背景:COVID-19大流行给医护人员带来了巨大的压力,危及他们的幸福和心理健康。为了应对为医疗劳动力提供无障碍支持的迫切需求,Pause-4-Providers为医护人员实施了30分钟的基于Web的实时正念会话。
目的:本研究的目的是评估利用,可行性,一种新颖的基于网络的现场直播的满意度和可接受性,正念计划旨在提高COVID-19大流行期间医护人员的福祉。
方法:在前三次大流行浪潮中,研究一直在进行。和一个或多个会议的与会者被邀请参加。评价框架包括:1.描述性特征,包括参与者人口统计学,工作弹性和单项倦怠得分;2.关于出席原因的反馈问卷,效益和满意度;3。定性访谈,以进一步了解参与者的经验,满意,好处,启用者,和障碍;和4。通过大流行浪潮总结了每届会议的参与者人数。
结果:我们收集了50名同意的医护人员的描述性统计数据。大约一半的人参加了一次以上的会议(48%,n=24)。研究参与者主要是女性(80%,n=40),由医生组成(34%,n=17),护士(18%,n=9),和其他医护人员(48%,n=24),主要来自安大略省(82%,n=41)。52%的与会者赞同感到筋疲力尽(n=26)。上座率最高的是2020年5月和2021年1月,对应于第一次和第二次大流行浪潮。参与者认可的满意度很高(91.5%,n=43/47)。被引用最多的参加的原因是放松(79%,n=38),管理压力或焦虑(75%,n=36),对慈爱/自我同情的愿望(64%,n=30),学习正念(64%,n=30),并有助于情绪反应(53%,n=25)。定性访谈(n=15)确定了积极的个人和职业影响。个人影响显示,参与帮助医护人员放松,管理压力,照顾自己,睡得更好,减少隔离,感觉被认可。专业影响包括有一个正念技术工具箱,使用正念时刻并在工作中保持冷静的能力。一些人指出,他们与同事分享了技术。报告的障碍包括参与者需要时间优先考虑自己,疲劳,忘记在工作中运用技能,互联网稳定,找到一个私人参与的地方。
结论:Pause-4-Providers参与者发现在线组可以访问,并赞赏基于Web的下载格式,内容,和教员,并且对该计划有很高的满意度。两种新颖的格式(drop-in,活,基于网络的,匿名,brief,与其他医护人员共享活动)和内容(主题正念实践,包括微观实践,与工作场所应用程序一起)是参与的推动者。这项对医护人员支持会议的研究受到同意参与者数量少和滚动注册项目设计的限制;然而,研究结果表明,基于网络的正念计划有可能支持医护人员的福祉。
背景:
BACKGROUND: The COVID-19 pandemic exerted extraordinary pressure on health care workers (HCWs), imperiling their well-being and mental health. In response to the urgent demand to provide barrier-free support for the health care workforce, Pause-4-Providers implemented 30-minute live web-based drop-in mindfulness sessions for HCWs.
OBJECTIVE: This study aims to evaluate the use, feasibility, satisfaction, and acceptability of a novel mindfulness program aimed at enhancing the well-being of HCWs during the COVID-19 pandemic.
METHODS: Accrual for the study continued throughout the first 3 pandemic waves, and attendees of ≥1 session were invited to participate. The evaluation framework included descriptive characteristics, including participant demographics, resilience at work, and single-item burnout scores; feedback questionnaires on reasons attended, benefits, and satisfaction; qualitative interviews to further understand participant experience, satisfaction, benefits, enablers, and barriers; and the number of participants in each session summarized according to the pandemic wave.
RESULTS: We collected descriptive statistics from 50 consenting HCWs. Approximately half of the participants (24/50, 48%) attended >1 session. The study participants were predominantly female individuals (40/50, 80%) and comprised physicians (17/50, 34%), nurses (9/50, 18%), and other HCWs (24/50, 48%), who were largely from Ontario (41/50, 82%). Of 50 attendees, 26 (52%) endorsed feeling burned out. The highest attendance was in May 2020 and January 2021, corresponding to the first and second pandemic waves. The participants endorsed high levels of satisfaction (43/47, 92%). The most cited reasons for attending the program were to relax (38/48, 79%), manage stress or anxiety (36/48, 75%), wish for loving kindness or self-compassion (30/48, 64%), learn mindfulness (30/48, 64%), and seek help with emotional reactivity (25/48, 53%). Qualitative interviews with 15 out of 50 (30%) participants identified positive personal and professional impacts. Personal impacts revealed that participation helped HCWs to relax, manage stress, care for themselves, sleep better, reduce isolation, and feel recognized. Professional impacts included having a toolbox of mindfulness techniques, using mindfulness moments, and being calmer at work. Some participants noted that they shared techniques with their colleagues. The reported barriers included participants\' needing time to prioritize themselves, fatigue, forgetting to apply skills on the job, and finding a private place to participate.
CONCLUSIONS: The Pause-4-Providers participants reported that the web-based groups were accessible; appreciated the format, content, and faculty; and had high levels of satisfaction with the program. Both novel format (eg, drop-in, live, web-based, anonymous, brief, and shared activity with other HCWs) and content (eg, themed mindfulness practices including micropractices, with workplace applications) were enablers to participation. This study of HCW support sessions was limited by the low number of consenting participants and the rolling enrollment project design; however, the findings suggest that a drop-in web-based mindfulness program has the potential to support the well-being of HCWs.