Heal the Healers: A pilot study evaluating the feasibility, acceptability, and exploratory efficacy of a Transcendental Meditation intervention for emergency clinicians during the coronavirus disease 2019 pandemic

Azizoddin, Desiree R.; Kvaternik, Noelia; Beck, Meghan; Zhou, Guohai; Hasdianda, Mohammad Adrian; Jones, Natasha; Johnsky, Lily; Im, Dana D.; Chai, Peter R.; Boyer, Edward W.

doi:10.1002/emp2.12619

Cited by 13 publications

(34 citation statements)

References 36 publications

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“…Therefore, it is important to pay attention to the well-being of all nurses, including leaders, particularly as we view the lingering results of the pandemic on key workforce outcomes. Several publications describe interventional studies that may improve nurse well-being such as education/ self-reflection (Sawyer et al, 2022), resilience retreats (Cunningham & Çayir, 2021), text messaging (Kelly et al 2021), wellness partners (Teall & Melnyk, 2021) and transcendental meditation (Azizoddin et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Perceptions of US nurses and nurse leaders on authentic nurse leadership, healthy work environment, intent to leave and nurse well‐being during a second pandemic year: A cross sectional study

Raso

Fitzpatrick

Masick

2022

J Nursing Management

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Aim The main aim of this study was to determine the perceptions of clinical nurses and nurse leaders about authentic nurse leadership, work environment, pandemic impact, well‐being and intent to leave their position and profession during the second year of the pandemic. Background This research team studied the variables pre‐pandemic and in year one of the pandemic. As the pandemic continued, subsequent reports of workforce instability, deteriorating work environment and vulnerable well‐being called for an understanding of the current state to inform needed actions by leadership. Methods This study is a cross‐sectional, descriptive, correlational analysis using national survey data from 1795 US clinical nurses and nurse leaders in the fall of 2021. Results Pandemic impact was high, authentic nurse leadership was present, healthy work environment was not present and nurse well‐being was at‐risk and negatively correlated to both healthy work environment and authentic nurse leadership. Within our sample, 61.8% of nurses had no intention to leave their positions, and 82.5% had no intention to leave the profession. Compared with clinical nurses, nurse managers had significantly higher scores on all instruments. Conclusions The findings of this study support leadership as positively related to a healthy work environment. Authentic nurse leadership, a healthy work environment and nurse well‐being are all critical components of efforts to stabilize the nursing workforce as we recover and rebuild post‐pandemic. Implications for Nursing Management This is a call to action for leadership that will serve the goals of retaining nurses, rebuilding work environments and improving well‐being.

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Section: Discussionmentioning

confidence: 99%

Perceptions of US nurses and nurse leaders on authentic nurse leadership, healthy work environment, intent to leave and nurse well‐being during a second pandemic year: A cross sectional study

Raso

Fitzpatrick

Masick

2022

J Nursing Management

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“…Adherence to the TM intervention, as assessed by a TM teacher, was defined as (1) treatment session adherence, comprising attendance at at least 6 of 8 sessions (75%), and (2) TM home practice adherence, comprising meditation at least once per day on average. 30,31…”

