Interventions to reduce stress and prevent burnout in healthcare professionals supported by digital applications: a scoping review.
Study Goal
The researchers aimed to review recent digital-based interventions for stress reduction and burnout prevention among healthcare professionals, focusing on mindfulness-based programs.
Results Summary
The review identified seven studies, with interventions including mindfulness-based stress reduction combined with behavioral therapies. Digital components like apps and web-based platforms were used, but organizational support was found lacking. Only one program combined individual and organizational measures.
Population
Healthcare professionals (nurses and medical doctors) in high-income countries.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
adapted mindfulness-based stress reduction program combined with aspects of behavioral therapies, cognitive behavioral therapy, or acceptance and commitment therapy | decrease | stress reduction or burnout prevention | nurses and medical doctors | - | included | #1 |
digital components (apps, digital platform, blended learning, web-based intervention) | neutral | stress reduction or burnout prevention programs | nurses and medical doctors | - | integrated | #2 |
organizational support | increase | successful implementation of interventions | - | - | urgently needed | #3 |
individual and organizational measures | increase | success of stress reduction and burnout prevention interventions | - | - | should combine | #4 |
AIM: Healthcare professionals are at increased risk of burnout, primarily due to workplace-related stressors. The COVID-19 pandemic has further increased this risk. Different interventions exist with varying degrees of effectiveness; little is reported on the content and implementation of such programs. This review fills this gap, with attention to recent programs using digital components. METHODS: PubMed, Embase, PsycInfo, and Google Scholar were searched between January 24th and 28th, 2022, limited to the last 5 years (≥2017). Articles were included if they (1) focused on stress reduction or burnout prevention for nurses and medical doctors within workplace health promotion for nurses or medical doctors, (2) included a digital program component, (3) were conducted in high-income country contexts, and (4) were clinical studies published in English or German. Data was extracted using RESULTS: The search strategy identified 153 articles, all except 7 were excluded. Two studies were conducted in the USA, two in Spain, one in the Netherlands, Poland, and Korea each. Four studies used a randomized study design, all but one had a control group. A wide range of outcome measures was used. The types of interventions included an adapted mindfulness-based stress reduction program combined with aspects of behavioral therapies, cognitive behavioral therapy, or acceptance and commitment therapy. The digital components used were apps (4 studies), a digital platform, blended learning, and a web-based intervention (1 study each). Six studies focused on individual interventions, one included organizational interventions. CONCLUSION: Despite an acute burnout crisis in the healthcare sector, only seven recent interventions were found that integrated digital components. Several problems emerged during the implementation of the interventions that made it clear that organizational support is urgently needed for successful implementation. Although interventions for stress reduction and burnout prevention should combine individual and organizational measures to be as successful as possible, this was only partially the case in one of the intervention programs. The results of this scoping review can be used to further develop or optimize stress and burnout prevention programs.