Mindfulness for healthcare providers fosters professional quality of life and mindful attention among emergency medical technicians.

Autor: Ducar DM; Massachusetts General Hospital, Department of Medicine, Transgender Health Program, Boston, MA, USA. Electronic address: dducar@mgh.harvard.edu., Penberthy JK; Department of Psychiatry and Neurobehavioral Sciences: Center for Addiction Research and Education, Outpatient Psychiatry, Contemplative Sciences Center, Charlottesville, VA, USA., Schorling JB; University of Virginia School of Medicine, Department of Medicine: Division of General, Geriatric Palliative and Hospital Medicine, Charlottesville, VA, USA., Leavell VA; University of Virginia School of Medicine, Department of Surgery: Acute Care Division; Thomas Jefferson EMS Council, Charlottesville, VA, USA., Calland JF; University of Virginia School of Medicine, Department of Surgery: Acute Care Division, Charlottesville, VA, USA.
Jazyk: angličtina
Zdroj: Explore (New York, N.Y.) [Explore (NY)] 2020 Jan - Feb; Vol. 16 (1), pp. 61-68. Date of Electronic Publication: 2019 Aug 06.
DOI: 10.1016/j.explore.2019.07.015
Abstrakt: Objective: Emergency medical service (EMS) providers are systematically subjected to intense stimuli in their work that may result in distress and emotional suffering. While it is known that mindfulness-based stress reduction (MBSR) helps to foster well-being in healthcare workers, the effectiveness of MBSR among EMS providers is less understood. We explored the impact of a modified version of MBSR for healthcare workers called Mindfulness for Healthcare Providers (MHP) on reducing distress and promoting wellbeing in EMS providers.
Methods: A one-arm pilot study was conducted. We implemented eight two-and-a-half hour sessions of Mindfulness for Healthcare Providers with an additional day-long retreat at the end. Feasibility, perceived stress, professional quality of life, and trait mindfulness were assessed prior to and after the intervention. The professional quality of life scale includes measures of compassion satisfaction, burnout, and secondary trauma.
Results: Fifteen veteran EMS providers enrolled in the course; four participants dropped out. Prior to initiation of the study, no significant differences were revealed between those who did not participate (n = 48) and those who did (n = 11). After the intervention EMS providers endorsed statistically significant increases in compassion satisfaction, trait mindfulness, and decreases in burnout compared to the beginning of the program. These changes were sustained at six months post-completion. No significant changes over time were found for secondary trauma or perceived stress.
Conclusions: To our knowledge, this study is the first to employ Mindfulness for Healthcare Providers in an EMS population and to demonstrate a positive impact on self-reported compassion, trait mindfulness, and burnout in this population. Additional research regarding mindfulness training within EMS populations should be conducted to further understand the relationship between mindfulness and perceived stress over time.
(Copyright © 2019 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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