Mindfulness-based programmes to reduce stress and enhance well-being at work: a realist review

Micklitz, Katrin; Wong, Geoff; Howick, Jeremy

doi:10.1136/bmjopen-2020-043525

Cited by 23 publications

(31 citation statements)

References 88 publications

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“…Evidence from low, middle and high-income countries shows that school climate is important for positive student outcomes, including mental wellbeing, with feedback loops between teachers' improved mental wellbeing and pupils' (47-49). A realist review of MBIs at the workplace designed to improve employee welling found that the intervention triggered four mechanisms that participants were able to use: awareness/self-regulation, acceptance/compassion, feeling permitted to take care of the self, and a sense of growth and being able to attain goals (44). Critically, this research also found that a supportive environment at work was important, linking mindfulness practice to specific practice settings and existing goals and practices.…”

Section: Introductionmentioning

confidence: 79%

“…Researchers' primary focus has been asking if mindfulness works rather than how and why it works (43). Most theories assume that practising mindfulness exercises bring about the observed changes (44) and that mindfulness is about changing the wiring of the brain and the psychology of individuals (39,42,44). A scoping review to elucidate the mediators, moderators and implementation factors in delivering universal mindfulness training in schools (45) identified mediators and moderators that influenced the outcome of the intervention.…”

Section: Introductionmentioning

confidence: 99%

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A protocol for a systematic critical realist synthesis of school mindfulness interventions designed to promote pupils’ mental wellbeing

Abbott

Nickson

Stanley

et al. 2023

Preprint

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Introduction The review described in this protocol will be the first critical realist review of the literature reporting on the impact of mindfulness interventions in schools on the mental wellbeing of pupils. Mindfulness interventions are increasingly being introduced into schools to promote children's (and teachers') wellbeing. Findings from impact evaluations, including systematic reviews and metanalysis, suggest that school-based mindfulness interventions promote pupils' wellbeing. However, there is a need for further evidence on how they work and for whom and under what circumstances. Methods and analysis A critical realist review methodology will be used to provide a causal interdisciplinary understanding of how mindfulness interventions in schools promote the mental wellbeing of pupils. This will be done through a systematic literature review and extrapolating context, agency, intervention, mechanisms, and outcome configurations. This will enable us to understand how in certain contexts, pupils can use the resources offered by a mindfulness intervention to trigger mechanisms that promote their mental wellbeing and what mechanisms in the context support, restrict or prevent change. We will then use retrodiction and retroduction to develop the most plausible interdisciplinary middle-range theory to explain the findings. Discussion The review findings will inform a critical realist evaluation of a mindfulness intervention in schools that we will be carrying out. The findings from the review will enable us to inform policymakers and other stakeholders about what conditions need to be in place for mindfulness interventions to promote pupils' mental wellbeing and for which pupils. We will publish the findings from the review in academic and professional publications, policy briefs, workshops, conferences, and social media.

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Section: Introductionmentioning

confidence: 79%

Section: Introductionmentioning

confidence: 99%

A protocol for a systematic critical realist synthesis of school mindfulness interventions designed to promote pupils’ mental wellbeing

Abbott

Nickson

Stanley

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…This is a real paradigm shift that involves both the individual and the organisation. More specifically, it is important that during the course of the intervention, professionals should feel safe in engaging in self-care at work and in sharing difficulties with colleagues [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Self-Care for Nurses and Midwives: Findings from a Scoping Review

et al. 2022

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Self-care for health care professionals is essential in order to optimize the care they provide and to prevent serious consequences for their health. This scoping review aimed to identify (a) the concepts used in the literature to describe self-care; (b) interventions that influence self-care. The scoping review was conducted according to the criteria and methodology by Arksey and O’Malley, from November 2020 to January 2021, by consulting the following databases: Pubmed, CINAHL, Scopus, PsycInfo, Cochrane Library, Joanna Briggs Library. Various keywords and MesH terms were used for the search, including self-care, nurses, midwives, nursing, midwifery, self-compassion, and self-awareness. Eighteen studies were included. The concept of self-care is related to three constructs: (a) Mindfulness; (b) Compassion; and (c) Resilience. In the literature, self-care interventions can be distinguished as (a) mindfulness-based; (b) educational; (c) multimodal approach; and (d) mind-body interventions. In recent years, the concept of self-care is a topic of great interest in the literature; dealing with self-care from both a theoretical and a practical—personal and professional—perspective has become more important in order to promote practitioners’ well-being. This scoping review helps to clarify the terms related to self-care and looks at tested interventions to improve the well-being of caregivers.

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“…In 1990, John Kabat-Zinn first developed a mindfulness-based stress reduction program, the Mindfulness-Based Stress Reduction Program (MBSR). Because of the increased interest in this program, programs based on MBSR were designed to cultivate mindfulness and integrate its practice into daily life [ 3 , 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Experimental Mindfulness Intervention in an Emergency Department for Stress Management and Development of Positive Working Environment

et al. 2023

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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 two groups: a control and an intervention group. The data collection tools were two digital smart devices, participatory observation, and semi-structured interviews. By practicing mindfulness meditation, the participating nurses in the intervention group showed improvement in their cognitive functions (attention, thinking, memory, concentration), professional interpersonal relationships, personal satisfaction and communication with patients and caregivers, sleep rate, negative emotions, and behaviors. The findings suggest that the application of mindfulness practices should be considered an easy, affordable, economical, accessible, and effective method that nurses can use to strengthen and empower themselves, enjoying its multiple benefits. The effectiveness of the application of mindfulness remains an important issue for future research in other health professionals as well.

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Mindfulness-based programmes to reduce stress and enhance well-being at work: a realist review

Cited by 23 publications

References 88 publications

A protocol for a systematic critical realist synthesis of school mindfulness interventions designed to promote pupils’ mental wellbeing

A protocol for a systematic critical realist synthesis of school mindfulness interventions designed to promote pupils’ mental wellbeing

Self-Care for Nurses and Midwives: Findings from a Scoping Review

Experimental Mindfulness Intervention in an Emergency Department for Stress Management and Development of Positive Working Environment

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