Skip to main content
Top
Gepubliceerd in: Mindfulness 1/2014

01-02-2014 | ORIGINAL PAPER

Experiences of Health Care Professionals Enrolled in Mindfulness-Based Medical Practice: A Grounded Theory Model

Auteurs: Julie Anne Irving, Jeeseon Park-Saltzman, Marilyn Fitzpatrick, Patricia Lynn Dobkin, Andrea Chen, Tom Hutchinson

Gepubliceerd in: Mindfulness | Uitgave 1/2014

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

Currently, a relatively small number of studies have employed qualitative methods to rigorously examine the experiences of health care professionals enrolled in mindfulness-based stress reduction (MBSR). This study developed a working model of how participants may experience change during an adapted MBSR program for health care professionals. The model derived from the data demonstrated that participants echoed themes similar to those described by clinical populations engaged in MBSR, such as the salience of the group experience and support, discovery of acceptance as well as the realization that some degree of frustration and/or distress is part of learning and establishing a mindfulness practice. Unique themes highlighted included becoming aware of perfectionism, the automaticity of “other focus” and the “helping or fixing mode”. Findings illustrated the nuanced change processes undertaken by participants and the implications such change held across professional and personal domains.
Literatuur
go back to reference Abba, N., Chadwick, P., & Stevenson, C. (2008). Responding mindfully to distressing psychosis: a grounded theory analysis. Psychotherapy Research, 18, 77–87.PubMedCrossRef Abba, N., Chadwick, P., & Stevenson, C. (2008). Responding mindfully to distressing psychosis: a grounded theory analysis. Psychotherapy Research, 18, 77–87.PubMedCrossRef
go back to reference Beddoe, A. E., & Murphy, S. O. (2004). Does mindfulness decrease stress and foster empathy among nursing students? Journal of Nursing Education, 43, 305–312.PubMed Beddoe, A. E., & Murphy, S. O. (2004). Does mindfulness decrease stress and foster empathy among nursing students? Journal of Nursing Education, 43, 305–312.PubMed
go back to reference Center, C., Davis, M., Detre, T., Ford, D. E., Hansbrough, W., Hendin, H., Laszlo, J., & Silverman, M. M. (2003). Confronting depression and suicide in physicians: a consensus statement. Journal of the American Medical Association, 289, 3131–3166. doi:10.1001/jama.289.23.3161. Center, C., Davis, M., Detre, T., Ford, D. E., Hansbrough, W., Hendin, H., Laszlo, J., & Silverman, M. M. (2003). Confronting depression and suicide in physicians: a consensus statement. Journal of the American Medical Association, 289, 3131–3166. doi:10.​1001/​jama.​289.​23.​3161.
go back to reference Corbin, J., & Strauss, A. (2008). Basics of qualitative research: techniques and procedures for developing grounded theory (3rd ed.). Thousand Oaks: Sage. Corbin, J., & Strauss, A. (2008). Basics of qualitative research: techniques and procedures for developing grounded theory (3rd ed.). Thousand Oaks: Sage.
go back to reference Creswell, J. W. (1998). Qualitative inquiry and research design: choosing among five traditions. Thousand Oaks: Sage. Creswell, J. W. (1998). Qualitative inquiry and research design: choosing among five traditions. Thousand Oaks: Sage.
go back to reference Creswell, J. W. (2007). Qualitative inquiry and research design: choosing among five traditions (2nd ed.). Thousand Oaks: Sage. Creswell, J. W. (2007). Qualitative inquiry and research design: choosing among five traditions (2nd ed.). Thousand Oaks: Sage.
go back to reference Escuriex, B. F., & Labbe, E. E. (2011). Health care provider’s mindfulness and treatment outcomes: a critical review of the research literature. Mindfulness, 2, 242–253.CrossRef Escuriex, B. F., & Labbe, E. E. (2011). Health care provider’s mindfulness and treatment outcomes: a critical review of the research literature. Mindfulness, 2, 242–253.CrossRef
go back to reference Fresco, D. M., Moore, M. T., van Dulmen, M. H., Segal, Z. V., Ma, S. H., Teasdale, J. D., et al. (2007). Initial psychometric properties of the experiences questionnaire: validation of a self-report measure of decentering. Behavior Therapy, 38(3), 234–246.PubMedCrossRef Fresco, D. M., Moore, M. T., van Dulmen, M. H., Segal, Z. V., Ma, S. H., Teasdale, J. D., et al. (2007). Initial psychometric properties of the experiences questionnaire: validation of a self-report measure of decentering. Behavior Therapy, 38(3), 234–246.PubMedCrossRef
