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Mindfulness Rounds Initiative – A Short Mindfulness-Based Program for A Busy Workplace

Studies

Study First Submitted Date 2020-02-21
Study First Posted Date 2020-02-25
Last Update Posted Date 2023-01-26
Start Month Year March 2024
Primary Completion Month Year July 2024
Verification Month Year January 2023
Verification Date 2023-01-31
Last Update Posted Date 2023-01-26

Detailed Descriptions

Sequence: 20815420
Description “Mindfulness Rounds” Care-giver well-being is recognized as an important goal in decreasing burnout, increasing job satisfaction, and may have implications in improving quality of care and patient satisfaction. Mindfulness training is a well-studied tool used to enhance care-giver well-being. The impact of a Mindfulness training experience for caregivers, support staff, and patients and their families working together in a hospital unit on patient satisfaction has not been well studied, if at all. The researchers propose instituting a pilot program of Mindfulness Rounds on a given hospital unit and assessing the effect on employee well-being, patient satisfaction, and quality of care. Introduction: The physical and mental health of healthcare practitioners (HCPs) has become an area of attention and research in recent years as HCP burnout and suicide are now openly discussed concerns in medicine. Well-being education is now a required curricula component by the Accreditation Council for Graduate Medical Education (ACGME). Mindfulness is a technique and philosophical concept which has received significant attention in the medical literature as a tool for increasing HCP well-being. Mindfulness describes the idea of maintaining a conscious presence in the present, of avoiding obsessing about the past or the future, and of continuously being aware of, and grateful for, the things we have in life as opposed to the things we don’t. Mindfulness-Based Stress Reduction (MBSR) is one particular system, developed by Jon Kabat-Zinn over 30 years ago, which has been built into a well-structured certified training program for teaching mindfulness. Numerous studies have used MBSR or similar techniques to advance HCP psychologic well-being, and while some have investigated a variety of HCP training techniques to improve the patient experience, few have sought to explore a relationship between the impact of mindfulness training for HCP on patient satisfaction, quality of care outcomes, and HCP overall health. To the investigators’ knowledge, no one has sought to bring mindfulness education to an entire hospital unit – physicians, nurses, support staff, as well as patients and their families wherever possible – with the goal of improving both HCP and the overall patient experience. The researchers propose instituting a pilot program of Mindfulness Rounds on a given hospital unit and assessing the effect on employee well-being, patient satisfaction, and quality of care.

Facilities

Sequence: 200889035
Name Mount Sinai Hospital
City New York
State New York
Zip 10029
Country United States

Facility Investigators

Sequence: 18416868
Facility Id 200889035
Role Principal Investigator
Name Jeffrey Zahn, MD

Conditions

Sequence: 52410506 Sequence: 52410507
Name Healthcare Practitioner Stress Name Patient Satisfaction
Downcase Name healthcare practitioner stress Downcase Name patient satisfaction

Id Information

Sequence: 40327649
Id Source org_study_id
Id Value GCO 19-1849

Countries

Sequence: 42750869
Name United States
Removed False

Design Groups

Sequence: 55858031 Sequence: 55858032
Group Type Experimental Group Type No Intervention
Title Mindfulness Rounds Title Control
Description Participants will be exposed to thrice weekly Mindfulness Rounds education on the Unit; participation in the actual sessions is voluntary. Description No intervention will take place on this Unit

Interventions

Sequence: 52718421
Intervention Type Behavioral
Name Mindfulness Rounds
Description Throughout the 8-week study period, a different mindfulness practice will be introduced weekly in 3 separate 15-minute live sessions. Posters describing the particular “practice of the week” will be placed around the Unit as visual reminders to encourage actual practice.

