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Key factors for implementing mindfulness-based burnout interventions in surgery.

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Implementing Enhanced Stress Resilience Training (ESRT) for surgical trainees requires addressing culture, infrastructure, and adaptability. Identifying these factors transforms barriers into enablers for sustainable well-being programs.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Psychological Interventions

Background:

  • Burnout and distress are prevalent challenges in surgical training programs.
  • Limited research exists on the sustainable implementation of interventions for surgical trainees.
  • Identifying barriers and enablers is crucial for successful intervention rollout.

Purpose of the Study:

  • To explore the implementation of Enhanced Stress Resilience Training (ESRT) for surgical trainees.
  • To identify critical influences affecting the sustainable implementation of ESRT.
  • To guide refinement of interventions for feasibility and acceptability.

Main Methods:

  • ESRT, a mindfulness-based cognitive intervention, was delivered and studied across three instances.
  • Data collection involved focus groups, field notes, surveys, and interviews with stakeholders.
  • Thematic analysis was employed to identify key implementation influences.

Main Results:

  • Culture, infrastructure, and adaptability emerged as critical influences on ESRT implementation.
  • These factors guided iterative adaptations of the intervention.
  • Successful adaptation led to sustainability across different groups and over time.

Conclusions:

  • Identifying critical influences is key to refining interventions and ensuring feasibility and acceptability.
  • Barriers to sustainable implementation can be transformed into enablers through strategic adaptation.
  • This approach offers a model for successful intervention implementation in other institutional settings.