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Kelly LA, Miller BA, Graber A, Tran A, Collins J. The Gratitude Campaign: A Multihospital Evidence-Based Practice Project. J Nurs Adm 2023; 53:567-573. [PMID: 37824454 DOI: 10.1097/nna.0000000000001347] [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: 10/14/2023]
Abstract
Nurse well-being and optimism were tested in the midst of COVID-19 patient surges and staffing challenges. Using the American Nurses Foundation Gratitude Toolkit, a health system implemented monthly gratitude practices at 4 hospitals. Validated survey measures indicated that nurses' scores of self-perceived gratitude, flourishing behaviors, and mindfulness were maintained during this challenging time but did not statistically increase. Although statistical significance increases were not demonstrated, the gratitude campaign offered clinical significance through positive feedback and was sustained through the distribution of a toolkit disseminated across the health system.
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Affiliation(s)
- Lesly A Kelly
- Author Affiliations: Nurse Scientist (Dr Kelly), CommonSpirit Health, Phoenix, Arizona; System Director High Reliability and Patient Safety (Miller), CommonSpirit Health, Bakersfield, California; Nursing Practice Coordinator (Graber), CHI Health Mercy Council Bluffs, Council Bluffs, Iowa; Professional Practice and Magnet Coordinator (Tran), CHI Health St Elizabeth, Lincoln, Nebraska; Chief Nursing Office (Collins), Bay Area Hospital, Coos Bay, Oregon
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Jackson-Triche M, Vetal D, Turner EM, Dahiya P, Mangurian C. Meeting the Behavioral Health Needs of Health Care Workers During COVID-19 by Leveraging Chatbot Technology: Development and Usability Study. J Med Internet Res 2023; 25:e40635. [PMID: 37146178 PMCID: PMC10263106 DOI: 10.2196/40635] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 01/23/2023] [Accepted: 05/02/2023] [Indexed: 05/07/2023] Open
Abstract
BACKGROUND During the COVID-19 pandemic, health care systems were faced with the urgent need to implement strategies to address the behavioral health needs of health care workers. A primary concern of any large health care system is developing an easy-to-access, streamlined system of triage and support despite limited behavioral health resources. OBJECTIVE This study provides a detailed description of the design and implementation of a chatbot program designed to triage and facilitate access to behavioral health assessment and treatment for the workforce of a large academic medical center. The University of California, San Francisco (UCSF) Faculty, Staff, and Trainee Coping and Resiliency Program (UCSF Cope) aimed to provide timely access to a live telehealth navigator for triage and live telehealth assessment and treatment, curated web-based self-management tools, and nontreatment support groups for those experiencing stress related to their unique roles. METHODS In a public-private partnership, the UCSF Cope team built a chatbot to triage employees based on behavioral health needs. The chatbot is an algorithm-based, automated, and interactive artificial intelligence conversational tool that uses natural language understanding to engage users by presenting a series of questions with simple multiple-choice answers. The goal of each chatbot session was to guide users to services that were appropriate for their needs. Designers developed a chatbot data dashboard to identify and follow trends directly through the chatbot. Regarding other program elements, website user data were collected monthly and participant satisfaction was gathered for each nontreatment support group. RESULTS The UCSF Cope chatbot was rapidly developed and launched on April 20, 2020. As of May 31, 2022, a total of 10.88% (3785/34,790) of employees accessed the technology. Among those reporting any form of psychological distress, 39.7% (708/1783) of employees requested in-person services, including those who had an existing provider. UCSF employees responded positively to all program elements. As of May 31, 2022, the UCSF Cope website had 615,334 unique users, with 66,585 unique views of webinars and 601,471 unique views of video shorts. All units across UCSF were reached by UCSF Cope staff for special interventions, with >40 units requesting these services. Town halls were particularly well received, with >80% of attendees reporting the experience as helpful. CONCLUSIONS UCSF Cope used chatbot technology to incorporate individualized behavioral health triage, assessment, treatment, and general emotional support for an entire employee base (N=34,790). This level of triage for a population of this size would not have been possible without the use of chatbot technology. The UCSF Cope model has the potential to be scaled, adapted, and implemented across both academically and nonacademically affiliated medical settings.
