Evaluation of a Guided Nature and Forest Therapy Walk for Internal Medical Residents - A Brief Report.
Katherine T Morrison, Kristin M Jensen, Angela Keniston, Lauren Mcbeth, Amber L Vermeesch, Kerry Nellie O'Connor
Global advances in integrative medicine and health January 1, 2024 DOI: 10.1177/27536130241228181 via PubMed
Summary
A pilot forest bathing intervention for medical residents, guided by the Association of Nature and Forest Therapy framework, was associated with significantly improved mindfulness and increased feelings of calm, vitality, or creativity, along with decreased anxiety and depression. Nonsignificant trends toward reduced burnout and irritability were also observed. Fourteen of fifteen participants completed pre- and post-participation surveys. The findings suggest that forest bathing may improve psychological wellbeing and mindfulness among healthcare providers, warranting further study.
Study at a glance
| Characteristics | Pilot quality improvement study Peer reviewed |
|---|---|
| Sample size | 14 |
| Population | Medical residents |
| Intervention | Forest bathing |
| Keywords | Burnout Forest bathing Resident physician Wellbeing |
| Citations | 2 |
| Key finding | Forest bathing was associated with significantly improved mindfulness and reduced anxiety and depression, with nonsignificant trends toward decreased burnout and irritability. |
Abstract
Medical residents commonly face compassion fatigue, burnout, anxiety, and depression. Studies of nature-based interventions show improved mental and physical health; few focus on healthcare providers. To explore potential benefits of forest bathing for medical residents' wellbeing. Using the Association of Nature and Forest Therapy's framework, we piloted a forest bathing intervention among medical residents with pre/post-participation surveys assessing perceptions of mindfulness and psychological wellbeing. Responses were analyzed using a Fisher's exact test and Student's t-test for independent samples. Fourteen of fifteen participants completed both surveys. We observed significantly improved mindfulness scores and expressions of feeling calm, vital, or creative, as well as a decreased sense of anxiety and depression. Nonsignificant trends towards decreased burnout and irritability were seen. This quality improvement pilot demonstrates trends that forest bathing can improve medical residents' psychological wellbeing and mindfulness. Further exploration of this intervention for healthcare providers is warranted.