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Chalder T. Developing a webbased stress management intervention for occupational support workers, Multidimensional stress management in nursing education. Occupational stress and job satisfaction of healthcare staff in Jacobson BH, Paesmans M. The effects of a 24h psychological training program on attitudes, communication skills and occupational stress in oncology: a randomised study. Very few authors mentioned that blinding could be an issue, but said also that they thought that blinding is impossible here. Graham J, Employees who described their position as temporary (Time 1, n 8; Time 2, n 13) were dropped from the analysis." Comparison 6 Organisational intervention vs. other intervention (SMD), Outcome 2 Any stressrelated outcome (followup 1 6 months). With different categories of followup times, the comparisons would have been different and possibly also the results. Many healthcare workers experienced increased workloads in the face of short staffing and shortages in critical personal protective equipment. The programme was designed to decrease nurses' professional stress levels, to improve nurses' attitudes and communication skills. One study (Carson 1999) compared a course underlining the importance of social support as a key coping strategy when dealing with stress to only giving participants feedback on their baseline stress questionnaire results. Meaning These findings indicate . (b) Physical symptoms and physiological parameters: for example, hormone levels such as prolactin, corticosteroids or others; Day A, Mba B, A research assistant contacted each participant in the intervention group twice weekly to measure stress and wellbeing, heart rate and blood pressure; to document their adherence to using the stress management tool; and to record a 3minute biofeedback session using the emWavePC software." Jos Verbeek and Jani Ruotsalainen wrote the first draft of the updated review text. Attending physicians, trainees, and patients were, nonetheless, blinded to the study hypothesis." Two review authors independently extracted data and assessed trial quality. "Fifty (50) subjects, 39 females and 11 males, were matched for gender and then randomized (25 in each treatment group) through the use of computergenerated numbers (SYSTAT12.0 for Windows, Cranes Software, 2007, Bangalore, India)." 2015;29(4):20812. Mental relaxation (e.g. (p. 13). Riva G. The effects of a mobile stress management protocol on nurses working with cancer patients: a preliminary controlled study, Studies in Health Technology and Informatics, A stress management incentive program for nursing staff during Operation Desert Storm, American Association of Occupational Health Nurses Journal. With Kurebayashi 2012, we entered both interventions in the same comparison of physical relaxation. 45 male and female nurses with B. Sc. The site is secure. Qigong stress reduction in hospital staff, Journal of Alternative and Complementary Medicine, An RCT of coping and support groups to reduce burnout among nurses, Does aromatherapy massage reduce jobrelated stress? It seems therefore that no review has covered all recent studies on stress management in healthcare staff published after 2010. It is still surprising to note that most studies just describe the whole process as "We randomised participants". The study employed a cross-sectional design with self-administered questionnaires. 1) Experimental: Egoenhancement training: 1 50minute session and 3 20minute sessions 1 week apart of training in the techniques of: physical relaxation, mental calmness, disposing of "rubbish", removal of a barrier and enjoyment of a special place. Turner L, Participants also received a CD or audiocassette of guided exercises and a manual with the help of which they were instructed to practise for at least 10 minutes per day 5 days per week. Presumably all participants completed all measurements as no data reported on dropouts. There was lowquality evidence in two studies that changing work schedules reduced stress levels. Hisp J Behav Sci. Weinstein R, Belles D, The interventions are mainly based on the principles of cognitive behavioural therapy and combine a variety of aspects, e.g. Jones M, Objective: To estimate the pooled national burden of occupational stress, burnout, and contributing factors among health care workers in Ethiopia. "This research used a beforeandafter quasiexperimental design with a control group." Sharif F, Report on factors associated with occupational stress and/or burnout, Report on occupational stress and/or burnout interventions or coping strategies, and. We did a formal subgroup analysis of the effect in various healthcare occupations. Effects of a spirituality training program on the spiritual and psychosocial wellbeing of hospital middle manager nurses in Korea. Toniolo D, Group sessions included teaching on topics such as communication skills, stress reactivity and selfcompassion and experiential exercises to help participants integrate these concepts. Wiley SD, PubMed Inoue S, Capuano T, Emotional exhaustion was measured using 9 items from the Maslach Burnout Inventory Human Services Survey and a singleitem measure from the National Job Burnout Survey that uses a personal definition of burnout." Two studies (Ali 2011; Lucas 2012) compared only active interventions, that is, different work schedules with one another. The impact of training and support on stress among care staff in nursing and residential homes for the elderly. Dai F, Occupational Stress and Mental Health Among Healthcare Workers Serving If there was no mention of a protocol we judged if the methods and results sections reported the same outcomes. We therefore combined those in the same comparison and again halved the numbers in the control group. All in all, this analysis shows that metaanalysis results are similar when combining all stressrelated measures or when using the emotional exhaustion or the depersonalisation subscale, but not when using the personal accomplishment subscale. In collaboration with an expert librarian, a search strategy will be developed using the following keywords (health worker, health care