Department of Internal Medicine, Boonshoft School of Medicine, Wright State University, Dayton, Ohio, United States of America.
Nurse Scientist- Premier Health Nursing Research, Miami Valley Hospital, Dayton, Ohio, United States of America.
PLoS One. 2024 Jun 7;19(6):e0304093. doi: 10.1371/journal.pone.0304093. eCollection 2024.
To investigate whether Heartfulness meditation practice, compared to Gratitude practice, leads to measurable changes in mental wellbeing among healthcare providers across the US.
Participants were randomly assigned to one of the following 6-week interventions: the trainer-guided virtual Heartfulness meditation program or the podcast-based self-guided gratitude practice group. The Professional Quality of Life Scale-5 (ProQOL-5) was used to determine Compassion Satisfaction (CS) and risk for Burnout (BO) and secondary traumatic stress (STS). The Utrecht Work Engagement Scale (UWES) was used to assess vigor, dedication, and absorption at work. Outcomes were collected at baseline and the end of the study period. Qualitative questions regarding the experience of learning and practicing were also offered at the end of the six weeks.
The majority of participants were nurses (50%), followed by allied healthcare professionals (37%) and physicians (13%) (N = 83). There was a general trend towards increases in CS in the Heartfulness group compared to the gratitude group. However, this was not statistically significant. Strong evidence suggests there was a significant improvement in BO for the Heartfulness group between Week 0 and Week 6 (p = 0.002), as well as STS (p = 0.0004) and vigor (p = 0.0392). Qualitative data analysis revealed that the subjects in the Heartfulness arm reported improved sleep and decreased reactivity to stress. Subjects in the gratitude arm reported improved mood and favorable results using gratitude practices at home with family members.
In our study, Heartfulness meditation practice was associated with a significant improvement in burnout and vigor at work, with a trend towards compassion satisfaction after six weeks compared with gratitude practices. Qualitative analysis indicates the benefits of both Heartfulness and Gratitude practices. Further randomized trials with a larger sample size are needed to explore these science-based practices for the wellbeing of healthcare workers.
探究与感恩练习相比,美国医疗保健提供者进行静心冥想练习是否会对心理健康产生可衡量的变化。
参与者被随机分配到以下 6 周干预措施之一:由培训师指导的虚拟静心冥想计划或基于播客的自我引导感恩练习组。使用职业生活质量量表-5(ProQOL-5)来确定同情满足感(CS)和倦怠(BO)和二次创伤性应激(STS)的风险。使用乌得勒支工作投入量表(UWES)评估工作中的活力、专注和投入。在基线和研究结束时收集结果。还在六周结束时提供了关于学习和实践经验的定性问题。
大多数参与者是护士(50%),其次是联合医疗保健专业人员(37%)和医生(13%)(N=83)。与感恩组相比,静心组的 CS 普遍呈上升趋势。然而,这在统计学上并不显著。有强有力的证据表明,静心组在第 0 周到第 6 周之间的 BO 有显著改善(p=0.002),STS(p=0.0004)和活力(p=0.0392)也有显著改善。定性数据分析显示,静心组的受试者报告说睡眠质量提高,对压力的反应性降低。感恩组的受试者报告说情绪改善,并且在家中与家人一起使用感恩练习的效果良好。
在我们的研究中,与感恩练习相比,静心冥想练习与工作倦怠和活力的显著改善相关,与六周后同情满足感的趋势相关。定性分析表明,静心和感恩练习都有好处。需要进一步进行更大样本量的随机试验,以探索这些基于科学的练习对医疗保健工作者的健康益处。