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Youn BY, Cho H, Joo S, Kim HJ, Kim JY. Utilization of massage chairs for promoting overall health and wellness: A rapid scoping review. Explore (NY) 2024; 20:285-297. [PMID: 37839928 DOI: 10.1016/j.explore.2023.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Revised: 10/03/2023] [Accepted: 10/04/2023] [Indexed: 10/17/2023]
Abstract
OBJECTIVE To investigate the potential benefits of using massage chairs for improving health. DATA SOURCES A rapid scoping review was conducted using PubMed, Embase, Cochrane Library, and Google Scholar from inception to November 1, 2022. STUDY SELECTION Using the keyword strategy ("massage chair*" OR "massage-chair*"), only studies in English were selected. Two reviewers independently screened the studies, and conflicts were resolved by consensus. Studies involving physical massage therapy were excluded. DATA EXTRACTION A total of 59 articles were identified, and 18 were included in the final analysis. Quality assessment was performed, following STROBE, CONSORT and CASP guidelines. The following data were extracted: authors, year, country, study design, study objective, age, gender, participants, measures, and main findings. DATA SYNTHESIS The results of the present review indication that the utilization of massage chairs may positively affect both physical and mental health concerns. This review especially found a more significant number of studies showing benefits in mental health. However, two case reports indicated complications when using massage chairs. CONCLUSIONS The use of massage chairs could have benefits on cognitive function improvement, stress reduction and mental fatigue decline, muscle stiffness improvement, pain reduction, and potential benefits for quality of life.
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Affiliation(s)
- Bo-Young Youn
- Department of Bio-Healthcare, Hwasung Medi-Science University, Hwaseong-si, Gyeonggi-do, South Korea
| | - Hyeongchan Cho
- Department of Business Administration, Graduate School, Kyung Hee University, Seoul, South Korea
| | - Shinhyoung Joo
- Department of Korean Medicine, Graduate School, Kyung Hee University, Seoul, South Korea
| | - Hyo-Jung Kim
- Department of Clinical Korean Medicine, Graduate School, Kyung Hee University, Seoul, South Korea
| | - Jee-Young Kim
- Department of Neurology, Barosun Hospital, 628, Dobong-ro, Dobong-gu, Seoul, South Korea.
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Hulett JM, Spotts RA, Narkthong N, Scott SD. Massage therapy for hospital-based nurses: A proof-of-concept study. Complement Ther Clin Pract 2024; 55:101846. [PMID: 38484434 DOI: 10.1016/j.ctcp.2024.101846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Revised: 02/10/2024] [Accepted: 03/09/2024] [Indexed: 04/22/2024]
Affiliation(s)
- Jennifer M Hulett
- University of Missouri Sinclair School of Nursing, Columbia, MO, USA; Ellis Fischel Cancer Center, University of Missouri, Columbia, MO, USA.
| | - Ruth Anne Spotts
- Ellis Fischel Cancer Center, University of Missouri, Columbia, MO, USA
| | - Natsayakarn Narkthong
- University of Missouri Sinclair School of Nursing, Columbia, MO, USA; Prince of Songkla University, Songkhla, Thailand
| | - Susan D Scott
- University of Missouri Sinclair School of Nursing, Columbia, MO, USA; University of Missouri Health Care, Columbia, MO, USA
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Bass S, Scholes K, Smith D. Preventing nurse burnout to improve nurse retention in primary care. Nurs Manag (Harrow) 2023; 54:26-33. [PMID: 38032807 DOI: 10.1097/nmg.0000000000000077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2023]
Affiliation(s)
- Sarah Bass
- In Indianapolis, Ind., Sarah Bass is a service line administrator for the Division of Pediatric Pulmonology, Allergy/Immunology and Sleep Medicine at IU Health; Kathryn Scholes is a clinical supervisor at Community Health Network; and Diane Smith is the graduate program director and an associate professor at the University of Indianapolis
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Cohen C, Pignata S, Bezak E, Tie M, Childs J. Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review. BMJ Open 2023; 13:e071203. [PMID: 37385740 PMCID: PMC10314589 DOI: 10.1136/bmjopen-2022-071203] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Accepted: 05/23/2023] [Indexed: 07/01/2023] Open
Abstract
