Improving community well-being through collaborative initiatives at a medical library
Keywords:Mindfulness, Health Care Professional, Well-being, Self-Care, Library, Library Programs, Prayer Room, Mediation Room, Reflection Room, Wellness
Background: In an increasingly digital age, the role of the library is changing to better serve its community. The authors’ library serves health care professionals who experience high levels of stress due to everyday demands of work or study, which can have negative impacts on physical and mental health. Our library is committed to serving the needs of our community by identifying opportunities to improve their well-being.
Case Presentation: Librarians at the Harvey Cushing/John Hay Whitney Medical Library at Yale University developed a group mindfulness program and a space for self-defined personal care to assist health care professionals in alleviating stress. Surveys were used to evaluate the mindfulness program and self-care space.Conclusions: We successfully implemented two collaborative wellness and self-care initiatives with students and other stakeholders, as demonstrated by program attendance, diverse space use, and positive survey responses for both initiatives. While these endeavors do not replace the need to challenge structural problems at the root of stress in the health care professions, this case report offers a blueprint for other medical libraries to support the well-being of their communities.
Rohr L. Suburban libraries embrace new role as community centers. Daily Herald [Internet]. 10 Jul 2016 [19 Feb 2019]. <https://www.dailyherald.com/article/20160710/news/160719942/>.
Albanese AR. Deserted no more. Libr J. 2003 Apr;128(7):34–6.
Carlson S. The deserted library. Chron High Educ. 2001 Nov;48(12):A35.
Scott R. The role of public libraries in community building. Pub Libr Q. 2011 Aug;30(3):191–227. DOI: http://dx.doi.org/10.1080/01616846.2011.599283.
Shanafelt TD, Hasan O, Dyrbye LN. Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc. 2016 Feb;91(2):276.
Aiken LH, Clarke SP, Sloane DM, Sochalski JA, Busse R, Clarke H, Giovannetti P, Hunt J, Rafferty AM, Shamian J. Nurses’ reports on hospital care in five countries. Health Aff (Millwood). 2001 May–Jun;20(3):43–53.
Bell RB, Davison M, Sefcik D. A first survey: measuring burnout in emergency medicine physician assistants. JAAPA. 2002 Mar;15(3):40–2, 5–8, 51–2 passim.
Schernhammer ES, Colditz GA. Suicide rates among physicians: a quantitative and gender assessment (meta-analysis). Am J Psychiatry. 2004 Dec;161(12):2295–302.
Schernhammer E. Taking their own lives: the high rate of physician suicide. N Engl J Med. 2005 Jun 16;352(24):2473–6.
Meltzer H, Griffiths C, Brock A, Rooney C, Jenkins R. Patterns of suicide by occupation in England and Wales: 2001–2005. Br J Psychiatry. 2008 Jul;193(1):73–6.
Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross-sectional study. Med Educ. 2005 Jun;39(6):594–604.
Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Acad Med. 2006 Apr;81(4):354–73.
Goebert D, Thompson D, Takeshita J, Beach C, Bryson P, Ephgrave K, Kent A, Kunkel M, Schechter J, Tate J. Depressive symptoms in medical students and residents: a multischool study. Acad Med. 2009 Feb;84(2):236–41.
Willcock SM, Daly MG, Tennant CC, Allard BJ. Burnout and psychiatric morbidity in new medical graduates. Med J Aust. 2004 Oct;181(7):357–60.
Schwenk TL, Davis L, Wimsatt LA. Depression, stigma, and suicidal ideation in medical students. JAMA. 2010 Sep;304(11):1181–90.
Kabat-Zinn J. Full catastrophe living: the program of the stress reduction clinic at the University of Massachusetts Medical Center. New York, NY: Delta; 1990.
Tang YY, Holzel BK, Posner MI. The neuroscience of mindfulness meditation. Nat Rev Neurosci. 2015 Apr;16(4):213–25.
Britton W, Fridel KW, Payne JD, Bootzin RR. Improvement in sleep and depression following mindfulness meditation: a PSG study. Sleep. 2005;28:A315.
Ma SH, Teasdale JD. Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. J Consult Clin Psychol. 2004 Feb;72(1):31–40.
Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression. 2nd ed. New York, NY: Guilford Press; 2013. p. xix.
