Evidence map›Paper›PMID 39587574›Full record

ArticleBMC medical education2024

A holistic approach to sustain and support lifelong practices of wellness among healthcare professionals: generating preliminary solid steps towards a culture of wellness.

Beverley Argus-Calvo, Deborah J Clegg, Maureen D Francis, Alok Kumar Dwivedi, Paul A Carrola, Marie Leiner

Abstract read
In one paragraph

Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Beverley Argus-CalvoDepartment of Counseling, Special Education and Educational Psychology, University of Texas at El Paso, El Paso, TX, USA.ORCID http://orcid.org/0000-0002-5155-0681
Deborah J CleggDepartment of Internal Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA.ORCID http://orcid.org/0000-0003-3506-4402
Maureen D FrancisPaul Foster School of Medicine, El Paso, TX, USA.ORCID http://orcid.org/0009-0009-2529-3296
Alok Kumar DwivediDepartment of Molecular and Translational Medicine, Paul L. Foster School of Medicine, Biostatistics and Epidemiology Consulting Lab, Office of Research, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA.ORCID http://orcid.org/0000-0002-7065-9578
Paul A CarrolaDepartment of Counseling, Special Education and Educational Psychology, University of Texas at El Paso, El Paso, TX, USA.ORCID http://orcid.org/0000-0002-2941-3410
Marie LeinerDepartment of Pediatrics, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA. marie.leiner@ttuhsc.edu.ORCID http://orcid.org/0000-0003-0831-3872

Funding

Office of Faculty Development, Texas Tech University Health Sciences Center El Paso Seed grant
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has served as a catalyst for recognizing the challenging environments in which healthcare workers operate, underscoring the urgent need to enhance their wellness to better support themselves and others. The implementation of a culture of wellness within the context of healthcare education, with a particular emphasis on individual-level strategies, allows for the realization of its intrinsic value and significance as a foundation for broader organizational strategies. This approach facilitates the establishment of a sustainable culture of wellness that benefits both current and subsequent generations of healthcare professionals.

methodsWe implemented our wellness program using a pragmatic pre-post study design for different settings. Our wellness intervention program was tested in three ways by creating combinations of different intensities (high, moderate, or low), delivery methods (face-to-face vs. virtual), different motivations (incentive, mandatory, or volunteer participation), and different timings (during medical programs or before entering into healthcare programs) among medical and nursing students. The effects of the wellness program were measured on quality of life, emotional intelligence, and efficacy scores among healthcare students. Statistical methods included repeated measures analysis of variance and paired t-tests.

resultsA total of 224 students (13 in high, 145 in moderate, and 66 in low-dose interventions) participated in our study program. Most scores were significantly improved except for a few factors in the high-dose face-to-face Well-Teach intervention cohort. Among quality of life components, the average psychological scores were markedly increased after high (13.2 vs. 14.7, p = .018), moderate (13.9 vs. 14.8, p < .001), and low (12.8 vs. 13.4, p < .001) intensity intervention cohorts. The moderate and low intensity of wellness intervention cohorts had the highest impact on the total emotional intelligence scores (mean difference = 3.021, 95%CI:0.553-5.488, p = .008) and (mean difference = 5.197, 95%CI:3.057-7.337, p = < 0.001), respectively. The low-dose healthcare intervention program yielded improvements in all components of all scores to a greater extent than moderate-dose or high-dose with face-to-face intervention programs.

conclusionsThis study demonstrates that our multifaceted Well-Teach model can be used to improve the quality of life, emotional intelligence, and self-efficacy of healthcare students. Low- or moderate-intensity intervention programs integrated into the curriculum may be more practical in health sciences education to sustain and promote lifelong wellness practices as solid steps toward attaining a "culture of wellness". Our model should be considered to be beneficial, sustainable, cost-effective, comprehensive, and effective for current and future generations of healthcare providers.

Indexed as

COVID-19Health PromotionAdultFemaleHealth PersonnelHolistic HealthHumansMalePandemicsQuality of LifeSARS-CoV-2Students, MedicalBurnout preventionHealthcare educationHealthcare education curriculumIndivisible Self modelWellness cultureWellness programs

Identifiers

PMID39587574
PMCPMC11590568

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.