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Lemke J, Evanson TA. Qualitative Research on Mindfulness Interventions for Staff Nurses: A Review of the Literature. J Nurs Adm 2024; 54:473-478. [PMID: 39166809 DOI: 10.1097/nna.0000000000001463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/23/2024]
Abstract
Complexity, workforce shortages, and escalating stressors in the healthcare setting have led to increased turnover and burnout of nursing staff. Mindfulness has been demonstrated to offer a variety of benefits to nurses. This article summarizes the qualitative research on the experience of mindfulness training and practice with the goal of providing evidence-based recommendations for nurse leaders on how to design and implement effective and well-adopted mindfulness programs.
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Affiliation(s)
- Johanna Lemke
- Author Affiliations: Regional Director of Nursing (Lemke), Advocate Health, Charlotte, North Carolina; Professor (Dr Evanson), University of North Dakota, Grand Forks
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Hinrichs LA, Seidler KJ, Morrison K, Coats H. "We're not broken. We're human." A qualitative meta-synthesis of health-care providers' experiences participating in well-being programs. Physiother Theory Pract 2024; 40:65-90. [PMID: 35876152 DOI: 10.1080/09593985.2022.2103052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Accepted: 07/13/2022] [Indexed: 10/16/2022]
Abstract
INTRODUCTION Protecting health-care provider (HCP) well-being is imperative to preserve health-care workforce capital, performance, and patient care quality. Limited evidence exists for the long-term effectiveness of HCP well-being programs, with less known about physiotherapists specifically. PURPOSE To review and synthesize qualitative research describing experiences of HCP, generate lessons learned from the greater population of HCP participating in workplace well-being programs, and then to inform programs and policies for optimizing psychological well-being in an understudied population of physiotherapists. METHODS This qualitative meta-synthesis included a systematic literature search conducted in September 2020; critical appraisal of results; and data reduction, re-categorizing, and thematic extraction (reciprocal translation) with interpretive triangulation. RESULTS Twenty-five papers met the inclusion criteria. Participants included physicians, nurses, and allied health providers. All programs targeted the individual provider and included psychoeducational offerings, supervision groups, coaching, and complementary therapies. Four themes were constructed: 1) beneficial outcomes across a range of programs; 2) facilitators of program success; 3) barriers to program success; and 4) unmet needs driving recommendations. CONCLUSIONS The findings enhance our understanding of diverse individual-level programs to address HCP well-being. Beneficial outcomes were achieved across program types with system-level support proving critical; however, HCP described barriers to program success (HCP characteristics, off-site programs, institutional culture) and remaining needs (resources, ethical dissonance) left unaddressed. Organizations should offer individual-level programs to support physiotherapists in the short term while pursuing long-term, system-level change to address drivers of well-being.
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Affiliation(s)
- Lauren A Hinrichs
- Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Colorado, Aurora
| | - Katie J Seidler
- Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Colorado, Aurora
- VA Eastern Colorado Geriatric Research, Education, and Clinical Center Rocky Mountain Regional VA Medical Center, Aurora, USA
| | - Katherine Morrison
- Palliative Medicine Inpatient Service, Department of Medicine, University of Colorado, Colorado, Aurora
| | - Heather Coats
- Office of Research and Scholarship, College of Nursing, University of Colorado, Colorado, Aurora
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Weisbaum E, Chadi N, Young LT. Improving physician wellness through the Applied Mindfulness Program for Medical Personnel: findings from a prospective qualitative study. CMAJ Open 2023; 11:E1083-E1092. [PMID: 37989514 PMCID: PMC10681671 DOI: 10.9778/cmajo.20220252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2023] Open
Abstract
BACKGROUND Physicians play a critical role across health care delivery systems, yet their own well-being is often overlooked; mindfulness has been widely recommended as a promising modality to support physician wellness. We sought to explore how physicians experience and engage with a 5-week applied mindfulness program and how they perceive its impact on their personal well-being in the context of their daily lives. METHOD We delivered the Applied Mindfulness Program for Medical Personnel (AMP-MP) at a tertiary care hospital in downtown Toronto, Canada. This prospective qualitative study consists of a thematic analysis of post-program interviews with physicians, from across different specialties, who participated in the AMP-MP. The program includes 2-hour sessions, delivered once a week over 5 weeks, and is based on the teachings of Thích Nhất Hạnh. RESULTS We interviewed 28 physicians after they completed the AMP-MP. Our data show that a 5-week training was sufficient for physicians to develop a foundational level of mindfulness that integrated into their daily life. Two themes were identified: mindfulness encourages behavioural and cognitive changes that facilitate well-being, and mindfulness improves communication with patients and colleagues. INTERPRETATION Our results show applied mindfulness to be well received by physicians as an effective modality to increase their perceived sense of wellness and enhance communication with their patients and colleagues. Further research is necessary to better understand the individual and systemic implications of mindfulness training, and how this modality can complement other efforts being made to address and maintain physician wellness.
