Braganza Shahina, Young Jessica, Sweeny Amy, Brazil Victoria
Emergency Department, Gold Coast Hospital and Health Service, Gold Coast, Queensland, Australia.
Research Support Network, Emergency Medicine Foundation, Brisbane, Queensland, Australia.
Emerg Med Australas. 2018 Oct;30(5):678-686. doi: 10.1111/1742-6723.12977. Epub 2018 Mar 30.
ED staff are subject to many stressors, but there are few descriptions of collective approaches to enhancing wellness in this setting. We aim to describe a programme developed to address these issues at department level, to report the feasibility and sustainability of the programme, and its impact on staff.
The oneED programme was developed and delivered in a tertiary ED. The programme included a 1 day mindfulness workshop, followed by ongoing mindfulness activities embedded in clinical areas over the subsequent 12 months. A mixed-methods evaluation of the programme was conducted, which included quantitative validated psychological tools to measure anxiety, depression and emotional exhaustion, and pragmatic evaluation using surveys of participants and iterative appreciative inquiry.
Eighty staff members attended the mindfulness workshop; 66 from ED. Following the workshop, understanding and frequency of mindfulness practice increased significantly in 47% of participants. Free-text survey results demonstrated that staff found the programme to be acceptable (80% survey participants) and of perceived value to themselves (50%) and the ED (60%). Appreciative inquiry led to modification of the programme: the 4 min pause is now conducted weekly rather than daily, the pause consists of a variety of activities, and group activities are made more overtly optional.
A departmental wellness programme embedding mindfulness practice is feasible and sustainable. Potential for success is enhanced by an approach that is open to modification according to each institution's culture.
急诊科工作人员面临诸多压力源，但鲜有关于在此环境中提升健康水平的集体方法的描述。我们旨在描述一个为解决部门层面这些问题而制定的项目，报告该项目的可行性和可持续性及其对工作人员的影响。
oneED项目在一家三级急诊科制定并实施。该项目包括为期1天的正念工作坊，随后在接下来的12个月里在临床区域开展持续的正念活动。对该项目进行了混合方法评估，其中包括使用经过验证的定量心理工具来测量焦虑、抑郁和情绪耗竭，并通过对参与者的调查和迭代式积极探询进行务实评估。
80名工作人员参加了正念工作坊；其中66名来自急诊科。工作坊结束后，47%的参与者对正念练习的理解和频率显著增加。自由文本调查结果显示，工作人员认为该项目是可接受的（80%的调查参与者），对自身（50%）和急诊科（60%）有感知价值。积极探询导致了项目的修改：现在4分钟的暂停改为每周进行一次而非每天一次，暂停包括各种活动，并且团体活动更明显地改为可选择参加。
一个融入正念练习的部门健康项目是可行且可持续的。根据每个机构的文化开放进行修改的方法会增强成功的可能性。
