A Pilot Evaluation of a Mindful Self-care and Resiliency (MSCR) Intervention for Nurses
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It is now well established that a significant number of nurses have less than optimal levels of wellness as a result of the stressful nature of their work. Identifying effective workplace strategies to help improve the resilience of nurses is therefore a high priority. In this study, we evaluated the feasibility of a mindfulness-based intervention aimed at reducing compassion fatigue and improving emotional well-being in nurses. A total of 21 nurses recruited from a large teaching hospital in Western Australia, participated in a mindful self-care and resiliency (MSCR) intervention. The intervention consisted of a 1-day compassion fatigue prevention educational workshop, followed by a series of weekly mindfulness training seminars conducted over 4 weeks (12 h total intervention time). Participants completed a number of standardized measures at pre, post, and 1-month follow-up. Significant improvements were observed following the intervention for compassion satisfaction, burnout, trait-negative affect, obsessive passion, and stress scores. At pre-intervention, 45 % of the sample had high burnout scores, but this reduced to just 15 % by post-intervention. No significant changes were observed for general resilience, anxiety, or secondary traumatic stress post-intervention or at follow-up. The results of this preliminary study indicate that MSCR may represent a feasible approach to improving resilience and well-being among nurses. Further research utilizing a control group is required to strengthen conclusions.
KeywordsCompassion fatigue Nurses Burnout Mindfulness Resilience Intervention
We acknowledge the work of Ms Sue Delhaize, MS Jan Low, and Ms Michelle Sin for assistance with recruitment and data collection. We also wish to acknowledge Ms Sue Davis, Nurse Director Corporate Nursing and the Nursing Executive Committee at the study hospital who funded the research and the International Collaboration for Workforce Resilience (ICWR-1). Finally, our thanks to the nurses who participated in this study.
Compliance with Ethical Standards
Ethical approval to conduct the study was obtained from the Sir Charles Gairdner Group Human Research Ethics Committee (HREC No: 2013-248) and Curtin University Human Research Ethics Committee (HR08/2014).
The study was funded internally at the study hospital.
- American Psychological Association (2015). The road to resilience. Washington DC: American Psychological Association. http://www.apa.org/helpcenter/road-resilience.aspx. Accessed 20 September, 2015.
- Barlow, D. H. (2004). Anxiety and its disorders: the nature and treatment of anxiety and panic (2nd ed.). New York: Guilford Press.Google Scholar
- Berger, R., & Gelkopf, M. (2011). An intervention for reducing secondary traumatization and improving professional self-efficacy in well baby clinic nurses following war and terror: a random control group trial. International Journal of Nursing Studies, 48(5), 601–610. doi: 10.1016/j.ijnurstu.2010.09.007.CrossRefPubMedGoogle Scholar
- Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (second ed.). Lawrence Erlbaum Associates.Google Scholar
- Craigie, M., Osseiran-Moisson, R., Hemsworth, D., Aoun, S., Francis, K., Brown, J., Hegney, D., & Rees, C. (2015). The influence of trait-negative affect and compassion satisfaction on compassion fatigue in Australian nurses. Psychological Trauma: Theory, Research, Practice, and Policy. doi: 10.1037/tra0000050.Google Scholar
- Crawford, J. R., Cayley, C., Wilson, P. H., Lovibond, P. F., & Hartley, C. (2011). Percentile norms and accompanying interval estimates from an Australian general adult population sample for self-report mood scales. The Australian Psychologist, 46, 3–14. doi: 10.1111/j.1742-9544.2010.00003.x.CrossRefGoogle Scholar
- Dharmawardene M., Givens J., Wachholtz A., Makowski, S., & Tjia, J. (2015). A systematic review and meta-analysis of meditative interventions for informal caregivers and health professionals. BMJ Supportive & Palliative Care, 1–10. doi: 10.1136/bmjspcare2014-000819.
