Skip to main content
Top
Gepubliceerd in: Mindfulness 3/2016

18-04-2016 | ORIGINAL PAPER

A Pilot Evaluation of a Mindful Self-care and Resiliency (MSCR) Intervention for Nurses

Auteurs: Mark Craigie, Susan Slatyer, Desley Hegney, Rebecca Osseiran-Moisson, Eric Gentry, Sue Davis, Tony Dolan, Clare Rees

Gepubliceerd in: Mindfulness | Uitgave 3/2016

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

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.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
go back to reference Barlow, D. H. (2004). Anxiety and its disorders: the nature and treatment of anxiety and panic (2nd ed.). New York: Guilford Press. Barlow, D. H. (2004). Anxiety and its disorders: the nature and treatment of anxiety and panic (2nd ed.). New York: Guilford Press.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference Brown, R. L., & Rounds, L. A. (1995). Conjoint screening questionnaires for alcohol and other drug abuse: criterion validity in a primary care practice. Wisconsin Medical Journal, 94(3), 135–140.PubMed Brown, R. L., & Rounds, L. A. (1995). Conjoint screening questionnaires for alcohol and other drug abuse: criterion validity in a primary care practice. Wisconsin Medical Journal, 94(3), 135–140.PubMed
go back to reference Campbell‐Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the Connor–Davidson resilience scale (CD‐RISC): validation of a 10‐item measure of resilience. Journal of Traumatic Stress, 20(6), 1019–1028. doi:10.1002/jts.20271.CrossRefPubMed Campbell‐Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the Connor–Davidson resilience scale (CD‐RISC): validation of a 10‐item measure of resilience. Journal of Traumatic Stress, 20(6), 1019–1028. doi:10.​1002/​jts.​20271.CrossRefPubMed
go back to reference 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.20555.CrossRefPubMed 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.​20555.CrossRefPubMed
go back to reference Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (second ed.). Lawrence Erlbaum Associates. Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (second ed.). Lawrence Erlbaum Associates.
go back to reference 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. 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.
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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. 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.
go back to reference Figley, C. R. (2002). Treating compassion fatigue. New York, NY: Brunner-Routledge. Figley, C. R. (2002). Treating compassion fatigue. New York, NY: Brunner-Routledge.
go back to reference 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. 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.
go back to reference 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.CrossRefPubMedPubMedCentral 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.CrossRefPubMedPubMedCentral
go back to reference Gentry, J., & Baranowsky, A. (1998). Treatment manual for the accelerated recovery program. Toronto ON: Psych Ink Resource. Gentry, J., & Baranowsky, A. (1998). Treatment manual for the accelerated recovery program. Toronto ON: Psych Ink Resource.
go back to reference Gillespie, B. M. (2007). The Predictors of Resilience in Operating Room Nurses. (PhD), Griffith, Gold Coast, Australia. Gillespie, B. M. (2007). The Predictors of Resilience in Operating Room Nurses. (PhD), Griffith, Gold Coast, Australia.
go back to reference Goodman, M. J., & Schorling, J. B. (2012). A mindfulness course decreases burnout and improves well-being among healthcare providers. The International Journal of Psychiatry in Medicine, 43(2), 119–128. doi:10.2190/PM.43.2.b.CrossRefPubMed Goodman, M. J., & Schorling, J. B. (2012). A mindfulness course decreases burnout and improves well-being among healthcare providers. The International Journal of Psychiatry in Medicine, 43(2), 119–128. doi:10.​2190/​PM.​43.​2.​b.CrossRefPubMed
go back to reference Good, D. J., Lyddy, C. J., Glomb, T. M., Bono, J. E., Brown, K. W., Duffy, M. K., & Lazar, S. W. (2015). Contemplating mindfulness at work: an integrative review. Journal of Management, Online, November. doi:10.1177/0149206315617003. Good, D. J., Lyddy, C. J., Glomb, T. M., Bono, J. E., Brown, K. W., Duffy, M. K., & Lazar, S. W. (2015). Contemplating mindfulness at work: an integrative review. Journal of Management, Online, November. doi:10.​1177/​0149206315617003​.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference 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. doi:10.1037/a0031313.CrossRefPubMed 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. doi:10.​1037/​a0031313.CrossRefPubMed
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living. New York: Dell Publishing. Kabat-Zinn, J. (1990). Full catastrophe living. New York: Dell Publishing.
go back to reference Kabat‐Zinn, J. (2003). Mindfulness‐based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. doi:10.1093/clipsy.bpg016. Kabat‐Zinn, J. (2003). Mindfulness‐based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. doi:10.​1093/​clipsy.​bpg016.
go back to reference Lavigne, G. L., Forest, J., & Crevier-Braud, L. (2012). Passion at work and burnout: a two-study test of the mediating role of flow experiences. European Journal of Work and Organizational Psychology, 21(4), 518–546. doi:10.1080/1359432X.2011.578390.CrossRef Lavigne, G. L., Forest, J., & Crevier-Braud, L. (2012). Passion at work and burnout: a two-study test of the mediating role of flow experiences. European Journal of Work and Organizational Psychology, 21(4), 518–546. doi:10.​1080/​1359432X.​2011.​578390.CrossRef
