Nurse and Physician Stress Reduction: Learning Receptive Awareness Via EEG Feedback
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 3/10/2019 |
| Start Date: | May 22, 2017 |
| End Date: | December 31, 2018 |
The purpose of this study is to evaluate a model of mindfulness and neurofeedback among
physicians and nurses. Several hypotheses will be tested: 1) BIS values will decrease as the
number of sessions increase, 2) wellbeing scores will increase as the number of learning
sessions increase, 3) wellbeing scores will be associated with BIS values, and 4) different
attentional states will have more or less influence on reducing the BIS value.
physicians and nurses. Several hypotheses will be tested: 1) BIS values will decrease as the
number of sessions increase, 2) wellbeing scores will increase as the number of learning
sessions increase, 3) wellbeing scores will be associated with BIS values, and 4) different
attentional states will have more or less influence on reducing the BIS value.
For nurses and physicians, concerns exist relative to emotional exhaustion, burnout, and job
dissatisfaction. In a study of medical students (median age 25 years), residents/fellows
(median age 31 years), and early career physicians (median age 37 years), adverse
manifestation rates were 30-40% for emotional exhaustion, 40-50% for burnout, 40-60% for
depression, 7-9% for suicidal ideation, and 50-60% for fatigue. The rate of emotional
exhaustion, a risk for burnout, has been found to be substantial in nurses in the U.S.
Mindfulness is an attitudinal expression of receptive awareness, wherein there is a
distinction made between an experience occurring in the present moment and associated
thoughts and interpretations about the experience. The thinking process itself is observed
with all thoughts being treated as equal in value, without attraction or rejection. In two
investigations that consisted of physicians and nurses, a high mindfulness score was
associated with less stress, greater wellbeing, and a positive emotional tone among subjects.
Mindfulness training has been associated with reductions in stress or burnout risk in studies
that include nurses and physicians.
Neurofeedback (NFB) is a process in which an individual learns to intentionally alter their
brainwave activity. NFB has been demonstrated to be useful for decreasing anxiety and
enhancing attention.
As concerns with electroencephalographic (EEG) artifacts and the fact that technologies for
providing quantitative EEG analysis are continuously evolving, the investigators selected the
Bispectral Index (BIS) monitor (Aspect Medical Systems, Newton, MA) as a device to provide
NFB signals. The Food and Drug Administration classifies the BIS monitor as an EEG monitoring
device that monitors EEG signals, and it may be used for monitoring the effects of anesthetic
and sedating agents. The credibility and validity of the device is supported by more than
2,500 citations in the National Library of Medicine that includes publications in the New
England Journal of Medicine and Cochrane Systematic Review.
Reductions in BIS values have also been found for conditions other than pharmacologic
sedation and include acupressure, stage I sleep, and relaxation using guided imagery.
Although combining mindfulness and NFB has been advocated, such a model, to the
investigators' knowledge, has not been evaluated. Therefore, the purpose of the proposed
study is to evaluate a model of mindfulness and NFB among physicians and nurses.
dissatisfaction. In a study of medical students (median age 25 years), residents/fellows
(median age 31 years), and early career physicians (median age 37 years), adverse
manifestation rates were 30-40% for emotional exhaustion, 40-50% for burnout, 40-60% for
depression, 7-9% for suicidal ideation, and 50-60% for fatigue. The rate of emotional
exhaustion, a risk for burnout, has been found to be substantial in nurses in the U.S.
Mindfulness is an attitudinal expression of receptive awareness, wherein there is a
distinction made between an experience occurring in the present moment and associated
thoughts and interpretations about the experience. The thinking process itself is observed
with all thoughts being treated as equal in value, without attraction or rejection. In two
investigations that consisted of physicians and nurses, a high mindfulness score was
associated with less stress, greater wellbeing, and a positive emotional tone among subjects.
Mindfulness training has been associated with reductions in stress or burnout risk in studies
that include nurses and physicians.
Neurofeedback (NFB) is a process in which an individual learns to intentionally alter their
brainwave activity. NFB has been demonstrated to be useful for decreasing anxiety and
enhancing attention.
As concerns with electroencephalographic (EEG) artifacts and the fact that technologies for
providing quantitative EEG analysis are continuously evolving, the investigators selected the
Bispectral Index (BIS) monitor (Aspect Medical Systems, Newton, MA) as a device to provide
NFB signals. The Food and Drug Administration classifies the BIS monitor as an EEG monitoring
device that monitors EEG signals, and it may be used for monitoring the effects of anesthetic
and sedating agents. The credibility and validity of the device is supported by more than
2,500 citations in the National Library of Medicine that includes publications in the New
England Journal of Medicine and Cochrane Systematic Review.
Reductions in BIS values have also been found for conditions other than pharmacologic
sedation and include acupressure, stage I sleep, and relaxation using guided imagery.
Although combining mindfulness and NFB has been advocated, such a model, to the
investigators' knowledge, has not been evaluated. Therefore, the purpose of the proposed
study is to evaluate a model of mindfulness and NFB among physicians and nurses.
Inclusion Criteria:
- Physicians (resident, attending, and assistant) at St. Elizabeth Youngstown Hospital
- Nurses (registered, practitioner, and anesthetist) at St. Elizabeth Youngstown
Hospital
Exclusion Criterion:
- Individuals undergoing psychological or psychiatric counseling or those requiring
psychoaffective medications
We found this trial at
1
site
Youngstown, Ohio 44501
Principal Investigator: C. Michael Dunham, MD
Phone: 330-480-3907
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