worker, HCWs, health professional, medical personnel, health provider, doctor, nurse, biomedical scientist, medical laboratory personnel, occupational stress, professional stress, burnout, COVID-19, coronavirus, 2019-ncov, sars-cov-2, cov-19, and Africa). RCT with individual participants, Portugal, Physiotherapists scoring more than 26 on Emotional Exhaustion subscale of MBI out of 106 screened with MBI, and not familiar with Qigong; Experimental n = 8 Control n = 8, 1) Experimental: Qigong exercise: posture, breathing and mind focus; classes 20 min/day 1 week; self treatment 2X / day 2 weeks, total 3 weeks, "the design was a prospective randomized controlled study", Providers and participants not blinded; outcome selfreported, Baseline data not reported for the RCT group only, Resident surgeons in various specialties, Experimental n = ? Comparison 9 Cognitivebehavioural intervention vs. other intervention (MD), Outcome 1 Maslach Burnout Inventory (followup more than 6 months). According to three studies (Gardner Coping 2005; Norvell 1987; Sood 2011) stress levels were similar for the combined cognitivebehavioural plus relaxation intervention when compared with no intervention at up to one month followup (SMD 0.45; 95% CI 1.61 to 0.70; Analysis 1.1; 84 participants). Cooke M, Healthcare Workers: Work Stress & Mental Health | NIOSH | CDC We used the design effect to reduce the number of participants in both intervention and control groups if we were able to use quantitative outcome data in metaanalyses. Finucane J. Mental health of healthcare workers during the COVID-19 outbreak: a rapid scoping review to inform provincial guidelines in South Africa. Other organisational interventions were not more effective than no intervention or an alternative intervention. We graded the quality of the evidence for all but one comparison as low. For organisational interventions, interrupted timeseries and controlled beforeandafter (CBA) studies were also eligible. Article Foldspang A, (p. 940). Rev Panam Salud Publica. It reached more or less the same conclusion as our review, even though the number of studies included was fewer and they used a wider range of outcome measures and study designs. For depersonalisation the score difference was 0.55 score points and also nonsignificant. Comparison 11 Organisational intervention vs. no intervention (MD), Outcome 3 Maslach Burnout Inventory or Oldenburg Burnout Inventory (followup more than 6 months). et al. Arksey H, OMalley L. Scoping studies: towards a methodological framework. Twentyone studyarms examined the effectiveness of organisational interventions. doi: 10.1371/journal.pone.0240646. This study aims to describe the range of research evidence on occupational stress and/burnout among HCWs compounded by the COVID-19 pandemic in Africa. Bredart A, Kurebayashi LF, This scoping review will be conducted in line with Arksey and OMalleys framework [10] incorporating the Levac and Colleagues [11] recommendations outlined below. Network of Centers for Research on Epidemiology and Public Health, Spain. Athanasiou T, Comparison 4 Relaxation vs. other intervention (SMD), Outcome 1 Any stress outcome. Also here the funnel plot indicated the potential presence of publication bias (Figure 4). Kimmel S, Between 2017 and 2022, the deaths of 121 workers on the job were officially attributed directly to heat, according to the Occupational Safety and Health Administration, which says that number is . The interventions could also be more focused on specific stressors such as work schedules. All workers potentially are at risk of occupational stress; however, with the current situation of the coronavirus disease 2019 (COVID-19), pandemic healthcare workers (HCWs) especially those at the forefront such as doctors, nurses, biomedical scientists, and pharmacists are potentially more at risk of occupational stress. (p. 205), The Perceived Stress Scale (PSS) Total score, "The control group and experimental group were assigned in two different clinical settings at different time in order to minimize withingroup influence and its interference with the research." Comparison 2 Cognitivebehavioural intervention vs. nonstress management intervention (SMD), Outcome 1 Any stress scale (followup 1 6 months). MPSSR consisting of 4 subscales; OS = Occupational Stress, JD = Job Dissatisfaction, NPA = Negative patient attitude and SS = Somatic Stress. Kim J, They also have a junior college nursing certication and a Registered Nursing license (n = 17). Cull A, Screening these references for eligibility resulted in 17 of the 19 studies already included in the original sample and an additional 30 potentially eligible studies for the period covered by the original search. Relaxation did not show beneficial effects on any of the subscales but an increase in the score on lack of personal accomplishment compared to no intervention at one to six months followup (Analysis 10.1). Hazavehei SMM, Peterson U, A systematic review, A User's Guide to the General Health Questionnaire, The Nursing Stress Scale: Development of an instrument, Journal of Psychopathology and Behavioral Assessment, Prevention of burnout by stress management (in German). At Time 2, participants were predominantly female (n 793, 87.4%; male: n 96, 10.6%, 18 not responding), with an average age of 42.27 years (SD 10.60). We expected that the effects of most stressmanagement interventions would extend over longer periods of time, and for these types of studies we only used data from before the washout period. Also as outcome measurement was by self report, there was no blinding, Apparently no participants were lost to followup. . This is often related to as-needed scheduling, unexpected double shifts, and unpredictable intensity of on-call work. "Nurses allocated to the experimental group attended a PSI [Psychosocial Intervention] training programme which was delivered in a meeting room within the LSU. Belisse G, These were labelled as being at high risk of bias. "Random sampling was used to select 492 nurses to complete the questionnaires." We believe that this is important because it is conceivable that the interventions would have a different effect among physicians.