Nurses' perceived stress and compassion following a mindfulness meditation and self compassion training

Mahon, Marie Ann; Mee, Lorraine; Brett, Denise; Dowling, Maura

doi:10.1177/1744987117721596

Cited by 54 publications

(91 citation statements)

References 52 publications

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“…Additionally, a separate regression analysis showed that changes in self-compassion significantly predicted positive changes in perceived stress. Contradicting these positive findings, some studies revealed nonsignificant changes in self-compassion among health care professionals participating in similar interventions (e.g., Brooker et al, 2013;Mahon, Mee, Brett, & Dowling, 2017;Romcevich, Reed, Flowers, Kemper, & Mahan, 2018). The current inconsistencies in the intervention methods (e.g., treatment type, length of intervention, home practice) and discrepancies in corresponding results throughout the literature make it difficult to draw conclusions about the efficacy of these programs.…”

Section: Promoting Self-compassion: Mindfulness-based Interventionsmentioning

confidence: 99%

Effects of Mindfulness-Based Interventions on Self-compassion in Health Care Professionals: a Meta-analysis

2020

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William O'Brien, AdvisorHealth care professionals have elevated rates of burnout and compassion fatigue, which are correlated with poorer quality of life, job performance, and patient care. Since higher rates of self-compassion have been correlated with lower levels of burnout and compassion-fatigue in health care professionals, a growing number of primary studies have evaluated fostering selfcompassion through mindfulness-based interventions for this population. To date, no metaanalytic review has quantitatively evaluated this topic. The specific aims of this project were to 1) provide a systematic methodological review of the literature on treatment outcome studies evaluating the extent to which mindfulness-based interventions produce change in selfcompassion in health care professionals, and 2) compute meta-analyses and report corresponding effect sizes for included samples. A total of 30 articles (k = 34) were included. Eighteen samples (55%) included health care professionals and fifteen (45%) included professional health care students. Results showed a moderate effect size between pre-post treatment comparisons (δ = .62, SDδ = .25, 95% CI = .54 to .72) for self-compassion and a strong effect size for pretreatment to follow-up (δ = .78, SDδ = .40, 95% CI = .61 to .97). The effect size comparing posttreatment versus post-control was moderate (δ = .50, SDδ = .20, 95% CI = .34 to .67).Moderators were not explored due to a lack of evidence for heterogeneity. Findings suggest that mindfulness-based interventions help improve self-compassion in health care professionals. This indicates that a variety of mindfulness-based programs may be useful for employees and trainees.Future studies evaluating the impact of increased self-compassion via mindfulness-based interventions on the quality of patient care and job performance are warranted.

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Section: Promoting Self-compassion: Mindfulness-based Interventionsmentioning

confidence: 99%

Effects of Mindfulness-Based Interventions on Self-compassion in Health Care Professionals: a Meta-analysis

2020

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“…Thirty-one studies included a mindfulness [62,66,69,93,126,133,135,[144][145][146][147][148][149][150][151][152][153][154][155][156][157][158][159] or meditation [87,[160][161][162][163][164][165][166] intervention (most often with the use of mindfulness-based stress reduction (MBSR) as a mindfulness program). Twenty-four studies [63,[70][71][72]86,96,105,151,160,162,[167][168][169][170][171][172][173][174][175]…”

Section: Mindfulness and Relaxationmentioning

confidence: 99%

Effectiveness of Lifestyle Health Promotion Interventions for Nurses: A Systematic Review

Stanulewicz

Knox

Narayanasamy

et al. 2019

IJERPH

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Background: Prior research has investigated various strategies to improve health, wellbeing and the job-related outcomes of nurses. However, the scope of this evidence is not clear and the types of intervention most likely to have positive outcomes are unknown. Objective: To provide an overview and synthesis of the effectiveness of interventions conducted with the goal of improving health, wellbeing and the job-related outcomes of nurses. Methods: A systematic database search was conducted from January 2000 to December 2018, with pre-defined criteria (Cochrane Central Register of Controlled Trials; MEDLINE and PubMed; EMBASE; CINAHL; PsycINFO; and BioMed Central). In total, 136 intervention studies with a total sample of 16,129 participants (range 9–3381) were included and evaluated. Data extraction, quality assessment and risk of bias analyses were performed. Results: Studies included randomised controlled trials (RCTs; n = 52, 38%), randomised crossover design studies (n = 2, 1.5%) and non-randomised pre-post studies with a control group (n = 31, 23%) and without a control group (n = 51, 37.5%). The majority of interventions focused on education, physical activity, mindfulness, or relaxation. Thirty-seven (27%) studies had a multimodal intervention approach. On average, studies had relatively small samples (median = 61; mode = 30) and were conducted predominantly in North America (USA/Canada, n = 53). The findings were mixed overall, with some studies reporting benefits and others finding no effects. Dietary habits was the most successfully improved outcome (8/9), followed by indices of body composition (20/24), physical activity (PA) (11/14), and stress (49/66), with >70% of relevant studies in each of these categories reporting improvements. The lowest success rate was for work-related outcomes (16/32). Separate analysis of RCTs indicated that interventions that focus solely on education might be less likely to result in positive outcomes than interventions targeting behavioural change. Conclusions: Interventions targeting diet, body composition, PA, or stress are most likely to have positive outcomes for nurses’ health and/or wellbeing. The methodologically strongest evidence (RCTs) is available for body composition and stress. Interventions relying solely on educational approaches are least likely to be effective. Organisational outcomes appear to be more challenging to change with lifestyle intervention, likely requiring more complex solutions including changes to the work environment. There is a need for more high-quality evidence since many studies had moderate or high risk of bias and low reporting quality.

