Heal the Healers: A pilot study evaluating the feasibility, acceptability, and exploratory efficacy of a Transcendental Meditation intervention for emergency clinicians during the coronavirus disease 2019 pandemic
Abstract Objective Emergency clinicians face elevated rates of burnout that result in poor outcomes for clinicians, patients, and health systems. The objective of this single‐arm pilot study was to evaluate the feasibility of a Transcendental Meditation (TM) intervention for emergency clinicians dur...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-12-01
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| Series: | Journal of the American College of Emergency Physicians Open |
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| Online Access: | https://doi.org/10.1002/emp2.12619 |
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| author | Desiree R. Azizoddin Noelia Kvaternik Meghan Beck Guohai Zhou Mohammad Adrian Hasdianda Natasha Jones Lily Johnsky Dana Im Peter R. Chai Edward W. Boyer |
| author_facet | Desiree R. Azizoddin Noelia Kvaternik Meghan Beck Guohai Zhou Mohammad Adrian Hasdianda Natasha Jones Lily Johnsky Dana Im Peter R. Chai Edward W. Boyer |
| author_sort | Desiree R. Azizoddin |
| collection | DOAJ |
| description | Abstract Objective Emergency clinicians face elevated rates of burnout that result in poor outcomes for clinicians, patients, and health systems. The objective of this single‐arm pilot study was to evaluate the feasibility of a Transcendental Meditation (TM) intervention for emergency clinicians during the coronavirus disease 2019 (COVID‐19) pandemic and to explore the potential effectiveness in improving burnout, sleep, and psychological health. Methods Emergency clinicians (physicians, nurses, and physician‐assistants) from 2 urban hospitals were recruited to participate in TM instruction (8 individual or group in‐person and remote sessions) for 3 months. Session attendance was the primary feasibility outcome (prespecified as attending 6/8 sessions), and burnout was the primary clinical outcome. Participant‐reported measures of feasibility and validated measures of burnout, depression, anxiety, sleep disturbance, and stress were collected at baseline and the 1‐month and 3‐month follow‐ups. Descriptive statistics and linear mixed‐effects models were used. Results Of the 14 physicians (46%), 7 nurses (22%), and 10 physician‐assistants (32%) who participated, 61% were female (n = 19/32). TM training and at‐home meditation practice was feasible for clinicians as 90.6% (n = 29/32) attended 6/8 training sessions and 80.6% self‐reported meditating at least once a day on average. Participants demonstrated significant reductions in burnout (P < .05; effect sizes, Cohen's d = 0.43–0.45) and in symptoms of depression, anxiety, stress, and sleep disturbance (P values < .001; Cohen's d = 0.70–0.87). Conclusion TM training was feasible for emergency clinicians during the COVID‐19 pandemic and led to significant reductions in burnout and psychological symptoms. TM is a safe and effective meditation tool to improve clinicians’ well‐being. |
| format | Article |
| id | doaj-art-d0e6d050f1724ab1aa3a8dbb1cadc58c |
| institution | DOAJ |
| issn | 2688-1152 |
| language | English |
| publishDate | 2021-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-d0e6d050f1724ab1aa3a8dbb1cadc58c2025-08-20T03:04:07ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522021-12-0126n/an/a10.1002/emp2.12619Heal the Healers: A pilot study evaluating the feasibility, acceptability, and exploratory efficacy of a Transcendental Meditation intervention for emergency clinicians during the coronavirus disease 2019 pandemicDesiree R. Azizoddin0Noelia Kvaternik1Meghan Beck2Guohai Zhou3Mohammad Adrian Hasdianda4Natasha Jones5Lily Johnsky6Dana Im7Peter R. Chai8Edward W. Boyer9Department of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USADepartment of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USADepartment of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USACenter for Clinical Investigation Brigham and Women's Hospital Boston Massachusetts USADepartment of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USAHarvard Graduate School of Education Harvard University Cambridge USADepartment