Mindfulness

, Volume 6, Issue 4, pp 744–758 | Cite as

Health Care Workers’ Experiences of Mindfulness Training: a Qualitative Review

ORIGINAL PAPER

Abstract

Evidence is accumulating that mindfulness training is useful in reducing stress for health care workers and may increase the quality of their interactions with patients. To evaluate how health care workers experience mindfulness training, a review was conducted, synthesising published qualitative papers on the experiences of health care workers currently practising or those in clinical training who had attended mindfulness training. A systematic search yielded 14 relevant studies. Quality appraisal using the Critical Appraisal Skills programme tool identified that four studies were of a lower quality, and as they did not contribute uniquely to the analysis, they were omitted from the review. The synthesis describes health care workers’ experiences of overcoming challenges to practice in mindfulness training, such as shifting focus from caring for others to self-care, leading to an experiential understanding of mindfulness and a new relationship to experience. Perceived benefits of mindfulness training ranged from increased personal wellbeing and self-compassion to enhanced presence when relating to others, leading to enhanced compassion and a sense of shared humanity. Outcomes are discussed in terms of training focus and participant motivation, clinical and theoretical implications and avenues for further research.

Keywords

Mindfulness Health care workers Qualitative Review 

References

  1. Barnett, S. M., & Ceci, S. J. (2002). When and where do we apply what we learn?: a taxonomy for far transfer. Psychological Bulletin, 128(4), 612–637. doi:10.1037/0033-2909.128.4.612.PubMedCrossRefGoogle Scholar
  2. Beckman, H. B., Wendland, M., Mooney, C., Krasner, M. S., Quill, T. E., Suchman, A. L., & Epstein, R. M. (2012). The impact of a program in mindful communication on primary care physicians. Academic Medicine: Journal Of The Association Of American Medical Colleges, 87(6), 815–819. doi:10.1097/ACM.0b013e318253d3b2.CrossRefGoogle Scholar
  3. Beddoe, A. E., & Murphy, S. O. (2004). Does mindfulness decrease stress and foster empathy among nursing students? Journal of Nursing Education, 43(7), 305–312.PubMedGoogle Scholar
  4. Birnbaum, L. (2008). The use of mindfulness training to create an ‘accompanying place’ for social work students. Social Work Education, 27(8), 837–852. doi:10.1080/02615470701538330.CrossRefGoogle Scholar
  5. Black, D. (2010). Mindfulness research guide: a new paradigm for managing empirical health information. Mindfulness, 1(3), 174–176. doi:10.1007/s12671-010-0019-0.PubMedCentralPubMedCrossRefGoogle Scholar
  6. Boorman, S. (2009). NHS health and well-being review: interim report. (296741). Retrieved from http://www.nhshealthandwellbeing.org/InterimReport.html.
  7. Bruce, N. G., Manber, R., Shapiro, S. L., & Constantino, M. J. (2010). Psychotherapist mindfulness and the psychotherapy process. Psychotherapy: Theory, Research, Practice, Training, 47(1), 83–97. doi:10.1037/a0018842.CrossRefGoogle Scholar
  8. Carmody, J., & Baer, R. A. (2009). How long does a mindfulness-based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress. Journal of Clinical Psychology, 65(6), 627–638. doi:10.1002/jclp.2055.PubMedCrossRefGoogle Scholar
  9. Carmody, J., Baer, R. A., Lykins E, L. B., & Olendzki, N. (2009). An empirical study of the mechanisms of mindfulness in a mindfulness-based stress reduction program. Journal of Clinical Psychology, 65(6), 613–626. doi:10.1002/jclp.20579.PubMedCrossRefGoogle Scholar
  10. Carroll, C., Booth, A., & Lloyd-Jones, M. (2012). Should we exclude inadequately reported studies from qualitative systematic reviews? An evaluation of sensitivity analyses in two case study reviews. Qualitative Health Research, 22(10), 1425–1434. doi:10.1177/1049732312452937.PubMedCrossRefGoogle Scholar