There is a growing need for interventions to improve well-being in healthcare workers, particularly since the onset of COVID-19. OBJECTIVES To synthesise evidence since 2015 on the impact of interventions designed to address well-being and burnout in physicians, nurses and allied healthcare professionals. DESIGN Systematic literature review. DATA SOURCES Medline, Embase, Emcare, CINAHL, PsycInfo and Google Scholar were searched in May-October 2022. ELIGIBILITY CRITERIA FOR SELECTING STUDIES Studies that primarily investigated burnout and/or well-being and reported quantifiable preintervention and postintervention outcomes using validated well-being measures were included. DATA EXTRACTION AND SYNTHESIS Full-text articles in English were independently screened and quality assessed by two researchers using the Medical Education Research Study Quality Instrument. Results were synthesised and presented in both quantitative and narrative formats. Meta-analysis was not possible due to variations in study designs and outcomes. RESULTS A total of 1663 articles were screened for eligibility, with 33 meeting inclusion criterium. Thirty studies used individually focused interventions, while three were organisationally focused. Thirty-one studies used secondary level interventions (managed stress in individuals) and two were primary level (eliminated stress causes). Mindfulness-based practices were adopted in 20 studies; the remainder used meditation, yoga and acupuncture. Other interventions promoted a positive mindset (gratitude journaling, choirs, coaching) while organisational interventions centred on workload reduction, job crafting and peer networks. Effective outcomes were reported in 29 studies, with significant improvements in well-being, work engagement, quality of life and resilience, and reductions in burnout, perceived stress, anxiety and depression. CONCLUSION The review found that interventions benefitted healthcare workers by increasing well-being, engagement and resilience, and reducing burnout. It is noted that the outcomes of numerous studies were impacted by design limitations that is, no control/waitlist control, and/or no post intervention follow-up. Suggestions are made for future research.
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Affiliation(s)
- Catherine Cohen
- Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia
| | - Silvia Pignata
- STEM, University of South Australia, Adelaide, South Australia, Australia
| | - Eva Bezak
- Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia
| | - Mark Tie
- Australian Radiology Clinics, Adelaide, South Australia, Australia
| | - Jessie Childs
- Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia
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Lin HH, Shen CC, Ling Y, Lin CY. Effect of traditional Chinese medicine massage on physical and mental health of middle-aged and elderly women. Biotechnol Genet Eng Rev 2023:1-26. [PMID: 36880446 DOI: 10.1080/02648725.2023.2186495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023]
Abstract
This mixed-methods study examined the effects of traditional Chinese medicine massage on the physique, athletic performance, body composition, and perceived physical and mental health of 10 middle-aged and older women by using questionnaires and multiple measurement instruments. Microsoft Office and IBM SPSS 26.0 were used for the verification and calculation of results. Multivariate analysis was employed to analyze the data. Intermittent exercise significantly influenced the body composition, physical fitness, sports performance, and physical and mental health of female college students and improved their self-confidence, sleep quality, eating habits, weight, blood pressure, and sports performance, even when not accompanied with massage. However, although the rate of improvement was stable, intermittent exercise with traditional Chinese medicine massage yielded greater improvements in abdominal muscle strength and flexibility than intermittent exercise without traditional Chinese medicine massage. In terms of physical and mental health, headache, head pressure, back pain, and sense of loss were significantly alleviated (p < 0.01) in the traditional Chinese medicine massage group.
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Affiliation(s)
- Hsiao-Hsien Lin
- Department of Leisure Industry Management, National Chin-Yi University of Technology, Taichung, Taiwan
| | - Chih-Chien Shen
- Institute of Physical Education and Health, Yulin Normal University, Yulin China
| | - Ying Ling
- School of General Education, Guangxi Vovational & Technical College, Nanning, China
| | - Chao-Yen Lin
- School of Physical Education, Jiaying University, Guangdong, China
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Dying to retire or living to work: Challenges facing aging nurses. Nursing 2022; 52:20-27. [PMID: 36129500 DOI: 10.1097/01.nurse.0000872452.10766.fd] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
ABSTRACT Nurses who work in high-stress positions may be at risk for health problems that may result in early retirement. This article identifies health risks to aging nurses who continue to work in clinical settings and suggests methods for reducing negative health impacts to prevent them from retiring prematurely.
