This chapter presents the process and operational considerations when developing and implementing mindfulness-based programs for both patients and staff in hospital and health-care settings.The meditation timer chimes, signaling the beginning of 15 minutes of silence. The setting is the small conference room of a very busy 42-bed total joint replacement unit. Five nurses, a unit clerk, and the nurse manager close their eyes, rest their hands lightly on their thighs, and are encouraged to take a few deep breaths. They have been instructed prior to the beginning of the session to focus on their breathing, which helps to keep them in the present moment. They know that it is normal to have thoughts racing through their minds. They acknowledge the thoughts, accept them, release them without judgment, and then return their focus to their breath. As the session ends with another gentle chime, the participants slowly open their eyes, take another breath, and gradually get up to finish the remainder of their shift. This "Mindful Moment" was a gentle break in their day and allows them to step back into a fast-paced environment with a relaxed mind and a renewed spirit.Hospital and health-care settings are in the business of attending to community health and wellness. Mindfulness programs for patients, the clinical workers who care for them, and for the general organization staff of such facilities are developing all over the country, as part of many such organizations' adult education and wellness efforts (Gelles, 2016). This chapter presents the process and operational considerations when developing and implementing mindfulness-based programs in hospitals or health-care settings based on our experience. "Mindful Moments" depicted in the scenario above was just one of the mindfulness-based programs we implemented throughout the health NEW DIRECTIONS FOR ADULT AND CONTINUING EDUCATION, no. 161, Spring 2019

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