, this qualitative study aimed to deepen understanding of facilitators and barriers for those progressing through NIHR-supported research careers.DesignSemistructured qualitative study.Data collection and analysisTelephone interviews conducted between May and August 2017 were digitally recorded, transcribed and analysed using Framework Approach.SettingUK National Health Service (NHS) Trusts, university medical schools, District General Hospitals, Integrated Academic Training Programme centres and Research Design Services across the North East, North West, South East and South West of England, London and the Midlands.ParticipantsFourteen women and eight men, of whom, 14 were previous or current NIHR personal awardees (seven doctors and seven allied health professionals (AHPs) or nurses) and eight were managers (staff within clinical or university training-related roles).Results(1) NIHR awards were viewed as transformative for research careers; (2) however, there were perceptions of a biased ‘playing field’. (3) Inequalities were perceived for AHPs and nurses, those outside of established research institutes and those in ‘unfashionable’ specialisms. (4) While support for NIHR awards contributed to a healthy research culture, (5) short-term awards were perceived as a barrier to continuing an independent research career.ConclusionsParticipants perceived many strengths of the NIHR training programmes in terms of developing individual careers and research capacity. Areas in which improvement could enhance the ability to attract, develop and retain researcher were identified. Our findings are of relevance to schemes in other countries, where healthcare researchers experience similar challenges. Further work is needed to overcome barriers and ensure equity of access to, and success within, clinical research training schemes to sustain the research workforce needed to address future global health challenges.

Supporting children to act as change agents for parents in preparing their lunch box

2019 ◽  
Vol 44 (2) ◽  
pp. 153-165 ◽  
Author(s):  
Ronit Jakobovich ◽  
Ella Shoval ◽  
Elliot M Berry ◽  
Boaz Shulruf
Keyword(s):  
Positive Impact ◽  
Change Agents ◽  
Training Programme ◽  
Control Group ◽  
Intervention Model ◽  
Post Intervention ◽  
Agents Of Change ◽  
Service Training ◽  
The Difference ◽  
Training Programmes

This study aims to examine the effects of an intervention model, Change Nutrition by Doing, in which children act as agents of change – by ‘doing’ – in taking responsibility for the contents of the lunch box they bring from home to consume at an early childhood centre. This quasi-randomised case-control trial consisted of 35 Israeli kindergartens whose teachers were participating in an in-service training programme of an intervention model for improving children’s healthy nutritional behaviour. The control group consisted of 26 kindergartens whose teachers were participating in other in-service training programmes. The intervention model ran for eight months. The quality of the contents of the children’s lunch box in the experimental groups was measured pre- and post-intervention through structured observations that yielded standardised scores. Mann-Whitney U Test for independent samples (at the kindergarten level) was employed to compare the change in lunch-box content across the controls. The results showed that in all the variables the difference between the intervention and the control kindergartens was significant, p< .002. It was concluded that the intervention had a significant positive impact on the content of the lunch boxes. This study shows the potential of supporting children to be change agents at home. In the future, there should be a follow-up of the family’s perseverance of the acquired habit.

scholarly journals Stress levels among workers: an observational study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
T Testa ◽  
M Comba ◽  
D Nicolini ◽  
C Rinaldi ◽  
A Opizzi ◽  
...  
Keyword(s):  
Observational Study ◽  
Stress Management ◽  
Perceived Stress ◽  
Positive Impact ◽  
Online Questionnaire ◽  
Work Related ◽  
Stress Levels ◽  
Psychological Distress Scale ◽  
High Level ◽  
Distress Scale

Abstract Introduction While some stress is a common part of everyday work for most people, higher or prolonged levels of stress might be harmful. Work-related stress is becoming a study subject because of its important implications: it is related to coronary heart disease and health in general and it also influences employee satisfaction and productivity. Because of this, workers should be aware of their stress levels in order to prevent disease and increase performance levels. Therefore, the aim of our study was to evaluate stress levels among employees. Methods We conducted an observational study in collaboration with Anteo, an onlus society based in Biella which employs more than 1000 workers. The first step of our study ran from December 2019 to February 2020, and included 300 workers. Informed consent was gathered trough structure chiefs prior to the intervention. We administered an online questionnaire based on the Kessler Psychological Distress Scale (K10) for screening than, subjects with a high perceived stress level were invited for a personal interview with our medical and psychological staff. Results The response rate was 31% with 94 questionnaires completed by the end of February 2020. 80% of respondents were women (75 out of 94). 17% of the employees presented a moderate to high level of stress (16 total, 72% women). Only 5% of workers presented a high level of stress (4 total, 50% women). All Patients presenting a high level of perceived stress went through medical and psychological evaluation, which confirmed the results in 88% cases (14 out of 16). Conclusions Our study evidenced that workers are often exposed to high levels of stress, which can influence health, everyday life as well as productivity. The introduction of stress management programs in companies could improve workers health and productivity having a positive impact on one's health, company productivity and society in general. Key messages The introduction of stress management programs might improve workers health and productivity. The introduction of stress management programs might have a positive impact on one’s health, company productivity and society in general.

