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Physiotherapy Theory and Practice
An International Journal of Physical Therapy
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Qualitative Research Reports

“We’re not broken. We’re human.” A qualitative meta-synthesis of health-care providers’ experiences participating in well-being programs

, PT, DPT, OCSORCID Icon, , PT, DPT, MSCI, , MD, FAAHPM & , PhD, APRN-BC
Pages 65-90 | Received 05 Aug 2021, Accepted 13 Jul 2022, Published online: 24 Jul 2022

References

  • Adams JG, Walls RM 2020 Supporting the health care workforce during the COVID-19 global epidemic. JAMA 323(15): 1439–1440. 10.1001/jama.2020.3972.
  • Beckman HB, Wendland M, Mooney C, Krasner MS, Quill TE, Suchman AL, Epstein RM 2012 The impact of a program in mindful communication on primary care physicians. Academic Medicine 87(6): 815–819. 10.1097/ACM.0b013e318253d3b2.
  • Berry JW, Hosford CC 2014 Burnout among physical therapist assistant program directors: A nationwide survey and analysis. Journal of Allied Health 43(2): 72–78.
  • Bojner Horwitz E, Grape Viding C, Rydwik E, and Huss E 2017 Arts as an ecological method to enhance quality of work experience of healthcare staff: a phenomenological-hermeneutic study. International Journal of Qualitative Studies on Health & Well–Being 12. http://doi.org/10.1080/17482631.2017.1333898
  • Bojner Horwitz E, Grape Viding C, Rydwik E, Huss E 2017 Arts as an ecological method to enhance quality of work experience of healthcare staff: A phenomenological-hermeneutic study. International Journal of Qualitative Studies on Health and Well-Being 12(1): 1333898. 10.1080/17482631.2017.1333898.
  • Bringham T, Barden A, Dopp L, Hengerer A, Kaplan J, Malone B, Martin C, McHugh M, Nora L 2018 A Journey to construct and all-encompassing conceptual model of factors affecting clinician well-being and resilience. NAM Perspectives. https://nam.edu/journey-constructencompassing-conceptual-model-factors-affectingclinician-well-resilience.
  • Chung S, Dillon EC, Meehan AE, Nordgren R, Frosch DL 2020 The relationship between primary care physician burnout and patient-reported care experiences: A cross-sectional study. Journal of General Internal Medicine 35(8): 2357–2364. 10.1007/s11606-020-05770-w.
  • Cohen-Katz J, Wiley S, Capuano T, Baker DM, Deitrick L, Shapiro S 2005 The effects of mindful-ness-based stress reduction on nurse stress and burnout: A qualitative and quantitative study, Part III. Holistic Nursing Practice 19(2): 78–86. 10.1097/00004650-200503000-00009.
  • Colgan DD, Christopher M, Bowen S, Brems C, Hunsinger M, Tucker B, Dapoloni E 2019 Mindfulness-based wellness and resilience intervention among interdisciplinary primary care teams: A mixed-methods feasibility and acceptability trial. Primary Health Care Research and Development 20: e91. 10.1017/S1463423619000173.
  • Dawber C 2013 Reflective practice groups for nurses: A consultation liaison psychiatry nursing initiative: Part 2 - The evaluation. International Journal of Mental Health Nursing 22(3): 241–248. 10.1111/j.1447-0349.2012.00841.x.
  • Delaney MC 2018 Caring for the caregivers: Evaluation of the effect of an eight-week pilot Mindful Self-Compassion (MSC) training program on nurses’ compassion fatigue and resilience. PLoS One 13(11): e0207261. 10.1371/journal.pone.0207261.
  • Dewa CS, Loong D, Bonato S, Thanh NX, Jacobs P 2014 How does burnout affect physician productivity? A systematic literature review. BMC Health Services Research 14(1): 325. 10.1186/1472-6963-14-325.
  • Donald G, Wilson I, McCarthy J, Hall I, Crossley B, Adshead P, Shaw V, Dunne R, Dwyer T 2019 Experiences of nurses and other health workers participating in a reflective course on compassion-based care. British Journal of Nursing 28(15): 1020–1025. 10.12968/bjon.2019.28.15.1020.