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Health Promotion for Outpatient Careworkers in Germany. Healthcare (Basel) 2022; 10:healthcare10061148. [PMID: 35742199 PMCID: PMC9223166 DOI: 10.3390/healthcare10061148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 06/03/2022] [Accepted: 06/10/2022] [Indexed: 11/17/2022] Open
Abstract
Due to ongoing demographic changes, the need for care is increasing in Germany. The number of outpatient care services is also rising, and with it, the number of employees in outpatient care, who are also continuously becoming older. Workplace health promotion (WHP) becomes relevant in this context, as it can reduce negative strain reactions and promote employees’ health. The aim of this study was (1) to reveal implemented WHP interventions in German outpatient care services; (2) to examine the potential challenges regarding a successful implementation of WHP measures; and (3) to illuminate further requests and needs experienced by outpatient careworkers. In qualitative field research, 30 semi-structured individual interviews were conducted with German caregivers, using the problem-centered interview method. The collected data were deductively and inductively evaluated and interpreted, using qualitative content analysis according to Mayring. Outpatient caregivers reported various WHP measures known from their workplaces, such as the provision of fruit baskets, programmes to increase physical activity, or a subsidy for a personal gym. They further reported WHP, such as back training, known from other care services. However, the respondents spoke of the challenges regarding the implementation or the use of WHP interventions in general. The most frequently named barriers were a lack of time after work and interventions that were only offered in their leisure time. In the same course, the participants still needed offers to increase physical activity, joint activities, or relaxation techniques. However, respondents highlighted that they preferred the interventions to take place during working hours. This way, they would also be more likely to take advantage of the interventions. The results of this study provide an insight into various WHP measures that already exist, or that are desirable for implementation with regard to caregivers’ needs. Subjectively perceived challenges for a successful implementation of WHP measures represent the importance of adjustments in the work organization of caregivers. It becomes clear that WHP is not yet established in the ambulant care sector, although it appears to be imperative for keeping caregivers healthy. Considering the different needs of employees, the results can provide a basis for the development of needs-based health promotion measures for caregivers.
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Pagador F, Barone M, Manoukian M, Xu W, Kim L. Effective Holistic Approaches to Reducing Nurse Stress and Burnout During COVID-19. Am J Nurs 2022; 122:40-47. [PMID: 35447650 DOI: 10.1097/01.naj.0000830744.96819.dc] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
BACKGROUND Prolonged exposure to work-related stress can lead to nurse burnout, potentiating clinical and medication errors and low-quality patient care. Holistic approaches (such as mindfulness training, "zen rooms," and massage chairs, among others) have been shown to reduce nurses' anxiety, stress, and burnout. PURPOSE To evaluate the use of "serenity lounges" (dedicated rooms where nurses can take workday breaks for the purposes of relaxation and rejuvenation) and massage chairs on nurses' anxiety, stress, and burnout. METHODS This quality improvement project analyzed 67 paired responses to surveys filled out by nurses before and after their use of serenity lounges at a medical center in Los Angeles between November 2020 and May 2021. Following successful implementation of a serenity lounge on a pilot unit, this project was expanded to a total of 10 units, including COVID-19 cohort units. As part of this expansion, massage chairs were added to 10 serenity lounges, along with items such as wipes, gloves, and shoe covers to enable nurses to adhere to infection control protocols. RESULTS Analysis of the 67 paired responses to pre- and post-lounge-use surveys revealed a significant reduction in feelings of emotional exhaustion, burnout, frustration, being worn out, stress, and anxiety after use of the serenity lounge. Improvements in feelings of emotional exhaustion, being worn out, and being anxious were also noted after using the massage chair for at least 10 to 20 minutes. CONCLUSIONS These results highlight the importance of providing a holistic approach, including a serene space, massage equipment, and other amenities, to help nurses reduce feelings of anxiety, stress, and burnout, particularly during challenging times such as the COVID-19 pandemic.
