A real-time assessment of work stress in physicians and nurses.

Rutledge, Thomas; Stucky, Erin R.; Dollarhide, Adrian; Shively, Martha; Jain, Sonia; Wolfson, Tanya; Weinger, Matthew B.; Dresselhaus, Timothy R.

doi:10.1037/a0013145

Cited by 93 publications

(67 citation statements)

References 31 publications

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“…In medical residents, nearly 20% report below-average mental health -double that of the general population of the same age [9]. Even more experienced professionals, including both nurses and providers, report high levels of emotional-and job-stress [10]. These in turn lead to burnout rates as high as 70%, and an increased level of dissatisfaction with work-life balance compared to the general population [11].…”

Section: Introductionmentioning

confidence: 97%

Loving-kindness meditation: a tool to improve healthcare provider compassion, resilience, and patient care

Seppälä

Hutcherson

Nguyen

et al. 2014

J of Compassionate Health Care

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Background: Stress is a critical problem facing many healthcare institutions. The consequences of stress include increased provider burnout and decreased quality of care for patients. Ironically, a key factor that may help buffer the impact of stress on provider well-being and patient health outcomes-compassion-is low in healthcare settings and declines under stress. This gives rise to an urgent question: what practical steps can be taken to increase compassion, thereby benefitting both provider well-being and patient care? Methods: We investigated the relative effectiveness of a short, 10-minute session of loving-kindness meditation (LKM) to increase compassion and positive affect. We compared LKM to a non-compassion positive affect induction (PAI) and a neutral visualization (NEU) condition. Self-and other-focused affect, self-reported measures of social connection, and semi-implicit measures of self-focus were measured pre-and post-meditation using repeated measures ANOVAs and via paired sample t-tests for follow-up comparisons. Results: Findings show that LKM improves well-being and feelings of connection over and above other positive-affect inductions, at both explicit and implicit levels, while decreasing self-focus in under 10 minutes and in novice meditators. Conclusions: These findings suggest that LKM may be a viable, practical, and time-effective solution for preventing burnout and promoting resilience in healthcare providers and for improving quality of care in patients.

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Section: Introductionmentioning

confidence: 97%

Loving-kindness meditation: a tool to improve healthcare provider compassion, resilience, and patient care

Seppälä

Hutcherson

Nguyen

et al. 2014

J of Compassionate Health Care

View full text Add to dashboard Cite

show abstract

“…Rutledge et al, 2009;Sadeh, Keinan, & Daon, 2004) and poorer sleep quality (e.g. Åkerstedt, Kecklund, & Axelsson, 2007a;Bernert, Merrill, Braithwaite, Van Orden, & Joiner, 2007;Fortunato & Harsh, 2006;Guastella & Moulds, 2007;Knudsen, Ducharme, & Roman, 2007;Suarez, 2008;Williams & Moroz, 2009).…”

mentioning

confidence: 99%

Sleep: an important factor in stress‐health models

Benham

2010

Stress and Health

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A growing body of literature supports the notion that psychological stress negatively impacts physical health. In parallel to this programme of stress/health investigations, researchers are demonstrating the deleterious health effects of poor sleep. The current study simultaneously examines the association of both stress and sleep with health. Two hundred and eighteen subjects completed an anonymous survey packet that included stress, sleep and health measures. Psychological stress (as assessed by both life-events and by self-perceived stress), daytime sleepiness and poor sleep quality, but not sleep quantity, were all negatively associated with health. A regression model that integrated both stress measures was a statistically signifi cant predictor of health. Adding the sleep measures to the stress-health model accounted for a statistically signifi cantly greater proportion of the variance in health scores, with the stress + sleep model accounting for 39-56 per cent of the variance in health scores depending on the health measure used. These results suggest that studies of stress and health may benefi t from the inclusion of sleep measures and that, from a practical standpoint, poor sleep might be best understood not simply as a sequela of psychological stress but rather as a factor that should be actively addressed as part of the treatment programme.

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“…The suitability of this method has been supported by numerous studies because it provides more accurate results than other techniques, such as the SWAT or the modified Cooper-Harper scale (Hill et al, 1992;Rubio, Diaz, Martin, & Puente, 2004). This evidence, along with the simplicity of its use, makes the NASA-TLX currently the most widely used instrument to assess MWL (Noyes & Bruneau, 2007;Rutledge et al, 2009). This method allows rating the task from a multidimensional perspective, so it has been proved useful due to its diagnostic capacity with regard to possible sources of workload (Díaz et al, 2010).…”

Section: Introductionmentioning

confidence: 88%

Relations between mental workload and decision-making in an organizational setting

Soria-Oliver

López

Torrano

2017

Psicol. Refl. Crít.

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AsbtractBackground: The complexity of current organizations implies a potential overload for workers. For this reason, it is of interest to study the effects that mental workload has on the performance of complex tasks in professional settings. Objective: The objective of this study is to empirically analyze the relation between the quality of decision-making, on the one hand, and the expected and real mental workload, on the other. Methods: The study uses an ex post facto prospective design with a sample of 176 professionals from a higher education organization. Expected mental workload (Pre-Task WL) and real mental workload (Post-Task WL) were measured with the unweighted NASA-Task Load Index (NASA-TLX) questionnaire; difference between real WL and expected WL (Differential WL) was also calculated; quality of decision-making was measured by means of the Decision-Making Questionnaire.Results: General quality of decision-making and Pre-Task WL relation is compatible with an inverted U pattern, with slight variations depending on the specific dimension of decision-making that is considered. There were no verifiable relations between Post-Task WL and decision-making. The subjects whose expected WL matched the real WL showed worse quality in decision-making than subjects with high or low Differential WL. Conclusions: The relations between mental workload and decision-making reveal a complex pattern, with evidence of nonlinear relations.

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A real-time assessment of work stress in physicians and nurses.

Abstract: The findings identify patterns of work stress in relationship to work activities, sleep habits, and provider differences that may be used to assist ongoing hospital work reform efforts.

Cited by 93 publications

References 31 publications

Loving-kindness meditation: a tool to improve healthcare provider compassion, resilience, and patient care

Loving-kindness meditation: a tool to improve healthcare provider compassion, resilience, and patient care

Sleep: an important factor in stress‐health models

Relations between mental workload and decision-making in an organizational setting

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