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Affiliation(s)
- Elli Weisbaum
- Buddhism, Psychology and Mental Health, New College, Faculty of Arts and Sciences and the Department of Psychiatry, Temerty Faculty of Medicine, cross-appointment to the Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto (Weisbaum), Toronto, Ont.; Division of Adolescent Medicine, Department of Pediatrics (Chadi), Université de Montréal, Montréal, Que.; Departments of Psychiatry, and Pharmacology and Toxicology, and Institute of Medical Sciences, Temerty Faculty of Medicine, University of Toronto and Campbell Family Research Institute, Centre for Addiction and Mental Health (Young), Toronto, Ont.
| | - Nicholas Chadi
- Buddhism, Psychology and Mental Health, New College, Faculty of Arts and Sciences and the Department of Psychiatry, Temerty Faculty of Medicine, cross-appointment to the Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto (Weisbaum), Toronto, Ont.; Division of Adolescent Medicine, Department of Pediatrics (Chadi), Université de Montréal, Montréal, Que.; Departments of Psychiatry, and Pharmacology and Toxicology, and Institute of Medical Sciences, Temerty Faculty of Medicine, University of Toronto and Campbell Family Research Institute, Centre for Addiction and Mental Health (Young), Toronto, Ont
| | - L Trevor Young
- Buddhism, Psychology and Mental Health, New College, Faculty of Arts and Sciences and the Department of Psychiatry, Temerty Faculty of Medicine, cross-appointment to the Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto (Weisbaum), Toronto, Ont.; Division of Adolescent Medicine, Department of Pediatrics (Chadi), Université de Montréal, Montréal, Que.; Departments of Psychiatry, and Pharmacology and Toxicology, and Institute of Medical Sciences, Temerty Faculty of Medicine, University of Toronto and Campbell Family Research Institute, Centre for Addiction and Mental Health (Young), Toronto, Ont
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Divarco R, Ramasawmy P, Petzke F, Antal A. Stimulated brains and meditative minds: A systematic review on combining low intensity transcranial electrical stimulation and meditation in humans. Int J Clin Health Psychol 2023; 23:100369. [PMID: 36817875 PMCID: PMC9932362 DOI: 10.1016/j.ijchp.2023.100369] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Accepted: 01/12/2023] [Indexed: 02/05/2023] Open
Abstract
Background Low intensity transcranial electrical stimulation (tES) and meditation are two promising, yet variable, non-pharmacological interventions. Growing research is investigating combined effects of both techniques on one's cognitive, emotional, and physical health. Objective This article reviews the current research that combines tES and meditation interventions in healthy and diseased participants. The review considers the intervention parameters and their effects in a well-organized manner. Method A systematic search for clinical and experimental published studies was conducted in the PubMed, Cochrane, and transcranial direct current stimulation (tDCS) databases using common keywords for tES and for meditation techniques well defined by previous studies. Unpublished ongoing studies were identified with the ClinicalTrials.gov and DRKS.de clinical trial websites. Results 20 published studies and 13 ongoing studies were included for qualitative analysis. 13 published articles studied patients with chronic pain, psychological disorders, cognitive impairment, and movement disorders. Anodal tDCS was the only tES technique while mindfulness meditation was the most common meditation type. Eight studies had a main group effect, with outcome improvement in the active combined intervention. However, most published studies showed improvements after at least one combined intervention with variable effects. Conclusion Pairing anodal tDCS with meditation shows promising improvements of the physical, mental, and emotional aspects of daily life. Further studies are required to confirm the relevance of this combination in the clinic.