scholarly journals What challenges did junior doctors face while working during the COVID-19 pandemic? A qualitative study

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e056122
Author(s):  
Johanna Spiers ◽  
Marta Buszewicz ◽  
Carolyn Chew-Graham ◽  
Alice Dunning ◽  
Anna Kathryn Taylor ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Coping Strategies ◽  
Lived Experience ◽  
Positive Impact ◽  
Severe Depression ◽  
Junior Doctors ◽  
New Ways Of Working ◽  
Work Related ◽  
The Uk ◽  
The Impact

ObjectivesThis paper reports findings exploring junior doctors’ experiences of working during the COVID-19 pandemic in the UK.DesignQualitative study using in-depth interviews with 15 junior doctors. Interviews were audio-recorded, transcribed, anonymised and imported into NVivo V.12 to facilitate data management. Data were analysed using reflexive thematic analysis.SettingNational Health Service (NHS) England.ParticipantsA purposive sample of 12 female and 3 male junior doctors who indicated severe depression and/or anxiety on the DASS-21 questionnaire or high suicidality on Paykel’s measure were recruited. These doctors self-identified as having lived experience of distress due to their working conditions.ResultsWe report three major themes. First, the challenges of working during the COVID-19 pandemic, which were both personal and organisational. Personal challenges were characterised by helplessness and included the trauma of seeing many patients dying, fears about safety and being powerless to switch off. Work-related challenges revolved around change and uncertainty and included increasing workloads, decreasing staff numbers and negative impacts on relationships with colleagues and patients. The second theme was strategies for coping with the impact of COVID-19 on work, which were also both personal and organisational. Personal coping strategies, which appeared limited in their usefulness, were problem and emotion focused. Several participants appeared to have moved from coping towards learnt helplessness. Some organisations reacted to COVID-19 collaboratively and flexibly. Third, participants reported a positive impact of the COVID-19 pandemic on working practices, which included simplified new ways of working—such as consistent teams and longer rotations—as well as increased camaraderie and support.ConclusionsThe trauma that junior doctors experienced while working during COVID-19 led to powerlessness and a reduction in the benefit of individual coping strategies. This may have resulted in feelings of resignation. We recommend that, postpandemic, junior doctors are assigned to consistent teams and offered ongoing support.

scholarly journals Training programme for the dissemination of climatological and meteorological applications using GIS technology

2006 ◽  
Vol 8 ◽  
pp. 19-25
Author(s):  
T. De Filippis ◽  
A. Di Vecchia ◽  
G. Maracchi ◽  
F. Sorani
Keyword(s):  
Summer School ◽  
Geographical Information Systems ◽  
Training Programme ◽  
Geographical Information ◽  
Gis Technology ◽  
Training Centre ◽  
Gis Applications ◽  
Research Activities ◽  
Training Programmes ◽  
High Level

Abstract. IBIMET-CNR is involved in making different research projects and in managing operational programmes on national and international level and has acquired a relevant training competence to sustain partner countries and improve their methodological and operational skills by using innovative tools, such as Geographical Information Systems focused on the development of meteorological and climatological applications. Training activities are mainly addressed to National Meteorological and Hydrological Services of Partner-Countries and/or to other Specialized Centers in the frame of Cooperation Programmes promoted by the Italian Ministry of Foreign Affairs mainly in favour of the Less Developing Countries (LDC) of World Meteorological Organisation (WMO) Regional Association I (Africa). The Institute, as a branch of the WMO-Regional Meteorological Training Centre for Region VI (Europe), organizes also international training courses of high-level in Meteorology, Climatology and Remote Sensing applied to environment and agriculture fields. Moreover, considering the increasing evolution of the GIS functions for meteorological information users, IBIMET has promoted in 2005 the EU COST Action 719 Summer School on "GIS applications in meteorology and climatology''. The paper offers an overview of the main institute training programmes organised to share the results of research activities and operational projects, through the exploitation of innovative technologies and tools like GIS.

scholarly journals Risk of Increased Acceptance for Organizational Nepotism and Cronyism during the COVID-19 Pandemic

Risks ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 59
Author(s):  
Grzegorz Ignatowski ◽  
Łukasz Sułkowski ◽  
Bartłomiej Stopczyński
Keyword(s):  
Qualitative Study ◽  
Quantitative Methods ◽  
Research Work ◽  
Negative Effects ◽  
Qualitative And Quantitative ◽  
Qualitative And Quantitative Methods ◽  
Work Related ◽  
Social And Economic Development ◽  
The Times ◽  
The Impact