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Affiliation(s)
- Maga Jackson-Triche
- Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, United States
| | | | - Eva-Marie Turner
- UCSF Health, University of California, San Francisco, San Francisco, CA, United States
| | - Priya Dahiya
- Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, United States
| | - Christina Mangurian
- Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, United States
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Merrigan JJ, Quatman-Yates C, Caputo J, Daniel K, Briones N, Sen I, Bretz S, Duchemin AM, Steinberg B, Hagen JA, Klatt M. Assessment of Virtual Mindfulness-Based Training for Health Care Professionals: Improved Self-Reported Respiration Rates, Perceived Stress, and Resilience. GLOBAL ADVANCES IN INTEGRATIVE MEDICINE AND HEALTH 2023; 12:27536130231187636. [PMID: 37434793 PMCID: PMC10331219 DOI: 10.1177/27536130231187636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 07/13/2023]
Abstract
Background Mindfulness in Motion (MIM) is a workplace resilience-building intervention that has shown reductions in perceived stress and burnout, as well as increased resilience and work engagement in health care workers. Objective To evaluate effects of MIM delivered in a synchronous virtual format on self-reported respiratory rates (RR), as well as perceived stress and resiliency of health care workers. Methods Breath counts were self-reported by 275 participants before and after 8 weekly MIM sessions. MIM was delivered virtually in a group format as a structured, evidence-based workplace intervention including a variety of mindfulness, relaxation, and resilience-building techniques. Participants counted their breaths for 30 seconds, which was then multiplied by 2 to report RR. Additionally, participants completed Perceived Stress Scale and Connor-Davidson Resiliency Scale. Results According to mixed effect analyses there were main effects of MIM Session (P < .001) and Weeks (P < .001), but no Session by Week interaction (P = .489) on RR. On average, RR prior to MIM sessions were reduced from 13.24 bpm (95% CI = 12.94, 13.55 bpm) to 9.69 bpm (95% CI = 9.39, 9.99 bpm). When comparing average Pre-MIM and Post-MIM RR throughout the MIM intervention, Week-2 (mean = 12.34; 95% CI = 11.89, 12.79 bpm) was not significantly different than Week-1 (mean = 12.78; 95% CI = 12.34, 13.23 bpm), but Week-3 through Week-8 demonstrated significantly lower average Pre-MIM and Post-MIM RR compared to Week-1 (average weekly difference range: 1.36 to 2.48 bpm, P < .05). Perceived stress was reduced from Week-1 (17.52 ± 6.25) to after Week-8 (13.52 ± 6.04; P < .001), while perceived resiliency was increased from Week-1 (11.30 ± 5.14) to after Week-8 (19.29 ± 2.58); P < .001). Conclusion Thus far, completion of MIM sessions has shown acute and long-term effects on self-reported RR, but more research is required to determine the extent of improved parasympathetic (relaxed) states. Collectively, this work has shown value for mind-body stress mitigation and resiliency-building in high stress acute health care environments.
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Affiliation(s)
- Justin J. Merrigan
- Human Performance Collaborative, Office of Research, The Ohio State University, Columbus, OH, USA
| | - Catherine Quatman-Yates
- School of Health and Rehabilitation Sciences, Division of Physical Therapy, The Ohio State University, Columbus, OH, USA
| | - Jacqueline Caputo
- School of Health and Rehabilitation Sciences, Division of Physical Therapy, The Ohio State University, Columbus, OH, USA
| | - Kayla Daniel
- Center for Integrative Health, Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA
| | - Nadia Briones
- Center for Integrative Health, Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA
| | - Ilayda Sen
- Center for Integrative Health, Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA
| | - Slate Bretz
- Center for Integrative Health, Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA
| | - Anne-Marie Duchemin
- Stress, Trauma and Resilience Program, Department of Psychiatry, College of Medicine, The Ohio State University, Columbus, OH, USA
| | - Beth Steinberg
- Center for Integrative Health, Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA
- Gabbe Health and Wellbeing, The Ohio State University Wexner Medical Center, The Ohio State University, Columbus, OH, USA
| | - Joshua A. Hagen
- Human Performance Collaborative, Office of Research, The Ohio State University, Columbus, OH, USA
- Department of Integrated Systems Engineering, The Ohio State University, Columbus, OH, USA
| | - Maryanna Klatt
- Center for Integrative Health, Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA
- Gabbe Health and Wellbeing, The Ohio State University Wexner Medical Center, The Ohio State University, Columbus, OH, USA
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Huang J, Qi H, Zhu Y, Zhang M. Factors Influencing the Initiative Behavior of Intensive Care Unit Nurses toward End-of-Life Decision Making: A Cross-Sectional Study. J Palliat Med 2022; 25:1802-1809. [PMID: 35749724 DOI: 10.1089/jpm.2021.0640] [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] [Indexed: 01/04/2023] Open
Abstract
