ABSTRACT
Objetivo: Evaluar la efectividad de un programa de mindfulness y autocompasión sobre los niveles de estrés y burnout en profesionales sanitarios de atención primaria. Diseño: Ensayo clínico controlado aleatorizado. Participantes y emplazamiento: Se ofertó entrenamiento en mindfulness a los 1.281 profesionales sanitarios de atención primaria de Navarra y aceptaron 48. Se asignaron por sorteo 25 participantes al grupo intervención, quedando los 23 restantes en el grupo control. Intervención: El programa de entrenamiento en mindfulness y autocompasión consistía en sesiones de 2,5 h/semana durante 8 semanas, a las que había que asistir al menos al 75% de las sesiones y realizar una práctica diaria de 45 min. Mediciones principales: Antes-después de la intervención se midieron mediante cuatro cuestionarios los niveles de mindfulness, autocompasión, estrés percibido y burnout. Resultados: Tras la intervención, las puntuaciones del grupo intervención mejoran significativamente en mindfulness (p < 0,001); estrés percibido (p < 0,001); autocompasión: auto-amabilidad p < 0,001, humanidad compartida p=0,004, mindfulness p=0,001; y burnout: cansancio emocional (p = 0,046). La comparación respecto al grupo control muestra diferencias significativas en mindfulness (p < 0,001), estrés percibido (p < 0,001), auto-amabilidad (p < 0,001) y cansancio emocional (p < 0,032). Conclusiones: Este trabajo sugiere que puede ser beneficioso impulsar las prácticas de mindfulness y autocompasión en el ámbito sanitario (AU)
Objective: To evaluate the effectiveness of a Mindfulness and Self-Compassion Program on the levels of stress and burnout in Primary Care health professionals. Design: Randomised, controlled clinical trial. Participants and setting: Training in Mindfulness was offered to 1,281 health professionals in Navarra (Spain) Primary Care, and 48 of them accepted. The participants were randomly assigned to groups: 25 to the intervention group, and the remaining 23 to the control group. Intervention: The Mindfulness and Self-Compassion training program consisted of sessions of 2.5 chours/week for 8 weeks. The participants had to attend at least 75% of the sessions and perform a daily practical of 45 minutes. Main measurements: The levels of mindfulness, self-compassion, perceived stress, and burnout were measured using four questionnaires before and after the intervention. Results: After the intervention, the scores of the intervention group improved significantly in mindfulness (P < .001); perceived stress (P < .001); self-compassion: self-kindness P < .001, shared humanity P = .004, mindfulness P = .001; and burnout: emotional fatigue (P = .046). The comparison with the control group showed significant differences in mindfulness (P < .001), perceived stress (P < .001), self-kindness (P < .001) and emotional fatigue (P = .032). Conclusions: This work suggests that it may be beneficial to encourage mindfulness and self-compassion practices in the health environment (AU)
Subject(s)
Humans , Male , Female , Middle Aged , Health Personnel/psychology , Evaluation of the Efficacy-Effectiveness of Interventions , Mindfulness/methods , Burnout, Professional/prevention & control , Burnout, Professional/psychology , Health Personnel/statistics & numerical data , Stress, Psychological/prevention & control , Stress, Psychological/psychology , Primary Health Care , Primary Health Care/statistics & numerical data , Surveys and QuestionnairesABSTRACT
OBJECTIVE: To evaluate the effectiveness of a Mindfulness and Self-Compassion Program on the levels of stress and burnout in Primary Care health professionals. DESIGN: Randomised, controlled clinical trial. PARTICIPANTS AND SETTING: Training in Mindfulness was offered to 1,281 health professionals in Navarra (Spain) Primary Care, and 48 of them accepted. The participants were randomly assigned to groups: 25 to the intervention group, and the remaining 23 to the control group. INTERVENTION: The Mindfulness and Self-Compassion training program consisted of sessions of 2.5chours/week for 8 weeks. The participants had to attend at least 75% of the sessions and perform a daily practical of 45minutes. MAIN MEASUREMENTS: The levels of mindfulness, self-compassion, perceived stress, and burnout were measured using four questionnaires before and after the intervention. RESULTS: After the intervention, the scores of the intervention group improved significantly in mindfulness (P<.001); perceived stress (P<.001); self-compassion: self-kindness P<.001, shared humanity P=.004, mindfulness P=.001; and burnout: emotional fatigue (P=.046). The comparison with the control group showed significant differences in mindfulness (P<.001), perceived stress (P<.001), self-kindness (P<.001) and emotional fatigue (P=.032). CONCLUSIONS: This work suggests that it may be beneficial to encourage mindfulness and self-compassion practices in the health environment.