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
go back to reference Lovibond, S. F., & Lovibond, P. F. (2004). Manual for the depression anxiety stress scales (2nd ed.). Sydney: The Psychology Foundation of Australia. Lovibond, S. F., & Lovibond, P. F. (2004). Manual for the depression anxiety stress scales (2nd ed.). Sydney: The Psychology Foundation of Australia.
go back to reference 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.CrossRef 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.CrossRef
go back to reference Mayfield, D., McLeod, G., & Hall, P. (1974). The CAGE questionnaire: validation of a new alcoholism screening instrument. American Journal of Psychiatry, 131(10), 1121–1123.PubMed Mayfield, D., McLeod, G., & Hall, P. (1974). The CAGE questionnaire: validation of a new alcoholism screening instrument. American Journal of Psychiatry, 131(10), 1121–1123.PubMed
go back to reference Mantzios, M. (2014). Exploring the relationship between worry and impulsivity in military recruits: the role of mindfulness and self‐compassion as potential mediators. Stress and Health, 30(5), 397–404. doi:10.1002/smi.2617.CrossRefPubMed Mantzios, M. (2014). Exploring the relationship between worry and impulsivity in military recruits: the role of mindfulness and self‐compassion as potential mediators. Stress and Health, 30(5), 397–404. doi:10.​1002/​smi.​2617.CrossRefPubMed
go back to reference Mealer, M., Conrad, D., Evans, J., Jooste, K., Solyntjes, J., Rothbaum, B., & Moss, M. (2014). Feasibility and acceptability of a resilience training program for intensive care unit nurses. American Journal of Critical Care, 23(6), 97–105. doi:10.4037/ajcc2014747.CrossRef Mealer, M., Conrad, D., Evans, J., Jooste, K., Solyntjes, J., Rothbaum, B., & Moss, M. (2014). Feasibility and acceptability of a resilience training program for intensive care unit nurses. American Journal of Critical Care, 23(6), 97–105. doi:10.​4037/​ajcc2014747.CrossRef
go back to reference Ruths, F. A., de Zoysa, N., Frearson, S. J., Hutton, J., Williams, J. M. G., & Walsh, J. (2013). Mindfulness-based cognitive therapy for mental health professionals—a pilot study. Mindfulness, 4(4), 289–295. doi:10.1007/s12671-012-0127-0.CrossRef Ruths, F. A., de Zoysa, N., Frearson, S. J., Hutton, J., Williams, J. M. G., & Walsh, J. (2013). Mindfulness-based cognitive therapy for mental health professionals—a pilot study. Mindfulness, 4(4), 289–295. doi:10.​1007/​s12671-012-0127-0.CrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. New York: The Guilford Press. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. New York: The Guilford Press.
go back to reference Southwick, S. M., & Charney, D. S. (2012). Resilience: the science of mastering life’s greatest challenges. New York: Cambridge University Press, NY.CrossRef Southwick, S. M., & Charney, D. S. (2012). Resilience: the science of mastering life’s greatest challenges. New York: Cambridge University Press, NY.CrossRef
go back to reference 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. 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.
go back to reference Stamm, B. (2010). The Concise ProQOL Manual. In ProQoL.org (Ed.): Pocatello. Stamm, B. (2010). The Concise ProQOL Manual. In ProQoL.org (Ed.): Pocatello.
go back to reference Teper, R., Segal, Z. V., & Inzlicht, M. (2013). Inside the mindful mind: how mindfulness enhances emotion regulation through improvements in executive control. Current Directions in Psychological Science, 22(6), 449–454.CrossRef Teper, R., Segal, Z. V., & Inzlicht, M. (2013). Inside the mindful mind: how mindfulness enhances emotion regulation through improvements in executive control. Current Directions in Psychological Science, 22(6), 449–454.CrossRef
go back to reference Tremblay, M. A., & Messervey, D. (2011). The job demands-resources model: further evidence for the buffering effect of personal resources. SA Journal of Industrial Psychology, 37(2), 10–19. doi:10.4102/sajip.v37i2.876.CrossRef Tremblay, M. A., & Messervey, D. (2011). The job demands-resources model: further evidence for the buffering effect of personal resources. SA Journal of Industrial Psychology, 37(2), 10–19. doi:10.​4102/​sajip.​v37i2.​876.CrossRef
go back to reference 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.2015.02.001 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.2015.02.001
go back to reference Williams, J. M. G., & Penman, W. (2011). Mindfulness a practical guide to finding peace in a frantic world. London, UK: Piatkus. Williams, J. M. G., & Penman, W. (2011). Mindfulness a practical guide to finding peace in a frantic world. London, UK: Piatkus.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
Metagegevens
Titel
A Pilot Evaluation of a Mindful Self-care and Resiliency (MSCR) Intervention for Nurses
Auteurs
Mark Craigie
Susan Slatyer
Desley Hegney
Rebecca Osseiran-Moisson
Eric Gentry
Sue Davis
Tony Dolan
Clare Rees
Publicatiedatum
18-04-2016
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 3/2016
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-016-0516-x

Andere artikelen Uitgave 3/2016

Mindfulness 3/2016 Naar de uitgave

ORTHOGONAL ROTATION IN CONSCIOUSNESS

A.D.D. Nation