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  P3.07 - Nursing and Allied Professionals (Not CME Accredited Session) (ID 973)

  • Event: WCLC 2018
  • Type: Poster Viewing in the Exhibit Hall
  • Track:
  • Presentations: 1
  • Moderators:
  • Coordinates: 9/26/2018, 12:00 - 13:30, Exhibit Hall

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    P3.07-04 - Massage Chair Encounters Favorably Impact Outpatient Oncology RN’s Perceived Level of Stress, BP, HR (ID 14038)

    12:00 - 13:30  |  Author(s): Jennifer Margolis
    • Abstract
    • Slides

    Background
    

    Oncology nurses are likely to experience compassion fatigue and secondary stress syndrome related to supporting patients through rigorous therapies, especially those dealing with pain or end of life care. Health care organizations are focusing on creating and ensuring healthy work environments. .Massage chairs provide basic massage strokes and have benefits which include increased circulation, release of endorphins, and relaxation. Therefore, the purpose of this initiative is to determine the impact of self-initiated mechanical massage chair on physiological (blood pressure (BP) and heart rate (HR)) and emotional distress (perceived stress).

    a9ded1e5ce5d75814730bb4caaf49419 Method
    

    This ongoing quality improvement initiative is being conducted in an outpatient oncology cancer center at Rush University Medical Center. A secured room with badge access has the massage chair, sound machine and a refrigerator stocked with refreshments. This room was repurposed specifically for this initiative and creates a relaxing environment. For the 100 registered nurses (RN) working in the cancer center, a massage can be prescheduled using Outlook calendar or used spontaneously in response to a difficult work situation. The massage chair is available for 20 minute cycles and RNs self-record BP and HR using an Omron wrist automated cuff device and perceived level of stress using the Numeric Stress Scale (visual analog rating 0 -10). Descriptive statistics were used to assess RN characteristics, BP, HR, and perceived level of stress. Percent change was calculated to determine whether self-initiated mechanical massage impacts RNs BP, HR, and perceived level of stress pre-post massage chair encounter.

    4c3880bb027f159e801041b1021e88e8 Result
    

    Of the 134 massage chair encounters, RNs were aged 38 ± 12.7 and working in outpatient oncology 9.2 ± 9.9 years. With respect to physiologic outcomes, there was a 7.1% decrease in systolic BP (122.2 ± 14.6 vs 113.5 ±12.4 mmHg), a 5.5% decrease in diastolic BP (72.5 ±10.0 vs 68.5 ± 9.9 mmHg), and a 4.0% decrease in HR (71.8 ±11.9 vs 68.9 ± 10.3 bpm). Notably, there was a 43.5% decrease in RNs perceived level of stress (4.6 vs 2.6). Of the massage chair encounters, 51% were pre-scheduled.

    8eea62084ca7e541d918e823422bd82e Conclusion
    

    These preliminary data suggest that providing RNs with a secured respite room and offering massages and refreshments has a favorable impact on decreasing perceived levels of stress, BP and HR. Currently, the number of massage chair encounters is similar for prescheduled and spontaneous use.​

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