Sensing the lightness: a narrative analysis of an integrative medicine program for healthcare providers in the COVID-19 department.

Burnout COVID-19 Integrative medicine Narrative-based medicine Pain Palliative care

Journal

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957

Informations de publication

Date de publication:
Feb 2022
Historique:
received: 08 07 2021
accepted: 03 09 2021
pubmed: 17 9 2021
medline: 7 1 2022
entrez: 16 9 2021
Statut: ppublish

Résumé

The research addressing physical and emotional exhaustion among healthcare providers (HCPs) in COVID-19 departments is limited. We examined the impact of integrative medicine (IM) intervention for HCPs working in isolated COVID-19 in-patient departments, addressing concerns and well-being. HCPs working in 3 isolated COVID-19 in-patient departments underwent 40-min IM treatment sessions (including acupuncture, manual movement, and/or mind-body modalities) provided by integrative oncology practitioners. The MYCAW (Measure Yourself Concerns and Well-being) questionnaire examined HCP concerns and free-text narratives following IM treatments. Data were qualitatively analyzed using ATLAS.Ti software for systematic coding. A total of 181 HCPs underwent 305 IM treatments. Narrative themes focused on physical symptoms (primarily pain and fatigue) and emotional concerns, including perceived communication barriers with patients, and reflections on well-being and insights following IM treatments. HCPs reported feeling a sense of "relief" which was likely related to the 3 main effects of the IM intervention: a sense of "being cared for" and treated; experiencing emotional, sometimes spiritual effects of the treatment; and the feeling of relaxation, combined with the relief of pain. Qualitative analysis identified clusters of emotional and spiritual-related keywords such as "calming," "release," "relaxation," and "disengagement" following the first IM session (119 of 181 narratives, 65.7%). HCPs working in isolated COVID-19 departments reported improved well-being and the addressing of their concerns following IM treatment sessions provided during their work shift. Further research is needed to explore the impact of IM on HCP burnout and resilience in palliative care settings.

Identifiants

pubmed: 34528124
doi: 10.1007/s00520-021-06546-6
pii: 10.1007/s00520-021-06546-6
pmc: PMC8442644
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1419-1426