Nepotism and cronyism are forms of favoritism towards certain people in the workplace. For this reason, they constitute a problem for organization managers, ethicists and psychologists. Identifying the impact of COVID-19 pandemic on the increase of nepotism and cronyism may provide a basis for organizations to assess their extent and to take possible measures to prevent their negative effects. At the same time, the research presented in the article may provide a basis for further research work related to nepotism and cronyism at the times of other threats, different from the pandemic. The aim of the article is to examine the impact of the COVID-19 pandemic on growing acceptance for nepotism and cronyism in Polish enterprises. Qualitative and quantitative methods have been included in the conducted research. Qualitative study aimed at improving knowledge of nepotism and cronyism and the impact of the COVID-19 pandemic on these phenomena, followed by a quantitative study conducted in order to verify the information obtained in the qualitative study. This research has demonstrated that Nepotism and cronyism in the workplace, are phenomenon that are basically evaluated negatively. They adversely influences social and economic development, but the impact of COVID-19 pandemic on nepotism and cronyism is not significant.

scholarly journals Burnout Determinants among Nurses Working in Palliative Care during the Coronavirus Disease 2019 Pandemic

2021 ◽  
Vol 18 (7) ◽  
pp. 3358
Author(s):  
José Vítor Gonçalves ◽  
Luísa Castro ◽  
Guilhermina Rêgo ◽  
Rui Nunes
Keyword(s):  
Palliative Care ◽  
Health Care Professionals ◽  
Online Survey ◽  
Three Dimensions ◽  
Linear Regression Models ◽  
Perceived Health Status ◽  
Cross Sectional ◽  
National Network ◽  
Work Related ◽  
High Level

Nurses working in palliative care are at risk of burnout. The Copenhagen Burnout Inventory was used to determine burnout levels of nurses working in the Portuguese national network of palliative care. We evaluated the contribution of personal, work, and COVID-19 variables in three burnout subclasses: personal, work, and patient-related. A cross-sectional, exploratory, and quantitative design was employed and participants were sampled using convenience and snowball technique. An online survey was conducted and 153 nurses participated in our study. Socio-demographic characterization was conducted, levels of burnout and determinants were explored through multiple linear regression models for its three dimensions. High levels of personal, working, and patient burnout were present in 71 (46%), 68 (44%), and 33 nurses (22%), respectively. Most of them agreed that COVID-19 had an impact on their activities. Significant personal and work related burnout factors found were specialization in palliative care, self-perceived health status, unit type, weekly hours of work, and allocation to COVID-19 units. Gender was found to be a significant factor in patient-related burnout. There is a high level of burnout among nurses working in the Portuguese national network of palliative care. Measures for identification and mitigation of burnout are necessary to protect health care professionals.

scholarly journals Doctor–Patient Communication in Primary Health Care: A Mixed-Method Study in Fiji

2021 ◽  
Vol 18 (14) ◽  
pp. 7548
Author(s):  
Swastika Chandra ◽  
Masoud Mohammadnezhad
Keyword(s):  
Mixed Method ◽  
Positive Impact ◽  
Quality Care ◽  
Outpatient Setting ◽  
Patient Communication ◽  
Mixed Method Study ◽  
Limited Information ◽  
Factors Affecting ◽  
Communication Behaviour ◽  
Doctor Patient Communication

From a clinical perspective, effective and efficient communication is part of a strategy to ensure doctors are providing high-quality care to their patients. Despite the positive impact of effective doctor–patient communication on health outcomes, limited information is available on this in Fiji. This study was carried out to determine the current patients’ perception of doctors’ communication behaviour and identify factors affecting the doctor–patient communication in Fiji. This mixed-method study was conducted in the outpatient setting of three randomly selected health centres in the Suva Subdivision, Fiji. For the quantitative phase, systematic random sampling was used to select the 375 participants who completed the structured questionnaire; of those, 20 participants were selected for the qualitative interview. From the patients’ perception, 45.6% of them perceived doctors’ communication behaviour as good, 53.6% as fair, and 0.8% as poor communication behaviour. Qualitative findings highlight factors such as the attitude of the doctors, their approach, their interaction with the patients, and them providing an explanation as important factors during doctor–patient communication. In Fiji, the majority of patients perceived doctors’ communication behaviour as fair to good and the doctors’ skills were important for effective doctor–patient communication. This study highlighted the importance of doctor–patient communication and suggested that doctors might not be practicing patient-centred care and communication; thus, they need to upgrade their patient-centred communication skills.

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