  11. Chiesa, A., & Malinowski, P. (2011). Mindfulness-based approaches: are they all the same? Journal of Clinical Psychology, 67(4), 404–424. doi:10.1002/jclp.20776.PubMedCrossRefGoogle Scholar
  12. Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. Journal of Alternative & Complementary Medicine, 15(5), 593–600. doi:10.1089/acm.2008.0495.CrossRefGoogle Scholar
  13. Chiesa, A., & Serretti, A. (2011). Mindfulness based cognitive therapy for psychiatric disorders: a systematic review and meta-analysis. Psychiatry Research, 187(3), 441–453. doi:10.1016/j.psychres.2010.08.011.PubMedCrossRefGoogle Scholar
  14. Christopher, J. C., Christopher, S. E., Dunnagan, T., & Schure, M. (2006). Teaching self-care through mindfulness practices: the application of yoga, meditation, and qigong to counselor training. Journal of Humanistic Psychology, 46(4), 494–509. doi:10.1177/0022167806290215.CrossRefGoogle Scholar
  15. Christopher, J. C., Chrisman, J. A., Trotter-Mathison, M. J., Schure, M. B., Dahlen, P., & Christopher, S. B. (2011). Perceptions of the long-term influence of mindfulness training on counselors and psychotherapists: a qualitative inquiry. Journal of Humanistic Psychology, 51(3), 318–349. doi:10.1177/0022167810381471.CrossRefGoogle Scholar
  16. Cohen-Katz, J., Wiley, S., Capuano, T., Baker, D. M., Deitrick, L., & Shapiro, S. L. (2005a). The effects of mindfulness-based stress reduction on nurse stress and burnout: a qualitative and quantitative study, part III. Holistic Nursing Practice, 19(2), 78–86.PubMedCrossRefGoogle Scholar
  17. Cohen-Katz, J., Wiley, S. D., Capuano, T., Baker, D. M., & Shapiro, S. L. (2005b). The effects of mindfulness-based stress reduction on nurse stress and burnout, part II: a quantitative and qualitative study. Holistic Nursing Practice, 19(1), 26–35.PubMedCrossRefGoogle Scholar
  18. Critical Appraisal Skills Programme. (2010). Critical Appraisal Skills Programme: making sense of evidence about clinical effectiveness. From http://www.casp-uk.net/wp-content/uploads/2011/11/CASP_Qualitative_Appraisal_Checklist_14oct10.pdf.
  19. De Zoysa, N., Ruths, F. A., Walsh, J., & Hutton, J. (2012a). Mindfulness-based cognitive therapy for mental health professionals: a long-term qualitative follow-up study. Mindfulness. doi:10.1007/s12671-012-0141-2.Google Scholar
  20. De Zoysa, N., Ruths, F. A., Walsh, J., & Hutton, J. (2012b). Mindfulness-based cognitive therapy for mental health professionals: a long-term quantitative follow-up study. Mindfulness. doi:10.1007/s12671-012-0176-4.Google Scholar
  21. Dixon-Woods, M., Sutton, A., Shaw, R., Miller, T., Smith, J., Young, B., & Jones, D. (2007). Appraising qualitative research for inclusion in systematic reviews: a quantitative and qualitative comparison of three methods. Journal Of Health Services Research & Policy, 12(1), 42–47.CrossRefGoogle Scholar
  22. Fjorback, L. O., Arendt, M., Ørnbøl, E., Fink, P., & Walach, H. (2011). Mindfulness-based stress reduction and mindfulness-based cognitive therapy—a systematic review of randomized controlled trials. Acta Psychiatrica Scandinavica, 124, 102–119. doi:10.1111/j.1600-0447.2011.01704.x.
  23. Francis, R. (2013). Report of the Mid Staffordshire NHS Foundation Trust public inquiry: executive summary. London: The Stationary Office.Google Scholar
  24. Gockel, A., Burton, D., James, S., & Bryer, E. (2012). Introducing mindfulness as a self-care and clinical training strategy for beginning social work students. Mindfulness, 1–11. doi:10.1007/s12671-012-0134-1.
  25. Gockel, A., Cain, T., Malove, S., & James, S. (2013). Mindfulness as clinical training: student perspectives on the utility of mindfulness training in fostering clinical intervention skills. Journal of Religion & Spirituality in Social Work, 32(1), 36–59. doi:10.1080/15426432.2013.749146.CrossRefGoogle Scholar
  26. Grepmair, L., Mitterlehner, F., & Nickel, M. (2008). Promotion of mindfulness in psychotherapists in training. Psychiatry Research, 158(2). doi:10.1016/j.psychres.2007.11.007.