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

Kok N, van Gurp J, Teerenstra S, van der Hoeven H, Fuchs M, Hoedemaekers C, Zegers M (2021) Coronavirus disease 2019 immediately increases burnout symptoms in ICU professionals: a longitudinal cohort study. Crit Care Med 49(3):419–427. https://doi.org/10.1097/CCM.0000000000004865
doi: 10.1097/CCM.0000000000004865 pubmed: 33555778
Zhang X, Jiang X, Ni P, Li H, Li C, Zhou Q, Ou Z, Guo Y, Cao J (2021) Association between resilience and burnout of front-line nurses at the peak of the COVID-19 pandemic: positive and negative affect as mediators in Wuhan. Int J Ment Health Nurs. https://doi.org/10.1111/inm.12847
doi: 10.1111/inm.12847 pubmed: 34002465 pmcid: 8251287
Asghar MS, Yasmin F, Alvi H, Shah SMI, Malhotra K, Farhan SA, Ali Naqvi SA, Yaseen R, Anwar S, Rasheed U (2021) Assessing the mental impact and burnout among physicians during the COVID-19 pandemic: a developing country single-center experience. Am J Trop Med Hyg. https://doi.org/10.4269/ajtmh.21-0141
doi: 10.4269/ajtmh.21-0141 pubmed: 34758449 pmcid: 8641336
Jalili M, Niroomand M, Hadavand F, Zeinali K, Fotouhi A (2021) Burnout among healthcare professionals during COVID-19 pandemic: a cross-sectional study. Int Arch Occup Environ Health 1–8. https://doi.org/10.1007/s00420-021-01695-x
Georger F, Dos Santos E, Gazagne L, Berdagué P, Saib A, Nahon S, Piquet J, Amara W (2020) COV IMPACT : analyse des différents facteurs de stress du personnel hospitalier dans 2 centres hospitaliers en France lors de la pandémie COVID-19 [COV IMPACT: Stress exposure analysis among hospital staff in 2 hospitals in France during the COVID-19 pandemic]. Ann Cardiol Angeiol (Paris) 69(5):227–232. French. https://doi.org/10.1016/j.ancard.2020.09.005 .
Stewart NH, Koza A, Dhaon S, Shoushtari C, Martinez M, Arora VM (2021) Sleep in frontline healthcare workers during the COVID-19 pandemic: a social media survey study. J Med Internet Res. https://doi.org/10.2196/27331
doi: 10.2196/27331 pubmed: 33875414 pmcid: 8136405
Naldi A, Vallelonga F, Di Liberto A, Cavallo R, Agnesone M, Gonella M, Sauta MD, Lochner P, Tondo G, Bragazzi NL, Botto R, Leombruni P (2021) COVID-19 pandemic-related anxiety, distress and burnout: prevalence and associated factors in healthcare workers of North-West Italy. BJPsych Open 7(1):e27. https://doi.org/10.1192/bjo.2020.161
doi: 10.1192/bjo.2020.161 pubmed: 33407989
Denning M, Goh ET, Tan B, Kanneganti A, Almonte M, Scott A, Martin G, Clarke J, Sounderajah V, Markar S, Przybylowicz J, Chan YH, Sia CH, Chua YX, Sim K, Lim L, Tan L, Tan M, Sharma V, Ooi S, Winter Beatty J, Flott K, Mason S, Chidambaram S, Yalamanchili S, Zbikowska G, Fedorowski J, Dykowska G, Wells M, Purkayastha S, Kinross J (2021) Determinants of burnout and other aspects of psychological well-being in healthcare workers during the Covid-19 pandemic: a multinational cross-sectional study. PLoS ONE 16(4):e0238666. https://doi.org/10.1371/journal.pone.0238666
doi: 10.1371/journal.pone.0238666 pubmed: 33861739 pmcid: 8051812
Zhang X, Jiang Y, Yu H, Jiang Y, Guan Q, Zhao W, Mao Y, Huang D, Hong W, Li D (2021) Psychological and occupational impact on healthcare workers and its associated factors during the COVID-19 outbreak in China. Int Arch Occup Environ Health 1–13. https://doi.org/10.1007/s00420-021-01657-3
Norful AA, Rosenfeld A, Schroeder K, Travers JL, Aliyu S (2021) Primary drivers and psychological manifestations of stress in frontline healthcare workforce during the initial COVID-19 outbreak in the United States. Gen Hosp Psychiatry 69:20–26. https://doi.org/10.1016/j.genhosppsych.2021.01.001
doi: 10.1016/j.genhosppsych.2021.01.001 pubmed: 33485091 pmcid: 7836752
Damico V, Murano L, Demoro G, Russello G, Cataldi G, D’Alessandro A (2020) Sindrome di Burnout tra il personale infermieristico italiano durante l’emergenza COVID 19. Indagine conoscitiva multicentrica [Burnout syndrome among Italian nursing staff during the COVID 19 emergency. Multicentric survey study]. Prof Inferm 73(4):250–257. Italian. https://doi.org/10.7429/pi.2020.734250
Norkiene I, Jovarauskaite L, Kvedaraite M, Uppal E, Phull MK, Chander H, Halford K, Kazlauskas E (2021) ‘Should I stay, or should I go?’ Psychological distress predicts career change ideation among intensive care staff in Lithuania and the UK amid COVID-19 pandemic. Int J Environ Res Public Health 18(5):2660. https://doi.org/10.3390/ijerph18052660
doi: 10.3390/ijerph18052660 pubmed: 33800903 pmcid: 7967320
Damico V, Murano L, Demoro G, Russello G, Cataldi G, D’Alessandro A (2020) Sindrome di Burnout tra il personale infermieristico italiano durante l’emergenza COVID 19. Indagine conoscitiva multicentrica [Burnout syndrome among Italian nursing staff during the COVID 19 emergency. Multicentric survey study]. Prof Inferm 73(4):250–257. Italian. https://doi.org/10.7429/pi.2020.734250
Buran F, Altın Z (2021) Burnout among physicians working in a pandemic hospital during the COVID-19 pandemic. Leg Med (Tokyo) 51:101881. https://doi.org/10.1016/j.legalmed.2021.101881
doi: 10.1016/j.legalmed.2021.101881
Ibar C, Fortuna F, Gonzalez D, Jamardo J, Jacobsen D, Pugliese L, Giraudo L, Ceres V, Mendoza C, Repetto EM, Reboredo G, Iglesias S, Azzara S, Berg G, Zopatti D, Fabre B (2021) Evaluation of stress, burnout and hair cortisol levels in health workers at a University Hospital during COVID-19 pandemic. Psychoneuroendocrinology 128:105213. https://doi.org/10.1016/j.psyneuen.2021.105213
doi: 10.1016/j.psyneuen.2021.105213 pubmed: 33845387 pmcid: 8015376
