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. 2024 Mar 14:8:e43875.
doi: 10.2196/43875.

Novel Web-Based Drop-In Mindfulness Sessions (Pause-4-Providers) to Enhance Well-Being Among Health Care Workers During the COVID-19 Pandemic: Descriptive and Qualitative Study

Mary Elliott  1   2 , Camille Khallouf  3 , Jennifer Hirsch  2   3 , Diane de Camps Meschino  2   4 , Orit Zamir  2   3   5   6 , Paula Ravitz  2   3   7
Affiliations

Novel Web-Based Drop-In Mindfulness Sessions (Pause-4-Providers) to Enhance Well-Being Among Health Care Workers During the COVID-19 Pandemic: Descriptive and Qualitative Study

Mary Elliott et al. JMIR Form Res. .

Abstract

Background: The COVID-19 pandemic exerted extraordinary pressure on health care workers (HCWs), imperiling their well-being and mental health. In response to the urgent demand to provide barrier-free support for the health care workforce, Pause-4-Providers implemented 30-minute live web-based drop-in mindfulness sessions for HCWs.

Objective: This study aims to evaluate the use, feasibility, satisfaction, and acceptability of a novel mindfulness program aimed at enhancing the well-being of HCWs during the COVID-19 pandemic.

Methods: Accrual for the study continued throughout the first 3 pandemic waves, and attendees of ≥1 session were invited to participate. The evaluation framework included descriptive characteristics, including participant demographics, resilience at work, and single-item burnout scores; feedback questionnaires on reasons attended, benefits, and satisfaction; qualitative interviews to further understand participant experience, satisfaction, benefits, enablers, and barriers; and the number of participants in each session summarized according to the pandemic wave.

Results: We collected descriptive statistics from 50 consenting HCWs. Approximately half of the participants (24/50, 48%) attended >1 session. The study participants were predominantly female individuals (40/50, 80%) and comprised physicians (17/50, 34%), nurses (9/50, 18%), and other HCWs (24/50, 48%), who were largely from Ontario (41/50, 82%). Of 50 attendees, 26 (52%) endorsed feeling burned out. The highest attendance was in May 2020 and January 2021, corresponding to the first and second pandemic waves. The participants endorsed high levels of satisfaction (43/47, 92%). The most cited reasons for attending the program were to relax (38/48, 79%), manage stress or anxiety (36/48, 75%), wish for loving kindness or self-compassion (30/48, 64%), learn mindfulness (30/48, 64%), and seek help with emotional reactivity (25/48, 53%). Qualitative interviews with 15 out of 50 (30%) participants identified positive personal and professional impacts. Personal impacts revealed that participation helped HCWs to relax, manage stress, care for themselves, sleep better, reduce isolation, and feel recognized. Professional impacts included having a toolbox of mindfulness techniques, using mindfulness moments, and being calmer at work. Some participants noted that they shared techniques with their colleagues. The reported barriers included participants' needing time to prioritize themselves, fatigue, forgetting to apply skills on the job, and finding a private place to participate.

Conclusions: The Pause-4-Providers participants reported that the web-based groups were accessible; appreciated the format, content, and faculty; and had high levels of satisfaction with the program. Both novel format (eg, drop-in, live, web-based, anonymous, brief, and shared activity with other HCWs) and content (eg, themed mindfulness practices including micropractices, with workplace applications) were enablers to participation. This study of HCW support sessions was limited by the low number of consenting participants and the rolling enrollment project design; however, the findings suggest that a drop-in web-based mindfulness program has the potential to support the well-being of HCWs.

Keywords: COVID-19; burnout; drop-in; health care staff; health care worker; job; meditation; mental health; mindfulness; mindfulness meditation; occupational health; pandemic; resilience; web-based group; well-being; worker.

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Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Sample agenda for Pause-4-Providers sessions.
Figure 2
Figure 2
Participant CONSORT (Consolidated Standards of Reporting Trials) diagram. HCW: health care worker.
Figure 3
Figure 3
Framework of factors influencing the impact of web-based mindfulness. HCW: health care worker; MH: mental health.
See this image and copyright information in PMC

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References

    1. Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020 Jun 02;323(21):2133–4. doi: 10.1001/jama.2020.5893.2764380 - DOI - PubMed
    1. Wilbiks JM, Best LA, Law MA, Roach SP. Evaluating the mental health and well-being of Canadian healthcare workers during the COVID-19 outbreak. Healthc Manage Forum. 2021 Jul 08;34(4):205–10. doi: 10.1177/08404704211021109. https://journals.sagepub.com/doi/abs/10.1177/08404704211021109?url_ver=Z... - DOI - DOI - PMC - PubMed
    1. Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ. 2020 Mar 26;368:m1211. doi: 10.1136/bmj.m1211. - DOI - PubMed
    1. Smallwood N, Pascoe A, Karimi L, Willis K. Moral distress and perceived community views are associated with mental health symptoms in frontline health workers during the COVID-19 pandemic. Int J Environ Res Public Health. 2021 Aug 18;18(16):8723. doi: 10.3390/ijerph18168723. https://www.mdpi.com/resolver?pii=ijerph18168723 ijerph18168723 - DOI - PMC - PubMed
    1. Lamb D, Gnanapragasam S, Greenberg N, Bhundia R, Carr E, Hotopf M, Razavi R, Raine R, Cross S, Dewar A, Docherty M, Dorrington S, Hatch S, Wilson-Jones C, Leightley D, Madan I, Marlow S, McMullen I, Rafferty AM, Parsons M, Polling C, Serfioti D, Gaunt H, Aitken P, Morris-Bone J, Simela C, French V, Harris R, Stevelink SA, Wessely S. Psychosocial impact of the COVID-19 pandemic on 4378 UK healthcare workers and ancillary staff: initial baseline data from a cohort study collected during the first wave of the pandemic. Occup Environ Med. 2021 Nov 28;78(11):801–8. doi: 10.1136/oemed-2020-107276. https://europepmc.org/abstract/MED/34183447 oemed-2020-107276 - DOI - PMC - PubMed