The Effect of Mindfulness Intervention on Job Stress in Nurses of Intensive Care Units (original) (raw)
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A Review on Mindfulness and Nursing Stress Among Nurses
ANALITIKA, 2018
Previous research has been done on mindfulness and nursing stress but no review has been done to highlight the most up-to-date findings, to justify the recommendation of mindfulness training for the nursing field. The present paper aims to review the relevant studies, derive conclusions, and discuss future direction of research in this field.A total of 19 research papers were reviewed. The majority was intervention studies on the effects of mindfulness-training programs on nursing stress. Higher mindfulness is correlated with lower nursing stress. Mindfulness-based training programs were found to have significant positive effects on nursing stress and psychological well-being. The studies were found to have non-standardized intervention methods, inadequate research designs, small sample size, and lack of systematic follow-up on the sustainability of treatment effects, limiting the generalizability of the results. There is also a lack of research investigation into the underlying mechanism of action of mindfulness on nursing stress. Future research that addresses these limitations is indicated.
Healthcare
Mindfulness-based interventions have increasingly gained the interest of health professionals in the last decade, especially practices that are short, economical, easily accessible, and physically, cognitively, and psychologically compelling. Nurses of Emergency Departments are a special, dynamic, but at the same time vulnerable group of health professionals who work in shifts and face multiple challenges. Considering the recent literature and the fact that stress and a hostile work environment are the top ranked health professionals’ challenges, there is a need for a further study of the use of mindfulness. This study aimed to investigate the effect of the application of mindfulness on nurses in the Emergency Department on several factors related to daily nursing practice and that directly affect these specific health professionals. This experimental study was performed on 14 participating nurses in the Emergency Department of a Public General Hospital in Athens, randomized into tw...
A brief mindfulness-based stress reduction intervention for nurses and nurse aides
Applied Nursing Research, 2006
Whereas the causes and negative consequences of stress among nurses are well known, less is known about effective ways to reduce or prevent this growing problem. Mindfulness-based stress reduction programs are proving to be effective in reducing stress and improving health in a variety of clinical populations. A smaller body of evidence suggests that these programs are also effective for nonclinical populations at risk for stress-related health problems. This study involved the development and evaluation of a brief 4-week mindfulness intervention for one such group-nurses and nurse aides. In comparison with 14 wait-list control participants, 16 participants in the mindfulness intervention experienced significant improvements in burnout symptoms, relaxation, and life satisfaction. The results of this pilot study, together with a natural fit between mindfulness philosophy and nursing practice theory, suggest that mindfulness training is a promising method for helping those in the nursing profession manage stress, even when provided in a brief format. D
The Effect of Mindfulness-Based Stress Reduction Training on Stress and Burnout of Nurses
2017
Nurses as a group of care providers are under increasing stress and burnout is common. Mindfulness-based interventions play a potential role in reducing stress and burnout. The purpose of this study was to determine the effect of mindfulness-based stress reduction training on stress and burnout among nurses working in two selected hospitals in Karaj in 2015. This study was semi-experimental with pre-test, post-test and a control group. Totally, 60 nurses were selected by convenience sampling and entered the study. The intervention was a course of mindfulness-based stress reduction training including mindfulness practice (body scan, mindfulness gestures, meditation of walk and sit and awareness of breathing), in addition, awareness of pleasant and unpleasant events and the use of mindfulness in daily routine activities. Standard questionnaires of job stress of Tufts and Gary Anderson and burnout of Maslach were completed before and after training by the subjects. The majority of nurs...
Mindfulness Meditation for Nurses: A Healthy Coping Tool for Emotionally Hazardous Work
Nurse burnout is not just limited to the United States it is a global issue. The purpose of this systematic review is to evaluate the benefits of mindfulness meditation and self-care with emphasis on reducing healthcare provider stress, compassion fatigue, and burnout. The study population was focused predominantly on nurses (RN and LPN), however about 5% of the study population included other healthcare professionals. A review of the literature between the years 2005 and 2019 was conducted and included the search terms nurse burnout, stress, compassion fatigue in three electronic databases (PubMed, CINAHL, The Cochrane). Studies included in the review were randomized controlled trials or controlled clinical trials, and they used the measurement tool, Maslach Burnout Inventory-Human Service Survey. Three hundred fifty-one studies were identified, and twenty studies were ultimately included in the meta-analysis. The studies consistently identified mindfulness meditation as a way to decrease stress levels of healthcare professionals. Findings suggest overall improved well-being of the participants as well as the decreased stress, burnout and compassion fatigue.
