Mindfulness Rounds Initiative - A Short Mindfulness-Based Program for A Busy Workplace

Patient Satisfaction Clinical Trial

Official title:

Mindfulness Rounds Initiative - An 8-Week, Short Session, Mindfulness Based Protocol for On-Site Delivery of Stress Reduction Practices

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT04282733
• Other study ID #: GCO 19-1849
• Status: Terminated
• Phase: N/A
• Start date: March 18, 2021
• Est. completion date: May 12, 2021

Study information

• Verified date: January 2024
• Source: Icahn School of Medicine at Mount Sinai
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

An 8 week course of mindfulness education and practices will be presented to all staff, patients, and visitors voluntarily attending the thrice weekly presentations. The goal is to reduce staff stress, improve communication, enhance patient satisfaction, and improve quality of care.

Description:

"Mindfulness Rounds" Care-giver well-being is recognized as an important goal in decreasing burnout, increasing job satisfaction, and may have implications in improving quality of care and patient satisfaction. Mindfulness training is a well-studied tool used to enhance care-giver well-being. The impact of a Mindfulness training experience for caregivers, support staff, and patients and their families working together in a hospital unit on patient satisfaction has not been well studied, if at all. The researchers propose instituting a pilot program of Mindfulness Rounds on a given hospital unit and assessing the effect on employee well-being, patient satisfaction, and quality of care.

Introduction:

The physical and mental health of healthcare practitioners (HCPs) has become an area of attention and research in recent years as HCP burnout and suicide are now openly discussed concerns in medicine. Well-being education is now a required curricula component by the Accreditation Council for Graduate Medical Education (ACGME). Mindfulness is a technique and philosophical concept which has received significant attention in the medical literature as a tool for increasing HCP well-being.

Mindfulness describes the idea of maintaining a conscious presence in the present, of avoiding obsessing about the past or the future, and of continuously being aware of, and grateful for, the things we have in life as opposed to the things we don't. Mindfulness-Based Stress Reduction (MBSR) is one particular system, developed by Jon Kabat-Zinn over 30 years ago, which has been built into a well-structured certified training program for teaching mindfulness. Numerous studies have used MBSR or similar techniques to advance HCP psychologic well-being, and while some have investigated a variety of HCP training techniques to improve the patient experience, few have sought to explore a relationship between the impact of mindfulness training for HCP on patient satisfaction, quality of care outcomes, and HCP overall health. To the investigators' knowledge, no one has sought to bring mindfulness education to an entire hospital unit - physicians, nurses, support staff, as well as patients and their families wherever possible - with the goal of improving both HCP and the overall patient experience.

The researchers propose instituting a pilot program of Mindfulness Rounds on a given hospital unit and assessing the effect on employee well-being, patient satisfaction, and quality of care.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 34
• Est. completion date: May 12, 2021
• Est. primary completion date: May 12, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Employees on the Units

Exclusion Criteria:

• none

Related Conditions & MeSH terms

• Healthcare Practitioner Stress
• Patient Satisfaction

Intervention

Behavioral:
• Mindfulness Rounds
Throughout the 8-week study period, a different mindfulness practice will be introduced weekly in 3 separate 15-minute live sessions. Posters describing the particular "practice of the week" will be placed around the Unit as visual reminders to encourage actual practice.

Locations

Country	Name	City	State
United States	Mount Sinai Hospital	New York	New York

Sponsors (1)

Lead Sponsor	Collaborator
Icahn School of Medicine at Mount Sinai

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Pain scores	Patient pain scores are routinely collected by Nursing and entered into the electronic medical record (EMR). Full pain scale from 0-10, higher score indicates more pain.	1-3 months pre-intervention, 1-3 months post-intervention
Secondary	Discharge time	Duration from discharge order to discharge time.	1-3 months pre-intervention, 1-3 months post-intervention
Secondary	Change in Narcotic usage	Aggregate total narcotics administered/patient hours on unit.	1-3 months pre-intervention, 1-3 months post-intervention
Secondary	Change in Patient Satisfaction survey	Pres-Ganey survey to assess patient satisfaction. Pres-Ganey Survey: 24 item instrument, each item scored: very poor (score = 0), poor (25), fair (50), good (75) and very good (100). Full scale from 0 - 100, higher score indicates more satisfaction.	1-3 months pre-intervention, 1-3 months post-intervention
Secondary	Change in Perceived Stress Scale (PSS) survey	This is a validated survey tool to assess an individual's perceived stress. Full scale range from 0 to 40, higher score indicates higher perceived stress.	Within 1 month prior to intervention, within one month post the intervention.
Secondary	Change in number of Staff sick days	Number of total staff sick days.	1-3 months pre-intervention, 1-3 months post-intervention
Secondary	Change in number of staff injuries	Number of total staff injuries	1-3 months pre-intervention, 1-3 months post-intervention
Secondary	Change in number of workers compensation claims	Number of total workers compensation claims	1-3 months pre-intervention, 1-3 months post-intervention
Secondary	Change in number of discharges before noon	Number of discharges before noon as a hospital metric tracked for efficiency.	1-3 months pre-intervention, 1-3 months post-intervention
Secondary	Change in Staff handwashing rates	Routinely tracked by anonymous observers	1-3 months pre-intervention, 1-3 months post-intervention