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Interventions to Improve Mental Health, Well-Being, Physical Health, and Lifestyle Behaviors in Physicians and Nurses: A Systematic Review.

American journal of health promotion : AJHP
November 1, 2020
Bernadette Mazurek Melnyk et al. (11 authors)
Journal ArticleMeta-AnalysisSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness of mindfulness and other interventions in improving mental health, well-being, and physical health among physicians and nurses.

Results Summary

Mindfulness and cognitive-behavioral therapy-based interventions were found effective in reducing stress, anxiety, and depression. Brief interventions incorporating deep breathing and gratitude also showed benefits.

Population

Physicians and nurses

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (3)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness and cognitive-behavioral therapy-based interventions
decrease
stress, anxiety, and depression
physicians and nurses
-
are effective in reducing
#1
Brief interventions that incorporate deep breathing and gratitude
neutral
-
physicians and nurses
-
may be beneficial
#2
Visual triggers, pedometers, and health coaching with texting
increase
physical activity
physicians and nurses
-
increased
#3
Abstract

OBJECTIVE: This systematic review focused on randomized controlled trials (RCTs) with physicians and nurses that tested interventions designed to improve their mental health, well-being, physical health, and lifestyle behaviors. DATA SOURCE: A systematic search of electronic databases from 2008 to May 2018 included PubMed, CINAHL, PsycINFO, SPORTDiscus, and the Cochrane Library. STUDY INCLUSION AND EXCLUSION CRITERIA: Inclusion criteria included an RCT design, samples of physicians and/or nurses, and publication year 2008 or later with outcomes targeting mental health, well-being/resiliency, healthy lifestyle behaviors, and/or physical health. Exclusion criteria included studies with a focus on burnout without measures of mood, resiliency, mindfulness, or stress; primary focus on an area other than health promotion; and non-English papers. DATA EXTRACTION: Quantitative and qualitative data were extracted from each study by 2 independent researchers using a standardized template created in Covidence. DATA SYNTHESIS: Although meta-analytic pooling across all studies was desired, a wide array of outcome measures made quantitative pooling unsuitable. Therefore, effect sizes were calculated and a mini meta-analysis was completed. RESULTS: Twenty-nine studies (N = 2708 participants) met the inclusion criteria. Results indicated that mindfulness and cognitive-behavioral therapy-based interventions are effective in reducing stress, anxiety, and depression. Brief interventions that incorporate deep breathing and gratitude may be beneficial. Visual triggers, pedometers, and health coaching with texting increased physical activity. CONCLUSION: Healthcare systems must promote the health and well-being of physicians and nurses with evidence-based interventions to improve population health and enhance the quality and safety of the care that is delivered.

Medical Subject Headings (MeSH)
HumansLife StyleMental HealthMindfulnessNursesPhysicians
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations176
Citations/Year35.2
Relative Citation Ratio19.12
NIH Percentile99.3%
Research Impact Scores
APT Score0.95
Weight Score2.83
Normalized Score0.70
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