Nurse Experience of Participation in a Mindfulness-Based Self-Care and Resiliency Intervention
- 302 Downloads
Nursing is recognized as a stressful occupation where the incidence of negative outcomes such as burnout and high attrition has been well documented. Studies have consistently found that a higher level of resilience is related to retention in the nursing workforce. Mindfulness has been shown to lower levels of burnout and may play an important role in resilience to vicarious trauma. A brief mindful self-care and resiliency (MSCR) program aimed specifically at reducing compassion fatigue, and enhancing nurses’ resilience was piloted in a tertiary acute care hospital in Australia. This paper reports findings from the qualitative component of a mixed methods study which aimed to explore nurses’ responses to the MSCR program including its perceived feasibility, acceptability, and applicability. A sample of 20 nurses completed the MSCR program, of which 16 nurses (80% response) participated in individual unstructured interviews. Verbatim transcripts of the audio recorded interviews were subjected to thematic analysis. Five themes emerged that described participants’ perceptions of how the program benefitted nurses and its applicability in routine practice: Gaining perspective and insight; developing feelings of inner calm; taking time to care for self; feasibility and acceptability of the MSCR program; and using self-care strategies. The MSCR program was found to be feasible and acceptable from the perspective of nurse participants working in this acute care hospital. Fifteen nurses (94%) reported using mindful awareness and self-regulation after completing the program indicating that the strategies offered were practicable in this work setting.
KeywordsResilience Nursing Mindfulness Qualitative research
SS: collaborated in data collection and implementation of the intervention, led data analysis, and wrote the paper. MC: collaborated with design of the study, developed and implemented the intervention, and contributed to writing and editing the manuscript. CR: oversaw the design and execution of the study and the writing and editing of the final manuscript. SD: wrote part of the methods. TD: collaborated with participant recruitment and editing of the final manuscript. DH: led the design and execution of the study, led data collection, collaborated in data analysis, and contributed to writing and editing the final manuscript.
Compliance with Ethical Standards
The study was funded internally by the study hospital.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
- American Psychological Association (2016). The road to resilience. Retrieved 05 Jan 2017, from http://www.apa.org/helpcenter/road-resilience.aspx.
- Blomberg, K., Isaksson, A.-K., Allvin, R., Bisholt, B., Ewertsson, M., Kullen Engstrom, A., …. Gustafsson, M. (2016). Work stress among newly graduated nurses in relation to workplace and clinical group supervision. Journal of Nursing Management, 24(1), 80–87. https://doi.org/10.1111/jonm.12274.
- Corcoran, K. M., Farb, N., Anderson, A., & Segal, Z. V. (2010). Mindfulness and emotion regulation: outcomes and possible mediating mechanisms. In A. Kring & D. Sloan (Eds.), Emotion regulation and psychopathology: a transdiagnostic approach to etiology and treatment (pp. 339–355). New York: The Guildford Press.Google Scholar
- Craigie, M., Slatyer, S., Hegney, D., Osseiran-Moisson, R., Gentry, E., Davis, S., … Rees, C. (2016). A pilot evaluation of a mindful self-care and resilience (MSCR) intervention for nurses. Mindfulness, 7, 764–774. https://doi.org/10.1007/s12671-016-0516.x.
- Gentry, J. E. (Producer) (2013). PowerPoint slides for compassion fatigue prevention and resilience (2012). pptx. Retrieved from http://www.compassionunlimited.com
- Good, D.J., Lyddy, C.J., Glomb, T.M., Bono, J.E., Brown, K.W., Duffy, M.K., … Lazar, S.W. (2016). Contemplating mindfulness at work: an integrative review. Journal of Management, 42(1), 114–142. https://doi.org/10.1177/0149206315617003.
- Health Workforce Australia (2012). Health workforce 2025: doctors, nurses and midwives – Volume 1. Retrieved from https://submissions.education.gov.au/forms/archive/2015_16_sol/documents/Attachments/Australian%20Nursing%20and%20Midwifery%20Accreditation%20Council%20(ANMAC).pdf.
- Hegney, D. G., Craigie, M., Hemsworth, D., Osseiran-Moisson, R., Aoun, S., Francis, K., & Drury, V. (2014). Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: study 1 results. Journal of Nursing Management, 22(4), 506–518. https://doi.org/10.1111/jonm.12160.CrossRefPubMedGoogle Scholar
- Hegney, D. G., Rees, C. S., Eley, R., Osserain-Moisson, R., & Francis, K. (2015). The contribution of individual psychological resilience in determining the professional quality of life of Australian nurses. Frontiers in Psychology, 6, 1613. https://doi.org/10.3389/fpsyg.2015.01613.CrossRefPubMedPubMedCentralGoogle Scholar
- Hooper, C., Craig, J., Janvrin, D. R., Wetsel, M. A., & 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. https://doi.org/10.1016/j.jen.2009.11.027.CrossRefPubMedGoogle Scholar
- Hülsheger, U. R., Alberts, H. J., Feinholdt, A., & Lang, J. W. (2013). Benefits of mindfulness at work: The role of mindfulness in emotion regulation, emotional exhaustion, and job satisfaction. Journal of Applied Psychology, 98(2), 310–325. https://doi.org/10.1037/a0031313.CrossRefPubMedGoogle Scholar
- Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delta Trade Paperbacks.Google Scholar
- Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., … Hofmann, S.G. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763–771. https://doi.org/10.1016/j.cpr.2013.05.005.
- Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Newbury Park: Sage Publications.Google Scholar
- QSR International Pty Ltd. (2012). NVivo qualitative data analysis software (version 10) [computer software]. Doncaster Victoria: QSR International Pty Ltd..Google 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
- Sveinsdottir, H., Biering, P. & Ramel, A. (2000). Occupational stress, job satisfaction, and working environment among Icelandic nurses: A cross-sectional questionnnaire survey. International Journal of Nursing Studies, 43(7), 875–889. https://doi.org/10.1016/j.ijnurstu.2005.11.002.
- 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. https://doi.org/10.1016/j.cpr.2015.02.001.
- Vilardaga, R., Luoma, J.B., Hayes, S.C., Pistorello, J., Levin, M.E., Hildebrandt, M.J., . . . Bond, F. (2011). Burnout among the addiction counseling workforce: the differential roles of mindfulness and values-based processes and work-site factors. Journal of Substance Abuse Treatment, 40(4), 323–335. https://doi.org/10.1016/j.jsat.2010.11.015.
- Williams, J. M. G., & Penman, W. (2011). Mindfulness a practical guide to finding peace in a frantic world. London: 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. https://doi.org/10.1037/a0027278.CrossRefPubMedGoogle Scholar