Freedenberg Vicki A, Jiang JiJi, Cheatham Carla A, Sibinga Erica Ms, Powell Cynthia A, Martin Gerard R, Steinhorn David M, Kemper Kathi J
Division of Cardiology, Children's National Health System, Washington, District of Columbia.
Department of Pediatrics, The George Washington University, Washington, District of Columbia.
Glob Adv Health Med. 2020 Sep 22;9:2164956120959272. doi: 10.1177/2164956120959272. eCollection 2020.
Stress and burnout among medical professionals are common and costly, placing professionals, organizations, and patients at risk.
To determine feasibility and acceptability of a longitudinal mind-body skills training initiative to help staff decrease stress and burnout, improve well-being, and empower them to utilize basic mindfulness methods with coworkers, patients, and families.
Prospective cohort, mixed methods approach. Nurses, doctors, technicians, social workers, child life specialists were eligible to participate. The 12-month curriculum consisted of 16 hours of intensive education/practice over 2 days, with training in mindfulness skills, self-compassion, nonviolent communication, overcoming barriers to practice, and mindful listening/speaking, followed by monthly 1 hour booster/debriefing sessions.
A total of 37 staff participated (RN = 18, MD = 5, Technician = 6, Social Worker = 3, Child life = 3, others = 2) in the initial training, and 24 (65%) completed the 3- and 12-month follow-up surveys. Compared with pretraining scores, there were significant improvements 3 to 12 months after the initial training in stress ( < .0001), distress ( ≤ .04), anxiety ( = .01), self-efficacy in providing non-drug therapies ( < .0001), mindfulness ( = .002), burnout ( < .0001), and confidence in providing compassionate care ( < .0001). In addition, 25 (67%) participants initiated projects incorporating what they learned into staff/patient wellness activities.
This longitudinal pilot program was feasible and was associated with improvements in measures of psychological well-being over the 12-month intervention. The innovative approach of training participants to teach basic techniques to coworkers and other staff can increase the impact of this program beyond any individual participant. Future research will investigate the aspects of implementation and potential effects on patient care and experience.
医疗专业人员的压力和职业倦怠很常见且代价高昂，会使专业人员、机构和患者面临风险。
确定一项纵向身心技能培训计划的可行性和可接受性，以帮助员工减轻压力和职业倦怠，改善幸福感，并使他们有能力与同事、患者和家属运用基本的正念方法。
前瞻性队列研究，采用混合方法。护士、医生、技术人员、社会工作者、儿童生活专家有资格参与。为期12个月的课程包括在2天内进行16小时的强化教育/实践，内容包括正念技能、自我同情、非暴力沟通、克服实践障碍以及正念倾听/表达，随后每月进行1小时的强化/汇报会。
共有37名员工参加了初始培训（注册护士 = 18名，医生 = 5名，技术人员 = 6名，社会工作者 = 3名，儿童生活专家 = 3名，其他 = 2名），24名（65%）完成了3个月和12个月的随访调查。与培训前得分相比，初始培训后3至12个月，在压力（<.0001）、痛苦（≤.04）、焦虑（=.01）、提供非药物治疗的自我效能感（<.0001）、正念（=.002）、职业倦怠（<.0001）以及提供富有同情心护理的信心（<.0001）方面有显著改善。此外，25名（67%）参与者启动了将所学内容纳入员工/患者健康活动的项目。
这项纵向试点项目是可行的，并且在12个月的干预期间与心理健康指标的改善相关。培训参与者向同事和其他员工传授基本技巧的创新方法可以使该项目的影响超出任何单个参与者。未来的研究将调查实施方面以及对患者护理和体验的潜在影响。