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“…Defined as the 'harmful reaction people have to undue pressures and demands placed on them at work' (Heath and Safety Executive (HSE), 2017:3), this type of stress is directly connected to a reduction of physical, psychological and mental wellbeing in staff (Hassard et al, 2017;Paparella, 2015). Its presence is implicated with increased levels of work-life imbalance (Clouston, 2014(Clouston, , 2015Pearson, 2015), burnout (Mahon et al, 2017;McTiernan and McDonald, 2015), compassion fatigue (Hunt et al, 2017;Maxwell, 2017;Mendes, 2017), anxiety and depression (HSE, 2017;Wang et al, 2015), reduced levels of productivity and low levels of satisfaction and engagement in the workplace (Royal College of Nursing (RCN), 2015).…”

Section: Introductionmentioning

confidence: 99%

“…the inability to feel emotionally for self or others (Maslach, Schaufeli and Leiter, 2001). Thus, it is closely linked to compassion fatigue, which is the inability to empathise or be caring or compassionate towards others due to emotional and psychological exhaustion (Hunt et al, 2017;Mahon et al, 2017). As purveyors of emotional labour nurses not only give of themselves therapeutically to patients but orchestrate emotions in order to meet workplace demands (Freshwater and Cahill, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…As purveyors of emotional labour nurses not only give of themselves therapeutically to patients but orchestrate emotions in order to meet workplace demands (Freshwater and Cahill, 2010). Consequently, these kinds of work-based pressures can significantly increase psychological distress and conflict (Mahon et al, 2017;Morley, 2016) and ultimately, this will impact on the ability to give a meaningful quality of compassionate care to patients (Ball et al, 2013;Beardsmore and McSherry, 2017;Clouston, 2017Clouston, , 2018Firth-Cozens and Cornwell, 2009;Morley and Jackson, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Pearls of wisdom: using the single case study or ‘gem’ to identify strategies for mediating stress and work-life imbalance in healthcare staff

Clouston

2019

Journal of Research in Nursing

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Background The growing levels of stress and work-life imbalance reported in contemporary health and social care arenas in the UK can be linked to the neoliberal principles driving performance and intensification in the workforce. These pressures are an area of concern in terms of staff health and wellbeing and the impact of these on the care and compassion of patients/service users. Aims This paper reports on a single case study that was part of a wider interpretative phenomenological analysis (IPA) that aimed to explore the levels of stress and work-life imbalance experienced by occupational therapists working in health and social-care sectors in Wales in the UK. Methods Interpretative phenomenological analysis was used as both an approach and tool of analysis. The use of the single case study and gem as a tool in IPA to pique interest and promote further investigation is also explicated. Results Identified four key strategies that underpinned an approach to mediating stress and work-life balance for staff in the workplace. These were: a sense of choice and autonomy over workloads and decision-making; congruence with family values; supportive workplace attitudes and expectations of others; and finally, that the ability to reconcile conflicts i.e. integrate or harmonise them with personal values, as opposed to holding a sense of compromise marked by concession or loss, can address cognitive and emotional dissonance. Conclusions The existing constructs to support the health and wellbeing of staff in health and social-care settings are ineffective. These strategies offer tools to address this and successfully promote a sense of personal integrity and meaning in life. In turn, this can achieve and sustain a more resilient workforce providing the positive energy needed to be caring and compassionate in their practice.

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Nurses' perceived stress and compassion following a mindfulness meditation and self compassion training

Cited by 54 publications

References 52 publications

Effects of Mindfulness-Based Interventions on Self-compassion in Health Care Professionals: a Meta-analysis

Effects of Mindfulness-Based Interventions on Self-compassion in Health Care Professionals: a Meta-analysis

Effectiveness of Lifestyle Health Promotion Interventions for Nurses: A Systematic Review

Pearls of wisdom: using the single case study or ‘gem’ to identify strategies for mediating stress and work-life imbalance in healthcare staff

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