- Figley, C. R. (2002). Treating compassion fatigue. New York, NY: Brunner-Routledge.Google Scholar
- Figley, C. R. (1995). Compassion fatigue as secondary traumatic stress disorder: an overview. In C. R. Figley (Ed.), Compassion Fatigue: Coping with Secondary Traumatic Stress Disorder in those who Treat the Traumatized (pp. 1–20). NY: Brunner.Google Scholar
- Garland, E. L., Fredrickson, B., Kring, A. M., Johnson, D. P., Meyer, P. S., & Penn, D. L. (2010). Upward spirals of positive emotions counter downward spirals of negativity: insights from the broaden-and-build theory and affective neuroscience on the treatment of emotion dysfunctions and deficits in psychopathology. Clinical Psychology Review, 30(7), 849–864. doi: 10.1016/j.cpr.2010.03.002.CrossRefPubMedPubMedCentralGoogle Scholar
- Gentry, J. E. (2013). Powerpoint slides for compassion fatigue prevention and resilience. Retrieved from http://www.compassionunlimited.com/Resource/CF-PESI (2012).pptx, November 10, 2013.
- Gentry, J., & Baranowsky, A. (1998). Treatment manual for the accelerated recovery program. Toronto ON: Psych Ink Resource.Google Scholar
- Gillespie, B. M. (2007). The Predictors of Resilience in Operating Room Nurses. (PhD), Griffith, Gold Coast, Australia.Google Scholar
- Hegney, D., Craigie, M., Osseiran-Moisson, R., Drury, V., Aoun, S., Hemsworth, D., & Francis, K. (2014). Compassion fatigue, compassion satisfaction, anxiety and depression in Western Australian nurses: a questionnaire survey. Journal of Nursing Management, 22, 506–518. doi: 10.1111/jonm.12160.CrossRefPubMedGoogle Scholar
- Hooper, C., Craig, J., Janvrin, D., Wetsel, M., & Reimels, E. (2010). Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. Journal of Emergency Nursing, 36(5), 420–427. doi: 10.1016/j.jen.2009.11.027.CrossRefPubMedGoogle Scholar
- Kabat-Zinn, J. (1990). Full catastrophe living. New York: Dell Publishing.Google Scholar
- Laschinger, H. K. S., & Fida, R. (2014). New nurses burnout and workplace well-being: the influence of authentic leadership and psychological capital. Burnout Research, 1, 19–28. doi: http://dx.doi.org/10.1016/j.burn.2014.03.002.
- Loprinzi, C. E., Prasad, K., Schroeder, D. R., & Sood, A. (2011). Stress management and resilience training (SMART) program to decrease stress and enhance resilience among breast cancer survivors: a pilot randomized clinical trial. Clinical Breast Cancer, 11(6), 364–368. doi: 10.1016/j.clbc.2011.06.008.CrossRefPubMedGoogle Scholar
- Lovibond, S. F., & Lovibond, P. F. (2004). Manual for the depression anxiety stress scales (2nd ed.). Sydney: The Psychology Foundation of Australia.Google Scholar
- Mageau, G. A., Vallerand, R. J., Rousseau, F. L., Ratelle, C. F., & Provencher, P. J. (2005). Passion and gambling: investigating the divergent affective and cognitive consequences of gambling. Journal of Applied Social Psychology, 35(1), 100–118. doi: 10.1111/j.1559-1816.2005.tb02095.x.CrossRefGoogle Scholar
- Samios, C., Abel, L. M., & Rodzik, A. K. (2013). The protective role of compassion satisfaction for therapists who work with sexual violence survivors: an application of the broaden-and-build theory of positive emotions. Anxiety, Stress, & Coping, 26(6), 610–623. doi: 10.1080/10615806.2013.784278.CrossRefGoogle Scholar
- Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. New York: The Guilford Press.Google Scholar
- Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
- Stamm, B. (2010). The Concise ProQOL Manual. In ProQoL.org (Ed.): Pocatello.Google Scholar
- van der Velden, A. M., Kuyken, W., Wattar, U., Crane, C., Pallesen, K. J., Dahlgaard, J., … & Piet, J. (2015). A systematic review of mechanisms of change in mindfulness-based cognitive therapy in the treatment of recurrent major depressive disorder. Clinical Psychology Review, 37, 26–39. doi:10.1016/j.cpr.2015.02.001Google Scholar
- Williams, J. M. G., & Penman, W. (2011). Mindfulness a practical guide to finding peace in a frantic world. London, UK: Piatkus.Google Scholar
- Wolever, R. Q., Bobinet, K. J., McCabe, K., Mackenzie, E. R., Fekete, E., Kusnick, C. A., & Baime, M. (2012). Effective and viable mind-body stress reduction in the workplace: a randomized controlled trial. Journal of Occupational Health Psychology, 17(2), 246–258. doi: 10.1037/a0027278.CrossRefPubMedGoogle Scholar