Marton G, Vergani L, Mazzocco K, Garassino MC, Pravettoni G (2020) 2020s Heroes Are are Not not Fearlessfearless: The the Impact impact of the COVID-19 Pandemic pandemic on Wellbeing wellbeing and Emotions emotions of Italian Health health Care care Workers workers During during Italy Phase phase 1. Front Psychol 11:588762. https://doi.org/10.3389/fpsyg.2020.588762
doi: 10.3389/fpsyg.2020.588762 pubmed: 33178088 pmcid: 7593839
Lou NM, Montreuil T, Feldman LS, Fried GM, Lavoie-Tremblay M, Bhanji F, Kennedy H, Kaneva P, Drouin S, Harley JM (2021) Evaluations of healthcare providers’ perceived support from personal, hospital, and system resources: implications for well-being and management in healthcare in Montreal, Quebec, during COVID-19. Eval Health Prof. https://doi.org/10.1177/01632787211012742
doi: 10.1177/01632787211012742 pubmed: 33902348 pmcid: 8326888
Siddiqui I, Aurelio M, Gupta A, Blythe J, Khanji MY (2021) COVID-19: causes of anxiety and wellbeing support needs of healthcare professionals in the UK: a cross-sectional survey. Clin Med (Lond) 21(1):66–72. https://doi.org/10.7861/clinmed.2020-0502
doi: 10.7861/clinmed.2020-0502 pmcid: 7850214
Thimmapuram J, Pargament R, Bell T, Schurk H, Madhusudhan DK (2021) Heartfulness meditation improves loneliness and sleep in physicians and advance practice providers during COVID-19 pandemic. Hosp Pract (1995). 1–9. https://doi.org/10.1080/21548331.2021.1896858
Dincer B, Inangil D (2021) The effect of emotional freedom techniques on nurses’ stress, anxiety, and burnout levels during the COVID-19 pandemic: a randomized controlled trial. Explore (NY) 17(2):109–114. https://doi.org/10.1016/j.explore.2020.11.012
doi: 10.1016/j.explore.2020.11.012
Paterson C, Thomas K, Manasse A, Cooke H, Peace G (2007) Measure Yourself Concerns and Wellbeing (MYCaW): an individualised questionnaire for evaluating outcome in cancer support care that includes complementary therapies. Complement Ther Med 15(1):38–45
doi: 10.1016/j.ctim.2006.03.006
Jolliffe R, Seers H, Jackson S, Caro E, Weeks L, Polley MJ (2015) The responsiveness, content validity, and convergent validity of the Measure Yourself Concerns and Wellbeing (MYCaW) patient-reported outcome measure. Integr Cancer Ther 14(1):26–34. https://doi.org/10.1177/1534735414555809
doi: 10.1177/1534735414555809 pubmed: 25384697
Ben-Arye E, Dahan O, Shalom-Sharabi I, Samuels N (2018) Inverse relationship between reduced fatigue and severity of anemia in oncology patients treated with integrative medicine: understanding the paradox. Support Care Cancer 26(12):4039–4048. https://doi.org/10.1007/s00520-018-4271-5
doi: 10.1007/s00520-018-4271-5 pubmed: 29882024
Keshet Y, Schiff E, Samuels N, Ben-Arye E (2015) Giving voice to cancer patients: assessing non-specific effects of an integrative oncology therapeutic program via short patient narratives. Psychooncology 24(2):169–174. https://doi.org/10.1002/pon.3621
doi: 10.1002/pon.3621 pubmed: 25043932
Keshet Y, Schiff E, Samuels N, Ben-Arye E (2015) Giving voice to cancer patients: assessing non-specific effects of an integrative oncology therapeutic program via short patient narratives. Psychooncology 24(2):169–174
doi: 10.1002/pon.3621
Hsieh HF, Shannon SE (2005) Three approaches to qualitative content analysis. Qual Health Res 15(9):1277–1288
Gonzales M, Melton L (2017) The Wounded Healer. J Adv Pract Oncol 8(5):453–455
pubmed: 30079262 pmcid: 6067913
Ng QX, De Deyn MLZQ, Lim DY, Chan HW, Yeo WS (2020) The wounded healer: a narrative review of the mental health effects of the COVID-19 pandemic on healthcare workers. Asian J Psychiatr 54:102258. https://doi.org/10.1016/j.ajp.2020.102258
doi: 10.1016/j.ajp.2020.102258 pubmed: 32603985 pmcid: 7305497
Waris Nawaz M, Imtiaz S, Kausar E (2020) Self-care of frontline health care workers: during COVID-19 pandemic. Psychiatr Danub 32(3–4):557–562. https://doi.org/10.24869/psyd.2020.557
doi: 10.24869/psyd.2020.557 pubmed: 33370766
Ripp J, Peccoralo L, Charney D (2020) Attending to the emotional well-being of the health care workforce in a New York City health system during the COVID-19 pandemic. Acad Med 95(8):1136–1139. https://doi.org/10.1097/ACM.0000000000003414
doi: 10.1097/ACM.0000000000003414 pubmed: 32282344
Dincer B, Inangil D (2021) The effect of emotional freedom techniques on nurses’ stress, anxiety, and burnout levels during the COVID-19 pandemic: a randomized controlled trial. Explore (NY) 17(2):109–114. https://doi.org/10.1016/j.explore.2020.11.012
doi: 10.1016/j.explore.2020.11.012
Vajpeyee M, Tiwari S, Jain K, Modi P, Bhandari P, Monga G, Yadav LB, Bhardwaj H, Shroti AK, Singh S, Vajpeyee A (2021) Yoga and music intervention to reduce depression, anxiety, and stress during COVID-19 outbreak on healthcare workers. Int J Soc Psychiatry. https://doi.org/10.1177/00207640211006742
Ben-Arye E, Elly D, Samuels N, Gressel O, Shulman K, Schiff E, Lavie O, Minerbi A (2021) Effects of a patient-tailored integrative oncology intervention in the relief of pain in palliative and supportive cancer care. J Cancer Res Clin Oncol. https://doi.org/10.1007/s00432-020-03506-1
doi: 10.1007/s00432-020-03506-1 pubmed: 33433656
Koh MYH, Hum AYM, Khoo HS, Ho AHY, Chong PH, Ong WY, Ong J, Neo PSH, Yong WC (2020) Burnout and resilience after a decade in palliative care: what survivors have to teach us. A qualitative study of palliative care clinicians with more than 10 years of experience. J Pain Symptom Manage. 59(1):105–115. https://doi.org/10.1016/j.jpainsymman.2019.08.008
doi: 10.1016/j.jpainsymman.2019.08.008 pubmed: 31465787

