Clinical trial NCT04282733: Mindfulness Rounds Initiative - A Short Mindfulness-Based Program for A Busy Workplace
Official title: Mindfulness Rounds Initiative - An 8-Week, Short Session, Mindfulness Based Protocol for On-Site Delivery of Stress Reduction Practices
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: NA
Conditions: Healthcare Practitioner Stress
Patient Satisfaction
Keywords: Mindfulness
Stress
pain scores
patient satisfaction
Perceived Stress Scale
MBSR
Lead sponsor: Icahn School of Medicine at Mount Sinai
Sponsor class: OTHER
First posted: 2020-02-25
Enrollment: 34
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The participants are staff on two hospital units tending to the same patient population with the same policies and protocols - postpartum patients. One unit will have the Mindfulness Rounds Initiative as the intervention, the other will not. Both units will be evaluated against each other, and against themselves in a pre-/post- design.
Primary purpose: TREATMENT

Brief summary: An 8 week course of mindfulness education and practices will be presented to all staff, patients, and visitors voluntarily attending the thrice weekly presentations. The goal is to reduce staff stress, improve communication, enhance patient satisfaction, and improve quality of care.

Detailed description: "Mindfulness Rounds" Care-giver well-being is recognized as an important goal in decreasing burnout, increasing job satisfaction, and may have implications in improving quality of care and patient satisfaction. Mindfulness training is a well-studied tool used to enhance care-giver well-being. The impact of a Mindfulness training experience for caregivers, support staff, and patients and their families working together in a hospital unit on patient satisfaction has not been well studied, if at all. The researchers propose instituting a pilot program of Mindfulness Rounds on a given hospital unit and assessing the effect on employee well-being, patient satisfaction, and quality of care.

Introduction:

The physical and mental health of healthcare practitioners (HCPs) has become an area of attention and research in recent years as HCP burnout and suicide are now openly discussed concerns in medicine. Well-being education is now a required curricula component by the Accreditation Council for Graduate Medical Education (ACGME). Mindfulness is a technique and philosophical concept which has received significant attention in the medical literature as a tool for increasing HCP well-being.

Mindfulness describes the idea of maintaining a conscious presence in the present, of avoiding obsessing about the past or the future, and of continuously being aware of, and grateful for, the things we have in life as opposed to the things we don't. Mindfulness-Based Stress Reduction (MBSR) is one particular system, developed by Jon Kabat-Zinn over 30 years ago, which has been built into a well-structured certified training program for teaching mindfulness. Numerous studies have used MBSR or similar techniques to advance HCP psychologic well-being, and while some have investigated a variety of HCP training techniques to improve the patient experience, few have sought to explore a relationship between the impact of mindfulness training for HCP on patient satisfaction, quality of care outcomes, and HCP overall health. To the investigators' knowledge, no one has sought to bring mindfulness education to an entire hospital unit - physicians, nurses, support staff, as well as patients and their families wherever possible - with the goal of improving both HCP and the overall patient experience.

The researchers propose instituting a pilot program of Mindfulness Rounds on a given hospital unit and assessing the effect on employee well-being, patient satisfaction, and quality of care.

Eligibility criteria: Inclusion Criteria:

- Employees on the Units

Exclusion Criteria:

- none

Primary outcomes:
measure: Change in Pain scores
timeFrame: 1-3 months pre-intervention, 1-3 months post-intervention
Secondary outcomes:
measure: Discharge time
timeFrame: 1-3 months pre-intervention, 1-3 months post-intervention
measure: Change in Narcotic usage
timeFrame: 1-3 months pre-intervention, 1-3 months post-intervention
measure: Change in Patient Satisfaction survey
timeFrame: 1-3 months pre-intervention, 1-3 months post-intervention
measure: Change in Perceived Stress Scale (PSS) survey
timeFrame: Within 1 month prior to intervention, within one month post the intervention.
measure: Change in number of Staff sick days
timeFrame: 1-3 months pre-intervention, 1-3 months post-intervention
measure: Change in number of staff injuries
timeFrame: 1-3 months pre-intervention, 1-3 months post-intervention
measure: Change in number of workers compensation claims
timeFrame: 1-3 months pre-intervention, 1-3 months post-intervention
measure: Change in number of discharges before noon
timeFrame: 1-3 months pre-intervention, 1-3 months post-intervention
measure: Change in Staff handwashing rates
timeFrame: 1-3 months pre-intervention, 1-3 months post-intervention
Other outcomes:
Locations:
city: New York
country: United States
facility: Mount Sinai Hospital
state: New York
Study officials:
affiliation: Icahn School of Medicine at Mount Sinai
name: Jeffrey Zahn, MD
role: PRINCIPAL_INVESTIGATOR
References: