Two new scales for integrative medical education and research: confidence in providing calm, compassionate care scale (CCCS) and self-efficacy in providing non-drug therapies (SEND) to relieve common symptoms

Schwartz

et al. 2018

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Residency is a high-risk period for physician burnout. We aimed to determine the short-term stability of factors associated with burnout, application of these data to previous conceptual models, and the relationship of these factors over 3 months. Physician wellness questionnaire results were analyzed at 2 time points 3 months apart. Associations among variables within and across time points were analyzed. Logistic regression was used to predict burnout and compassionate care. A total of 74% of residents completed surveys. Over 3 months, burnout (P = .005) and empathy (P = .04) worsened. The most significant cross-sectional relationship was between stress and emotional exhaustion (time 1 r = 0.61, time 2 r = 0.68). Resilience was predictive of increased compassionate care and decreased burnout (P < .05). Mindfulness was predictive of decreased burnout (P < .05). Mitigating stress and fostering mindfulness and resilience longitudinally may be key areas of focus for improved wellness in pediatric residents. Larger studies are needed to better develop targeted wellness interventions.

Section: Methodsmentioning

confidence: 99%

Variability of Burnout and Stress Measures in Pediatric Residents: An Exploratory Single-Center Study From the Pediatric Resident Burnout–Resilience Study Consortium

Reed

Schwartz

et al. 2018

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“…25,26 The ''Guided Imagery and Hypnosis for Pregnancy, Procedures, and Preparing for Surgery'' unit assessed participant self-efficacy using the Self-Efficacy in using Non-Drug Therapies to Relieve Common Symptoms (SEND) scale, which has 10 items scored on a Likert-type scale from 0 to 10 and an internal reliability of .95. 27 Participant information-gender, trainee status, and health profession-was collected at registration.…”

Section: Methodsmentioning

confidence: 99%

The Feasibility and Effectiveness of Online Guided Imagery Training for Health Professionals

Rao

2016

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This study evaluated the feasibility and impact of brief online guided imagery training (up to 3 hours) for health professionals. Paired t tests were used to measure pre-to-post-training changes in stress (Perceived Stress Scale,), anxiety (Patient Reported Outcomes Measurement Information System-Anxiety Scale), empathy (Empathic Concern Scale, and Perspective-taking Scale), and self-efficacy (Self-Efficacy in providing Non-Drug Therapies Scale). Online guided imagery training attracted diverse health professionals and trainees (n ¼ 273; 14% trainees; 34% registered nurses, 20% physicians, 14% social workers, 5% registered dititians, and 27% others). Participants reported small but significant pre-to-post-module improvements in stress (17.8 to 13.5), anxiety (T-scores 56.4 to 54.3), empathy (both empathic concern, 29.8 to 30.7, and perspective taking, 28.0 to 29.4), and selfefficacy in providing nondrug therapies for common symptoms (58.5 to 77.0) (P < .001 for all). Future studies will need to examine the clinical impact of online guided imagery training for health professionals.

“…Evaluation consisted of 2 pieces: (1) the standard, required CE evaluation form, completed by each participant at the second session and immediately sent to the nursing CE office (not discussed here); and (2) elective online pre/post training evaluations based on our earlier online training programs in Herbs and Dietary Supplements Across the Lifespan ( http://herbs-supplements.osu.edu ) and Mind-Body Skills Training for Resilience, Effectiveness, and Mindfulness ( http://mind-bodyhealth.osu.edu ). 18 – 21 …”

Section: Methodsmentioning

confidence: 99%

“…Our 2 primary outcomes for this study were self-efficacy in using nondrug therapies (the 10-item Self-Efficacy in using Non-Drug Therapies) 19 and confidence in providing compassionate care (the 10-item Confidence in Calm, Compassionate Care Scale). 19 Hypothesizing the improvements in self-efficacy would improve employee engagement, we also assessed secondary outcomes using a single item on absenteeism in the past 30 days (days missed aside from scheduled vacation or holidays, also known as unplanned work missed) and presenteeism (the 6-item Stanford Presenteeism Scale [SPS]). 22 Presenteeism is defined by the developers of the SPS as active engagement at work despite personal challenges; higher scores indicate greater engagement with work despite personal or health difficulties.…”

Section: Methodsmentioning

confidence: 99%

Training in Integrative Therapies Increases Self-Efficacy in Providing Nondrug Therapies and Self-Confidence in Offering Compassionate Care

Hill

2017

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Background.Patient demand and clinician interest have driven professional training in integrative therapies, but few rigorous evaluations have been published.Methods.This project evaluated the proof of concept of training in acupressure, guided imagery, massage, and Reiki on clinicians’ sense of self-efficacy in providing nondrug therapies, self-confidence in providing compassionate care, and engagement with work.Results.Three out of 4 topics met minimum enrollment numbers; 22 of 24 participants completed follow-up as well as pretraining surveys. All would recommend the training to others and planned changes in personal and professional care. There were significant improvements in self-efficacy in using nondrug therapies, confidence in providing compassionate care, and unplanned absenteeism (P < .05 for each).Conclusion.Training in integrative therapies is feasible and associated with significant improvements in clinicians’ sense of self-efficacy, confidence in providing compassionate care, and engagement with work. Additional studies are needed to determine the impact on quality of care and long-term workforce engagement.