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Individual-level stress interventions may benefit healthcare workers
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Individual-level stress interventions may benefit healthcare workers
How safe and effective are individual-level stress management interventions for stress symptoms in healthcare workers?
Overall, the findings from the synthesis of randomised controlled trials indicate there may be an effect on occupational stress reduction in healthcare workers from individual-level stress interventions, whether they focus one’s attention on, or away from, the experience of stress.
Interventions that focus attention on the experience of stress include cognitive behavioural therapy and emotional skills training. Interventions that focus attention away from stress include yoga, meditation and listening to music.
This effect may last up to 1 year after the end of the interventions. A combination of interventions may be beneficial as well, at least in the short term.
The evidence on the long-term effect (more than 1 year after the end of the intervention) on stress symptoms for these 2 types of interventions is unclear due to a lack of evidence. The same applies for interventions that alter work-related risk factors on an individual level.
The authors believe that the results are generalisable to most healthcare situations, but they are most applicable to the hospital setting. Half of the studies (60) included nurses only, 23 included physicians and 34 had various or other healthcare staff.
The estimates of the effects of individual-level stress management interventions may be biased because of a lack of blinding. Furthermore, many studies were relatively small. Better designed trials with larger sample sizes are required to increase the certainty of the evidence.
Healthcare workers can experience work-related stress as a result of an imbalance of demands, skills and social support at work. This may lead to stress, burnout and psychosomatic problems, and deterioration of service provision.
Tamminga SJ, et al. Individual-level interventions for reducing occupational stress in healthcare workers. Cochrane Database Syst Rev 2023;5:CD002892. This review contains 117 trials with a total of 11,119 participants.