Teasdale JD, Segal ZV, Williams JM, Ridgeway VA, Soulsby JM, Lau MA. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol. 2000 Aug;68(4):615–23.
Broderick P. Mindfulness and coping with dysphoric mood: contrasts with rumination and distraction. Cognit Ther Res. 2005 Oct;29(5):501–10.
Brown LF, Davis LW, LaRocco VA, Strasburger A. Participant perspectives on mindfulness meditation training for anxiety in schizophrenia. Am J Psychiatry Rehabil. 2010 Aug;13(3):224–42. DOI: http://dx.doi.org/10.1080/15487768.2010.501302.
Cohen-Katz J, Wiley SD, Capuano T, Baker DM, Kimmel S, Shapiro S. The effects of mindfulness-based stress reduction on nurse stress and burnout, part II: a quantitative and qualitative study. Holist Nurs Pract. 2005 Jan–Feb;19(1):26–35.
Goodman MJ, Schorling JB. A mindfulness course decreases burnout and improves well-being among healthcare providers. Int J Psychiatry Med. 2012 Jun;43(2):119–28. DOI: http://dx.doi.org/10.2190/PM.43.2.b.
Krasner MS, Epstein RM, Beckman H, Suchman AL, Chapman B, Mooney CJ, Quill TE. Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA. 2009 Sep;302(12):1284–93. DOI: http://dx.doi.org/10.1001/jama.2009.1384.
Beddoe AE, Murphy SO. Does mindfulness decrease stress and foster empathy among nursing students? J Nurs Educ. 2004 Jul;43(7):305–12.
Hassed C, de Lisle S, Sullivan G, Pier C. Enhancing the health of medical students: outcomes of an integrated mindfulness and lifestyle program. Adv Health Sci Educ Theory Pract. 2009 Aug;14(3):387–98. DOI: http://dx.doi.org/10.1007/s10459-008-9125-3.
Shapiro SL, Schwartz GE, Bonner G. Effects of mindfulness-based stress reduction on medical and premedical students. J Behav Med. 1998 Dec;21(6):581–99.
MIT Libraries. News & events: introducing calm under the dome [Internet]. Massachusetts Institute of Technology [cited 17 Mar 2019]. <https://libraries.mit.edu/news/introducing-under/28894/>.
UF Health Science Center Libraries. Weekly meditation series [Internet]. University of Florida [rev 10 Oct 2017; cited 17 Dec 2018]. <https://library.health.ufl.edu/2017/10/03/weekly-meditation-series/>.
Wachter R. A space apart: college libraries contemplate meditation rooms. Am Libr. 2018 Jan/Feb;49(1/2):14–6.
Duke University Libraries. Prayer and meditation room [Internet]. Duke University [cited 17 Dec 2018]. <https://library.duke.edu/using/policies/prayer-and-meditation-room>.
Texas A&M University Libraries. Prayer and meditation room [Internet]. Texas A&M University [rev 5 Jun 2017; cited 17 Dec 2018]. <https://library.tamu.edu/news/2017/06/Prayer%20and%20Meditation%20Room.html>.
Doolittle BR, Windish DM, Seelig CB. Burnout, coping, and spirituality among internal medicine resident physicians. J Grad Med Educ. 2013 Jun;5(2):257–61. DOI: http://dx.doi.org/10.4300/JGME-D-12-00136.1.
Gilliat-Ray S. From ‘chapel’ to ‘prayer room’: the production, use, and politics of sacred space in public institutions. Cult Relig. 2018 Aug;6(2):287–308.
Strauss A, Corbin J. Basics of qualitative research: techniques and procedures for developing grounded theory. Thousand Oaks, CA: Sage Publications; 1998.
Aizpurua E, Singer AJ, Butler LF, Collier NL, Gertz MG. 15 years later: post 9/11 support for increased security and criminalizing Muslims. J Ethn Crim Justice. 2017 Oct;15(4):372–93. DOI: http://dx.doi.org/10.1080/15377938.2017.1385556.
van Saane JW, Aune K, Stevenson J, ed. From cognitive science to personal leadership: the role of religion and personal life orientation in curriculum development processes within the domain of religious studies. London, UK: Routledge; 2017.
This work is licensed under a Creative Commons Attribution 4.0 International License.