  • Donohoe E, Nawawi A, Wilker L, Schindler T, Jette DU 1993 Factors associated with burnout of physical therapists in Massachusetts rehabilitation hospitals. Physical Therapy 73(11): 750–756. 10.1093/ptj/73.11.750.
  • Dos Santos TM, Kozasa EH, Carmagnani IS, Tanaka LH, Lacerda SS, Nogueira-Martins LA 2016 Positive effects of a stress reduction program based on mindfulness meditation in Brazilian nursing professionals: Qualitative and quantitative evaluation. Explore 12(2): 90–99. 10.1016/j.explore.2015.12.005.
  • Dyrbye LN, Trockel M, Frank E, Olson K, Linzer M, Lemaire J, Swensen S, Shanafelt T, Sinsky CA 2017 Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout. Annals of Internal Medicine 166(10): 743–744. 10.7326/M16-2956.
  • Epstein RM, Krasner MS 2013 Physician resilience: What it means, why it matters, and how to promote it. Academic Medicine 88(3): 301–303. 10.1097/ACM.0b013e318280cff0.
  • Finlayson KW, Dixon A 2008 Qualitative meta-synthesis: A guide for the novice. Nurse Researcher 15(2): 59–71. 10.7748/nr2008.01.15.2.59.c6330.
  • Foster K, Cuzzillo C, Furness T 2018 Strengthening mental health nurses’ resilience through a workplace resilience programme: A qualitative inquiry. Journal of Psychiatric and Mental Health Nursing 25(5–6): 338–348. 10.1111/jpm.12467.
  • Foureur M, Besley K, Burton G, Yu N, Crisp J 2013 Enhancing the resilience of nurses and midwives: Pilot of a mindfulness-based program for increased health, sense of coherence and decreased depression, anxiety and stress. Contemporary Nurse 45(1): 114–125. 10.5172/conu.2013.45.1.114.
  • France EF, Uny I, Ring N, Turley RL, Maxwell M, Duncan EAS, Jepson R, Roberts R, Noyes J 2019 A methodological systematic review of meta-ethnography conduct to articulate the complex analytical phases. BMC Medical Research Methodology 19(1): 35. 10.1186/s12874-019-0670-7.
  • Francis A, Bulman C 2019 In what ways might group clinical supervision affect the development of resilience in hospice nurses?. International Journal of Palliative Nursing 25(8): 387–396. 10.12968/ijpn.2019.25.8.387.
  • Freudenberger HJ 1974 Staff burn-out. Journal of Social Issues 30(1): 159–165. 10.1111/j.1540-4560.1974.tb00706.x.
  • Günüşen NP, Ustün B 2009 Turkish nurses’ perspectives on a programme to reduce burnout. International Nursing Review 56(2): 237–242. 10.1111/j.1466-7657.2008.00682.x.
  • Han S, Shanafelt TD, Sinsky CA, Awad KM, Dyrbye LN, Fiscus LC, Trockel M, Goh J 2019 Estimating the attributable cost of physician burnout in the United States. Annals of Internal Medicine 170(11): 784–790. 10.7326/M18-1422.
  • Irving JA, Dobkin PL, Park J 2009 Cultivating mindfulness in health care professionals: A review of empirical studies of mindfulness-based stress reduction (MBSR). Complementary Therapies in Clinical Practice 15(2): 61–66. 10.1016/j.ctcp.2009.01.002.
  • Irving JA, Park-Saltzman J, Fitzpatrick MR, Dobkin CA, Hutchinson T, Hutchinson T 2014 Experiences of health care professionals enrolled in mindfulness-based medical practice: A grounded theory model. Mindfulness 5(1): 60–71. 10.1007/s12671-012-0147-9.
  • Jette AM 2018 Canaries in the health care coal mines. Physical Therapy 98(12): 971–972. 10.1093/ptj/pzy108.
  • Lehto RH, Heeter C, Allbritton M, Wiseman M 2018 Hospice and palliative care provider experiences with meditation using mobile applications. Oncology Nursing Forum 45(3): 380–388. 10.1188/18.ONF.380-388.