  27. Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: an experiential approach to behavior change. New York: Guilford Press.Google Scholar
  28. Hick, S. F., Bien, T., & Segal, Z. V. (2010). Mindfulness and the therapeutic relationship. New York: Guilford Publications.Google Scholar
  29. Irving, J., Dobkin, P. L., & Park, J. (2009). Cultivating mindfulness in health care professionals: a review of empirical studies of mindfulness-based stress reduction (MBSR). Complementary Therapies In Clinical Practice, 15(2), 61–66. doi:10.1016/j.ctcp.2009.01.002.PubMedCrossRefGoogle Scholar
  30. Irving, J., Park-Saltzman, J., Fitzpatrick, M., Dobkin, P., Chen, A., & Hutchinson, T. (2012). Experiences of health care professionals enrolled in mindfulness-based medical practice: a grounded theory model. Mindfulness, 1–12. doi:10.1007/s12671-012-0147-9.
  31. Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I., & Schwartz, G. E. R. (2007). A randomized controlled trial of mindfulness meditation versus relaxation training: effects on distress, positive states of mind, rumination, and distraction. Annals of Behavioral Medicine, 33(1), 11–21. doi:10.1207/s15324796abm3301_2.PubMedCrossRefGoogle Scholar
  32. Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion.Google Scholar
  33. Kabat-Zinn, J. (2005). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness (15 th anniversary edn.). New York: Bantam Dell.Google Scholar
  34. Kraiger, K., & Culbertson, S. S. (2013). Understanding and facilitating learning: advancements in training and development. In N. W. Schmitt, S. Highhouse, & I. B. Weiner (Eds.), Handbook of psychology, Vol. 12: Industrial and organizational psychology (2nd ed., pp. 244–261). Hoboken: John Wiley & Sons Inc.Google Scholar
  35. Krasner, M. S., Epstein, R. M., Beckman, H., Suchman, A. L., Chapman, B., Mooney, C. J., & Quill, T. E. (2009). Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA: Journal of the American Medical Association, 302(12), 1284–1293. doi:10.1001/jama.2009.1384.PubMedCrossRefGoogle Scholar
  36. Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., & Dalgleish, T. (2010). How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy, 48(11), 1105–1112. doi:10.1016/j.brat.2010.08.003.PubMedCrossRefGoogle Scholar
  37. Linehan, M. M., Kanter, J. W., & Comtois, K. A. (1999). Dialectical behavior therapy for borderline personality disorder: efficacy, specificity, and cost effectiveness. In D. S. Janowsky (Ed.), Psychotherapy indications and outcomes (pp. 93–118). Washington: American Psychiatric Association.Google Scholar
  38. Malpass, A., Carel, H., Ridd, M., Shaw, A., Kessler, D., Sharp, D., . . . Wallond, J. (2011). Transforming the perceptual situation: a meta-ethnography of qualitative work reporting patients’ experiences of mindfulness-based approaches. Mindfulness, 1–16. doi:10.1007/s12671-011-0081-2.
  39. Marine, A., Ruotsalainen, J., Serra, C., & Verbeek, J. (2006). Preventing occupational stress in healthcare workers. Cochrane Database of Systematic Reviews (4), doi:10.1002/14651858.CD002892.pub2.
  40. Maslach, C., & Goldberg, J. (1998). Prevention of burnout: new perspectives. Applied & Preventive Psychology, 7(1), 63–74. doi:10.1016/S0962-1849(98)80022-X.CrossRefGoogle Scholar
  41. McCollum, E. E., & Gehart, D. R. (2010). Using mindfulness meditation to teach beginning therapists therapeutic presence: a qualitative study. Journal of Marital and Family Therapy, 36(3), 347–360. doi:10.1111/j.1752-0606.2010.00214.x.PubMedGoogle Scholar
  42. McCown, D., Reibel, D. C., & Micozzi, M. S. (2010). Teaching mindfulness: a practical guide for clinicians and educators. New York: Springer.CrossRefGoogle Scholar
  43. McGarrigle, T., & Walsh, C. A. (2011). Mindfulness, self-care, and wellness in social work: effects of contemplative training. Journal of Religion & Spirituality in Social Work: Social Thought, 30(3), 212–233.CrossRefGoogle Scholar
