oneED: Embedding a mindfulness‐based wellness programme into an emergency department

Braganza, Shahina; Young, Jessica; Sweeny, Amy; Brazil, Victoria

doi:10.1111/1742-6723.12977

Cited by 23 publications

(17 citation statements)

References 22 publications

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“…The introduction of mindfulness in emergency departments is feasible and may improve the well-being of healthcare professionals working in stressful conditions [ 24 , 25 ]. Focusing on the present moment can help both young doctors and their patients.…”

Section: Discussionmentioning

confidence: 99%

Mindfulness Is Related to the Situational Awareness of Medical Students Confronted with Life-Threatening Emergency Situations

Chmielewski

Łoś

Waszkiewicz

et al. 2021

JCM

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Background: Emergency medicine can impose a heavy psychological burden on healthcare workers. Stress experienced during life-threatening situations may disrupt situational awareness (SA), i.e., the perception of environmental elements with respect to time and space, the comprehension of their meaning, and the projection of their state into the near future. We aimed to investigate whether mindfulness (a special way of paying attention: conscious, non-judgmental, and oriented to the present moment) can be related to the SA levels among final-year medical students confronted with life-threatening situations during medical simulations. Methods: The simulations were constructed as high-fidelity scenarios in children and adults (ClinicalTrials.gov ID: NCT03761355). The components of mindfulness were assessed using the Five Facet Mindfulness Questionnaire. SA among students was assessed using The Situation Awareness Global Assessment Technique at three levels: (1) data, (2) comprehension, and (3) projection. Results: In total, 117 students were included. Level 1 SA positively correlated with the overall mindfulness score and its components, i.e., nonreactivity, conscious presence, and nonjudgment. Moreover, level 3 SA significantly correlated with the description, but not with the overall mindfulness score. A regression model showed that nonreactivity explained 34% of Level 1 of SA variability. The addition of conscious presence and nonjudgment into this model did not change its predictive value. Conclusions: nonreactivity a component of mindfulness of final-year medical students is related to the meticulous data collection of patients in life-threatening situations.

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Section: Discussionmentioning

confidence: 99%

Mindfulness Is Related to the Situational Awareness of Medical Students Confronted with Life-Threatening Emergency Situations

Chmielewski

Łoś

Waszkiewicz

et al. 2021

JCM

View full text Add to dashboard Cite

show abstract

“…Improving mindfulness is worth considering since it is a modifiable characteristic and can lead to better patient care. It seems that the implementation of mindfulness training in emergency medicine departments is feasible and sustainable [30]. After completing mindfulness courses, residents have admitted increased awareness, self-reflection, self-acceptance at work, and acceptance of their own limitations [31].…”

Section: Discussionmentioning

confidence: 99%

Relationship between Executive Functions, Mindfulness, Stress, and Performance in Pediatric Emergency Simulations

Łoś

Chmielewski

Łuczyński

2020

IJERPH

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Over the past decade, high-fidelity medical simulation has become an accepted and widely used teaching method in pediatrics. Both simulation and work in the real conditions of emergency departments are accompanied by stress that affects the executive functions of participants. One of the methods for reducing stress among medical students and healthcare professionals is the practice of mindfulness. The aim of this study was to examine whether executive functions, mindfulness, and stress are related to the technical and non-technical skills of medical students participating in medical simulations in pediatrics. The study included 153 final-year medical students. A total of 306 high-fidelity simulations of life-threatening situations involving children were conducted. Results: Stress and the coping mechanism of the participants were correlated to their skills during pediatric simulations. Some components of mindfulness, such as non-judgment and conscious action, were positively related to the skills of medical team leaders. Executive functions correlated with the non-technical skills and mindfulness of the medical students. Conclusions: Stress, mindfulness, and executive functions modeled the behavior and skills of medical students during pediatric simulations of life-threatening events. Further research in this area may prove whether mindfulness training will improve learning outcomes in pediatric emergency medicine.

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“…Outcomes of this study revealed a high percentage of participant adherence to the program and decreased stress scores from baseline to after the program (Gauthier et al, 2015). Braganza, Young, Sweeny, and Brazil (2018) implemented short, 4-minute pauses at the beginning of ED shifts, as well as 30-minute drop in sessions. The program resulted in participants' increased knowledge of mindfulness and increased frequency of practicing mindfulness (Braganza et al, 2018).…”

Section: Terminologymentioning

confidence: 94%

“…Braganza, Young, Sweeny, and Brazil (2018) implemented short, 4-minute pauses at the beginning of ED shifts, as well as 30-minute drop in sessions. The program resulted in participants' increased knowledge of mindfulness and increased frequency of practicing mindfulness (Braganza et al, 2018). Several studies have successfully implemented mindfulness programs with interprofessional groups, demonstrating that the involvement of a variety of health-care professionals in mindfulness practice is both necessary and useful (Goodman & Schorling, 2012;Mackenzie, Poulin, & Seidman-Carlson, 2006;Shapiro, Astin, Bishop, & Cordova, 2005).…”

Section: Terminologymentioning

confidence: 99%

The Emergency Resiliency Initiative: A Pilot Mindfulness Intervention Program

Muir

Keim‐Malpass

2019

J Holist Nurs

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Purpose: To assess the feasibility of a pilot mindfulness intervention program, the Emergency Resiliency Initiative (ERI), as well as to investigate changes in burnout scores and key drivers to burnout among registered nurses (RNs) and patient care technicians (PCTs) in a Level 1 trauma center emergency department (ED). Design: A mixed methods pre/post study with data collection points before and after the 3-month intervention. Method: Three mindfulness educational/experiential sessions were delivered once a month at staff meetings with topic themes of Introduction to Mindfulness, Practical Applications of Mindfulness, and Cultivating Compassion. Participants were asked to complete a minimum of two weekly 5-minute meditations. Burnout scores were assessed using the Maslach Burnout Inventory at preintervention (baseline) and postintervention. Findings: From the pre- ( n = 35) to post- ( n = 26) intervention period there was a significant increase in personal accomplishment scores ( p = .01) and decrease in emotional exhaustion scores ( p = .03) for RNs and PCTs combined. Qualitative interviews revealed five burnout-related themes: (a) prioritization distress, (b) change fatigue, (c) self-protection through superficiality, (d) intentional response, and (e) community amid chaos. Conclusion: The ERI was a feasible and acceptable program associated with improvements in burnout scores. Qualitative interviews revealed the positive impacts of mindfulness on ED clinician resiliency and identified future opportunities to address burnout from a holistic perspective.

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oneED: Embedding a mindfulness‐based wellness programme into an emergency department

Abstract: A departmental wellness programme embedding mindfulness practice is feasible and sustainable. Potential for success is enhanced by an approach that is open to modification according to each institution's culture.

Cited by 23 publications

References 22 publications

Mindfulness Is Related to the Situational Awareness of Medical Students Confronted with Life-Threatening Emergency Situations

Mindfulness Is Related to the Situational Awareness of Medical Students Confronted with Life-Threatening Emergency Situations

Relationship between Executive Functions, Mindfulness, Stress, and Performance in Pediatric Emergency Simulations

The Emergency Resiliency Initiative: A Pilot Mindfulness Intervention Program

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