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Reduction in Stress Among Frontline Healthcare Workers Receiving Osteopathic Manipulation
Schnautz, R. [1]
Eilerman, A. [3]
Faherty, M. [1]

Journal: Journal of Osteopathic Medicine Date: 2022/12, 122(12):Pages: A106-A108. doi: Subito , type of study: cross sectional study

Full text    (https://www.degruyter.com/document/doi/10.1515/jom-2022-2000/html)

Keywords:

cross sectional study [597]
OMT [2951]
osteopathic manipulative treatment [2973]
stress [82]
USA [1086]
workforce [24]

Abstract:

Statement of Significance: Burnout in the healthcare profession has been an ongoing challenge. In 2020, the American Medical Association surveyed healthcare workers and reported that 43% of respondents suffered from work overload and 49% were suffering from burnout [1]. Osteopathic Manipulative Medicine (OMM) has been shown to help reduce stress among those in the healthcare field [2,4,5], however, more studies are needed to examine the relationship between individualized OMM and stress in frontline healthcare workers. Research Methods: An OMM service was established in October 2021 in a mid-sized community-based institution in central Ohio with the intent of improving the well-being of its associates. This hospital is one of the largest Osteopathic teaching institutions in the United States, having 158 residents training in programs which have received the status of the Accreditation Council for Graduate Medical Education (ACGME) as being Osteopathically Recognized. Two hours were set aside weekly for associates to voluntarily sign up on a first-come, first-served basis for OMM using QR codes directing them to the Signup Genius® website. Posters advertising the service were displayed in all hospital units. Through this service, associates were provided manipulation in 20-minute sessions after signing a waiver for consent and indicating that they were free from contraindicated conditions that would have excluded them from study participation. Since a complete history and physical were not obtained, associates were not considered patients and no patient-doctor relationship was established. Voluntary manipulation “providers” included osteopathic medical students, residents, fellows, or faculty. Attending faculty were Doctors of Osteopathic Medicine (DOs) who oversaw the manipulation provided. Manipulation was provided to associates based on findings from the structural exam. The associates were then encouraged to complete an anonymous online survey. Data on responses was collected through Redcap, a secure, HIPAA compliant web application for building online surveys and databases, and feedback will be used to modify the service for continuous quality improvement. After 4 weeks of doing OMM and the survey which would be on 7/8/2022, 22 associates have filled out the survey. Data Analysis/Results: After 4 weeks of doing OMM and the survey which would be on 7/8/2022, 22 associates have filled out the survey. Of the responses, 50% stated they regularly felt stressed in their work; 54.54% of respondents stated that their severity of stress was moderate or significant. The associates were then surveyed about their primary reasons for attending the associate OMM service for which they could select multiple reasons. 93.75% of respondents stated that they attended the service to reduce pain and musculoskeletal issues, and 81.25% of respondents stated that they attended to improve wellness and reduce stress. When asked if the service had accomplished these stated goals, 95.45% of respondents stated that it had. When the associates were surveyed as to what their overall views on the service were, the feedback was overwhelmingly positive. 95.45% of respondents stated that they were extremely satisfied with the service and that they were extremely likely to attend another session. Conclusion: Preliminary results from the project suggest that OMM may be a modem to use for the reduction of stress in healthcare workers. This bolsters previous findings regarding OMM and stress reduction [2,4,5]. Many of the staff receiving manipulation at the associate OMM service were experiencing stress at work and many of them stated that the OMM service was helpful at alleviating much of that stress while improving their overall wellness. An overwhelming proportion of associates stated that they would be extremely likely to return to the service in the future to further improve their well-being which demonstrates the extent to which this service is positively viewed. While the preliminary findings have shown that this service has the potential to improve wellness and reduce the potential for burnout in healthcare workers, the project is continuing to gather more data from attendees of the OMM service. This data will be used to further strengthen the study’s conclusions and modify the OMM service for continuous quality improvement such as more broadly marketing the service, streamlining the process, and increasing the availability of the service in order to increase associate participation and further improve the wellness of frontline healthcare workers. The limitations of this study include a lack of a control group due to the individualization of the OMM from associate to associate based on the somatic dysfunctions that they are presenting with, and a small sample size due to a limited number of OMM providers being able to attend each service. Examination of specific OMM techniques and their effect on frontline healthcare worker stress is outside of the scope of this study, however, further research is warranted in order to examine any possible relationships between these two variables.

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