Self-Care and Yoga— Academic—Practice Collaboration for Occupational Health

Abstract

High rates of stress and burnout among nurses and other health care providers justify the exploration of innovative interventions designed to reduce stress and promote self-care among this population. A growing body of evidence supports the physical and psychosocial benefits of yoga and suggests the potential for yoga to support self-care and reduce stress among health care providers. This article describes the formation of an academic—practice collaboration to use yoga as a model for occupational health and wellness among nurses employed at a tax-supported urban health system. In addition, recommendations for program sustainability over time are discussed.

References

Acker

G. M.

(2012). Burnout among mental health care providers. Journal of Social Work, 12(5), 475–490.

Ader

(1983). Developmental psychoneuroimmunology. Developmental Psychobiology, 16(4), 251–267.

Ader

Cohen

Felten

(1995). Psychoneuroimmunology: Interactions between the nervous system and the immune system. Lancet, 345(8942), 99–103.

Alexander

G. K.

Innes

K. E.

Selfe

T. K.

Brown

C. J.

(2013). “More than I expected”: Perceived benefits of yoga practice among older adults at risk for cardiovascular disease. Complementary Therapies in Medicine, 21(1), 14–28. doi:10.1016/j.ctim.2012.11.001

Balevre

P. S.

Cassells

Buzaianu

(2012). Professional nursing burnout and irrational thinking: A replication study. Journal for Nurses in Staff Development, 28(1), 2–8. doi:10.1097/NND.0b013e318240a65a

Carter

Stratton

Mallory

(2011). Yoga to treat nonspecific low back pain. AAOHN Journal, 59(8), 355–361. doi:10.3928/08910162-20110718-01

Chapman

L. S.

(2009). Building a sustainable administrative infrastructure for worksite wellness programs. American Journal of Health Promotion, 24(2), TAHP1-10, iii.

Chen

K. M.

Chen

M. H.

Hong

S. M.

Chao

H. C.

Lin

H. S.

C. H.

(2008). Physical fitness of older adults in senior activity centres after 24-week silver yoga exercises. Journal of Clinical Nursing, 17(19), 2634–2646. doi:10.1111/j.1365-2702.2008.02338.x

Chipp

Dewane

Brems

Johnson

M. E.

Warner

T. D.

Roberts

L. W.

(2011). “If only someone had told me…“: Lessons from rural providers. Journal of Rural Health, 27(1), 122–130. doi:10.1111/j.1748-0361.2010.00314.x

10.

Cowen

V. S.

(2010). Functional fitness improvements after a worksite-based yoga initiative. Journal of Bodywork and Movement Therapies, 14(1), 50–54. doi:10.1016/j.jbmt.2009.02.006

11.

DiBenedetto

Innes

K. E.

Taylor

A. G.

Rodeheaver

P. F.

Boxer

J. A.

Wright

H. J.

Kerrigan

D. C.

(2005). Effect of a gentle Iyengar yoga program on gait in the elderly: An exploratory study. Archives of Physical Medicine and Rehabilitation, 86(9), 1830–1837.

12.

Dyrbye

L. N.

Shanafelt

T. D.

(2011). Physician burnout: A potential threat to successful health care reform. JAMA, 305(19), 2009–2010. doi:10.1001/jama.2011.652

13.

Engelke

M. K.

Marshburn

D. M.

(2006). Collaborative strategies to enhance research and evidence-based practice. Journal of Nursing Administration, 36(3), 131–135.

14.

Goodman

M. J.

Schorling

J. B.

(2012). A mindfulness course decreases burnout and improves well-being among healthcare providers. International Journal of Psychiatry in Medicine, 43(2), 119–128.

15.

Gura

S. T.

(2002). Yoga for stress reduction and injury prevention at work. Work (Reading, Mass.), 19(1), 3–7.

16.

Harinath

Malhotra

A. S.

Pal

Prasad

Kumar

Kain

T. C.

Sawhney

R. C.

(2004). Effects of Hatha yoga and Omkar meditation on cardiorespiratory performance, psychologic profile, and melatonin secretion. Journal of Alternative and Complementary Medicine, 10(2), 261–268.

17.

Hassmiller

S. B.

Cozine

(2006). Addressing the nurse shortage to improve the quality of patient care. Health Affairs (Project Hope), 25(1), 268–274.

18.

Irving

J. A.

Dobkin

P. L.

Park

(2009). Cultivating mindfulness in health care professionals: A review of empirical studies of mindfulness-based stress reduction (MBSR). Complementary Therapies in Clinical Practice, 15(2), 61–66. doi:10.1016/j.ctcp.2009.01.002

19.

Kiecolt-Glaser

J. K.

McGuire

Robles

T. F.

Glaser

(2002a). Emotions, morbidity, and mortality: New perspectives from psychoneuroimmunology. Annual Review of Psychology, 53, 83–107.

20.

Kiecolt-Glaser

J. K.

McGuire

Robles

T. F.

Glaser

(2002b). Psychoneuroimmunology: Psychological influences on immune function and health. Journal of Consulting and Clinical Psychology, 70(3), 537–547.

21.

Kim

Stoner

(2008). Burnout and turnover intention among social workers: Effects of role stress, job autonomy and social support. Administration in Social Work, 32(3), 5–25.

22.