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Affiliation(s)
- Florida Pagador
- Florida Pagador is an assistant nurse manager, Melanie Barone is an associate nursing director, Mana Manoukian is a clinical nurse specialist, Wenrui Xu is a clinical research specialist, and Linda Kim is a research scientist, all at Cedars-Sinai Medical Center in Los Angeles. Contact author: Linda Kim, . The authors have disclosed no potential conflicts of interest, financial or otherwise. A podcast with the authors is available at www.ajnonline.com
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Staffileno BA, Heitschmidt M, Tucker SJ. Using a Generous Leadership Model to Promote Evidence-Based Practice. Am J Nurs 2022; 122:57-62. [PMID: 35200192 DOI: 10.1097/01.naj.0000823008.28313.15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
This article is part of a series about evidence-based practice (EBP) that builds on AJN's award-winning previous series-Evidence-Based Practice, Step by Step-published between 2009 and 2011 (to access the series, go to https://links.lww.com/AJN/A133). This follow-up series features exemplar success stories, in which authors describe how initiatives using an implementation framework or evidence-based strategy resulted in a successful practice or program change. Column coordinators Sharon J. Tucker and Lynn Gallagher-Ford alternate in providing commentary at the end.
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Affiliation(s)
- Beth A Staffileno
- Beth A. Staffileno is a professor and Mary Heitschmidt is director of clinical research in the College of Nursing at the Rush University Medical Center in Chicago, where both are also codirectors of the Center for Clinical Research and Scholarship. Sharon J. Tucker is the Grayce Sills Endowed Professor of Psychiatric-Mental Health Nursing, director of the DNP Nurse Executive Program, and director of the Implementation Science Core at the Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare at the Ohio State University College of Nursing in Columbus. Contact author: Beth A. Staffileno, . The authors have disclosed no potential conflicts of interest, financial or otherwise
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A Study on the Effects of Chinese Massage on Physical and Mental Health in Participants Based Smart Healthcare. JOURNAL OF HEALTHCARE ENGINEERING 2022; 2022:9732355. [PMID: 35013692 PMCID: PMC8742151 DOI: 10.1155/2022/9732355] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 11/24/2021] [Accepted: 12/09/2021] [Indexed: 12/21/2022]
Abstract
The purpose of this study is to understand the influence of the effect of the smart Chinese massage appliance on the participants' sports performance and physical and mental health after intermittent exercises. The study was performed by a mixed-study method. First, the experimental research method was used to design an experimental procedure and specifications such as data collection scope. Next, the quantitative research was carried out, using SPSS 26.0 statistical software to analyze data from the questionnaire. Then, the qualitative research was carried out by interviewing experts and respondents and obtaining their opinions. Finally, all the data were collated and analyzed using the multidimensional review method. Findings. Chinese massage significantly improved the physical fitness, exercise performance, body composition, and physical and mental health status of high-strength cyclic exercise participants. High-strength exercises can improve the physical and mental health of men. Medium-strength exercises could improve current conditions for women. Oxygen intake remained peaked for 8 sessions for men and increased after 30 sessions for women. Both groups required a 1-2-week adaptation period but had different exercise performance periods. After the experiment, head and back pain, as well as stress and negative emotions, was improved. The high intensity of the exercises relieved fear, headache or head stress, overeating, and other problems.
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11
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Neumann FA, Rohwer E, Mojtahedzadeh N, Makarova N, Nienhaus A, Harth V, Augustin M, Mache S, Zyriax BC. Workplace Health Promotion and COVID-19 Support Measures in Outpatient Care Services in Germany: A Quantitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:12119. [PMID: 34831875 PMCID: PMC8620567 DOI: 10.3390/ijerph182212119] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 11/15/2021] [Accepted: 11/16/2021] [Indexed: 11/16/2022]
Abstract
Working conditions in the care sector, especially under the increased strain during COVID-19, make it difficult for outpatient caregivers to adhere to health-promoting behaviours. Research on workplace health promotion (WHP) and COVID-19 support measures in outpatient care services is limited. The aim of this pilot study was to characterise the current situation of WHP and COVID-19 support measures in outpatient care services and to explore how to offer WHP support measures targeted for a specific group. A web-based cross-sectional survey was conducted with outpatient caregivers (N = 171) in northern Germany. The results showed that 60.2% of the study participants were offered WHP support measures, with significantly higher work engagement when WHP support measures were available (Z = 4279.50, p < 0.01) and that 77.2% received specific support from their employer during the COVID-19 pandemic. Although spending a break in a break room was significantly associated with longer breaks as compared with being in a car (Z = 39.10, padj. = 0.01), a break room was neither available in all outpatient care services, nor did it appear to be feasible. Overall, WHP in outpatient care services is insufficiently covered. In order to be able to offer WHP support measures that are targeted to outpatient caregivers, cooperation among local care services, feasibility, and digital measures should be examined.
