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NCT Number: NCT07136597

Narrative Medicine Effects on Burnout and Stress

A rising area of interest over the past several years has been on the issue of physician burnout. Burnout can be defined as a chronic occupational stress response characterized by multi-dimensional exhaustion and diminished sense of fulfillment in one's personal and professional life. Regarding the effects of emotional, occupational and physical stress on job satisfaction, standard of care and staff retention, it is important to determine meaningful methods to alleviate and prevent burnout among healthcare professionals.

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Key information

Age range

21 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Wake Forest University Health Sciences

Winston-Salem, North Carolina, 27157, United States

Location contact

Kennedy R Combs, MD

CONTACT

[email protected]

828-458-9926

About this study

Common coping strategies for burnout and occupational stress are related to social, emotional and physical factors. Community support, physical care and activity, as well as distancing from work have been found to be particularly efficient. Similarities among burnout strategies include cultivating community and building a sense of shared understanding. Additionally, improving self-awareness and regulating emotions are often the desired outcome of these strategies. Extending these strategies outside of workplace initiatives and into convenient, personal spaces has been suggested to preserve work-life balance.

Thus, narrative medicine offers a space for these strategies to culminate in flash writing. Narrative medicine has been proposed as a model for humane and effective medicine, combining narrative competence and medical practice. Using this model, gaining narrative competence has the ability to positively impact the lives of healthcare professionals and patients, as well as interprofessional teams and broader organizations. The efficacy of flash writing to gain this competence as well as manage the burnout stressors that would typically detract from narrative medicine warrants research into this area.

Flash writing offers the opportunity to investigate the relationship between reflective/ creative writing and burnout. Flash writing can be understood as short-form, creative pieces written in one's personal style. This type of writing exercise can be performed prompted or unprompted, takes approximately 5-10 minutes to complete and is meant to serve the psychological needs of the author. As such, its implementation in burnout alleviation or prevention as well as acute stress reduction may serve as an easily accessible, efficient and customizable strategy.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Study participants must be current faculty at Atrium Health Wake Forest Baptist (AHWFB) within three departments: internal medicine, surgery and pediatrics

Exclusion criteria

  • Faculty who are not currently working at AHWFB may be excluded

Treatment and study plan

Narrative Medicine Workshop

Behavioral

participants will be asked to attend 3/6 monthly narrative medicine workshops through the study's duration following an initial workshop that will be used to introduce the concepts of narrative medicine and flash writing.

Other names: narrative medicine based flash-writing

Primary outcomes

  1. Change in Maslach Burnout Inventory - Human Services Survey (MBI-HSS)

    Time frame: Month 6

    Maslach Burnout Inventory - Human Services Survey, is a questionnaire used to assess burnout among professionals in human service fields. It measures three core dimensions of burnout: Emotional Exhaustion (EE), Depersonalization (DP), and Personal Accomplishment (PA). Each dimension is scored based on the responses to a series of questions, using a 7-point scale (0-6) where higher scores generally indicate higher levels of burnout.

Study contacts

Contact information is provided by the study sponsor or research team.

Cormac O'Donovan, MD

CONTACT

[email protected]

704-355-2000

Kennedy R Combs, MD

CONTACT

[email protected]

828-458-9926

Sponsors and collaborators

Lead sponsor

Wake Forest University Health Sciences

Other

Registry information

Official study title

Investigating the Utility and Efficacy of Narrative Medicine Based Flash-writing on Healthcare Occupational Burnout and Stress Mitigation Among Atrium Health Wake Forest Baptist Faculty

Important dates

Study start
2026
Primary completion
2026
Study completion
2027
First posted
Aug 22, 2025
Registry last updated
Jul 28, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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