Auteurs

Eran Ben-Arye (E)

Integrative Oncology Program, The Oncology Service, Lin, Carmel, and Zebulun Medical Centers, Clalit Health Services, 35 Rothschild St., Haifa, Israel. eranben@netvision.net.il.
Ruth and Bruch Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. eranben@netvision.net.il.

Shaked Zohar (S)

Ruth and Bruch Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

Yael Keshet (Y)

Department of Sociology, Western Galilee Academic College, Galilee, Israel.

Orit Gressel (O)

Integrative Oncology Program, The Oncology Service, Lin, Carmel, and Zebulun Medical Centers, Clalit Health Services, 35 Rothschild St., Haifa, Israel.
Ruth and Bruch Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

Noah Samuels (N)

Center for Integrative Complementary Medicine, Shaarei Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.

Arieh Eden (A)

Ruth and Bruch Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Depatment of Anesthesiology, Critical Care and Pain Medicine, Lady Davis Carmel Medical Center, Haifa, Israel.

Jan Vagedes (J)

ARCIM Institute, Research Institute, Filderstadt, Germany.
Department of Neonatology, University Hospital Tuebingen, University Tuebingen, Tuebingen, Germany.

Sameer Kassem (S)

Ruth and Bruch Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Department of Internal Medicine, Lady Davis Carmel Medical Center, Haifa, Israel.

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