Section: Jama Network Open | Occupational Healthmentioning

confidence: 99%

Efficacy of Transcendental Meditation to Reduce Stress Among Health Care Workers

et al. 2022

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ImportanceHealth care workers (HCWs) have been experiencing substantial stress and burnout, and evidence-based mitigation strategies are needed. Transcendental Meditation (TM) is a mantra meditation practice with potential efficacy in reducing stress.ObjectiveTo assess the efficacy of TM practice in reducing stress among HCWs over a 3-month period.Design, Setting, and ParticipantsThis single-center open-label randomized clinical trial was conducted among HCWs at an academic medical center from November 19, 2020, to August 31, 2021. Inclusion criteria comprised a score of 6 points or greater on the Subjective Units of Distress Scale and an increase of 5% or greater in baseline heart rate or an increase of 33% or greater in galvanic skin response after exposure to a stressful script. Exclusion criteria included the use of antipsychotic or β blocker medications, current suicidal ideation, or previous TM training. Of 213 HCWs who participated in prescreening, 95 attended in-person visits, resulting in 80 eligible participants who were randomized to receive a TM intervention (TM group) or usual treatment (control group).InterventionsThe TM group practiced TM for 20 minutes twice daily over a 3-month period. The control group received usual treatment, which consisted of access to wellness resources.Main Outcomes and MeasuresThe primary outcome was change in acute psychological distress measured by the Global Severity Index. Secondary outcomes included changes in burnout (measured by the Maslach Burnout Inventory), insomnia (measured by the Insomnia Severity Index), and anxiety (measured by the Generalized Anxiety Disorder-7 scale).ResultsAmong 80 participants, 66 (82.5%) were women, with a mean (SD) age of 40 (11) years. One participant (1.3%) was American Indian or Alaska Native, 5 (6.3%) were Asian, 12 (15.0%) were Black, 59 (73.8%) were White, and 3 (3.8%) were of unknown or unreported race; 4 participants (5.0%) were Hispanic, and 76 (95.0%) were non-Hispanic. A total of 41 participants were randomized to the TM group, and 39 were randomized to the control group. Participants in the TM group did not show a statistically significant decrease in psychological distress on the Global Severity Index compared with those in the control group (−5.6 points vs −3.8 points; between-group difference, −1.8 points; 95% CI, −4.2 to 0.6 points; P = .13). Compared with the control group, the TM group had significantly greater reductions in the secondary end points of emotional exhaustion (Maslach Burnout Inventory subscore: −8.0 points vs −2.6 points; between-group difference, −5.4 points; 95% CI, −9.2 to −1.6 points; P = .006), insomnia (Insomnia Severity Scale score: −4.1 points vs −1.9 points; between-group difference, −2.2 points; 95% CI, −4.4 to 0 points; P = .05), and anxiety (Generalized Anxiety Disorder-7 score: −3.1 points vs −0.9 points; between-group difference, −2.2 points; 95% CI, −3.8 to −0.5; P = .01) at 3 months. A total of 38 participants (92.7%) in the TM group adhered to home practice.Conclusions and RelevanceIn this randomized clinical trial, TM practice among HCWs over a 3-month period did not result in a statistically significant reduction in the primary outcome of acute psychological distress compared with usual treatment but significantly improved the secondary outcomes of burnout, anxiety, and insomnia. These findings suggest that TM may be a safe and effective strategy to alleviate chronic stress among HCWs.Trial RegistrationClinicalTrials.gov identifier: NCT04632368

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“…[ 44 ] Azizoddin et al observed a significant reduction in stress- induced psychological symptoms of emergency workers during the SARS-CoV 2 pandemic after a transcendental meditation intervention. [ 45 ]…”

Section: Resultsmentioning

confidence: 99%

Is it time to rethink education and training? Learning how to perform under pressure: An observational study

Hinzmann

Haneveld

Heininger³

et al. 2022

Medicine

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Emergency medicine workers are exposed daily to various stressors, especially work-related stress, which have been aggravated by the current SARS-CoV 2 pandemic and impact their physical and mental wellbeing. Nonetheless, although the efficacy of programs and strategies to improving the health of medical staff and patient care has been demonstrated, such programs and strategies are scarce. To assess the prevalence, types and consequences of stress in emergency medical workers in healthcare institutions and explore tools to cope with stressful situations at workplace. Two surveys were conducted. Survey 1 assessed the subjective stress levels and stressors of 21 emergency medicine professionals. Survey 2 was conducted amongst 103 healthcare workers at 3 hospitals in Germany. It comprised selected aspects of the German Mental Risk Assessment and a validated workload scale. None. The answer frequencies on Likert scales were descriptively evaluated. Survey 1: Emergency medical professionals experienced and reported the following high stress levels in acute situations: multitasking during a complex situation; factors associated with the work environment; fear of not appropriately controlling the situation; and lack of sleep. Survey 2: The highest stress levels were experienced in the areas “work environment” and “work organization.” The highest scores on the workload scale were obtained for statements on work division, exhaustion, insufficient patient care due to time constraints, regulations, and lack of information. Approximately 80% of healthcare workers had experienced emotionally stressful situations at the workplace, and > 30% had lost a colleague to suicide. There are effective and proven methods to learn how to deal with stress that can easily be established in everyday clinical practice. Healthcare workers are subjected to numerous stressors in their work environment and observe the consequences of these stressors on their own and their colleagues’ wellbeing. Coping strategies for high-pressure reduces and resists the job- immanent pressure and stress in healthcare workers.

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Heal the Healers: A pilot study evaluating the feasibility, acceptability, and exploratory efficacy of a Transcendental Meditation intervention for emergency clinicians during the coronavirus disease 2019 pandemic

Cited by 13 publications

References 36 publications

Perceptions of US nurses and nurse leaders on authentic nurse leadership, healthy work environment, intent to leave and nurse well‐being during a second pandemic year: A cross sectional study

Perceptions of US nurses and nurse leaders on authentic nurse leadership, healthy work environment, intent to leave and nurse well‐being during a second pandemic year: A cross sectional study

Efficacy of Transcendental Meditation to Reduce Stress Among Health Care Workers

Is it time to rethink education and training? Learning how to perform under pressure: An observational study

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