  • Letts L, Wilkins S, Law M, Stewart D, Bosch J, Westmorland M 2007 Guidelines for critical review form: qualitative studies (Version 2.0) https://srs-mcmaster.ca/wp-content/uploads/2015/05/Guidelines-for-Critical-Review-Form-Qualitative-Studies.pdf
  • Lynch J, Prihodova L, Dunne PJ, O’Leary C, Breen R, Á C, Walsh C, McMaohn G, White B 2018 Mantra meditation programme for emergency department staff: A qualitative study. BMJ Open 8(9): e020685. 10.1136/bmjopen-2017-020685.
  • Maslach C, Schaufeli W, Leiter MP 2001 Job burnout. Annual Review of Psychology 52(1): 397–422. 10.1146/annurev.psych.52.1.397.
  • Maslach C, Leiter MP 2016 Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry 15(2): 103–111. 10.1002/wps.20311.
  • McCormick J, Rodney P, Varcoe C 2003 Reinterpretations across studies: An approach to meta-analysis. Qualitative Health Research 13(7): 933–944. 10.1177/1049732303253480.
  • Melendez-Torres GJ, Grant S, Bonell C 2015 A systematic review and critical appraisal of qualitative metasynthetic practice in public health to develop a taxonomy of operations of reciprocal translation. Research Synthesis Methods 6(4): 357–371. 10.1002/jrsm.1161.
  • Melnyk BM, Kelly SA, Stephens J, Dhakal K, McGovern C, Tucker S, Hoying J, McRae K, Ault S, Spurlock E, et al. 2020 Interventions to improve mental health, well-being, physical health, and lifestyle behaviors in physicians and nurses: A systematic review. American Journal of Health Promotion 34(8): 929–942. 10.1177/0890117120920451.
  • Miles M, Huberman A, Saldana J 2019 Qualitative data analysis: A methods sourcebook 4th. Thousand Oaks, CA: Sage Publications, Inc. 91320.
  • Moody K, Kramer D, Santizo RO, Magro L, Wyshogrod D, Ambrosio J, Castillo C, Lieberman R, Stein J 2013 Helping the helpers: Mindfulness training for burnout in pediatric oncology - A pilot program. Journal of Pediatric Oncology Nursing 30(5): 275–284. 10.1177/1043454213504497.
  • Morgan P, Simpson J, Smith A 2015 Health care workers’ experiences of mindfulness training: A qualitative review. Mindfulness 6(4): 744–758. 10.1007/s12671-014-0313-3.
  • Morse JM, Barrett M, Mayan M, Olson K, Spiers J 2002 Verification strategies for establishing reliability and validity in qualitative research. International Journal of Qualitative Methods 1(2): 13–22. 10.1177/160940690200100202.
  • National Academy of Medicine; National Academies of Sciences, Engineering, and Medicine; Committee on Systems Approaches to Improve Patient Care by Supporting Clinician Well-Being 2019 Taking action against clinician burnout: A systems approach to professional well-being. Washington, DC: The National Academies Press.
  • Nissim R, Malfitano C, Coleman M, Rodin G, Elliott M 2019 A qualitative study of a compassion, presence, and resilience training for oncology interprofessional teams. Journal of Holistic Nursing 37(1): 30–44. 10.1177/0898010118765016.
  • Noblit GW, and Hare RD 1988 Meta-ethnography: Synthesizing qualitative studies. Sage: Newbury Park.
  • Nowakowska-Domagala K, Jablkowska-Górecka K, Kostrzanowska-Jarmakowska L, Mortoń M, Stecz P 2015 The interrelationships of coping styles and professional burnout among physio-therapists: A cross-sectional study. Medicine 94(24): e906. 10.1097/MD.0000000000000906.
  • O’Neill L, Johnson J, Mandela R 2019 Reflective practice groups: Are they useful for liaison psychiatry nurses working within the emergency department? Archives of Psychiatric Nursing 33(1): 85–92. 10.1016/j.apnu.2018.11.003.