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Affiliation(s)
- Rebecca Divarco
- Department of Neurology, University Medical Center Göttingen, Georg-August University, Robert-Koch-Straße 40, Göttingen 37075, Germany
| | - Perianen Ramasawmy
- Department of Neurology, University Medical Center Göttingen, Georg-August University, Robert-Koch-Straße 40, Göttingen 37075, Germany
| | - Frank Petzke
- Pain Clinic, Department of Anesthesiology, University Medical Center Göttingen, Georg-August University, Göttingen, Germany
| | - Andrea Antal
- Department of Neurology, University Medical Center Göttingen, Georg-August University, Robert-Koch-Straße 40, Göttingen 37075, Germany
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Murry LT, Wilhelm L, Corrigan J, Witry MJ. Journey Mapping Healthcare Worker Experience With Heart Rhythm Meditation. GLOBAL ADVANCES IN INTEGRATIVE MEDICINE AND HEALTH 2023; 12:2164957X231152796. [PMID: 36816468 PMCID: PMC9933984 DOI: 10.1177/2164957x231152796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Revised: 11/14/2022] [Accepted: 01/05/2022] [Indexed: 06/18/2023]
Abstract
BACKGROUND Levels of stress and burnout continue to rise amongst healthcare workers. In addition to systemic and institution-level changes to healthcare practice environments, well-being interventions, resources, and support to assist healthcare providers are necessary. Meditation practices like Heart Rhythm Meditation (HRM) may provide benefits to healthcare workers, but healthcare worker experiences with HRM are not well understood. OBJECTIVE To explore healthcare worker experiences with HRM using a journey mapping approach. METHODS An exploratory cross-sectional online survey was administered between May and July of 2020 to a purposeful sample of 25 healthcare workers currently practicing HRM. Surveys consisted of 5 open-ended and 36 multiple-choice items mapped to five journey mapping domains: Discover, Search, Assess, Decide, Assist. Descriptive statistics for survey items were generated in addition to a visual representation of a Persona and associated journey map for HRM. Content analysis was performed on open-ended responses using a general inductive approach to code responses and identify representative quotes. RESULTS Twenty surveys were completed for a response rate of 80%. The majority of respondents identified as women (n = 14). From the journey mapping output, the overall emotional experience score was an 8.2/10, suggesting respondents had positive experiences with HRM. Open-ended comments suggest that HRM provides important benefits to the personal and professional lives of healthcare workers. A small number of participants reported challenges like feeling difficult emotions during HRM practice. CONCLUSION Mapping the healthcare worker journey with HRM identified generally positive experiences with personal and professional benefits. While experiences were largely positive, HRM elicited difficult emotions from some individuals, suggesting that appropriate resources and support are required when considering HRM and other meditation forms.