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Affiliation(s)
- Felix Alexander Neumann
- Midwifery Science—Health Services Research and Prevention, Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Martinistr. 52, 20246 Hamburg, Germany; (E.R.); (N.M.); (B.-C.Z.)
| | - Elisabeth Rohwer
- Midwifery Science—Health Services Research and Prevention, Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Martinistr. 52, 20246 Hamburg, Germany; (E.R.); (N.M.); (B.-C.Z.)
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Seewartenstr. 10, 20459 Hamburg, Germany; (N.M.); (V.H.); (S.M.)
| | - Natascha Mojtahedzadeh
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Seewartenstr. 10, 20459 Hamburg, Germany; (N.M.); (V.H.); (S.M.)
| | - Nataliya Makarova
- Midwifery Science—Health Services Research and Prevention, Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Martinistr. 52, 20246 Hamburg, Germany; (E.R.); (N.M.); (B.-C.Z.)
| | - Albert Nienhaus
- Department of Occupational Medicine, Hazardous Substances and Public Health, Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), Pappelallee 33/35/37, 22089 Hamburg, Germany;
- Competence Center for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Martinistr. 52, 20246 Hamburg, Germany
| | - Volker Harth
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Seewartenstr. 10, 20459 Hamburg, Germany; (N.M.); (V.H.); (S.M.)
| | - Matthias Augustin
- Competence Center for Health Services Research in Dermatology (CVderm), Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Martinistr. 52, 20246 Hamburg, Germany;
| | - Stefanie Mache
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Seewartenstr. 10, 20459 Hamburg, Germany; (N.M.); (V.H.); (S.M.)
| | - Birgit-Christiane Zyriax
- Midwifery Science—Health Services Research and Prevention, Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), Martinistr. 52, 20246 Hamburg, Germany; (E.R.); (N.M.); (B.-C.Z.)
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de Souza TPB, Kurebayashi LFS, de Souza-Talarico JN, Turrini RNT. The effectiveness of Chair Massage on Stress and Pain in Oncology. Int J Ther Massage Bodywork 2021; 14:27-38. [PMID: 34484493 PMCID: PMC8362824 DOI: 10.3822/ijtmb.v14i3.619] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Background There is a high prevalence of moderate-to-high levels of chronic stress among nurses, as well as an occurrence of musculoskeletal disorders. Purpose To evaluate the effectiveness of chair massage to reduce chronic stress and musculoskeletal pain in the Oncology Nursing team. Setting Two teaching cancer hospitals, one public and the other private, in São Paulo city, Brazil. Participants A total of 60 women from the Oncology Nursing team. Research Design A randomized controlled trial divided into two groups: chair massage and control without intervention. Intervention The massage group received two chair massage sessions lasting 15 minutes, twice a week, for three weeks. Main Outcome Measure Reduction of stress and pain measured by the List of Signs and Symptoms (LSS) and the Brief Pain Inventory (BPI), respectively. Results The average age was 32 (± 5.3) years. There was a reduction of stress measured by the LSS with a statistical difference in the group-time interaction (p < .001), with a Cohen’s d value of 1.21 between groups. The BPI analysis showed a statistically significant difference in the group-time interaction for general activity (p < .008), mood (p < .03), work (p < .000), and sleep (p = .03), with reduced pain interference in these components. Conclusion Chair massage reduced stress and pain interference in the team’s daily life activities, bringing a positive impact in the context of work stress and pain in Oncology nursing professionals.
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Nwanya M, Rowberry D. The importance of understanding burnout: an oncology nurse perspective. ACTA ACUST UNITED AC 2021; 30:S8-S14. [PMID: 34037439 DOI: 10.12968/bjon.2021.30.10.s8] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The challenges presented by the global COVID-19 pandemic have intensified the stressors placed on nurses, leading to burnout. Oncology nurse burnout is likely to be an increasingly significant issue for cancer services as the true cost of the pandemic is revealed. Delays in diagnosis and treatment of cancers are reported widely, inevitably leading to poor prognosis and more aggressive treatments for patients. Gaining a better understanding of oncology nurse burnout, its prevalence and causes as well as strategies to reduce or prevent it will help to improve patient care and support staff wellbeing during and after the pandemic. Methodology: A search of the literature related to oncology nurse burnout, covering North America and Europe over 5 years (August 2014-January 2020), resulted in 31 articles for review. None of the studies were carried out in the UK, suggesting a need for robust investigations into oncology nurse burnout in the British health service. Summary: The prevalence of burnout among oncology nurses before the COVID-19 outbreak appeared to be high and is likely to have increased as a result of the pandemic. However, the studies investigating oncology nurse burnout are small and cross-sectional, with low-quality methods. The literature suggests the major causes of burnout arise in the workplace, particularly aspects of the environment that prevent nurses from working according to their values. Although burnout is frequently attributed to workplace factors, interventions remain focused on individuals' coping mechanisms and rarely on the workplace factors that are known to cause it.