  • Osborne R, Kirssis R, Dinsmore D 2020 Healthcare worker engagement in the United States: A scoping review of the literature. Physical Therapy Journal of Policy, Administration and Leadership 20: 5–14.
  • Page MJ, Moher D, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff J, Akl EA, Brennan S, et al. 2021 PRISMA 2020 explanation and elaboration: Updated guidance and exemplars for reporting systematic reviews. BMJ 372: n160. 10.1136/bmj.n160.
  • Panagioti M, Panagopoulou E, Bower P, Lewith G, Kontopantelis E, Chew-Graham C, Dawson S, van Marwijk H, Geraghty K, Esmail A 2017 Controlled interventions to reduce burnout in physicians: A systematic review and meta-analysis. JAMA Internal Medicine 177(2): 195–205. 10.1001/jamainternmed.2016.7674.
  • Panagioti M, Geraghty K, Johnson J, Zhou A, Panagopoulou E, Chew-Graham C, Peters D, Hodkison A, Riley R, Esmail A 2018 Association between physician burnout and patient safety, professionalism, and patient satisfaction: A systematic review and meta-analysis. JAMA Internal Medicine 178(10): 1317–1331. 10.1001/jamainternmed.2018.3713.
  • Perlo J, Swensen S, Kabcenell A, Landsman J, Feeley D 2017 IHI framework for improving joy in work. IHI White Paper. http://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Improving-Joy-in-Work.aspx
  • Raingruber B, Robinson C 2007 The effectiveness of Tai Chi, yoga, meditation, and Reiki healing sessions in promoting health and enhancing problem solving abilities of registered nurses. Issues in Mental Health Nursing 28(10): 1141–1155. 10.1080/01612840701581255.
  • Restauri N, Sheridan AD 2020 Burnout and posttraumatic stress disorder in the coronavirus disease 2019 (COVID-19) pandemic: Intersection, impact, and interventions. Journal of the American College of Radiology 17(7): 921–926. 10.1016/j.jacr.2020.05.021.
  • Rich BL, Lepine JA, Crawford ER 2010 Job engagement: Antecedents and effects on job performance. Academy of Management Journal 53(3): 617–635. 10.5465/amj.2010.51468988.
  • Richards TA, Oman D, Hedberg J, Thoresen CE, Bowden J 2006 A qualitative examination of a spiritually-based intervention and self-management in the workplace. Nursing Science Quarterly 19(3): 231–239. 10.1177/0894318406289490.
  • Salyers MP, Bonfils KA, Luther L, Firmin RL, White DA, Adams EL, Rollins AL 2017 The relationship between professional burnout and quality and safety in healthcare: A meta-analysis. Journal of General Internal Medicine 32(4): 475–482. 10.1007/s11606-016-3886-9.
  • Scheepers RA 2017 Physicians’ professional performance: An occupational health psychology perspective. Perspectives of Medical Education 6(6): 425–428. 10.1007/s40037-017-0382-9.
  • Schneider S, Kingsolver K, Rosdahl J 2014 Physician coaching to enhance well-being: A qualitative analysis of a pilot intervention. Explore 10(6): 372–379. 10.1016/j.explore.2014.08.007.
  • Schwartz R, Shanafelt TD, Gimmler C, Osterberg L 2020 Developing institutional infrastructure for physician wellness: Qualitative Insights from VA physicians. BMC Health Services Research 20(1): 7. 10.1186/s12913-019-4783-9.
  • Shanafelt TD, Balch CM, Dyrbye L, Bechamps G, Russell T, Satele D, Rummans T, Swartz K 2011 Novotny P Sloan H et al 2011 Special report: Suicidal ideation among American surgeons. Archives of Surgery 146(1): 54–62. 10.1001/archsurg.2010.292
  • Shanafelt TD, Kaups KL, Nelson H, Satele DV, Sloan JA, Oreskovich MR, Dyrbye LN 2014 An interactive individualized intervention to promote behavioral change to increase personal well-being in US surgeons. Annals of Surgery 259(1): 82–88. 10.1097/SLA.0b013e3182a58fa4.
