Psychometric properties of the St. Elizabeth Youngstown hospital wellbeing inventory and non-burnout inventory for physicians and nurses

Dunham, C. Michael; Burger, Amanda L.; Hileman, Barbara M; Chance, Elisha A.

doi:10.1186/s40359-019-0316-x

Cited by 1 publication

(8 citation statements)

References 20 publications

(23 reference statements)

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“…Of these BIS NFB participants, there were 11 men (19.3%) and 46 women (80.7%), and their mean age was 36.5 ± 11.8 years (range 24–67 years). A control group consisted of 191 nurses/physicians from the same trauma center who did not participate in the BIS NFB investigation, but completed the same 11-item Wellbeing Inventory survey (Dunham et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

“…Before session 1 on each learning day, an 11-item St. Elizabeth Youngstown Hospital Wellbeing Inventory was completed by each participant (Dunham et al, 2019). The selection of the items included in the Wellbeing Inventory and the rationale for creating a new survey tool for hospital-based nurses and physicians undergoing NFB are described in the publication that demonstrates its validity (Dunham et al, 2019). The participants assessed their wellbeing over the most recent 3 days.…”

Section: Methodsmentioning

confidence: 99%

“…The wellbeing score was the sum of the positive affect and non-stress scores. The 11-item BIS NFB participant Wellbeing Inventory results were compared to data using the same survey, collected for survey validation, but completed by a cohort of nurses and physicians who did not participate in the BIS NFB study (referred to as non-participants) (Dunham et al, 2019). In addition to the 11-item Wellbeing Inventory, the BIS NFB participant’s current state of relaxation was rated as (1) very slightly or none at all, (2) a little, (3) moderately, (4) quite a bit, or (5) extremely.…”

Section: Methodsmentioning

confidence: 99%

“…By using a subset of the 11-item Wellbeing Inventory, an abbreviated, Non-burnout Inventory, was also used for participant assessments (Dunham et al, 2019). Two positive affect items (energetic and enthusiasm) and 3 negative affect or non-stress items (feeling overwhelmed, feeling that people were too demanding, and drained) were included.…”

Section: Methodsmentioning

confidence: 99%

“…Further, it was clear from the statistical analyses that the BIS values substantially decreased during NFB after the subjects were given the formulated mindfulness instructions, indicating that brainwave self-regulation had occurred. On the basis of these findings, the authors re-designed the study by adding one new item to the wellbeing tool, a survey that has been validated recently (Dunham et al, 2019), and establishing a compensation process to incentivize each participant to take part in 4 learning days. We also felt that we had sufficient evidence to continue using the same mindfulness instructions.…”

Section: Introductionmentioning

confidence: 99%

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Brainwave Self-Regulation During Bispectral IndexTM Neurofeedback in Trauma Center Nurses and Physicians After Receiving Mindfulness Instructions

et al. 2019

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Fifty-seven level I trauma center nurses/physicians participated in a 4-day intervention to learn relaxed alertness using mindfulness-based instructions and EEG neurofeedback. Neurofeedback was provided by a Bispectral IndexTM (BIS) system that continuously displays a BIS value (0–100) on the monitor screen. Reductions in the BIS value indicate that power in a high-frequency band (30–47 Hz) is decreased and power in an intermediate band (11–20 Hz) is increased. A wellbeing tool with four positive affect and seven negative affect items based on a 5-category Likert scale was used. The wellbeing score is the sum of the positive affect items (positive affect score) and the reverse-scored negative affect items (non-stress score). Of functional concern were four negative affect items rated as moderately, quite a bit, or extremely in a large percent. Of greater concern were all four positive affect items rated as very slightly or none at all, a little, or moderately in over half of the participants. Mean and nadir BIS values were markedly decreased during neurofeedback when compared to baseline values. Post-session relaxation scores were higher than pre-session relaxation scores. Post-session relaxation scores had an inverse relationship with mean and nadir BIS values. Mean and nadir BIS values were inversely associated with NFB cognitive states (i.e., widening the visual field, decreasing effort, attention to space, and relaxed alertness). For all participants, the wellbeing score was higher on day 4 than on day 1. Participants had a higher wellbeing score on day 4 than a larger group of nurses/physicians who did not participate in the BIS neurofeedback trial. Eighty percent of participants demonstrated an improvement in the positive affect or non-stress score on day 4, when compared to day 1; the wellbeing, non-stress, and positive affect scores were substantially higher on day 4 than on day 1. Additionally, for that 80% of participants, the improvements in wellbeing and non-stress were associated with reductions in day 3 BIS values. These findings indicate that trauma center nurses/physicians participating in an EEG neurofeedback trial with mindfulness instructions had improvements in wellbeing.Clinical Trial Registration: www.ClinicalTrials.gov, identifier NCT03152331. Registered May 15, 2017.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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