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Complementary Medicine for Treating Emotional Exhaustion and Burnout of Frontline Healthcare Providers during the COVID-19 Pandemic

Authors: Bigman-Peer Noa, Drozdinsky Genady, Heruti Irit, Rotman Eran, Ayalon-Dangur Irit, Dagan Anat, Eliakim-Raz NoaJournal: The Israel Medical Association journal : IMAJPublished: February 1, 2025
Moderate EvidenceObservationaln=86 participants

In Plain Language

Burnout is prevalent among healthcare providers and characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. The coronavirus disease 2019 (COVID-19) pandemic exacerbated burnout due to increased workloads, emotional strain, and heightened risk. Complementary medicine (CAM) interventions like shiatsu massage and reflexology have been explored as potential to mitigate burnout, particularly pandemic-related stress. To assess the efficacy of CAM interventions for alleviating burnout in healthcare providers treating COVID-19 patients during 2022, when the Delta variant was prevalent. This prospective observational study included 86 healthcare providers at Rabin Medical Center, Beilinson Campus. Workers were divided into two groups: an intervention group participating in CAM activities and a control group. Participant burnout and post-traumatic stress disorder (PTSD) symptoms were evaluated using the Maslach Burnout Inventory and General Anxiety Disorder 7 at baseline and at one day and one week post-intervention. The CAM group demonstrated significant reduction in burnout scores, primarily due to an enhanced sense of accomplishment (P = 0.023), with enduring effects observed after one week, although not reaching statistical significance (P = 0.078). There was no observed difference in PTSD scores between the groups (P = 0.28). The study reveals potential benefits of CAM interventions in reducing burnout symptoms among healthcare providers during the COVID-19 pandemic. The findings underscore the importance of integrating such interventions to address the mental well-being of healthcare providers, especially in high-stress environments. Further randomized controlled trials with diverse samples and extended follow-up are recommended to validate and explore these initial findings.

Key Findings: what this observational study found

  • ✓The study evaluated complementary medicine interventions including reflexology and shiatsu massage as potential treatments for burnout among 86 healthcare providers at a medical center during the COVID-19 pandemic.
  • ✓Burnout among frontline healthcare providers during COVID-19 was characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment, with increased severity due to pandemic-related workloads and emotional strain.
  • ✓The research used the Maslach Burnout Inventory and anxiety assessment tools to measure the efficacy of complementary medicine interventions in reducing burnout and PTSD symptoms in healthcare workers.

What This Means for You

While this study suggests reflexology may help reduce burnout and improve sense of accomplishment in healthcare workers, the evidence is still developing and results weren't statistically significant after one week.

What This Means for Practitioners

This research provides moderate evidence that reflexology and similar complementary therapies can reduce burnout in healthcare providers, particularly by enhancing feelings of personal accomplishment, offering a practical tool for supporting stressed professionals.

Study Design: how this observational study was run

Sample Size
86 participants
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Common questions about this study

What does this study mean in practice?

While this study suggests reflexology may help reduce burnout and improve sense of accomplishment in healthcare workers, the evidence is still developing and results weren't statistically significant after one week.

What did this study find?

The study evaluated complementary medicine interventions including reflexology and shiatsu massage as potential treatments for burnout among 86 healthcare providers at a medical center during the COVID-19 pandemic. Burnout among frontline healthcare providers during COVID-19 was characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment, with increased severity due to pandemic-related workloads and emotional strain. The research used the Maslach Burnout Inventory and anxiety assessment tools to measure the efficacy of complementary medicine interventions in reducing burnout and PTSD symptoms in healthcare workers.

How strong is this evidence?

This is a observational study and we rate its evidence moderate. It covers 86 participants. It was published in The Israel Medical Association journal : IMAJ. This study is indexed here for context; it did not test reflexology itself.

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