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Patronis S, Staffileno BA. Favorable Outcomes From an In-person and Online Feasibility Mindful Moment Pilot Study. Holist Nurs Pract 2021; 35:158-166. [PMID: 33853100 DOI: 10.1097/hnp.0000000000000443] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Long hours, inadequate staff, and increasingly complicated patients make nurses more vulnerable to increased levels of stress and burnout. Nurses skilled in exercising self-care practices are better equipped to manage complex clinical situations. The purpose of this pilot study was to evaluate the feasibility of short mindfulness sessions (Mindful Moment) practiced prior to a shift, available in person and online, on nurse burnout and perceived levels of stress. The 8-week Mindful Moment study consisted of 20-minute sessions delivered either in person or online that included yoga, self-reflection, and meditation. Nurse burnout was assessed using the Maslach Burnout Inventory at weeks 0, 4, and 8. Perceived stress was assessed using a visual analog scale before and after each Mindful Moment session. Descriptive statistics, pre/postintervention differences, and percent change calculations were used to evaluate study outcomes. Forty-seven nurses agreed to participate, with 20 nurses completing the study (43%). Participants were all female, aged 36.8 ± 9.8 years, with 12 ± 8.6 years of nursing experience. With respect to nurse burnout, there was a -31% change in emotional exhaustion (P = .079), a -31% change in depersonalization (P = .057), and a +10% change in personal accomplishment (P = .331). There were consistent reductions in nurses' perceived stress pre/post-Mindful Moment session, with percent changes ranging from -35% to 40%. Findings from this study suggest that practicing a brief Mindful Moment prior to the start of a shift is feasible and self-care interventions provide lower levels of burnout and perceived stress among this sample of nurses.
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Affiliation(s)
- Stephanie Patronis
- Rush-Copley Medical Center Aurora, Illinois (Ms Patronis); and College of Nursing (Dr Staffileno) and Center for Clinical Research and Scholarship (Dr Staffileno), Rush University Medical Center, Chicago, Illinois
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Chen S, Xu K, Yao X, Zhu S, Zhang B, Zhou H, Guo X, Zhao B. Psychophysiological data-driven multi-feature information fusion and recognition of miner fatigue in high-altitude and cold areas. Comput Biol Med 2021; 133:104413. [PMID: 33915363 DOI: 10.1016/j.compbiomed.2021.104413] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Revised: 04/14/2021] [Accepted: 04/15/2021] [Indexed: 12/11/2022]
Abstract
Fatigue-induced human error is a leading cause of accidents. The purpose of this exploratory study in China was to perform field tests to measure fatigue psychophysiological parameters, such as electrocardiography (ECG), electromyography (EMG), pulse, blood pressure, reaction time and vital capacity (VC), in miners in high-altitude and cold areas and to perform multi-feature information fusion and fatigue identification. Forty-five miners were randomly selected as subjects for a field test, and feature signals were extracted from 90 psychophysiological features as basic signals for fatigue analysis. Fatigue sensitivity indices were obtained by Pearson correlation analysis, t-test and receiver operating characteristic (ROC) curve performance evaluation. The ECG time-domain, ECG frequency-domain, EMG, VC, systolic blood pressure (SBP), and pulse were significantly different after miner fatigue. The support vector machine (SVM) and random forest (RF) techniques were used to classify and identify fatigue by information fusion and factor combination. The optimal fatigue classification factors were ECG-FD (CV Accuracy = 85.0%) and EMG (CV Accuracy = 90.0%). The optimal combination of factors was ECG-TD + ECG-FD + EMG (CV accuracy = 80.0%). Furthermore, SVM machine learning had a good recognition effect. This study shows that SVM and RF can effectively identify miner fatigue based on fatigue-related factor combinations. ECG-FD and EMG are the best indicators of fatigue, and the best performance and robustness are obtained with three-factor combination classification. This study on miner fatigue identification provides a reference for research on clinical medicine and the identification of human fatigue under high-altitude, cold and low-oxygen conditions.
