Burnout, Professional Clinical Trial
Official title:
A Mindfulness Based Intervention as a Key Component of Successful Workplace Functioning and Personal Well-being
This study will evaluate the effectiveness of an 8-week program in Mindfulness-Based Stress Reduction (MBSR) in reducing work absences and improving the well-being of healthcare workers. Half of participants will be healthcare employees who are frequently absent from work, whereas the other half will be healthcare employees with normal attendance patterns. All participants will undergo MBSR training and the outcomes of both groups will be evaluated.
The scientific literature is replete with evidence that the demands and pace of providing
healthcare is associated with high levels of stress, anxiety, burnout, diminished work
engagement, and frequent absence. For example, Actionmarguerite is one of the largest
personal care facilities in Western Canada. They have over 500 employees who routinely deal
with the task of providing care to a large population of individuals requiring high levels of
support. A great many of the residents are suffering progressive dementia and some have very
difficult behavioural issues. Caretaker stress is exacerbated by the fact that even the
highest, most compassionate levels of care are not likely to result in improvement. The
employee population is, therefore, taxed such that one might expect to observe a high level
of stress-related illness and accidents. An internal examination of the employee database has
identified an interesting circumstance. Approximately fifty of the employees have patterns of
persistent, recurring injury, show signs of stress/caretaker stress, depletion, and
preoccupation. This group has also largely exhausted their sick leave benefits. Clearly, the
medical treatments and the time away from work have not cured the underlying predisposition
for accidental injury and illness for these individuals. Such may be the case for employees
of other healthcare facilities in Canada and elsewhere.
The question has arisen whether Mindfulness Based Stress Reduction (MBSR) as an option
available for frequently absent employees would alter the pattern of recurrence and reduce
stress. MBSR is a program initially developed at the University of Massachusetts Medical
Centre as a means of reducing the chronic stress of patients experiencing high levels of
disabling, chronic physical pain. Scientific evaluation of the program demonstrated
significant success. Importantly, MBSR training has been shown to reduce stress and anxiety
and promote psychological well-being, both for individuals in the general population and for
healthcare workers in particular. Indeed, our own work has demonstrated that MBSR resulted in
a very substantial and statistically significant reduction of stress in a diverse group of
individuals employed in healthcare.
The purpose of the present research is to examine the efficacy of a program of MBSR to
interrupt the existing pattern of recurrent work-related accidents, injuries, and illness;
and also, to promote both psychological and physical well-being and to allow a more
meaningful and successful return to work. We intend to recruit four groups of thirty
participants from two local healthcare institutions (Actionmarguerite and St. Amant). Each
group will consist of (a) fifteen individuals identified by the respective institutions as
frequently-absent employees, and (b) fifteen individuals who express interest in
participation and are randomly selected from the general population of healthcare employees
at the two institutions to serve as statistical controls. All participants will receive an
intervention of MBSR training. They will complete a survey battery both pre- and post-
intervention and provide access to their work histories. We hope to establish that MBSR can
be an extremely useful component of a program intended to reverse patterns of frequent
absence.
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