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Affiliation(s)
- Logan T Murry
- Department of Pharmacy Practice,
The
University of Iowa College of Pharmacy,
Iowa City, IA, USA
| | - Lisa Wilhelm
- Penn State Health Milton S Hershey Medical
Center, Hershey, PA, USA
| | | | - Matthew J Witry
- Department of Pharmacy Practice,
The
University of Iowa College of Pharmacy,
Iowa City, IA, USA
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Hinzmann D, Haneveld J, Heininger SK, Spitznagel N. Is it time to rethink education and training? Learning how to perform under pressure: An observational study. Medicine (Baltimore) 2022; 101:e32302. [PMID: 36596063 PMCID: PMC9803486 DOI: 10.1097/md.0000000000032302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Emergency medicine workers are exposed daily to various stressors, especially work-related stress, which have been aggravated by the current SARS-CoV 2 pandemic and impact their physical and mental wellbeing. Nonetheless, although the efficacy of programs and strategies to improving the health of medical staff and patient care has been demonstrated, such programs and strategies are scarce. To assess the prevalence, types and consequences of stress in emergency medical workers in healthcare institutions and explore tools to cope with stressful situations at workplace. Two surveys were conducted. Survey 1 assessed the subjective stress levels and stressors of 21 emergency medicine professionals. Survey 2 was conducted amongst 103 healthcare workers at 3 hospitals in Germany. It comprised selected aspects of the German Mental Risk Assessment and a validated workload scale. None. The answer frequencies on Likert scales were descriptively evaluated. Survey 1: Emergency medical professionals experienced and reported the following high stress levels in acute situations: multitasking during a complex situation; factors associated with the work environment; fear of not appropriately controlling the situation; and lack of sleep. Survey 2: The highest stress levels were experienced in the areas "work environment" and "work organization." The highest scores on the workload scale were obtained for statements on work division, exhaustion, insufficient patient care due to time constraints, regulations, and lack of information. Approximately 80% of healthcare workers had experienced emotionally stressful situations at the workplace, and > 30% had lost a colleague to suicide. There are effective and proven methods to learn how to deal with stress that can easily be established in everyday clinical practice. Healthcare workers are subjected to numerous stressors in their work environment and observe the consequences of these stressors on their own and their colleagues' wellbeing. Coping strategies for high-pressure reduces and resists the job- immanent pressure and stress in healthcare workers.
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Affiliation(s)
- Dominik Hinzmann
- Department of Anesthesiology and Intensive Care, University Hospital Klinikum Rechts Der Isar, Technical University of Munich (TUM), Munich, Germany
- Association for Psychosocial Competence and Support in Acute Care - PSU-Akut, Munich, Germany
- * Correspondence: Dominik Hinzmann, Department of Anesthesiology and Intensive Care, University Hospital Klinikum rechts der Isar, Technical University of Munich (TUM), Munich 81675, Germany (e-mail: )
| | - Julia Haneveld
- Psychotherapeutic Outpatient Clinic, Catholic University of Eichstätt-Ingolstadt (KU), Ingolstadt, Germany
| | | | - Nadja Spitznagel
- Department of Anesthesiology and Intensive Care, Munich Municipal Hospital Group Klinik Harlaching, Munich, Germany
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Meeting the wellness needs of emergency department clinicians: A scoping review of interventions. Australas Emerg Care 2022:S2588-994X(22)00087-2. [DOI: 10.1016/j.auec.2022.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 10/14/2022] [Accepted: 10/14/2022] [Indexed: 11/07/2022]
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Mantra meditation as adjunctive therapy in major depression: A randomized controlled trial. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2021. [DOI: 10.1016/j.jadr.2021.100232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Xu HG, Tuckett A, Kynoch K, Eley R. A mobile mindfulness intervention for emergency department staff to improve stress and wellbeing: A qualitative study. Int Emerg Nurs 2021; 58:101039. [PMID: 34333332 DOI: 10.1016/j.ienj.2021.101039] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 05/24/2021] [Accepted: 06/05/2021] [Indexed: 02/07/2023]
Abstract
BACKGROUND Occupational stress and burnout in emergency departments (ED) are prominent issues requiring effective solutions. In other health settings use of a smartphone mindfulness app have been shown to be a cost-effective strategy for stress management. AIM To understand ED staff's experiences of practicing mindfulness using a smartphone app. METHOD A qualitative study was undertaken with 24 ED staff at two Australian EDs who had used a mindfulness app for 4 weeks. Semi-structured, one-to-one interviews were conducted between late 2019 and early 2020. Interviews were audio recorded and transcribed. Descriptive description was utilised in content analysis. RESULTS Four main themes were identified: individuality in use of the app, perceived benefits and impacts on life, perceived barriers and enablers to use. Participants reported that mindfulness practice had numerous benefits including better stress and anxiety management, as well as improved general wellbeing. The main barriers to mindfulness practice were poor time management for mindfulness and lack of motivation. Reported enablers included a strong desire for promoting wellbeing and the ability to embed practice into existing routine. CONCLUSION Practicing mindfulness with a smartphone app is a useful strategy to promote ED staff wellness and manage stress. Healthcare organisations should consider the implementation of a mindfulness app for staff.
