Work-based strategies/interventions to ameliorate stressors and foster coping for clinical staff working in emergency departments: a scoping review of the literature

Elder, Elizabeth; Johnston, Amy N.B.; Wallis, Marianne; Crilly, Julia

doi:10.1016/j.auec.2020.02.002

Cited by 17 publications

(19 citation statements)

References 64 publications

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“…Likewise, all variables improved significantly between T1 and T3; stress (F = 18.30 [2,68], P = 0.000), burnout {EE (F = 13.26 [2,71], P < 0.001), DP (F = 4.59 [2,68], P < 0.001), PA (F = 6.69 [2,67], P = 0.002)}, mindfulness (F = 11.95 [2,67], P < 0.001) and wellness (F = 11.24 [2, 66], P < 0.001) (Table 3). The overall within-group effects of most variables were small between baseline and post immediate, apart from stress (d = 0.63) and wellness (d = 0.54) which had moderate effects.…”

Section: Per-protocol Analysismentioning

confidence: 89%

“…Overall, there was a significant reduction in perceived stress within-group (F = 15.70 [2,102], P < 0.001) over time.…”

Section: Intention-to-treat Analysesmentioning

confidence: 97%

“…, P < 0.001), DP (F = 3.62[2, 102], P = 0.030), PA (F = 7.51[2, 100], P < 0.001)}, mindfulness (F = 8.83[2, 103], P < 0.001) and wellness levels (F = 10.71[2, 100], P < 0.001) were also improved between T1 and T3 (Table2). The overall within-group effect size of all variables were small between baseline and post immediate surveys; stress (d = 0.45), EE (d = 0.33), DP (d = 0.23), PA (d = 0.36), mindfulness (d = 0.30) and wellness (d = 0.38).…”

mentioning

confidence: 92%

“…Other challenges include overcrowding, heavy workload, staff skill mix issues and workplace violence. 2 One in two ED doctors and nurses report burnout. 1,3 Working in such an environment can lead not only to burnout with subsequent impacts on staff retention, productivity and patient care, 4 but also affect the physical, mental and psychological wellbeing of an individual.…”

Section: Introductionmentioning

confidence: 99%

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Effects of mobile mindfulness on emergency department work stress: A randomised controlled trial

Eley

Kynoch³

et al. 2021

Emerg Medicine Australasia

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Objective: High-occupational stress among ED staff has a detrimental impact on both staff wellness and patient care. The objective of the study is to determine whether 4 weeks of smartphone app-guided mindfulness practice reduces stress levels of ED staff. Methods: This two-arm randomised controlled trial was conducted in two Australian EDs in 2019-2020. Eligible participants were randomly assigned (1:1) to either an App group or a Wait to Treat group to practice daily 10 min app-guided mindfulness for 4 weeks. Online surveys were collected for both groups at three time periods: before (T1), immediately after (T2) and 3 months after cessation (T3). Then the Wait to Treat group received the same intervention, followed by surveys immediately after the intervention (T4) and 3 months later (T5). Primary outcome was measured using the Perceived Stress Scale. Secondary outcomes were measured using the Maslach Burnout Inventory (three subscales: emotional exhaustion, depersonalisation and personal accomplishment), Mindfulness Attention Awareness Scale and Warwick-Edinburgh Mental Well-being Scale. Both intention-to-treat and per-protocol analysis were performed. Repeated measurement data were analysed by the linear mixed model. Results: Of 148 enrolled participants 98 completed all the surveys, but only half (48%) reported continuous use of the app. Based on the results of the intention-to-treat analysis, there was a statistically significant improvement of perceived stress levels (F = 15.70, P < 0.001), all three components of burnout (emotional exhaustion [F = 14.22, P < 0.001], depersonalisation [F = 3.62, P = 0.030], personal accomplishment [F = 7.51, P < 0.001]), mindfulness (F = 8.83, P < 0.001) and wellbeing levels (F = 10.71, P < 0.001) from pre-intervention to 3 months later with small effect sizes. Conclusion: Results of the present study demonstrate that brief mindfulness training via innovative digital technology had a small positive effect in improving emergency staff stress, burnout, mindfulness and wellbeing.

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Section: Per-protocol Analysismentioning

confidence: 89%

“…Overall, there was a significant reduction in perceived stress within-group (F = 15.70 [2,102], P < 0.001) over time.…”

Section: Intention-to-treat Analysesmentioning

confidence: 97%

mentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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Effects of mobile mindfulness on emergency department work stress: A randomised controlled trial

Eley

Kynoch³

et al. 2021

Emerg Medicine Australasia

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“…H-WORK will have an impact on the economic burden represented by the sum of increasing healthcare costs and decreasing labour productivity, reducing the overall costs that can be associated with poor mental health in the workplace, as well as improving workers' mental health through properly designed and implemented health promotion interventions. Monitoring intervention sites' performance, productivity and economic indicators throughout the project is an essential step in assessing the effectiveness of interventions in relation to their cost and impact on the organisational budget, although those issues are hardly addressed when it comes to implementing work strategies or interventions to promote well-being [107]. The affordability of interventions is another key point that will help and support senior management, decision-makers and policy-makers to highlight and understand the mechanisms that bring desired results in terms of mental health promotion at work, where these mechanisms are successful as well as cost-effective through informed decision-making practices.…”

Section: Discussionmentioning

confidence: 99%

H-WORK Project: Multilevel Interventions to Promote Mental Health in SMEs and Public Workplaces

Angelis

Giusino

Nielsen

et al. 2020

IJERPH

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The paper describes the study design, research questions and methods of a large, international intervention project aimed at improving employee mental health and well-being in SMEs and public organisations. The study is innovative in multiple ways. First, it goes beyond the current debate on whether individual- or organisational-level interventions are most effective in improving employee health and well-being and tests the cumulative effects of multilevel interventions, that is, interventions addressing individual, group, leader and organisational levels. Second, it tailors its interventions to address the aftermaths of the Covid-19 pandemic and develop suitable multilevel interventions for dealing with new ways of working. Third, it uses realist evaluation to explore and identify the working ingredients of and the conditions required for each level of intervention, and their outcomes. Finally, an economic evaluation will assess both the cost-effectiveness analysis and the affordability of the interventions from the employer perspective. The study integrates the training transfer and the organisational process evaluation literature to develop toolkits helping end-users to promote mental health and well-being in the workplace.

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Support mechanisms that enable emergency nurses to cope with aggression and violence: Perspectives from New Zealand nurses

Martins Irvine,

Moloney,

Jacobs

et al. 2024

Australasian Emergency Care

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Work-based strategies/interventions to ameliorate stressors and foster coping for clinical staff working in emergency departments: a scoping review of the literature

Cited by 17 publications

References 64 publications

Effects of mobile mindfulness on emergency department work stress: A randomised controlled trial

Effects of mobile mindfulness on emergency department work stress: A randomised controlled trial

H-WORK Project: Multilevel Interventions to Promote Mental Health in SMEs and Public Workplaces

Support mechanisms that enable emergency nurses to cope with aggression and violence: Perspectives from New Zealand nurses

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