Background: Although the importance of intensive care unit (ICU) nurse initiative in end-of-life (EOL) decision making has been confirmed, there are few studies on the nurses' initiative in EOL situations. Objectives: To explore the role and mechanism of facilitators/barriers and perceived stress on the behavior of ICU nurses that initiate EOL decision making (i.e., initiative behavior). Design: This research adopted a cross-sectional descriptive design. Setting/Participants: A questionnaire composed of demographics, facilitators/barriers scale, perceived stress scale, and initiative behavior for EOL decision-making scale was used for registered ICU nurses in five tertiary general hospitals in Zhejiang Province, China. Results: The average score of the EOL decision initiative behavior was 5.54 on a range of 2-10. The results of correlation analysis indicated that the facilitators promote the initiative behavior, whereas the barriers interfere with initiative behavior. Facilitators/barriers in the EOL decision-making process significantly predicted the initiative behavior of ICU nurses in decision making (β = 0.698, p < 0.001). Facilitators/barriers had a significant indirect effect on the initiative behavior of ICU nurses through perceived stress. The 95% confidence interval was (-0.327 to -0.031), and the mediating effect of perceived stress accounted for 6.31% of the total effect. Conclusion: In the EOL context, the decision initiative of ICU nurses was at a medium level. Medical managers should implement intervention strategies based on the path that affects the initiative behavior of ICU nurses to reduce barriers and stress level in the decision-making process. That is, they should improve inter-team collaboration, nurse-patient communication, clarity of role responsibilities, and emotional support in dying situations to increase initiative and participation of ICU nurses in decision making.
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Affiliation(s)
- Jingying Huang
- Postanesthesia Care Unit, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, P.R. China
| | - Haiou Qi
- Nursing Department, and Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, P.R. China
| | - Yiting Zhu
- Postanesthesia Care Unit, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, P.R. China
| | - Minyan Zhang
- Intensive Care Unit, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, P.R. China
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Conley P, Ohnoutka D, Enriquez M. Perception of gratitude among new nurse graduates: A mixed-methods study. Nurs Manag (Harrow) 2022; 53:36-42. [PMID: 35776419 DOI: 10.1097/01.numa.0000834584.88792.6c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Affiliation(s)
- Patricia Conley
- In Kansas City, Mo., Patricia Conley is the progressive care unit clinical nurse coordinator at Research Medical Center, Debra Ohnoutka is the executive director of Crossroads Hospice and Palliative Care, and Maithe Enriquez is a professor and the associate dean of graduate education at Research College of Nursing and an NP of infectious diseases at Research Medical Center
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Bag SD, Kilby CJ, Kent JN, Brooker J, Sherman KA. Resilience, self-compassion, and indices of psychological wellbeing: a not so simple set of relationships. AUSTRALIAN PSYCHOLOGIST 2022. [DOI: 10.1080/00050067.2022.2089543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- Shobhna D. Bag
- Centre for Emotional Health, School of Psychological Sciences, Macquarie University, Sydney, Australia
| | - Christopher J. Kilby
- Centre for Emotional Health, School of Psychological Sciences, Macquarie University, Sydney, Australia
- School of Psychology, Counselling, and Psychotherapy, The Cairnmillar Institute, Melbourne, Australia
| | - Jessica N. Kent
- School of Psychology, Counselling, and Psychotherapy, The Cairnmillar Institute, Melbourne, Australia
| | - Joanne Brooker
- School of Psychology, Counselling, and Psychotherapy, The Cairnmillar Institute, Melbourne, Australia
| | - Kerry A. Sherman
- Centre for Emotional Health, School of Psychological Sciences, Macquarie University, Sydney, Australia
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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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Kernan G, Cifuentes M, Gore R, Kriebel D, Punnett L. A Corporate Wellness Program and Nursing Home Employees' Health. Front Public Health 2020; 8:531116. [PMID: 33194941 PMCID: PMC7664128 DOI: 10.3389/fpubh.2020.531116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2020] [Accepted: 09/21/2020] [Indexed: 11/13/2022] Open
Abstract
Background: Many employed Americans suffer from chronic conditions like obesity, diabetes, and cardiovascular diseases. Worksite wellness programs provide opportunities to introduce health promotion strategies. While there is evidence of the effectiveness of workplace health promotion, this is tempered by concern that benefits may be less available to low-wage workers with inflexible working conditions. Objective: The aim was to evaluate a workplace health promotion (WHP) in the long-term care sector (skilled nursing facilities). Methods: Nursing home employees from 18 facilities within a single company were surveyed by a standardized, self-administered questionnaire. A company-sponsored WHP program was offered to the facilities, which were free to take it up or not. We categorized the facilities by level of program adoption. Cross-sectional associations were estimated between program category and prevalence of individual-level worker health indicators, adjusting for center-level working conditions. Results: A total of 1,589 workers in 5 job categories completed the survey. Average levels of psychological demands and social support at work were relatively high. Supervisor support stood out as higher in centers with well-developed WHP programs, compared to centers with no programs. There were no differences among program levels for most health outcomes. Workers in centers with well-developed programs had slightly lower average body mass index and (unexpectedly) slightly lower prevalence of non-smoking and regular aerobic exercise. Conclusions: Only small health benefits were observed from well-developed programs and working conditions did not appear to confound the negative results. This low-intensity, low-resourced workplace health promotion program may have benefited a few individuals but seems to have had only modest influence on average levels of the measured health indicators. Many nursing home employees experience obstacles to health behaviors; approaches that provide more environmental and economic supports for healthy behaviors, such as Total Worker Health®, may yield larger health benefits.
