Yoga for Stress Management Among Intensive Care Unit Staff: A Pilot Study

BernsteinAdam, M; KobsAlison,; BarJudi,; FaySusan,; DoyleJonathan,; GolubicMladen,; RoizenMichael, F

doi:10.1089/act.2015.28999.amb

Cited by 8 publications

(26 citation statements)

References 30 publications

(26 reference statements)

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“…Two studies were excluded because the outcomes of these studies were not occupational stress . Finally, a total of 12 studies met the inclusion criteria . Figure presents a flowchart of the searching and selecting process.…”

Section: Resultsmentioning

confidence: 99%

“…The 12 included studies were published between 2011 and 2019; 7 (58.33%) of them were published after 2015. Of all these 12 included studies, 2 used a Randomized Controlled Trial (RCT) design, and 5 used single‐group pre‐post intervention design with no comparison condition . A further five studies used quasi‐experimental design with non‐random allocation of participants to groups, which was typically based on nurse availability to participate in intervention activities …”

Section: Resultsmentioning

confidence: 99%

“…Overall, these 12 included studies reported the results from 592 participants. The sample size of these studies ranged from 13 to 76 . The large majority of the sample was female (54‐100% of each study's participants).…”

Section: Resultsmentioning

confidence: 99%

“…All 12 included studies assessed stress via validated measures. The ENSS and PSS were mostly used as a stress assessment. Scales such as the PSS were included even though they do not specifically assess occupational stress but general stress.…”

Section: Resultsmentioning

confidence: 99%

“…Nowadays, there has been growing interest in assessing the effectiveness of SMIs among intensive and critical care nurses, such as cognitive‐behavioural skills training, MBI, yoga, and massage . Although many studies have assessed the effectiveness of SMIs among intensive and critical care nurses, the methodological quality of these studies remains unclear.…”

Section: Introductionmentioning

confidence: 99%

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Stress management interventions for intensive and critical care nurses: A systematic review

Alkhawaldeh

Soh

Mukhtar

et al. 2019

Nursing in Critical Care

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Background The level of occupational stress of nurses working in intensive and critical care units is high. Although many studies have assessed the effectiveness of stress management interventions among intensive and critical care nurses, the methodological quality of these studies remains unclear. Purpose The purpose of this review was to summarize and appraise the methodological quality of primary studies on interventions for management of occupational stress among intensive and critical care nurses. Methods This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. A comprehensive literature search was conducted to identify primary studies that assessed the effectiveness of interventions in managing occupational stress among intensive and critical care nurses using multiple databases from January 2009 to June 2019. Results Twelve studies published between 2011 and 2019 were eligible for inclusion. These included studies were classified as being of good or fair quality. The consensus across the included studies was that, compared with control condition, cognitive‐behavioural skills training and mindfulness‐based intervention were more effective in reducing occupational stress among intensive and critical care unit nurses. Conclusion Further research should focus on methodologically strong studies by blinding the outcome assessors, using Randomized Controlled Trial (RCT) design with an active control group, using standardized assessment tools, and reporting enough details about the stress management intervention‐related adverse events. Relevance to clinical practice This review demonstrates the need for high methodological quality studies to rigorously evaluate the effectiveness of stress management interventions before it can be recommended for use in clinical practice to reduce stress in intensive and critical care unit nurses. In addition, attention should be given to developing research protocols that place more emphasis on interventions aimed at the organization level to address the growing problem of occupational stress among intensive and critical care nurses.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Stress management interventions for intensive and critical care nurses: A systematic review

Alkhawaldeh

Soh

Mukhtar

et al. 2019

Nursing in Critical Care

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Physical relaxation for occupational stress in healthcare workers: A systematic review and network meta-analysis of randomized controlled trials

Zhang

Murphy

Cabanilla

et al. 2021

Journal of Occupational Health

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Objectives Work related stress is a major occupational health problem that is associated with adverse effects on physical and mental health. Healthcare workers are particularly vulnerable in the era of COVID‐19. Physical methods of stress relief such as yoga and massage therapy may reduce occupational stress. The objective of this systematic review and network meta‐analysis is to determine the effects of yoga, massage therapy, progressive muscle relaxation, and stretching on alleviating stress and improving physical and mental health in healthcare workers. Methods Databases were searched for randomized controlled trials on the use of physical relaxation methods for occupational stress in healthcare workers with any duration of follow‐up. Meta‐analysis was performed for standard mean differences in stress measures from baseline between subjects undergoing relaxation vs non‐intervention controls. Network meta‐analysis was conducted to determine the best relaxation method. Results Fifteen trials representing 688 healthcare workers were identified. Random‐effects meta‐analysis shows that physical relaxation methods overall reduced measures of occupational stress at the longest duration of follow‐up vs baseline compared to non‐intervention controls (SMD −0.53; 95% CI [−0.74 to −0.33]; p < .00001). On network meta‐analysis, only yoga alone (SMD −0.71; 95% CI [−1.01 to −0.41]) and massage therapy alone (SMD −0.43; 95% CI [−0.72 to −0.14]) were more effective than control, with yoga identified as the best method ( p ‐score = .89). Conclusion Physical relaxation may help reduce occupational stress in healthcare workers. Yoga is particularly effective and offers the convenience of online delivery. Employers should consider implementing these methods into workplace wellness programs.

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The Use of Mindfulness and Acupuncture in the American Military

Bowles¹,

Millegan²,

Berry³

et al. 2017

Handbook of Military Psychology

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Yoga for Stress Management Among Intensive Care Unit Staff: A Pilot Study

Abstract: Background: Yoga practice may be a valuable therapeutic approach for managing stress and anxiety. The intensive care unit (ICU) may be a place of high occupational stress and anxiety.

Cited by 8 publications

References 30 publications

Stress management interventions for intensive and critical care nurses: A systematic review

Stress management interventions for intensive and critical care nurses: A systematic review

Physical relaxation for occupational stress in healthcare workers: A systematic review and network meta-analysis of randomized controlled trials

The Use of Mindfulness and Acupuncture in the American Military

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