  44. Michie, S., & Williams, S. (2003). Reducing work related psychological ill health and sickness absence: a systematic literature review. Occupational and Environmental Medicine, 60(1), 3–9. doi:10.1136/oem.60.1.3.PubMedCentralPubMedCrossRefGoogle Scholar
  45. Moore, P. (2008). Introducing mindfulness to clinical psychologists in training: an experiential course of brief exercises. Journal of Clinical Psychology in Medical Settings, 15(4), 331–337. doi:10.1007/s10880-008-9134-7.PubMedCrossRefGoogle Scholar
  46. Newsome, S., Christopher, J. C., Dahlen, P., & Christopher, S. (2006). Teaching counselors self-care through mindfulness practices. Teachers College Record, 108(9), 1881–1900. doi:10.1111/j.1467-9620.2006.00766.x.CrossRefGoogle Scholar
  47. Noblit, G. W., & Hare, R. D. (1988). Meta-ethnography: synthesizing qualitative studies. London: Sage.Google Scholar
  48. Noe, R. A., & Schmitt, N. (1986). The influence of trainee attitudes on training effectiveness: test of a model. Personnel Psychology, 39(3), 497–523.CrossRefGoogle Scholar
  49. Praissman, S. (2008). Mindfulness-based stress reduction: a literature review and clinician’s guide. Journal of the American Academy of Nurse Practitioners, 20(4), 212–216. doi:10.1111/j.1745-7599.2008.00306.x.PubMedCrossRefGoogle Scholar
  50. Ruths, F., de Zoysa, N., Frearson, S., Hutton, J., Williams, J., & Walsh, J. (2012). Mindfulness-based cognitive therapy for mental health professionals—a pilot study. Mindfulness, 1-7. doi:10.1007/s12671-012-0127-0.
  51. Sandelowski, M., Docherty, S., & Emden, C. (1997). Qualitative metasynthesis: issues and techniques. Research in Nursing & Health, 20(4), 365–371. doi:10.1002/(sici)1098-240x.CrossRefGoogle Scholar
  52. Schure, M. B., Christopher, J., & Christopher, S. (2008). Mind-body medicine and the art of self-care: teaching mindfulness to counseling students through yoga, meditation, and Qigong. Journal of Counseling & Development, 86(1), 47–56.CrossRefGoogle Scholar
  53. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press.Google Scholar
  54. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2013). Mindfulness-based cognitive therapy for depression (2nd ed.). New York: Guilford Press.Google Scholar
  55. Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62(3), 373–386. doi:10.1002/jclp.20237.PubMedCrossRefGoogle Scholar
  56. Shapiro, S. L., Brown, K. W., & Biegel, G. M. (2007). Teaching self-care to caregivers: effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychology, 1(2), 105–115. doi:10.1037/1931-3918.1.2.105.CrossRefGoogle Scholar
  57. Siegel, D. J. (2007). The mindful brain: reflection and attunement in the cultivation of well-being. New York: W W Norton & Co.Google Scholar
  58. Stew, G. (2011). Mindfulness training for occupational therapy students. The British Journal of Occupational Therapy, 74(6), 269–276. doi:10.4276/030802211x13074383957869.CrossRefGoogle Scholar
  59. Thorne, S., Jensen, L., Kearney, M. H., Noblit, G., & Sandelowski, M. (2004). Qualitative metasynthesis: reflections on methodological orientation and ideological agenda. Qualitative Health Research, 14(10), 1342–1365. doi:10.1177/1049732304269888.PubMedCrossRefGoogle Scholar
  60. Walsh, B., & Walsh, S. (2001). Is mental health work psychologically hazardous for staff? A critical review of the literature. Journal of Mental Health, 10(2), 121–129. doi:10.1080/09638230123742.CrossRefGoogle Scholar
  61. Young, L. E., Bruce, A., Turner, L., & Linden, W. (2001). Evaluation of a mindfulness-based stress reduction intervention. Canadian Nurse, 97(6), 23–26.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Psychological TherapiesPennine Care NHS Foundation TrustManchesterUK
  2. 2.Division of Health ResearchLancaster UniversityLancasterUK
  3. 3.DarwenUK

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