Key factors for implementing mindfulness-based burnout interventions in surgery

American Journal of Surgery

Volumn 219, Issue 2, 2020, Pages 328-334

  Lebares, Carter C ^a   Guvva, Ekaterina V ^a   Desai, Aditi ^a   Herschberger, Amy ^a   Ascher, Nancy L ^a   Harris, Hobart W ^a   O'Sullivan, Patricia ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Burnout; Implementation; Intervention; Mindfulness; Stress; Surgery

Indexed keywords

ADMINISTRATIVE PERSONNEL; ADULT; ARTICLE; BURNOUT; CONTROLLED STUDY; FEASIBILITY STUDY; HUMAN; INTERVIEW; LEADERSHIP; MINDFULNESS; SURGERY; THEMATIC ANALYSIS;

EID: 85074517675     PISSN: 00029610     EISSN: 18791883     Source Type: Journal    
DOI: 10.1016/j.amjsurg.2019.10.025     Document Type: Article

References (52)

1. Maslach, C., Schaufeli, W.B., Leiter, M.P., Job burnout. Annu Rev Psychol 52 (2001), 397–422.
2. Shanafelt, T.D., Hasan, O., Dyrbye, L.N., et al. Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc 90:12 (2015), 1600–1613.
3. Shanafelt, T.D., Balch, C.M., Bechamps, G., et al. Burnout and medical errors among American surgeons. Ann Surg 251:6 (2010), 995–1000.
4. Del Canale, S., Louis, D.Z., Maio, V., et al. The relationship between physician empathy and disease complications: an empirical study of primary care physicians and their diabetic patients in Parma. Italy. Acad Med. 87:9 (2012), 1243–1249.
5. DiMatteo, M.R., Sherbourne, C.D., Hays, R.D., et al. Physicians’ characteristics influence patients’ adherence to medical treatment: results from the Medical Outcomes Study. Health Psychol 12:2 (1993), 93–102.
6. Haas, J.S., Cook, E.F., Puopolo, A.L., et al. Is the professional satisfaction of general internists associated with patient satisfaction?. J Gen Intern Med 15:2 (2000), 122–128.
7. Sinsky, C.A., Dyrbye, L.N., West, C.P., et al. Professional satisfaction and the career plans of US physicians. Mayo Clin Proc 92:11 (2017), 1625–1635.
8. Dyrbye, L.N., Trockel, M., Frank, E., et al. Development of a research agenda to identify evidence- based strategies to improve physician wellness and reduce burnout. Ann Intern Med 166:10 (2017), 743–744.
9. Han, S., Shanafelt, T.D., Sinsky, C.A., et al. Estimating the attributable cost of burnout in the United States. Ann Intern Med 170:11 (2019), 784–790.
10. Kuhn, C.M., Flanagan, E.M., Self-care as a professional imperative: physician burnout, depression, and suicide. Can J Anaesth 64:2 (2017), 158–168.
11. Oreskovich, M.R., Kaups, K.L., Balch, C.M., et al. Prevalence of alcohol use disorders among American surgeons. Arch Surg 147:2 (2012), 168–174.
12. Shanafelt, T.D., Noseworthy, J.H., Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. Mayo Clin Proc 92:1 (2017), 129–146.
13. Bodenheimer, T., Sinsky, C., From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med 12:6 (2014), 573–576.
14. Bohman B, Dyrbye L, Sinsky C, et al Physician well-being: the reciprocity of practice efficiency, culture of wellness, and personal resilience. NEJM Catalyst website. http://catalyst.nejm.org/physician-well-being-efficiency-wellness-resilience/.
15. Brigham T, Barden C, Dopp AL, et al A journey to construct an all-encompassing conceptual model of factors affecting clinician well-being and resilience. National Academy of Medicine website. https://nam.edu/journey-construct-encompassing-conceptual-model-factors-affecting-clinician-well-resilience. Accessed April 1, 2019.
16. Lebares, C.C., Guvva, E.V., Ascher, N.L., et al. Burnout and stress among US surgery residents: psychological distress and resilience. J Am Coll Surg 226:1 (2018), 80–90.
17. Elmore, L.C., Jeffe, D.B., Jin, L., et al. National survey of burnout among US general surgery residents. J Am Coll Surg 223:3 (2016), 440–451.
18. Liston, C., McEwen, B.S., Casey, B.J., Psychosocial stress reversibly disrupts prefrontal processing and attentional control. Proc Natl Acad Sci U S A 106:3 (2009), 912–917.
19. Karlamangla, A.S., Singer, B.H., McEwen, B.S., et al. Allostatic load as a predictor of functional decline. MacArthur studies of successful aging. J Clin Epidemiol 55:7 (2002), 696–710.
20. McEwen, B.S., In pursuit of resilience: stress, epigenetics, and brain plasticity. Ann N Y Acad Sci 1373:1 (2016), 56–64.
21. Johnson, D.C., Thom, N.J., Stanley, E.A., et al. Modifying resilience mechanisms in at-risk individuals: a controlled study of mindfulness training in Marines preparing for deployment. Am J Psychiatry 171:8 (2014), 844–853.
22. Jha, A.P., Stanley, E.A., Kiyonaga, A., et al. Examining the protective effects of mindfulness training on working memory capacity and affective experience. Emotion 10:1 (2010), 54–64.
23. Le Scanff, C., Taugis, J., Stress management for police special forces. J Appl Sport Psychol 14:4 (2002), 330–343.
24. Guenthner, S.V., Hammermeister, J., Burton, D., Keller, L., Smoke and mirrors or wave of the future? Evaluating a mental skills training program for elite cross- country skiers. J Sport Behav 33:1 (2010), 3–24.