of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USADepartment of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USADepartment of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USADepartment of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USAAbstract Objective Emergency clinicians face elevated rates of burnout that result in poor outcomes for clinicians, patients, and health systems. The objective of this single‐arm pilot study was to evaluate the feasibility of a Transcendental Meditation (TM) intervention for emergency clinicians during the coronavirus disease 2019 (COVID‐19) pandemic and to explore the potential effectiveness in improving burnout, sleep, and psychological health. Methods Emergency clinicians (physicians, nurses, and physician‐assistants) from 2 urban hospitals were recruited to participate in TM instruction (8 individual or group in‐person and remote sessions) for 3 months. Session attendance was the primary feasibility outcome (prespecified as attending 6/8 sessions), and burnout was the primary clinical outcome. Participant‐reported measures of feasibility and validated measures of burnout, depression, anxiety, sleep disturbance, and stress were collected at baseline and the 1‐month and 3‐month follow‐ups. Descriptive statistics and linear mixed‐effects models were used. Results Of the 14 physicians (46%), 7 nurses (22%), and 10 physician‐assistants (32%) who participated, 61% were female (n = 19/32). TM training and at‐home meditation practice was feasible for clinicians as 90.6% (n = 29/32) attended 6/8 training sessions and 80.6% self‐reported meditating at least once a day on average. Participants demonstrated significant reductions in burnout (P < .05; effect sizes, Cohen's d = 0.43–0.45) and in symptoms of depression, anxiety, stress, and sleep disturbance (P values < .001; Cohen's d = 0.70–0.87). Conclusion TM training was feasible for emergency clinicians during the COVID‐19 pandemic and led to significant reductions in burnout and psychological symptoms. TM is a safe and effective meditation tool to improve clinicians’ well‐being.https://doi.org/10.1002/emp2.12619burnoutclinician interventioncovid‐19meditationnurse burnoutPA burnout |
| spellingShingle | Desiree R. Azizoddin Noelia Kvaternik Meghan Beck Guohai Zhou Mohammad Adrian Hasdianda Natasha Jones Lily Johnsky Dana Im Peter R. Chai Edward W. Boyer Heal the Healers: A pilot study evaluating the feasibility, acceptability, and exploratory efficacy of a Transcendental Meditation intervention for emergency clinicians during the coronavirus disease 2019 pandemic Journal of the American College of Emergency Physicians Open burnout clinician intervention covid‐19 meditation nurse burnout PA burnout |
| title | Heal the Healers: A pilot study evaluating the feasibility, acceptability, and exploratory efficacy of a Transcendental Meditation intervention for emergency clinicians during the coronavirus disease 2019 pandemic |
| title_full | Heal the Healers: A pilot study evaluating the feasibility, acceptability, and exploratory efficacy of a Transcendental Meditation intervention for emergency clinicians during the coronavirus disease 2019 pandemic |
| title_fullStr | Heal the Healers: A pilot study evaluating the feasibility, acceptability, and exploratory efficacy of a Transcendental Meditation intervention for emergency clinicians during the coronavirus disease 2019 pandemic |
| title_full_unstemmed | Heal the Healers: A pilot study evaluating the feasibility, acceptability, and exploratory efficacy of a Transcendental Meditation intervention for emergency clinicians during the coronavirus disease 2019 pandemic |
| title_short | Heal the Healers: A pilot study evaluating the feasibility, acceptability, and exploratory efficacy of a Transcendental Meditation intervention for emergency clinicians during the coronavirus disease 2019 pandemic |
| title_sort | heal the healers a pilot study evaluating the feasibility acceptability and exploratory efficacy of a transcendental meditation intervention for emergency clinicians during the coronavirus disease 2019 pandemic |
| topic | burnout clinician intervention covid‐19 meditation nurse burnout PA burnout |
| url | https://doi.org/10.1002/emp2.12619 |
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