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Affiliation(s)
- Shoukun Chen
- Key Laboratory of Ministry of Education on Safe Mining of Deep Metal Mines, School of Resources and Civil Engineering, Northeastern University, Shenyang, 110819, China.
| | - Kaili Xu
- Key Laboratory of Ministry of Education on Safe Mining of Deep Metal Mines, School of Resources and Civil Engineering, Northeastern University, Shenyang, 110819, China.
| | - Xiwen Yao
- Key Laboratory of Ministry of Education on Safe Mining of Deep Metal Mines, School of Resources and Civil Engineering, Northeastern University, Shenyang, 110819, China.
| | - Siyi Zhu
- Key Laboratory of Ministry of Education on Safe Mining of Deep Metal Mines, School of Resources and Civil Engineering, Northeastern University, Shenyang, 110819, China.
| | - Bohan Zhang
- Key Laboratory of Ministry of Education on Safe Mining of Deep Metal Mines, School of Resources and Civil Engineering, Northeastern University, Shenyang, 110819, China.
| | - Haodong Zhou
- Key Laboratory of Ministry of Education on Safe Mining of Deep Metal Mines, School of Resources and Civil Engineering, Northeastern University, Shenyang, 110819, China.
| | - Xin Guo
- Key Laboratory of Ministry of Education on Safe Mining of Deep Metal Mines, School of Resources and Civil Engineering, Northeastern University, Shenyang, 110819, China.
| | - Bingfeng Zhao
- Yunnan Diqing Non-ferrous Metals Co., Ltd, Yunnan, 674400, China.
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Fazeli MS, Pourrahmat MM, Massah G, Lee K, Lavoie PM, Fazeli M, Esser A, Collet JP. The Effect of Massage on the Cardiac Autonomic Nervous System and Markers of Inflammation in Night Shift Workers: a Pilot Randomized Crossover Trial. Int J Ther Massage Bodywork 2020; 13:6-17. [PMID: 32922577 PMCID: PMC7454237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
BACKGROUND Shift work is a necessary part of many industries; however, it can have detrimental effects on health over time. PURPOSE This study investigated the effect of a massage intervention on the cardiac autonomic activity and blood inflammatory markers of healthy medical residents working night shifts. SETTING This trial was conducted at British Columbia Children's and Women's Hospital between February 2014 and June 2016. PARTICIPANTS Included participants were generally healthy medical residents and were working rotating night shifts on a regular basis. RESEARCH DESIGN This was a randomized, controlled, crossover, open-label trial (NCT02247089). INTERVENTIONS Participants received either a 30-min massage intervention or reading control after consecutive periods of night shift. MAIN OUTCOME MEASURES The primary outcome was high frequency, a proxy for the cardiac parasympathetic activity, measured via heart rate variability. Secondary outcomes included other heart rate variability measures, blood markers of inflammation, and blood pressure. RESULTS Twelve participants were recruited (nine female) with median age of 28 years. There was no significant difference between the massage intervention and the reading control for the primary outcome, (median relative change between pre- and postmassage [interquartile range]: 62% [-1 to 150], pre- and postreading: 14% [-10 to 51], p = .16). Similarly, there was no difference with respect to blood inflammatory markers and blood pressure. Median high frequency significantly increased between pre- and postmassage (185 vs. 358 ms2, p = .04). CONCLUSION This pilot study found no statistically significant difference between the massage intervention and the reading control; however, we did observe a significant increase in median high frequency from before massage to after massage, indicative of increased parasympathetic activity. This study may help inform planning of larger trials evaluating massage interventions on the activity of the autonomic nervous system and managing shift work stress.