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Affiliation(s)
- Hui Grace Xu
- School of Nursing, Midwifery and Social Work, University of Queensland, Brisbane, Australia; Emergency Department, Queen Elizabeth II Jubilee Hospital, Brisbane, Australia.
| | - Anthony Tuckett
- School of Nursing, Midwifery and Social Work, University of Queensland, Brisbane, Australia; Curtin School of Nursing, Faculty of Health Sciences, Curtin University, Australia
| | - Kathryn Kynoch
- Evidence in Practice Unit and Queensland Centre for Evidence Based Nursing and Midwifery, A Joanna Briggs Institute Centre of Excellence, Mater Misericordiae Ltd, Brisbane, Australia
| | - Robert Eley
- Southside Clinical Unit, Faculty of Medicine, University of Queensland, Brisbane, Australia; Emergency Department, Princess Alexandra Hospital, Brisbane, Australia
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Ridge K, Conlon N, Hennessy M, Dunne PJ. Feasibility assessment of an 8-week attention-based training programme in the management of chronic spontaneous urticaria. Pilot Feasibility Stud 2021; 7:103. [PMID: 33941291 PMCID: PMC8090513 DOI: 10.1186/s40814-021-00841-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Accepted: 04/16/2021] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND Chronic spontaneous urticaria is a common disorder that is poorly understood and frequently misdiagnosed. Psychological difficulties are a significant factor in dermatological diseases and may also aggravate symptom burden. Mind-body interventions are used as a complementary approach to alleviate symptoms in chronic diseases and may represent a valuable non-pharmacological approach in CSU. METHODS We sought to develop and evaluate the feasibility of an 8-week attention-based training (ABT) programme, coupled to biofeedback technology for CSU. Through convergent interviews, we gathered information from individuals with urticaria about possible links between stress, mood and skin symptoms. Using these data, we recruited 12 participants to engage in an amended ABT programme for patients with CSU, comprising eight 90-min sessions held weekly. Participants completed psychometric measures and measures of urticaria symptomatology as assessed by the urticaria control test, prior to and after the intervention. Adherence to ABT practice was measured using individual inner balance devices which tracked heart rate variability. We completed qualitative interviews after the intervention to obtain feedback on participant experience of the programme. RESULTS Participants with CSU described how their psychological wellbeing can be linked to skin symptoms, poor sleep and difficulty concentrating. An amended ABT programme was found to be an acceptable component of care in the management of CSU. Retention of participants in the programme was challenging with 33% participants dropping out of the programme. For those who did complete the programme, three participants exceeded weekly practice at week 8. A decrease in severity of urticaria symptomatology as measured by the urticaria control test was observed upon completion of the intervention. The most commonly cited barrier to implementation of the programme was the time commitment required. CONCLUSIONS Integrating an ABT programme into routine clinical care for CSU patients is feasible and was deemed acceptable and valuable by individuals who took part. Further formal evaluation of ABT for CSU including the analysis of biochemical parameters is required to determine its role in the management of this distressing condition. TRIAL REGISTRATION This trial is registered with ISRCTN with study ID ISRCTN13672947 . Registration took place on 22/09/2020 (retrospectively registered).
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Affiliation(s)
- Katie Ridge
- Department of Immunology, St. James's Hospital, Dublin, Ireland. .,School of Medicine, Trinity College Dublin, Dublin, Ireland. .,Wellcome trust HRB Clinical Research Facility, St. James's Hospital, Dublin, Ireland.