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Affiliation(s)
- Gabriela Kernan
- Department of Public Health, University of Massachusetts Lowell, Lowell, MA, United States
| | - Manuel Cifuentes
- Department of Public Health, Regis College, Weston, MA, United States
| | - Rebecca Gore
- Department of Biomedical Engineering, University of Massachusetts Lowell, Lowell, MA, United States
| | - David Kriebel
- Department of Public Health, University of Massachusetts Lowell, Lowell, MA, United States
| | - Laura Punnett
- Department of Biomedical Engineering, University of Massachusetts Lowell, Lowell, MA, United States
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Siddiqui N, Tsipursky M, Hariprasad SM. Burnout in Ophthalmology. Ophthalmic Surg Lasers Imaging Retina 2020; 51:480-484. [DOI: 10.3928/23258160-20200831-01] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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10
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Gerber TC. Growing Up Fast! Mayo Clin Proc Innov Qual Outcomes 2019; 3:381-383. [PMID: 31993557 PMCID: PMC6978600 DOI: 10.1016/j.mayocpiqo.2019.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Thomas C. Gerber
- Correspondence: Address to Thomas C. Gerber, MD, PhD, Mayo Clinic, 200 First St SW, Rochester, MN 55905. @tcgmd61
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Das SK, Mason ST, Vail TA, Blanchard CM, Chin MK, Rogers GT, Livingston KA, Turgiss JL. Sustained Long-Term Effectiveness of an Energy Management Training Course on Employee Vitality and Purpose in Life. Am J Health Promot 2019; 34:177-188. [PMID: 31698916 PMCID: PMC7323763 DOI: 10.1177/0890117119883585] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Purpose: Programs designed to sustainably improve employee well-being are urgently needed but
insufficiently researched. This study evaluates the long-term effectiveness of a
commercial well-being intervention in a worksite setting. Design: A pre/postintervention repeated analysis with follow-up at 6, 12, and 18 months. Setting: Office-based worksites (for-profit, nonprofit, and mixed work-type; n = 8). Participants: One hundred sixty-three employees with a mean age of 47 (11) years (57% female). Intervention: A 2.5-day group-based behavioral program emphasizing vitality and purpose in life
(PiL). Measures: Rand Medical Outcomes Survey (MOS) 36-Item Short Form (SF-36) with a focus on vitality
(primary outcome), Ryff PiL Scale, Center for Epidemiologic Studies Depression Scale,
Profile of Mood States, Rand MOS Sleep Scale, physical activity, body weight, blood
pressure, and blood measures for glucose and lipids at baseline, 6, 12, and 18
months. Analysis: General linear models with repeated measures for mean values at baseline and
follow-up. Results: At 18-month follow-up, sustained improvements were observed for vitality, general
health, and mental health domains of SF-36 and PiL (P < .001 for all
measures). Sleep, mood, vigor, physical activity, and blood pressure were also improved
at 18 months (P < .05 for all measures). Conclusions: An intensive 2.5-day intervention showed sustained improvement in employee quality of
life, PiL, and other measures of well-being over 18 months.
