A Mindfulness Intervention for Residents: Relevance for Pediatricians

Taylor, Mallory; Hageman, Joseph R; Brown, Melanie

doi:10.3928/19382359-20160912-01

Cited by 46 publications

(83 citation statements)

References 16 publications

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“…In all but one study, participation in the MBI was voluntary and based on self‐selection. Response rates for survey completion were between 75% and 100% in seven studies, between 50% and 74% in three studies, and below 50% (or were not reported) in 14 studies . Eight were multicentre studies .…”

Section: Resultsmentioning

confidence: 89%

“…Scores for the quality of the studies ranged between 6.5 and 14.5 on the MERSQI scale; the mean score was 9.9, reflecting average quality (Table S2) . The eligible studies included seven randomised controlled trials (RCTs), three non‐randomised controlled trials (CTs), 12 pre‐post studies, and two qualitative interview studies (Table ). Of the RCTs and CTs, four studies employed a waitlist control condition, four studies employed a passive control condition, and two studies exposed controls to protected free time during the intervention period .…”

Section: Resultsmentioning

confidence: 99%

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The impact of mindfulness‐based interventions on doctors’ well‐being and performance: A systematic review

et al. 2019

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Objectives:The well-being of doctors is at risk, as evidenced by high burnout rates amongst doctors around the world. Alarmingly, burned-out doctors are more likely to exhibit low levels of professionalism and provide suboptimal patient care. Research suggests that burnout and the well-being of doctors can be improved by mindfulness-based interventions (MBIs). Furthermore, MBIs may improve doctors' performance (eg in empathy). However, there are no published systematic reviews that clarify the effects of MBIs on doctor well-being or performance to inform future research and professional development programmes. We therefore systematically reviewed and narratively synthesised findings on the impacts of MBIs on doctors' well-being and performance. Methods:We searched PubMed and PsycINFO from inception to 9 May 2018 and independently reviewed studies investigating the effects of MBIs on doctor wellbeing or performance. We systematically extracted data and assessed study quality according to the Medical Education Research Study Quality Instrument (MERSQI), and narratively reported study findings. Results:We retrieved a total of 934 articles, of which 24 studies met our criteria; these included randomised, (un)controlled or qualitative studies of average quality. Effects varied across MBIs with different training contents or formats: MBIs including essential mindfulness training elements, or employing group-based training, mostly showed positive effects on the well-being or performance of doctors across different educational and hospital settings. Doctors perceived both benefits (enhanced self-and otherunderstanding) and challenges (time limitations and feasibility) associated with MBIs.Findings were subject to the methodological limitations of studies (eg the use of selfselected participants, lack of placebo interventions, use of self-reported outcomes). Conclusions: This review indicates that doctors can perceive positive impacts ofMBIs on their well-being and performance. However, the evidence was subject to methodological limitations and does not yet support the standardisation of MBIs in professional development programmes. Rather, health care organisations could consider including group-based MBIs as voluntary modules for doctors with specific well-being needs or ambitions regarding professional development. | 139 SCHEEPERS Et al.

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Section: Resultsmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 99%

The impact of mindfulness‐based interventions on doctors’ well‐being and performance: A systematic review

et al. 2019

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“…[40][41][42][43][44] More feasible interventions, such as 10-20 minute mindfulness meditation for 30 days and a one-hour online module focusing on "mindbody skills training," have also been demonstrated to reduce stress and burnout. [45][46][47][48][49][50][51][52] Mindfulness and self-awareness can be enhanced by journaling, narrative medicine, and reflective questioning, potentially reducing burnout rates, [50][51] although other studies have not shown improvement in burnout. 52 Focused training in behavioral skills, such as cognitive reframing, self-compassion, and empathy, can also improve wellness.…”

Section: Best Practice Recommendations For Assessmentmentioning

confidence: 99%

Evidence-Based Interventions that Promote Resident Wellness from the Council of Emergency Residency Directors

Parsons

Bailitz

Chung

et al. 2020

WestJEM

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BACKGROUND Burnout syndrome was defined in the 1970s as a triad of emotional exhaustion (EE), depersonalization (DP), and a low sense of personal accomplishment (PA). 1 Almost half of physicians report burnout, and emergency physicians (EP) are near the top of the list. 2 In 2018, 48% of EPs reported burnout. 3 Physician burnout has been shown to negatively correlate with patient safety, quality of care, physician professionalism, and patient satisfaction. 4,5 In EPs, burnout was associated with increased frequency of self-reported, suboptimal patient care, including admitting or discharging patients early, not communicating effectively with patients, ordering more tests, not treating patients' pain, and not communicating important handoffs. 6 Additionally, burnout has been associated with substance use, relationship issues, depression, and suicide. 5,7,8 Originally, burnout was believed to manifest in those who practiced medicine for a prolonged amount of time. However, recent evidence has shown that burnout may begin as early as medical school and residency. 9-10 In fact, recent studies on emergency medicine (EM) residents reported burnout rates ranging from 65-76%. 9,11 Across all fields of medicine, residents have shown higher rates of burnout when compared to medical students and early-career physicians. 9,10 In response to this data indicating early onset of burnout,

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“…Beyond mindfulness as a concept based on individual experience, the practical implications of mindfulness can enhance the holistic practice of nursing care and the well-being of these workers [9]. Equally, mindfulness in these professionals is an effective strategy for prevention and management of anxiety, stress and exhaustion [10][11][12][13]. At the same time it improves their capacity for regulation and emotional wellbeing, which also has repercussions on the maintenance of successful and satisfactory therapeutic relations with their patients [14].…”

Section: The Importance Of Mindfulness In Nursing Workmentioning

confidence: 99%

The mediating role of cognitive and affective empathy in the relationship of mindfulness with engagement in nursing

et al. 2020

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Background: The work of health professionals is characterized by a high demand for psychological and emotional resources and high levels of stress. Therefore, the promotion of commitment and job well-being through strategies such as increased mindfulness, is important among nursing workers. Although mindfulness has shown positive effects in the health field, few studies have explored the mechanisms and processes underlying these results. We investigated the mediating role of empathy (cognitive/affective) in the effect of mindfulness on the dimensions of engagement in nursing professionals. Methods: Sample was comprised of 1268 Spanish nurses between 22 and 62 years old, that completed the Utrecht Labor Engagement Scale and the adapted versions of Mindful Attention Awareness Scale and Basic Empathy Scale. The relationship between variables to be included in the regression analyses, bivariate correlations were carried out, and the descriptive statistics of these variables were also found. To estimate the mediation model was used, in this case for multiple mediation effects. Results: Mindfulness is found to affect the Vigor and Dedication factors of engagement through cognitive empathy. While for the Absorption factor, the affective component of empathy also exerts a mediating role, although weaker than cognitive empathy. Cognitive empathy, as an individual factor, was shown to have a mediating effect between mindfulness and the factors of engagement in healthcare workers.

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A Mindfulness Intervention for Residents: Relevance for Pediatricians

Cited by 46 publications

References 16 publications

The impact of mindfulness‐based interventions on doctors’ well‐being and performance: A systematic review

The impact of mindfulness‐based interventions on doctors’ well‐being and performance: A systematic review

Evidence-Based Interventions that Promote Resident Wellness from the Council of Emergency Residency Directors

The mediating role of cognitive and affective empathy in the relationship of mindfulness with engagement in nursing

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