| | - Niall Conlon
- Department of Immunology, St. James's Hospital, Dublin, Ireland.,School of Medicine, Trinity College Dublin, Dublin, Ireland.,Wellcome trust HRB Clinical Research Facility, St. James's Hospital, Dublin, Ireland
| | - Martina Hennessy
- School of Medicine, Trinity College Dublin, Dublin, Ireland.,Wellcome trust HRB Clinical Research Facility, St. James's Hospital, Dublin, Ireland
| | - Pádraic J Dunne
- Centre of Positive Psychology and Health, Royal College of Surgeons Ireland, Dublin, Ireland
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Wu X, Hayter M, Lee AJ, Zhang Y. Nurses' experiences of the effects of mindfulness training: A narrative review and qualitative meta-synthesis. NURSE EDUCATION TODAY 2021; 100:104830. [PMID: 33684834 DOI: 10.1016/j.nedt.2021.104830] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Revised: 01/18/2021] [Accepted: 02/21/2021] [Indexed: 06/12/2023]
Abstract
OBJECTIVE To explore nurses' experiences of the effects of undertaking mindfulness training. DESIGN Qualitative meta-synthesis. DATA SOURCES Qualitative literature from seven scientific databases: Pubmed, Cochran Library, Science Direct, EBSCO, Web of Science, Scopus and PsycINFO were searched. REVIEW METHODS The PRISMA flow diagram was used to report the phases of the literature search. The Critical Appraisal Skills Program (CASP) qualitative research checklist, and the Mixed-Methods Appraisal Tool (MMAT) for mixed method studies were used as appraisal framework. Data synthesis was conducted using Thematic synthesis. The review steps were guided by Adams, Chamberlain, & Giles, 2019 and Whittemore & Knafl, 2005. RESULTS 4 qualitative studies and 3 mixed-methods studies were included in the review. Four interpretive themes were generated to show how nurses experience of the effects of mindfulness training: 1. Stress conceptualisation and management; 2. Nurses' valued aspects of mindfulness training strategies; 3. Self-care awareness and strategies; 4. Challenges of mindfulness training. CONCLUSION Conducting mindfulness-based interventions among nursing professionals helps to reduce work-related stress and has positive effects on work and life.
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Affiliation(s)
- Xiaxin Wu
- School of Nursing, Yangzhou University, 136 Jiangyang Middle Road, Yangzhou, China
| | - Mark Hayter
- Faculty of Health Science, University of Hull, Cottingham Road, Hull, HU6 7RX Hull, UK.
| | - Amanda J Lee
- Faculty of Health Science, University of Hull, Cottingham Road, Hull, HU6 7RX Hull, UK
| | - Yu Zhang
- School of Nursing, Yangzhou University, 136 Jiangyang Middle Road, Yangzhou, China
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Bringmann HC, Bringmann N, Jeitler M, Brunnhuber S, Michalsen A, Sedlmeier P. Meditation-Based Lifestyle Modification: Development of an Integrative Mind-Body Program for Mental Health and Human Flourishing. Complement Med Res 2020; 28:252-262. [PMID: 33285545 DOI: 10.1159/000512333] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Accepted: 09/24/2020] [Indexed: 11/19/2022]
Abstract
Mental disorders are a core health challenge in the 21st century. Integrative mental health care takes an individual, lifestyle-modifying, salutogenic approach, combining somatic, psychosocial, and spiritual perspectives from evidence-based conventional and complementary medicine. In particular, meditation and mindfulness have received growing research interest in the last decade. In this article, we present Meditation-Based Lifestyle Modification (MBLM), a new, complex mind-body intervention for mental health care. It is the first program to intensify meditation practice using classical yoga. The program (a) covers all areas of classical yoga, (b) considers ethical and spiritual aspects of daily life, (c) orients participants toward sustained lifestyle modification, and (d) is applicable in a clinical context. The scientific rationale of the program is outlined in this article, based on the Criteria for Reporting the Development and Evaluation of Complex Interventions in Healthcare. Further research is planned to show the clinical feasibility of MBLM and evaluate its efficacy, processes of change, and cost-effectiveness.