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Affiliation(s)
- Sai Krupa Das
- Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA, USA
| | - Shawn T Mason
- Johnson & Johnson, Health and Wellness Solutions Inc, New Brunswick, NJ, USA
| | - Taylor A Vail
- Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA, USA
| | - Caroline M Blanchard
- Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA, USA
| | - Meghan K Chin
- Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA, USA
| | - Gail T Rogers
- Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA, USA
| | - Kara A Livingston
- Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA, USA
| | - Jennifer L Turgiss
- Johnson & Johnson, Health and Wellness Solutions Inc, New Brunswick, NJ, USA
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Güngör A, Uçman AG. Depression and hopelessness in Turkish healthcare workers: The moderating and mediating roles of meaning in life. Glob Public Health 2019; 15:236-246. [PMID: 31429360 DOI: 10.1080/17441692.2019.1656273] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Healthcare workers who served in southern cities of Turkey have been directly and indirectly affected by the civil war in Syria due to stress and trauma. Hopelessness in these healthcare workers can be a potential contributor to their levels of depression. On the other hand, meaning in life, as both moderating and mediating variable, can serve to counteract depression. This is a study of 286 Turkish healthcare workers who served in a southern border city of Turkey and Syria in February and March of 2018. The study examined the effects of hopelessness and meaning in life on depression level including the moderating and mediating effects of meaning in life on the relationship between hopelessness and depression. A hierarchical regression analysis and bootstrapping procedure were employed to test the research questions. This study found that hopelessness positively predicted depression and meaning in life negatively predicted depression. Meaning in life significantly moderated and partially mediated the association between hopelessness and depression. Healthcare workers who served in a conflict area experienced more depression when they had more hopelessness and less meaning in life. Moreover, meaning in life played a central role as both moderator and mediator. Results are discussed with implications and limitations.
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Affiliation(s)
- Abdi Güngör
- Department of Guidance and Psychological Counseling, Duzce University, Merkez/Düzce, Turkey
| | - Ayşe Gül Uçman
- Department of Guidance and Psychological Counseling, Duzce University, Merkez/Düzce, Turkey
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Wieneke KC, Schaepe KS, Egginton JS, Jenkins SM, Block NC, Riley BA, Sifuentes LE, Clark MM. The Supervisor's Perceived Role in Employee Well-Being: Results From Mayo Clinic. Am J Health Promot 2018; 33:300-311. [PMID: 29973056 DOI: 10.1177/0890117118784860] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE Novel approaches are needed to enhance employee well-being and perhaps supervisors can be an effective agent for worksite health promotion. The aim of this study was to examine the supervisor's perceived needs, barriers, and role for influencing employee well-being for incorporation into program development. DESIGN Semistructured, qualitative interviews of supervisors. SETTING Large, integrated academic health-care organization with over 30 000 employees and 2600 supervisors having access to comprehensive well-being programs and a successful well-being champion network comprised of 600 champions. PARTICIPANTS Twenty supervisors representing clinical, research, and administrative units. METHODS Semistructured, one-on-one interviews were conducted and audio recorded. Analysis included content log development and open coding by a trained analyst to reveal key themes. More formalized content coding using specialized software for qualitative analyses was also conducted. RESULTS Supervisor responses were wide ranging regarding their perceived and desired role in promoting workplace well-being. Barriers from the supervisor perspective included high current workload, ambivalence about promoting wellness, lack of support from leadership, lack of flexibility and control at work, and difficulty accessing on-site resources. They perceived their potential role in well-being as remaining a positive role model and encouraging their staff in wellness activities. CONCLUSION Although findings are generated from a small sample size, these qualitative data provide compelling and early insights into building a workplace well-being strategy leveraging an underutilized key stakeholder, the workplace supervisor.
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Affiliation(s)
- Kaisa C Wieneke
- 1 Department of Human Resources-Employee Well-Being, Dan Abraham Healthy Living Center, Mayo Clinic, Rochester, MN, USA
| | - Karen S Schaepe
- 2 Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA
| | - Jason S Egginton
- 2 Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA
| | - Sarah M Jenkins
- 3 Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA
| | - Nicole C Block
- 1 Department of Human Resources-Employee Well-Being, Dan Abraham Healthy Living Center, Mayo Clinic, Rochester, MN, USA
| | - Beth A Riley
- 1 Department of Human Resources-Employee Well-Being, Dan Abraham Healthy Living Center, Mayo Clinic, Rochester, MN, USA
| | - Linde E Sifuentes
- 1 Department of Human Resources-Employee Well-Being, Dan Abraham Healthy Living Center, Mayo Clinic, Rochester, MN, USA
| | - Matthew M Clark
- 4 Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA
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