Subject(s)
Burnout, Professional/prevention & control , Empathy , Mindfulness , Occupational Stress/prevention & control , Primary Health Care , Female , Humans , Male , Middle Aged , Treatment OutcomeABSTRACT
ObjetivoDescribir el desarrollo de un grupo de reflexión entre profesionales de atención primaria de Navarra, entre octubre de 2007 y junio de 2008, a través de la presentación de casos.DiseñoEstudio descriptivo, retrospectivo.EmplazamientoAtención primaria.ParticipantesUn psiquiatra, una enfermera y 11 médicos de familia.MétodoSe llevaron a cabo 8 sesiones de 2 h y media de duración; evaluaciones informales después de cada sesión; recogida sistemática de notas por parte de 3 miembros del grupo, con posterior puesta en común, y evaluación del grupo en la última sesión.ResultadosEl carácter del grupo fue participativo, autorreflexivo y práctico. Se presentaron 52 casos que se agruparon en 5 áreas: encuentros difíciles, errores profesionales, maltrato a la mujer, dilemas éticos y relaciones en el equipo. Los participantes expresaron las emociones de la consulta y obtuvieron herramientas y recursos de actuación para posteriores situaciones similares a los casos presentados, tal y como se expresó en la evaluación.ConclusionesSe expuso un gran abanico de casos y se desarrolló una serie de emociones en los participantes; de la puesta en común y reflexión surgió una autopercepción de mejora de la satisfacción y de la capacidad introspectiva. La variedad de casos puso en evidencia la complejidad del quehacer profesional(AU)
ObjectiveTo describe the development of a reflection group of primary care professionals in Navarra, from October 2007 to June 2008, using case presentations.DesignDescriptive, retrospective study.SettingPrimary care.ParticipantsOne psychiatrist, one nurse and eleven family doctors.MethodEight sessions of two and a half hours were carried out; informal evaluations after each session; systematic taking of notes by three members of the group, with subsequent pooling of resources; evaluation of the group in the last session.ResultsThis was a participatory, self-reflective and practical group. A total of 52 cases were presented, which were grouped into six areas: difficult interviews, professional errors, female abuse, ethical dilemmas and Health care team relationships. The participants talked about the emotions of the clinic, obtaining tools and protocols for subsequent situations similar to the cases presented, as was expressed in the evaluation.ConclusionsA wide range of cases were presented, with a series of emotions having been produced in the participants who from a pooling of resources and reflection emerged a self-perception of improved satisfaction and introspective ability. The variety of cases showed the complexity of the work of the health professional(AU)
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Psychoanalytic Therapy , Psychoanalytic Therapy/instrumentation , Physician-Patient Relations , Primary Health Care , Professional Competence , 50230 , Person-Centered Psychotherapy , Epidemiology, Descriptive , Retrospective StudiesABSTRACT
OBJECTIVE: To describe the development of a reflection group of primary care professionals in Navarra, from October 2007 to June 2008, using case presentations. DESIGN: Descriptive, retrospective study. SETTING: Primary care. PARTICIPANTS: One psychiatrist, one nurse and eleven family doctors. METHOD: Eight sessions of two and a half hours were carried out; informal evaluations after each session; systematic taking of notes by three members of the group, with subsequent pooling of resources; evaluation of the group in the last session. RESULTS: This was a participatory, self-reflective and practical group. A total of 52 cases were presented, which were grouped into six areas: difficult interviews, professional errors, female abuse, ethical dilemmas and Health care team relationships. The participants talked about the emotions of the clinic, obtaining tools and protocols for subsequent situations similar to the cases presented, as was expressed in the evaluation. CONCLUSIONS: A wide range of cases were presented, with a series of emotions having been produced in the participants who from a pooling of resources and reflection emerged a self-perception of improved satisfaction and introspective ability. The variety of cases showed the complexity of the work of the health professional.