  • Shanafelt TD, Goh J, Sinsky C 2017 The business case for investing in physician well-being. JAMA Internal Medicine 177(12): 1826–1832. 10.1001/jamainternmed.2017.4340.
  • Shanafelt TD, Noseworthy JH 2017 Executive leadership and physician well-being: Nine organizational strategies to promote engagement and reduce burnout. Mayo Clinic Proceedings 9: 129–146.
  • Shanafelt TD, Stolz S, Springer J, Murphy D, Bohman B, Trockel M 2020 A blueprint for organizational strategies to promote the well-being of health care professionals. NEJM Catalyst Innovations in Care Delivery 2020: 06.
  • Shanafelt TD, Trockel M, Rodriguez A, Logan D 2021 Wellness-centered leadership: Equipping health care leaders to cultivate physician well-being and professional fulfillment. Academic Medicine 96(5): 641–651. 10.1097/ACM.0000000000003907.
  • Shimazu A, Schaufeli WB 2008 Work engagement: An emerging concept in occupational health psychology. Bioscience Trends 2(1): 2.
  • Sikka R, Morath JM, Leape L 2015 The quadruple AIM: Care, health, cost and meaning in work. BMJ Quality and Safety 24(10): 608–610. 10.1136/bmjqs-2015-004160.
  • Sinsky CA, Daugherty Biddison L, Mallick A, Legreid Dopp A, Perlo J, Lynn L, Smith CD 2020 Organizational evidence-based and promising practices for improving clinician well-being. National Academy of Medicine Perspectives 2020. 10.31478/202011a.
  • Slatyer S, Craigie M, Rees C, Davis S, Dolan T, Hegney D 2018 Nurse experience of participation in a mindfulness-based self-care and resiliency intervention. Mindfulness 9(2): 610–617. 10.1007/s12671-017-0802-2.
  • Swensen S, Kabcenell A, Shanafelt T 2016 Physician-organization collaboration reduces physician burnout and promotes engagement: The mayo clinic experience. Journal of Healthcare Management 61(2): 105–127. 10.1097/00115514-201603000-00008.
  • Tong A, Flemming K, McInnes E, Oliver S, Craig J 2012 Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Medical Research Methodology 12(1): 181. 10.1186/1471-2288-12-181.
  • Toppinen-Tanner S, Ojajärvi A, Väänänen A, Kalimo R, Jäppinen P 2005 Burnout as a predictor of medically certified sick-leave absences and their diagnosed causes. Behavioral Medicine 31(1): 18–27. 10.3200/BMED.31.1.18-32.
  • Turnell A, Rasmussen V, Butow P, Juraskova I, Kirsten L, Wiener L, Patenaude A, Hoekstra-Weebers GL 2016 An exploration of the prevalence and predictors of work-related well-being among psychosocial oncology professionals: An application of the job demands-resources model. Palliat Support Care 14(1): 33–41. 10.1017/S1478951515000693.
  • Volpato E, Banfi PI, Valota C, Pagnini F 2018 Psychological support for health professionals: An interpretative phenomenological analysis. Frontiers in Psychology 9: 1816. 10.3389/fpsyg.2018.01816.
  • West CP, Dyrbye LN, Erwin PJ, Shanafelt TD 2016 Interventions to prevent and reduce physician burnout: A systematic review and meta-analysis. Lancet 388(10057): 2272–2281. 10.1016/S0140-6736(16)31279-X.
  • West CP, Dyrbye LN, Shanafelt TD 2018 Physician burnout: Contributors, consequences and solutions. Journal of Internal Medicine 283(6): 516–529. 10.1111/joim.12752.
  • Wittenberg-Lyles E, Goldsmith J, Reno J 2014 Perceived benefits and challenges of an oncology nurse support group: Clinical. Journal of Oncology Nursing 18(4): E71–76. 10.1188/14.CJON.E71-E76.
  • Wright N, Zakarin M, Blake H 2016 Nurses’ views on workplace wellbeing programmes. British Journal of Nursing 25(21): 1208–1212. 10.12968/bjon.2016.25.21.1208.

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