go back to reference Geschwind, N., Peeters, F., Drukker, M., van Os, J., & Wichers, M. (2011). Mindfulness training increases momentary positive emotions and reward experience in adults vulnerable to depression: a randomized clinical trial. Journal of Counsulting and Clinical Psychology, 79, 618–628. doi:10.1037/a0024595.CrossRef Geschwind, N., Peeters, F., Drukker, M., van Os, J., & Wichers, M. (2011). Mindfulness training increases momentary positive emotions and reward experience in adults vulnerable to depression: a randomized clinical trial. Journal of Counsulting and Clinical Psychology, 79, 618–628. doi:10.​1037/​a0024595.CrossRef
go back to reference Grepmair, L., Mitterlehner, F., Loew, T., Bachler, E., Rother, W., & Nickel, M. (2007). Promoting mindfulness in psychotherapists in training influences the treatment results of their patients: a randomized, double-blind, controlled study. Psychotherapy and Psychosomatics, 76, 332–338. doi:10.1159/000107560.PubMedCrossRef Grepmair, L., Mitterlehner, F., Loew, T., Bachler, E., Rother, W., & Nickel, M. (2007). Promoting mindfulness in psychotherapists in training influences the treatment results of their patients: a randomized, double-blind, controlled study. Psychotherapy and Psychosomatics, 76, 332–338. doi:10.​1159/​000107560.PubMedCrossRef
go back to reference Irving, J. A., Dobkin, P. L., & Park, J. (2009). Cultivating mindfulness in health care professionals: a review of empirical studies of mindfulness-based stress reduction (MBSR). Complementary Therapies in Clinical Practice, 15, 61–66. doi:10.1016/j.ctcp.2009.01.002.PubMedCrossRef Irving, J. A., Dobkin, P. L., & Park, J. (2009). Cultivating mindfulness in health care professionals: a review of empirical studies of mindfulness-based stress reduction (MBSR). Complementary Therapies in Clinical Practice, 15, 61–66. doi:10.​1016/​j.​ctcp.​2009.​01.​002.PubMedCrossRef
go back to reference Jain, S., Shapiro, S., Swanick, S., Bell, I., & Schwartz, G. E. (2004). Mindfulness meditation versus relation training for medical, premedical, nursing, and pre-health students: differential effects on response style and psychological distress. Second Annual Mindfulness in Medicine and Healthcare Conference, Worchester. Jain, S., Shapiro, S., Swanick, S., Bell, I., & Schwartz, G. E. (2004). Mindfulness meditation versus relation training for medical, premedical, nursing, and pre-health students: differential effects on response style and psychological distress. Second Annual Mindfulness in Medicine and Healthcare Conference, Worchester.
go back to reference Kerr, C. E., Josyula, K., & Littenberg, R. (2010). Developing an observing attitude: an analysis of meditation diaries in an MBSR clinical trial. Clinical Psychology and Psychotherapy, 18, 80–93. Kerr, C. E., Josyula, K., & Littenberg, R. (2010). Developing an observing attitude: an analysis of meditation diaries in an MBSR clinical trial. Clinical Psychology and Psychotherapy, 18, 80–93.
go back to reference Krasner, M. S., Epsptein, R. M., Beckman, H., Suchman, A. L., Chapman, B., Mooney, C. J., & Quill, T. E. (2009). Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. Journal of the American Medical Association, 302(12), 1284–1293. doi:10.1001/jama.2009.1384.PubMedCrossRef Krasner, M. S., Epsptein, R. M., Beckman, H., Suchman, A. L., Chapman, B., Mooney, C. J., & Quill, T. E. (2009). Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. Journal of the American Medical Association, 302(12), 1284–1293. doi:10.​1001/​jama.​2009.​1384.PubMedCrossRef
go back to reference Krueger, R. A. (1998). Moderating focus groups. Thousand Oakes: Sage. Krueger, R. A. (1998). Moderating focus groups. Thousand Oakes: Sage.
go back to reference Krueger, R. A., & Casey, M. A. (2009). Focus groups: a practical guide for applied research (4th ed.). Thousand Oaks: Sage. Krueger, R. A., & Casey, M. A. (2009). Focus groups: a practical guide for applied research (4th ed.). Thousand Oaks: Sage.
go back to reference Mackenzie, M., Carlson, L.E., Munoz, M., & Speca, M. (2007). A qualitative study of self-perceived effects of mindfulness-based stress reduction (MBSR) in a psychosocial oncology setting. Stress and Health, 23, 59–69. Mackenzie, M., Carlson, L.E., Munoz, M., & Speca, M. (2007). A qualitative study of self-perceived effects of mindfulness-based stress reduction (MBSR) in a psychosocial oncology setting. Stress and Health, 23, 59–69.
