Health Care Providers

The Impact of an Innovative Mindfulness-Based Stress Reduction Program on the Health and Well-Being of Nurses Employed in a Corporate Setting

Bazarko, D., Cate, R.A., Azocar, F., and Kreitzer, M.J., Journal Workplace Behavioral Health, April 2013, 28(2): 107–133. Published online 2013 Apr 19. doi:  10.1080/15555240.2013.779518

This study implemented an innovative new model of delivering a Mindfulness-Based Stress Reduction (MBSR) program that replaces six of the eight traditional in-person sessions with group telephonic sessions (tMBSR) and measured the program’s impact on the health and well-being of nurses employed within a large health care organization. As part of a nonrandomized pre–post intervention study, 36 nurses completed measures of health, stress, burnout, self-compassion, serenity, and empathy at three points in time. Between baseline (Time 1) and the end of the 8-week tMBSR intervention (Time 2), participants showed improvement in general health, t(37) = 2.8, p < .01, decreased stress, t(37) = 6.8, p < .001, decreased work burnout, t(37) = 4.0, p < .001, and improvement in several other areas. Improvements were sustained 4 months later (Time 3), and individuals who continued their MBSR practice after the program demonstrated better outcomes than those that did not. Findings suggest that the tMBSR program can be a low cost, feasible, and scalable intervention that shows positive impact on health and well-being, and could allow MBSR to be delivered to employees who are otherwise unable to access traditional, on-site programs.

A Mindfulness course decreases burnout and improves well-being among healthcare providers

Goodman, M.J., Schorling, J.B., International Journal of Psychiatry in Medicine, Vol. 43:2, January 2012, 119-128

Conclusion: A continuing education course based on Mindfulness-based stress reduction was associated with significant improvements in burnout scores and mental well-being for a broad range of healthcare providers.

Chapter 42. Self-Care of Physicians Caring for Patients at the End of Life: “Being Connected…A Key to My Survival

Michael K. Kearney, MD, Radhule B. Weininger, MD, PhD, Mary L. S. Vachon, RN, PhD, Richard L. Harrison, PhD, Balfour M. Mount, MD

From: Care at the Close of Life: Evidence and Experience by Stephen J. McPhee, Margaret A. Winker, Michael W. Rabow and Steven Z. Pantilat (Oct 4, 2010)

This book chapter is a comprehensive look at burnout and compassion fatigue. It describes the mitigating factors and explains how using mindfulness meditation can enhance self care. There is an extensive bibliography.

Mindfulness-Based Stress Reduction for Health Care Professionals: Results from a Randomized Trial

Shapiro, S.L., Astin, J.A., Bishop, S.R., Cordova, M. (2005).  International Journal of Stress Management, 12:2, 164-176. doi: 10.1037/1072-5245.12.2.164

The study examined the effects of MBSR on job burnout and psychological distress in health care professionals currently involved in clinical work. There were significant differences in Perceived Stress reduction (27% versus 7%) and increase Self-Compassion (22% versus 33%) in the MBSR intervention group compared with a control group. In the MBSR group 88% of the participants improved their stress scores while 90% demonstrated increases in self-compassion. In addition, MBSR participants demonstrated trends toward greater positive changes in all dependent variables: greater satisfaction with life (19% versus 0%), decreased job burnout (10% versus 4%) and decreased distress (23% versus 11%). Qualitative responses to open ended questions suggest further benefits of the mindfulness intervention, i.e. What effects did the MBSR program have on your life?” suggests that the intervention had a significant positive impact on their lives. Responses to, “On a scale of 1-10, what impact did the MBSR program have on your life?”, there was a mean rating for the intervention group of 9.2, demonstrating the MBSR course did substantially impact participants lives.

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