Part III of the study on mindfulness-based stress reduction (MBSR) describes qualitative data and discusses the implications of the findings. Study analysis revealed that nurses found MBSR helpful. Greater relaxation and self-care and improvement in work and family relationships were among reported benefits. Challenges included restlessness, physical pain, and dealing with difficult emotions. KEY WORDS: meditation, mindfulness, nurse, stress, stress management Holist Nurs Pract 2005;19(2):78–86 An 8-week mindfulness-based stress reduction (MBSR) program, based on the University of Massachusetts Medical Center program created by Jon Kabat-Zinn, 1 was offered to nurse professionals at Lehigh Valley Hospital and Health Network (LVHHN). The effects of MBSR on nurse stress and burnout were studied and presented in a 3-part series. Part I reported on the rationale for offering MBSR to nurses and the process of developing and implementing a program within the LVHHN system. 2 Part II of the series presented the quantitative data analysis, reporting the effects of MBSR on burnout, psychological distress, and mindfulness. 3 whom we collected quantitative data was small (N = 25), suggesting that these measures should be interpreted with caution and supplemented with other types of analysis. Second, because almost no data exist examining the impact of MBSR on nurse burnout and stress, qualitative data allowed us to explore issues in a more open-ended way and helped uncover areas to be explored in future studies. Third, literature on the nurse as healer, explored in Part I, 2 suggested that many aspects of becoming a healer are difficult to capture through existing quantitative measures; for example, self-care, self-awareness (wounded healer), and therapeutic presence. MBSR potentially affects all of these areas, and they are all closely related to our quantitative outcome measures of burnout and stress. By asking the nurses more open-ended questions, both during and after the program's completion, we heard more of their stories relating to these issues. In this way, unexpected data emerged, and we had a better understanding of the process. Finally, as the program was taught, we were struck by how much new, unanticipated qualitative data emerged. To illustrate, the first 2 authors, who taught the program, received unsolicited e-mails throughout the course of the program, each containing stories, poetry, or journal entries about the participant's reactions to the experience. We believe these communications contained rich data that added to our 78
The Effects of Mindfulness Meditation on Stress and Burnout in Nurses
Journal of Holistic Nursing, 2021
Background: Occupational burnout related to stress in the workplace is experienced by nurses who are regularly confronted with trauma, suffering, and high workloads. Burnout can negatively impact patient care and have detrimental effects on nurses’ physical and mental health. Mindfulness-based stress reduction programs have been researched as a potential holistic intervention for reducing stress and burnout in nurses through cultivating present awareness, emotional regulation, and positive thinking. Purpose: This critical review of the literature explores current knowledge on the effectiveness of mindfulness meditation on stress and burnout in nurses, examines gaps in the current literature, and provides recommendations for future research on this topic. Methods: Search terms included mindfulness, meditation, mindfulness-based stress reduction , occupational stress, stress, burnout, and nurs*. Peer-reviewed research directly related to the impact of mindfulness-based stress reductio...
Protective benefits of mindfulness in emergency room personnel
Journal of affective disorders, 2015
Recent meta-analyses have found that mindfulness practice may reduce anxiety and depression in clinical populations and there is growing evidence that mindfulness may also improve well-being and quality of care in health professionals. This study examined whether mindfulness protects against the impact of work-related stress on mental health and burnout in emergency room (ER) nurses. ER nurses (N=50) were recruited from an urban teaching hospital in Switzerland and completed a survey on work-related stressors, mindfulness, burnout, depression, and anxiety. The most frequently reported work-related stressor was interpersonal conflict. Nurses working more consecutive days since last taking time off were at greater risk for depression and those reporting more work-related interpersonal conflicts were at greater risk for burnout. Mindfulness was associated with reduced anxiety, depression, and burnout. Mindfulness was a significant predictor of anxiety, depression, and burnout and moder...
JAMA Network Open
IMPORTANCE Stress among health care professionals is well documented. The use of mindfulnessbased interventions to reduce stress has shown promising results; however, the time commitment of typical programs can be a barrier to successful implementation in health care settings. OBJECTIVE To determine the efficacy and feasibility of a brief mindfulness-based program to reduce stress during work hours among health care professionals. DESIGN, SETTING, AND PARTICIPANTS This intent-to-treat randomized clinical trial was conducted among full-time health care professionals at the Clinical Center at the National Institutes of Health in Bethesda, Maryland, between September 2017 and May 2018. Participants were randomized to receive mindfulness-based self-care (MBSC) training or life-as-usual control. Data were analyzed from June 2018 to January 2020. INTERVENTIONS The MBSC intervention included 5 weekly, 1.5-hour in-class mindfulness practice sessions. MAIN OUTCOMES AND MEASURES Stress level was the primary outcome, assessed with the Perceived Stress Scale 10-Item version. Secondary outcomes included anxiety, burnout, positive and negative affect, mindfulness (trait and state), and self-care. Assessments were taken at baseline and at the end of the intervention (week 5) in the intervention and control groups, and at follow-up (week 13) in the intervention group to test for a maintenance effect. A postprogram evaluation was also obtained. RESULTS Of 82 randomized participants, 78 who completed the study at week 5 were included in the modified intent-to-treat analysis (median [interquartile range] age, 32 [23-48] years; 65 [83%] women), including 43 participants in the MBSC group and 35 participants in the control group. At the end of the intervention, compared with the control group, the MBSC group had reduced levels of stress (mean [SD] score, 17.29 [5.84] vs 18.54 [6.30]; P = .02) and anxiety (mean [SD] score, 2.58 [1.52] vs 4.23 [1.73]; P < .001), and improved positive affect (mean [SD] score, 35.69 [7.12] vs 31.42 [7.27]; P < .001), state mindfulness (mean [SD] score, 3.74 [1.18] vs 2.78 [1.16]; P < .001), and mindful self-care (mean [SD] score, 7.29 [2.44] vs 5.54 [2.77]; P < .001). Burnout, negative affect, and trait mindfulness levels did not differ between groups. Changes within the MBSC group through follow-up included sustained reductions in stress (change,-6.14; 95% CI,-7.84 to-4.44; P < .001), anxiety (change,-1.46; 95% CI,-1.97 to-0.94; P < .001), trait mindfulness (change, 0.63; 95% CI, 0.36 to 0.90; P < .001), and state mindfulness (change, 1.89; 95% CI, 1.39 to 2.39; P < .001).