25. Birrer, D., Röthlin, P., Morgan, G., Mindfulness to enhance athletic performance: theoretical considerations and possible impact mechanisms. Mindfulness 3 (2012), 235–246.
26. Reynolds G. To train an athlete, add 12 minutes of meditation to the daily mix. The New York times. The New York Times website: https://www.nytimes.com/2017/06/21/well/live/to-train-an-athlete-add-12-minutes-of-meditation-to-the-daily-mix.html. Accessed April 1, 2019.
27. Krasner, M.S., Epstein, R.M., Beckman, H., et al. Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. J Am Med Assoc 302:12 (2009), 1284–1293.
28. Amutio, A., Martínez-Taboada, C., Hermosilla, D., Delgado, L.C., Enhancing relaxation states and positive emotions in physicians through a mindfulness training program: a one-year study. Psychol Health Med 20:6 (2015), 720–731.
29. Jha, A.P., Stanley, E.A., Kiyonaga, A., et al. Examining the protective effects of mindfulness training on working memory capacity and affective experience. Emotion 10:1 (2010), 54–64.
30. MacLean, K.A., Ferrer, E., Aichele, S.R., et al. Intensive meditation training improves perceptual discrimination and sustained attention. Psychol Sci 21:6 (2010), 829–839.
31. Mrazek, M.D., Franklin, M.S., Phillips, D.T., et al. Mindfulness training improves working memory capacity and GRE performance while reducing mind wandering. Psychol Sci 24:5 (2013), 776–781.
32. Baird, B., Mrazek, M.D., Phillips, D.T., Schooler, J.W., Domain-specific enhancement of metacognitive ability following meditation training. J Exp Psychol Gen 143:5 (2014), 1972–1979.
33. Flook, L., Goldberg, S.B., Pinger, L., et al. Mindfulness for teachers: a pilot study to assess effects on stress, burnout and teaching efficacy. Mind Brain Educ, 7(3), 2013.
34. cCrory, P., Cobley, S., Marchant, P., The effect of psychological skills training on self-regulation behavior, self-efficacy, and psychological skill use in military pilot trainees. Mil Psychol 25:2 (2013), 136–147.
35. Lebares, C.C., Hershberger, A.O., Guvva, E.V., et al. Feasibility of formal mindfulness-based stress- resilience training among surgery interns: a randomized clinical trial. JAMA Surg, 153(10), 2018, e182734.
36. Lebares, C.C., Guvva, E.V., Olaru, M., et al. Efficacy of mindfulness-based cognitive training in surgery: additional analysis of the mindful surgeon pilot randomized clinical trial. JAMA Netw Open, 3(5), 2019, e194108 2.
37. Corbin, J., Strauss, A., Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. third ed., 2008, Sage, Thousand Oaks, CA.
38. Fetters, M.D., Curry, L.A., Creswell, J.W., Achieving integration in mixed methods designs-principles and practices. Health Serv Res 48:6 Pt 2 (2013), 2134–2156.
39. Hsieh, H.F., Shannon, S.E., 3 approaches to qualitative content analysis. Qual Health Res 15 (2005), 1277–1288.
40. Bowen, A.G., Grounded theory and sensitizing concepts. Int J Qual Methods 5:3 (2006), 12–23.
41. Sargeant, J., Qualitative Research Part II: participants, analysis, and quality assurance. J Grad Med Educ 4 (2012), 1–3.
42. Gale, R.C., Wu, J., Erhardt, T., et al. Comparison of rapid vs in-depth qualitative analytic methods from a process evaluation of academic detailing in the Veterans Health Administration. Implement Sci, 1(1), 2019, 11 14.
43. Damschroder, L.J., Aron, D.C., Keith, R.E., Kirsh, S.R., Alexander, J.A., Lowery, J.C., Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci, 4, 2009, 50.
44. Damschroder, L., Hall, C., Gillon, L., et al. The Consolidated Framework for Implementation Research (CFIR): progress to date, tools and resources, and plans for the future. Implement Sci, 10(Suppl 1), 2014, A12 2015.
45. Consolidated framework for implementation research (CFIR) constructs. CFIR website. https://cfirguide.org/constructs/. Accessed April 1, 2019.
46. Braithwaite, J., Churruca, K., Long, J.C., Ellis, L.A., Herkes, J., When complexity science meets implementation science: a theoretical and empirical analysis of systems change. BMC Med, 16(1), 2018, 63.
47. Nielsen, L., Riddle, M., King, J.W., et al. The NIH science of behavior change program: transforming the science through a focus on mechanisms of change. Behav Res Ther 101 (2018), 3–11.
48. Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., Kyriakidou, O., Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q 82 (2004), 581–629.
49. Hystad, S.W., Bartone, P.T., Eid, J., Positive organizational behavior and safety in the offshore oil industry: exploring the determinants of positive safety climate. J Posit Psychol 1 (2014), 42–53.
50. Haynes, A.B., Weiser, T.G., Berry, W.R., et al. Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. BMJ Qual Saf 20:1 (2011), 102–107.
51. Bauer, M.S., Damschroder, L., Hagedorn, H., Smith, J., Kilbourne, A.M., An introduction to implementation science for the non-specialist. BMC Psychol, 16, 2015, 32 3.
52. May, C.R., Johnson, M., Finch, T., Implementation, context and complexity. Implement Sci, 11, 2016, 141.