通过医疗人员应用正念计划改善医生健康:一项前瞻性定性研究的结果。

CMAJ open Pub Date : 2023-11-21 Print Date: 2023-11-01 DOI:10.9778/cmajo.20220252
Elli Weisbaum, Nicholas Chadi, L Trevor Young
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引用次数: 0

摘要

背景:医生在整个卫生保健系统中发挥着关键作用,但他们自己的福祉往往被忽视;正念被广泛推荐为一种有前途的方式来支持医生的健康。我们试图探索医生如何体验和参与为期5周的应用正念课程,以及他们如何在日常生活中感知其对个人福祉的影响。方法:我们在加拿大多伦多市中心的一家三级医院为医务人员提供了应用正念计划(AMP-MP)。这项前瞻性定性研究包括对参与AMP-MP的来自不同专业的医生的项目后访谈的专题分析。该课程以Thích Nhất Hạnh的教学为基础,每周授课一次,为期5周,每次授课2小时。结果:我们对完成AMP-MP的28名医生进行了访谈。我们的数据显示,为期5周的培训足以让医生培养一种基本的正念,并将其融入日常生活。研究确定了两个主题:正念鼓励促进健康的行为和认知变化,正念改善与患者和同事的沟通。解释:我们的研究结果表明,应用正念作为一种有效的方式,很受医生的欢迎,可以增加他们对健康的感知,并加强与病人和同事的沟通。进一步的研究是必要的,以更好地了解正念训练的个人和系统的影响,以及这种模式如何补充其他努力,以解决和维持医生的健康。
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Improving physician wellness through the Applied Mindfulness Program for Medical Personnel: findings from a prospective qualitative study.

Background: Physicians play a critical role across health care delivery systems, yet their own well-being is often overlooked; mindfulness has been widely recommended as a promising modality to support physician wellness. We sought to explore how physicians experience and engage with a 5-week applied mindfulness program and how they perceive its impact on their personal well-being in the context of their daily lives.

Method: We delivered the Applied Mindfulness Program for Medical Personnel (AMP-MP) at a tertiary care hospital in downtown Toronto, Canada. This prospective qualitative study consists of a thematic analysis of post-program interviews with physicians, from across different specialties, who participated in the AMP-MP. The program includes 2-hour sessions, delivered once a week over 5 weeks, and is based on the teachings of Thích Nhất Hạnh.

Results: We interviewed 28 physicians after they completed the AMP-MP. Our data show that a 5-week training was sufficient for physicians to develop a foundational level of mindfulness that integrated into their daily life. Two themes were identified: mindfulness encourages behavioural and cognitive changes that facilitate well-being, and mindfulness improves communication with patients and colleagues.

Interpretation: Our results show applied mindfulness to be well received by physicians as an effective modality to increase their perceived sense of wellness and enhance communication with their patients and colleagues. Further research is necessary to better understand the individual and systemic implications of mindfulness training, and how this modality can complement other efforts being made to address and maintain physician wellness.

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