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Affiliation(s)
- Holger Carl Bringmann
- Institute for Social Medicine, Epidemiology, and Health Economics, Charité-Universitätsmedizin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany, .,Department of Psychiatry, Psychosomatics, and Psychotherapy, Diakonie Kliniken Zschadraß, Colditz, Germany,
| | - Nicole Bringmann
- Department of Psychiatry, Psychosomatics, and Psychotherapy, Diakonie Kliniken Zschadraß, Colditz, Germany
| | - Michael Jeitler
- Institute for Social Medicine, Epidemiology, and Health Economics, Charité-Universitätsmedizin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.,Department of Internal and Integrative Medicine, Immanuel Hospital, Berlin, Germany
| | - Stefan Brunnhuber
- Department of Psychiatry, Psychosomatics, and Psychotherapy, Diakonie Kliniken Zschadraß, Colditz, Germany
| | - Andreas Michalsen
- Institute for Social Medicine, Epidemiology, and Health Economics, Charité-Universitätsmedizin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.,Department of Internal and Integrative Medicine, Immanuel Hospital, Berlin, Germany
| | - Peter Sedlmeier
- Institute of Psychology, Chemnitz University of Technology, Chemnitz, Germany
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Elder EG, Johnston A, Wallis M, Crilly J. Work-based strategies/interventions to ameliorate stressors and foster coping for clinical staff working in emergency departments: a scoping review of the literature. Australas Emerg Care 2020; 23:181-192. [PMID: 32680722 DOI: 10.1016/j.auec.2020.02.002] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Revised: 02/11/2020] [Accepted: 02/11/2020] [Indexed: 12/13/2022]
Abstract
BACKGROUND Exposure to occupational stressors is an issue for staff working in emergency departments, managers and health services. The aim of this review was to identify, map, and synthesise the range and scope of current evidence for work-based strategies or interventions used in emergency departments to reduce occupational stressors and/or improve staff coping. METHODS The framework proposed by Arksey and O'Malley guided this review. A search of CINAHL, MEDLINE, Scopus, Cochrane and PsycINFO databases from January 2007 to June 2019 was applied. A total of thirty-one articles were included in this review. Quality appraisal was undertaken. RESULTS Exposure to or impact of occupational stress and workplace violence were common foci. A range of outcomes (such as burnout levels, stress levels and quality of life) were measured in the included studies. All studies demonstrated some improvement in outcomes measured although most were evaluated for relatively short duration. Quality of evidence varied. CONCLUSION Strategies ranging from mindfulness to organisational redesign have been trialed to diminish stress and enhance coping of emergency department staff. Understanding the effectiveness of strategies is an important early step in improving the working environment for emergency department clinicians in an evidence-informed manner. Such information may be of use to managers to inform decision making regarding the most appropriate strategy to implement in their emergency department.
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Affiliation(s)
| | - Amy Johnston
- Department of Emergency Medicine, Princess Alexandra Hospital, Metro South, United Kingdom; Menzies Health Institute Queensland, Griffith University, Australia; School of Nursing Midwifery and Social Work, University of Queensland Woollongabba, Australia
| | - Marianne Wallis
- Menzies Health Institute Queensland, Griffith University, Australia; School of Nursing Midwifery and Paramedicine, University of the Sunshine Coast, Australia
| | - Julia Crilly
- Menzies Health Institute Queensland, Griffith University, Australia; Department of Emergency Medicine, Gold Coast Hospital and Health Service
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Xu H(G, Kynoch K, Tuckett A, Eley R. Effectiveness of interventions to reduce emergency department staff occupational stress and/or burnout: a systematic review. JBI Evid Synth 2020; 18:1156-1188. [DOI: 10.11124/jbisrir-d-19-00252] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
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Guerra PC, Santaella DF, D'Almeida V, Santos-Silva R, Tufik S, Len CA. Yogic meditation improves objective and subjective sleep quality of healthcare professionals. Complement Ther Clin Pract 2020; 40:101204. [PMID: 32891281 DOI: 10.1016/j.ctcp.2020.101204] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2019] [Revised: 04/15/2020] [Accepted: 05/26/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVE Our aim was to evaluate the impact of yogic meditation in sleep quality of healthy pediatric healthcare professionals. METHOD Subjects were randomized into a meditation group (MG, n = 32), who attended a yogic meditation class held for eight weeks, or a control group (CG, n = 32). Polysomnography (PSG) and Pittsburgh Sleep Quality Index (PSQI) scores were determined at baseline and after eight weeks. RESULTS The PSQI overall score was lower (p = 0.024) in the MG. Reported sleep latency (p = 0.046) and MG sleep latency (p = 0.028) were lower in the MG at eight weeks. PSG showed a time effect (p = 0.020) on decreasing minutes of wake after sleep onset in the MG. There were strong and significant correlations between PSG and PSQI variables. There was a significant time effect on heart rate (p = 0.001) in the MG. CONCLUSION Yogic meditation may be used as an integrative health tool to foster improvements in the health-related aspects of healthcare professionals' lives. TRIAL REGISTRATION CinicalTrials.gov identifier: NCT02947074; trial registry name: Meditation Practice in Pediatric Healthcare Professionals: A Randomized Controlled Clinical Trial.