Kornhaber

R. A.

Wilson

(2011). Building resilience in burns nurses: A descriptive phenomenological inquiry. Journal of Burn Care & Research, 32(4), 481–488. doi:10.1097/BCR.0b013e3182223c89

23.

Lang

J. E.

Hersey

J. C.

Isenberg

K. L.

Lynch

C. M.

Majestic

(2009). Building company health promotion capacity: A unique collaboration between Cargill and the Centers for Disease Control and Prevention. Preventing Chronic Disease, 6(2), A62.

24.

Langley

Fonseca

Iphofen

(2006). Psychoneuroimmunology and health from a nursing perspective. British Journal of Nursing, 15(20), 1126–1129.

25.

Lee

J. J.

Miller

S. E.

(2013). A self-care framework for social workers: Building a strong foundation for practice. Families in Society, 94(2), 96–103.

26.

Manocha

Black

Sarris

Stough

(2011). A randomized, controlled trial of meditation for work stress, anxiety and depressed mood in full-time workers. Evidence-Based Complementary and Alternative Medicine. doi:10.1155/2011/960583

27.

Martin-Asuero

Garcia-Banda

(2010). The mindfulness-based stress reduction program (MBSR) reduces stress-related psychological distress in healthcare professionals. The Spanish Journal of Psychology, 13(2), 897–905.

28.

Puga

Stevens

K. R.

Patel

D. I.

(2013). Adopting best practices from team science in a healthcare improvement research network: The impact on dissemination and implementation. Nursing Research and Practice. doi:10.1155/2013/814360

29.

Pullen

P. R.

Thompson

W. R.

Benardot

Brandon

L. J.

Mehta

P. K.

Rifai

Khan

B. V.

(2010). Benefits of yoga for African American heart failure patients. Medicine and Science in Sports and Exercise, 42(4), 651–657. doi:10.1249/MSS.0b013e3181bf24c4

30.

Raingruber

Robinson

(2007). The effectiveness of tai chi, yoga, meditation, and Reiki healing sessions in promoting health and enhancing problem solving abilities of registered nurses. Issues in Mental Health Nursing, 28(10), 1141–1155.

31.

Raub

J. A.

(2002). Psychophysiologic effects of hatha yoga on musculoskeletal and cardiopulmonary function: A literature review. Journal of Alternative and Complementary Medicine, 8(6), 797–812.

32.

Redmond

M. S.

Kalina

C. M.

(2009). A successful occupational health nurse-driven health promotion program to support corporate sustainability. AAOHN Journal, 57(12), 507–514. doi:10.3928/08910162-20091116-02

33.

Repar

P. A.

Patton

(2007). Stress reduction for nurses through arts-in-medicine at the University of New Mexico hospitals. Holistic Nursing Practice, 21(4), 182–186.

34.

Schure

M. B.

Christopher

(2008). Mind–body medicine and the art of self-care: Teaching mindfulness to counseling students through yoga, meditation, and qigong. Journal of Counseling & Development, 86(1), 47–56. doi:10.1002/j.1556-6678.2008.tb00625.x

35.

Strijk

J. E.

Proper

K. I.

van der Beek

A. J.

van Mechelen

(2012). A worksite vitality intervention to improve older workers' lifestyle and vitality-related outcomes: Results of a randomised controlled trial. Journal of Epidemiology and Community Health, 66(11), 1071–1078. doi:10.1136/jech-2011-200626

36.

Taibi

D. M.

Vitiello

M. V.

(2011). A pilot study of gentle yoga for sleep disturbance in women with osteoarthritis. Sleep Medicine, 12(5), 512–517. doi:10.1016/j.sleep.2010.09.016

37.

Tarantino

Earley

Audia

D'Adamo

Berman

(2013). Qualitative and quantitative evaluation of a pilot integrative coping and resiliency program for healthcare professionals. Explore (New York, N.Y.), 9(1), 44–47. doi:10.1016/j.explore.2012.10.002

38.

Taylor

A. G.

Goehler

L. E.

Galper

D. I.

Innes

K. E.

Bourguignon

(2010). Top-down and bottom-up mechanisms in mind-body medicine: Development of an integrative framework for psychophysiological research. Explore: The Journal of Science & Healing, 6(1), 29–41.

39.

Thomley

B. S.

Ray

S. H.

Cha

S. S.

Bauer

B. A.

(2011). Effects of a brief, comprehensive, yoga-based program on quality of life and biometric measures in an employee population: A pilot study. Explore (New York, N.Y.), 7(1), 27–29. doi:10.1016/j.explore.2010.10.004

40.

Vahey

D. C.

Aiken

L. H.

Sloane

D. M.

Clarke

S. P.

Vargas

(2004). Nurse burnout and patient satisfaction. Medical Care, 42(2 Suppl), II-57–66.

41.

Weierbach

F. M.

Glick

D. F.

Fletcher

Rowlands

Lyder

C. H.

(2010). Nursing research and participant recruitment: Organizational challenges and strategies. Journal of Nursing Administration, 40(1), 43–48. doi:10.1097/NNA.0b013e3181c97afb

42.

Wolever

R. Q.

Bobinet

K. J.

McCabe

Mackenzie

E. R.

Fekete

Kusnick

C. A.

Baime

(2012). Effective and viable mind-body stress reduction in the workplace: A randomized controlled trial. Journal of Occupational Health Psychology, 17(2), 246–258. doi:10.1037/a0027278