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Affiliation(s)
- Mir Sohail Fazeli
- British Columbia Children’s Hospital Research Institute, Vancouver, Canada,Evidinno Outcomes Research Inc., Vancouver, Canada
| | - Mir-Masoud Pourrahmat
- British Columbia Children’s Hospital Research Institute, Vancouver, Canada,Evidinno Outcomes Research Inc., Vancouver, Canada,Department of Medicine, University of British Columbia, Vancouver, Canada
| | - Golshan Massah
- British Columbia Children’s Hospital Research Institute, Vancouver, Canada,Department of Medicine, University of British Columbia, Vancouver, Canada
| | - Kelsey Lee
- British Columbia Children’s Hospital Research Institute, Vancouver, Canada,Department of Pediatrics, University of British Columbia, Vancouver, Canada
| | - Pascal M. Lavoie
- British Columbia Children’s Hospital Research Institute, Vancouver, Canada,Department of Pediatrics, University of British Columbia, Vancouver, Canada
| | - Mirfarhang Fazeli
- British Columbia Children’s Hospital Research Institute, Vancouver, Canada,Department of Medicine, University of British Columbia, Vancouver, Canada
| | - Alison Esser
- Vancouver College of Massage Therapy, Vancouver, Canada
| | - Jean-Paul Collet
- British Columbia Children’s Hospital Research Institute, Vancouver, Canada,Beijing Tiantan Hospital, Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
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Mojtahedzadeh N, Neumann FA, Rohwer E, Augustin M, Zyriax BC, Harth V, Mache S. Betriebliche Gesundheitsförderung in der Pflege. PRAVENTION UND GESUNDHEITSFORDERUNG 2020. [DOI: 10.1007/s11553-020-00800-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Zusammenfassung
Hintergrund
In der Pflegebranche nehmen Arbeitsunfähigkeitstage durch verschiedene Fehlbelastungen zu, welches die Relevanz der Betrieblichen Gesundheitsförderung (BGF) hervorhebt.
Ziel der Arbeit
Der Artikel soll die Thematik der BGF in der Pflege beleuchten und zudem eine Übersicht von bestehenden betrieblichen Gesundheitsförderungsmaßnahmen im Setting Pflege bieten.
Material und Methoden
In einer explorativen Literaturrecherche werden bisher verfügbare Erkenntnisse aus der BGF in der Pflege recherchiert und zusammengefasst. Aus diesen Forschungserkenntnissen werden Maßnahmenvorschläge für die Pflege-BGF abgeleitet. Die Vorschläge sollten aktualisiert werden, wenn derzeit laufende arbeitspsychologische Studien neue Erkenntnisse hervorgebracht haben.
Ergebnisse
Bestehende Interventionen in der Pflegebranche, welche beispielsweise Achtsamkeitstrainings, Maßnahmen zur Stress‑/Tabakkonsumreduzierung sowie die Förderung gesunder Ernährungsweise und körperlichen Aktivität beinhalten, werden dargestellt.
Diskussion
Studienergebnisse zeigen, dass Interventionen zur Stressreduzierung aus der stationären Pflege effektiv das Stresserleben der Pflegekräfte senken konnten. Web-basierte Interventionen scheinen darüber hinaus für das ambulante Pflegesetting als erstrebenswert. Mögliche Herausforderungen, wie fehlende Fachkenntnisse und -kräfte, für die BGF-Umsetzung werden diskutiert.
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Heitschmidt M, Staffileno BA, Kleinpell R. Implementing a faculty mentoring process to improve academic-clinical partnerships for nurse led evidence based practice and research projects. J Prof Nurs 2020; 37:399-403. [PMID: 33867097 DOI: 10.1016/j.profnurs.2020.04.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Revised: 04/19/2020] [Accepted: 04/21/2020] [Indexed: 11/25/2022]
Abstract
A unique nursing faculty mentoring process within a large academic medical center, and led by the College of Nursing (CON), Center for Clinical Research and Scholarship, provides faculty with the resources needed to collaborate with clinical nursing staff and multidisciplinary project teams who want to engage in clinical evidence based practice, quality improvement, and research projects. Guidelines for mentoring clinical staff allow CON faculty mentors work with clinical staff to enhance their own professional growth and leadership activities and improve clinical outcomes, as well as to increase faculty scholarship activities.
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Affiliation(s)
| | | | - Ruth Kleinpell
- Rush University College of Nursing, United States of America; Vanderbilt University School of Nursing, United States of America
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Abstract
Poor provider health and clinical staff burnout remain a threat to quality patient care. A meta-analysis of studies about nurse burnout reported the following estimates about nurses in clinical practice: 31% had high emotional exhaustion, 24% demonstrated high depersonalization, and 38% had low personal accomplishment.
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Affiliation(s)
- Ellen Carr
- University of California San Diego Moores Cancer Center
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