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Affiliation(s)
- Priscilla Caetano Guerra
- Pediatric Rheumatology Unit, Department of Paediatrics, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), Rua Borges Lagoa 802, CEP 04038-001, São Paulo, Brazil
| | - Danilo F Santaella
- Sports Center, University of São Paulo (CEPEUSP), Rua Rio Doce 27, CEP 06350-030, Brazil
| | - Vania D'Almeida
- Department of Psychobiology, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), Rua Napoleão de Barros 925, 3rd, Floor, CEP 04024-002, São Paulo, Brazil
| | - Rogerio Santos-Silva
- Department of Psychobiology, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), Rua Napoleão de Barros 925, 3rd, Floor, CEP 04024-002, São Paulo, Brazil
| | - Sergio Tufik
- Department of Psychobiology, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), Rua Napoleão de Barros 925, 3rd, Floor, CEP 04024-002, São Paulo, Brazil
| | - Claudio Arnaldo Len
- Pediatric Rheumatology Unit, Department of Paediatrics, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), Rua Borges Lagoa 802, CEP 04038-001, São Paulo, Brazil.
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Rangasamy V, Thampi Susheela A, Mueller A, F H Chang T, Sadhasivam S, Subramaniam B. The effect of a one-time 15-minute guided meditation (Isha Kriya) on stress and mood disturbances among operating room professionals: a prospective interventional pilot study. F1000Res 2019; 8:335. [PMID: 32665843 PMCID: PMC7327726 DOI: 10.12688/f1000research.18446.1] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/07/2019] [Indexed: 11/20/2022] Open
Abstract
Background: Operating room professionals are exposed to high levels of stress and burnout. Besides affecting the individual, it can compromise patient safety and quality of care as well. Meditation practice is getting recognized for its ability to improve wellness among various populations, including healthcare providers. Methods: Baseline stress levels of perioperative healthcare providers were measured via an online survey using a Perceived Stress Scale (PSS) questionnaire. An in-person meditation workshop was demonstrated during surgical grand rounds and an international anesthesia conference using a 15-minute guided Isha Kriya meditation. The participants were then surveyed for mood changes before and after meditation using a Profile of Mood States (POMS) questionnaire. Results: Surgeons and anesthesiologists were found to have higher median (interquartile range) Perceived Stress Scores as compared to nurses respectively (17 [12, 20] and 17 [12, 21] vs 14 [9, 19];
P = 0.01). Total mood disturbances were found to be significantly reduced after meditation in both the surgical grand rounds (pre-meditation median [IQR] 99 [85, 112] vs 87 [80, 93] post-meditation;
P < 0.0001) and anesthesia conference cohorts (pre-meditation 92 [86, 106] vs 87 [81, 92] post-meditation;
P < 0.0001). Conclusions: Isha Kriya, a guided meditation, is easy to learn and takes less than 15 minutes to complete. This meditation technique improves mood changes and negative emotions among operating room professionals and could be used as a potential tool for improving wellness.
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Affiliation(s)
- Valluvan Rangasamy
- Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, 02215, USA
| | - Ammu Thampi Susheela
- Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, 02215, USA
| | - Ariel Mueller
- Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, 02215, USA
| | - Tracy F H Chang
- Department of Labor Studies and Employment Relations (LSER),, Rutgers University, New Brunswick, NJ, USA
| | - Senthilkumar Sadhasivam
- Department of Anesthesiology, Riley's Hospital for Children, Indiana University School of Medicine,, Indianapolis,, IN, USA
| | - Balachundhar Subramaniam
- Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, 02215, USA
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