Keywords

Sequence: 80191672 Sequence: 80191673 Sequence: 80191674 Sequence: 80191675 Sequence: 80191676 Sequence: 80191677
Name Mindfulness Name Stress Name pain scores Name patient satisfaction Name Perceived Stress Scale Name MBSR
Downcase Name mindfulness Downcase Name stress Downcase Name pain scores Downcase Name patient satisfaction Downcase Name perceived stress scale Downcase Name mbsr

Design Outcomes

Sequence: 178264083 Sequence: 178264084 Sequence: 178264085 Sequence: 178264086 Sequence: 178264087 Sequence: 178264088 Sequence: 178264089 Sequence: 178264090 Sequence: 178264091 Sequence: 178264092
Outcome Type primary Outcome Type secondary Outcome Type secondary Outcome Type secondary Outcome Type secondary Outcome Type secondary Outcome Type secondary Outcome Type secondary Outcome Type secondary Outcome Type secondary
Measure Change in Pain scores Measure Discharge time Measure Change in Narcotic usage Measure Change in Patient Satisfaction survey Measure Change in Perceived Stress Scale (PSS) survey Measure Change in number of Staff sick days Measure Change in number of staff injuries Measure Change in number of workers compensation claims Measure Change in number of discharges before noon Measure Change in Staff handwashing rates
Time Frame 1-3 months pre-intervention, 1-3 months post-intervention Time Frame 1-3 months pre-intervention, 1-3 months post-intervention Time Frame 1-3 months pre-intervention, 1-3 months post-intervention Time Frame 1-3 months pre-intervention, 1-3 months post-intervention Time Frame Within 1 month prior to intervention, within one month post the intervention. Time Frame 1-3 months pre-intervention, 1-3 months post-intervention Time Frame 1-3 months pre-intervention, 1-3 months post-intervention Time Frame 1-3 months pre-intervention, 1-3 months post-intervention Time Frame 1-3 months pre-intervention, 1-3 months post-intervention Time Frame 1-3 months pre-intervention, 1-3 months post-intervention
Description Patient pain scores are routinely collected by Nursing and entered into the electronic medical record (EMR). Full pain scale from 0-10, higher score indicates more pain. Description Duration from discharge order to discharge time. Description Aggregate total narcotics administered/patient hours on unit. Description Pres-Ganey survey to assess patient satisfaction. Pres-Ganey Survey: 24 item instrument, each item scored: very poor (score = 0), poor (25), fair (50), good (75) and very good (100). Full scale from 0 – 100, higher score indicates more satisfaction. Description This is a validated survey tool to assess an individual’s perceived stress. Full scale range from 0 to 40, higher score indicates higher perceived stress. Description Number of total staff sick days. Description Number of total staff injuries Description Number of total workers compensation claims Description Number of discharges before noon as a hospital metric tracked for efficiency. Description Routinely tracked by anonymous observers

Sponsors

Sequence: 48541814
Agency Class OTHER
Lead Or Collaborator lead
Name Icahn School of Medicine at Mount Sinai

Overall Officials

Sequence: 29409380
Role Principal Investigator
Name Jeffrey Zahn, MD
Affiliation Icahn School of Medicine at Mount Sinai

Central Contacts

Sequence: 12072072 Sequence: 12072073
Contact Type primary Contact Type backup
Name Jeffrey Zahn, MD Name James Leader
Phone 917-363-2431 Phone 212-241-7251
Email Jeffrey.zahn@mountsinai.org Email James.leader@mountsinai.org
Role Contact Role Contact

Design Group Interventions

Sequence: 68472461
Design Group Id 55858031
Intervention Id 52718421

Eligibilities

Sequence: 30903006
Gender All
Minimum Age 18 Years
Maximum Age N/A
Healthy Volunteers No
Criteria Inclusion Criteria: – Employees on the Units Exclusion Criteria: – none
Adult True
Child False
Older Adult True

Calculated Values

Sequence: 254158167
Number Of Facilities 1
Registered In Calendar Year 2020
Were Results Reported False
Has Us Facility True
Has Single Facility True
Minimum Age Num 18
Minimum Age Unit Years
Number Of Primary Outcomes To Measure 1
Number Of Secondary Outcomes To Measure 9

Designs

Sequence: 30648723
Allocation Randomized
Intervention Model Parallel Assignment
Observational Model
Primary Purpose Treatment
Time Perspective
Masking None (Open Label)
Intervention Model Description The participants are staff on two hospital units tending to the same patient population with the same policies and protocols – postpartum patients. One unit will have the Mindfulness Rounds Initiative ass the intervention, the other will not. Both units will be evaluated against each other, and against themselves in a pre-/post- design.

Responsible Parties

Sequence: 29015366
Responsible Party Type Principal Investigator
Name Jeffrey Zahn
Title Assistant Professor
Affiliation Icahn School of Medicine at Mount Sinai