go back to reference Martin-Asuero, A. S., & Garcia-Banda, G. (2010). The mindfulness-based stress reduction program (MBSR) reduces stress-related psychological distress in healthcare professionals. The Spanish Journal of Psychology, 13(2), 897–905.PubMedCrossRef Martin-Asuero, A. S., & Garcia-Banda, G. (2010). The mindfulness-based stress reduction program (MBSR) reduces stress-related psychological distress in healthcare professionals. The Spanish Journal of Psychology, 13(2), 897–905.PubMedCrossRef
go back to reference Moss, D., Waugh, M., & Barnes, R. K. (2008). A tool for life? Mindfulness as self-help or safe uncertainty. International Journal of Qualitative Studies on Health & Well-being, 3(2), 132–142. doi:10.1080/17482620801939592.CrossRef Moss, D., Waugh, M., & Barnes, R. K. (2008). A tool for life? Mindfulness as self-help or safe uncertainty. International Journal of Qualitative Studies on Health & Well-being, 3(2), 132–142. doi:10.​1080/​1748262080193959​2.CrossRef
go back to reference Quinn, M. A., Wilcox, A., Orav, E. J., Bates, D. W., & Simon, S. R. (2009). The relationship between perceived practice quality and quality improvement activities and physician practice dissatisfaction, professional isolation, and work-life stress. Medical Care, 47, 924–928.PubMedCrossRef Quinn, M. A., Wilcox, A., Orav, E. J., Bates, D. W., & Simon, S. R. (2009). The relationship between perceived practice quality and quality improvement activities and physician practice dissatisfaction, professional isolation, and work-life stress. Medical Care, 47, 924–928.PubMedCrossRef
go back to reference Rosenzweig, S., Reibel, D. K., Greeson, J. A., Brainard, G. C., & Hojat, M. (2003). Mindfulness-based stress reduction lowers psychological distress in medical students. Teaching and Learning in Medicine, 15, 88–92.PubMedCrossRef Rosenzweig, S., Reibel, D. K., Greeson, J. A., Brainard, G. C., & Hojat, M. (2003). Mindfulness-based stress reduction lowers psychological distress in medical students. Teaching and Learning in Medicine, 15, 88–92.PubMedCrossRef
go back to reference Santorelli, S. (1999). Heal thy self: lessons on mindfulness in medicine. New York: Random House. Santorelli, S. (1999). Heal thy self: lessons on mindfulness in medicine. New York: Random House.
go back to reference Shapiro, S. L., Schwartz, G. E. R., & Bonner, G. (1998). The effects of mindfulness-based stress reduction on medical and pre-medical students. Journal of Behavioral Medicine, 21, 581–599.PubMedCrossRef Shapiro, S. L., Schwartz, G. E. R., & Bonner, G. (1998). The effects of mindfulness-based stress reduction on medical and pre-medical students. Journal of Behavioral Medicine, 21, 581–599.PubMedCrossRef
go back to reference Shapiro, S. I., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: results from a randomized trial. International Journal of Stress Management, 12, 164–176. doi:10.1037/1072-5245.12.2.164.CrossRef Shapiro, S. I., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: results from a randomized trial. International Journal of Stress Management, 12, 164–176. doi:10.​1037/​1072-5245.​12.​2.​164.CrossRef
go back to reference Shapiro, S. L., Brown, K., & Biegel, G. (2007). Self-care for health care professionals: effects of MBSR on mental well being of counseling psychology students. Training and Education in Professional Psychology, 1, 105–115. doi:10.1037/1931-3918.1.2.105.CrossRef Shapiro, S. L., Brown, K., & Biegel, G. (2007). Self-care for health care professionals: effects of MBSR on mental well being of counseling psychology students. Training and Education in Professional Psychology, 1, 105–115. doi:10.​1037/​1931-3918.​1.​2.​105.CrossRef
go back to reference Smith, J. A. (2003). Qualitative psychology: a practical guide to research methods. SAGE: Publications. Smith, J. A. (2003). Qualitative psychology: a practical guide to research methods. SAGE: Publications.
go back to reference Strauss, A., & Corbin, J. (1990). Basics of qualitative research: grounded theory procedures and techniques. Thousand Oaks, CA: Sage. Strauss, A., & Corbin, J. (1990). Basics of qualitative research: grounded theory procedures and techniques. Thousand Oaks, CA: Sage.
Metagegevens
Titel
Experiences of Health Care Professionals Enrolled in Mindfulness-Based Medical Practice: A Grounded Theory Model
Auteurs
Julie Anne Irving
Jeeseon Park-Saltzman
Marilyn Fitzpatrick
Patricia Lynn Dobkin
Andrea Chen
Tom Hutchinson
Publicatiedatum
01-02-2014
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 1/2014
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-012-0147-9

Andere artikelen Uitgave 1/2014

Mindfulness 1/2014 Naar de uitgave

MINDFULNESS IN PRACTICE

Searching for the Present Moment