Resilience Training for Work-Related Stress Among Health Care Workers

Mistretta, Erin G; Davis, Mary C.; Temkit, Mʼhamed; Lorenz, Christopher; Darby, Betty; Stonnington, Cynthia M.

doi:10.1097/jom.0000000000001285

Cited by 84 publications

(102 citation statements)

References 49 publications

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“…Resilience is an important factor associated with psychological health in abused PW nurses [36], and resilience can further reduce depressive symptoms [37]. Our results showed that both the BT and SDBT interventions can significantly strengthen abused PW nurses' resilience, as compared to controls, and such results were also found in similar previous studies [22,33].…”

Section: Discussionsupporting

confidence: 87%

“…Unmanaged occupational stress is detrimental to both psychological and physical functioning [40], and it can lead to job exhaustion. Resilience-strengthening interventions have been used in several occupational settings to relieve workers' stress response [22]. Further investigation into this topic is worthwhile because smartphone applications may be more feasible to implement than other interventions, which are restricted by time and place [23].…”

Section: Discussionmentioning

confidence: 99%

“…In summary, the use of biofeedback interventions is effective in managing stress, anxiety, depression, and enhancing resilience [15,18]. In addition to computer-assisted biofeedback, there is a growing interest in the use of smartphone applications for biofeedback to promote better stress-management and relaxation [17,22]. In other words, smartphones can be used as a tool for biofeedback training (BT) because smartphones and the Internet are popular, conveniently accessible, and have an array of technological capabilities [17,23].…”

Section: Introductionmentioning

confidence: 99%

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The Effects of Biofeedback Training and Smartphone-Delivered Biofeedback Training on Resilience, Occupational Stress, and Depressive Symptoms among Abused Psychiatric Nurses

Hsieh

Huang

Liu

et al. 2020

IJERPH

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Psychiatric ward (PW) nurses are at a higher risk to encounter workplace violence than are other healthcare providers, and many interventions have been developed to improve their mental health. We compared the effectiveness of biofeedback training (BT) and smartphone-delivered BT (SDBT) interventions on occupational stress, depressive symptoms, resilience, heart rate variability, and respiration rate in a sample of abused PW nurses. This was a quasi-experimental study. Structured questionnaires were administered before and six weeks after the intervention. Data were collected from April 2017 to October 2017. A total of 159 abused PW nurses were randomly assigned to BT, SDBT, and control groups, and 135 of them completed all processes of our protocol, with the study consisting of 119 females (88.1%) and 16 males (11.9%) and their age range being from 22 to 59 with the mean age of 35.61 and a standard deviation of 8.16. Compared to the controls, both the BT and the SDBT intervention groups experienced significant improvements in depressive symptoms, resilience, and respiration rate; and the SDBT group experienced significant reductions in occupational stress. Considering the cost, accessibility, restrictions time and space, SDBT be used as an effective intervention in people with resilience or occupational stress.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Effects of Biofeedback Training and Smartphone-Delivered Biofeedback Training on Resilience, Occupational Stress, and Depressive Symptoms among Abused Psychiatric Nurses

Hsieh

Huang

Liu

et al. 2020

IJERPH

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“…Four studies (Arredondo et al 2017;Hwang et al 2019;O'Donnell 2017;Shapiro et al 2005) did not report sufficient data for inclusion in the meta-analysis (pre-and post-programme mean, pre-programme standard deviation and sample size were all required); therefore, effect sizes from 22 studies were calculated. Three studies required calculation to combine MBP groups (Bayot et al 2020;Mistretta et al 2018) and control groups (Gu et al 2018). The forest plot (Fig.…”

Section: Meta-analysis Findingsmentioning

confidence: 99%

The Impact of Mindfulness-Based Programmes on Self-Compassion in Nonclinical Populations: a Systematic Review and Meta-Analysis

et al. 2020

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Objectives Self-compassion has been proposed as a mechanism of change in mindfulness-based programmes (MBPs). The current study systematically reviewed the evidence for the effect of MBPs on self-compassion, in randomised controlled trials addressing broad mental health outcomes (depression, anxiety and stress) in nonclinical populations, and statistically synthesisesd these findings in a meta-analysis. Methods Three databases were systematically searched, and pre-post programme between group effect sizes (Hedges g) were calculated and synthesised using meta-analytic procedures. Correlation between change in self-compassion and distress (r) was also assessed. Moderator analyses were conducted and publication bias was assessed. Results Twenty-six studies met inclusion criteria (n = 598). A significant medium effect of pre-post change on self-compassion was found for MBPs compared to control conditions (g = 0.60, 95% CI = 0.41 to 0.80, p < 0.001). There was significant heterogeneity in the study sample, and no differences found for any of the moderators tested. There was no strong evidence for publication bias. Meta-analysis of correlation between change in self-compassion and distress was underpowered and found no significant effect. The improvement in self-compassion following MBI was not always consistent with improvements in depression or anxiety. Conclusions The results suggest that MBPs can increase self-compassion in nonclinical populations, though the moderators of this effect remain unknown. Methodological limitations include small sample sizes, over-reliance on wait-list control conditions and limitations in how self-compassion is measured. Theoretical and clinical implications of the review, and future research directions, are also discussed.

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“…Underused, yet impactful, resiliency builders include taking a break from stressful patients, leaving after a patient death, meaningful group debriefing, palliative care support, and structured social events. 1 Mistretta et al 14 found that mind-based resiliency training and resiliency training via a smartphone application improved well-being over time. One study demonstrated a decrease in moral distress through structured ethics rounds in a PICU.…”

Section: Literature Synthesismentioning

confidence: 99%

Managing Moral Distress in the Workplace:

Davis¹,

Batcheller²

2020

Nurse Leader

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Nurse leaders within a 43-bed pediatric intensive care unit introduced a pre-and post-implementation evidence-based practice project to determine which resilience enhancing techniques were helpful among a multidisciplinary team. A statistically significant increase in post-intervention group resilience (79.9 to 83.4, p < 0.0001) was achieved within 6 months of the "resiliency bundle" implementation. Forty-seven critical care staff including registered nurses, respiratory therapists, unit secretaries, medical doctors, chaplains, child life specialists, patient care techs, and nurse practitioners self-selected resiliency bundle components and provided their feedback and resilience level pre-and post-implementation. Preferred uses of resilience enhancement techniques were analyzed by discipline, experience level, and age. Note: We wish to express our gratitude to Mary Cazzell, PhD, RN, for her strategic planning support and statistical expertise. We would also like to show our gratitude to Cynda Rushton, PhD, RN, for sharing pearls of wisdom with us during the course of this project. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Resilience Training for Work-Related Stress Among Health Care Workers

Abstract: Findings suggest that brief, targeted interventions improve psychological outcomes and point to the need for larger scale studies comparing the individual and combined treatments that can inform development of tailored, effective, and low-cost programs for health care workers.

Cited by 84 publications

References 49 publications

The Effects of Biofeedback Training and Smartphone-Delivered Biofeedback Training on Resilience, Occupational Stress, and Depressive Symptoms among Abused Psychiatric Nurses

The Effects of Biofeedback Training and Smartphone-Delivered Biofeedback Training on Resilience, Occupational Stress, and Depressive Symptoms among Abused Psychiatric Nurses

The Impact of Mindfulness-Based Programmes on Self-Compassion in Nonclinical Populations: a Systematic Review and Meta-Analysis

Managing Moral Distress in the Workplace:

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