Enhancing the resilience of nurses and midwives: pilot of a mindfulness based program for increased health, sense of coherence and decreased depression, anxiety and stress.

Foureur, Maralyn; Besley, Karyn; Burton, Geraldine; Yu, Nicholas; Crisp, Jackie

doi:10.5172/conu.2013.3547

Cited by 87 publications

(163 citation statements)

References 34 publications

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“…(32) In the healthcare settings, Foureur, et al has demonstrated that resilience training through mindfulness-based stress reduction can decrease stress in midwives. (15) Similar results have been demonstrated in ICU nurses. (33) Relaxation techniques, exercise, attention training, and small group sessions all off the possibility to improve resilience and decrease negative psychological outcomes of family members both in the ICU setting and after discharge.…”

Section: Discussionsupporting

confidence: 78%

Association Between Resilience and Family Member Psychologic Symptoms in Critical Illness

Sottile

Lynch

Mealer

et al. 2016

Critical Care Medicine

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Objective There are increased rates of depression, anxiety, and stress disorders in families of critically ill patients. Interventions directed at family members may help their ability to cope with this stress. Specifically, resilience is a teachable psychological construct describing a person’s ability to adapt to traumatic situations. Resilience can inherently assist individuals to diminish adverse psychological outcomes. Consequently, we determined the relationship between resilience and symptoms of depression, anxiety, and acute stress in family members of critically ill patients. Design This is a cross-section study. Setting Three medical intensive care units were screened by study staff. Patients Family members of ICU patients admitted for greater than 48 hours were approached for enrollment. Interventions The Connor-Davidson Resilience Scale (CD-RISC) was used to stratify family members as resilient or not-resilient. Measurements The Hospital Anxiety and Depression Scale (HADS), Impact of Evens Scale-Revised (IESR), and Family Satisfaction in the Intensive Care Unit (FS-ICU) were collected prior to ICU discharge to measure symptoms of depression, anxiety, and acute stress, as well as satisfaction with care. Main Results One-hundred and seventy family members were enrolled. Seventy-eight family members were resilient. Resilient family members had fewer symptoms of anxiety (14.2% vs 43.6%, p<0.001), depression (14.1% vs 44.9%, P< 0.001), and acute stress (12.7% vs 36.3%, p=0.001). Resilient family members were more satisfied with care in the ICU (76.7 vs 70.8, p=0.008). Resilience remained independently associated with these outcomes after adjusting for family member age and gender, as well as the patient’s need for mechanical ventilation. Conclusion When caring for the critically ill, resilient family members have fewer symptoms of depression, anxiety, and acute stress. Resilient families were generally better satisfied with the care delivered. These data suggest that interventions aimed at increasing resilience may improve a family member’s experience in the ICU.

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Section: Discussionsupporting

confidence: 78%

Association Between Resilience and Family Member Psychologic Symptoms in Critical Illness

Sottile

Lynch

Mealer

et al. 2016

Critical Care Medicine

View full text Add to dashboard Cite

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“…43 Most studies of mind-body training focus on a single group of professionals or trainees such as physicians or nurses. 17,18,24,44,45 Although the project successfully recruited more than 1000 diverse registrants, only slightly more than 50% completed any modules, and of these, most completed only 1 to 2 of the available 12 modules. This low completion rate is consistent with our previous experience with online, noncredit, nonrequired, no-deadline elective training.…”

Section: Discussionmentioning

confidence: 99%

“…19,22 In a previous study, we found that mindfulness was correlated with resilience, 23 and other studies have confirmed that over time mindfulness training enhances health professionals' resilience. 24,25 Most mindfulness-based stress reduction training for health professionals requires in-person group meetings of 2.5 hours per week for 8 weeks, and sometimes includes ongoing ''booster'' sessions monthly, 18 though some programs offer abbreviated, intensive group training. 21 Unlike the pharmaceutical model for acute symptom management in which a single analgesic dose is used to treat a headache, mindfulness-based stress reduction tends to operate on the healthy lifestyle model that benefits accrue, as with optimal diet and exercise, with repeated practice over time.…”

Section: Introductionmentioning

confidence: 99%

Acute Effects of Online Mind–Body Skills Training on Resilience, Mindfulness, and Empathy

Kemper

Khirallah

2015

J Evid Based Complementary Altern Med

106

120

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Background. Some studies have begun to show benefits of brief in-person mind-body skills training. We evaluated the effects of 1-hour online elective mind-body skills training for health professionals on mindfulness, resilience, and empathy. Methods. Between May and November, 2014, we described enrollees for the most popular 1-hour modules in a new online mind-body skills training program; compared enrollees' baseline stress and burnout to normative samples; and assessed acute changes in mindfulness, resilience, and empathy.

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“…Seventeen studies provide evidence for a variety of different interventions focused at managing stress and thereby improving HWB . Six studies were rated as of good quality, all of which explore the implementation of mindfulness‐based stress reduction (MBSR) and are indeed variations on the same protocol …”

Section: Resultsmentioning

confidence: 99%

“…MBSR is the single intervention type with the greatest number of reports in the literature, with all of these in the last decade . The earliest report of MBSR as an intervention to improve the HWB of health care staff was by Cohen‐Katz et al, in 2005 .…”

Section: Resultsmentioning

confidence: 99%

Interventions to improve employee health and well‐being within health care organizations: A systematic review

Williams

Malik

Nicolay

et al. 2017

J of Healthc Risk Manag

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In response to an increasing body of evidence on the importance of employee health and well-being (HWB) within health care, there has been a shift in focus from both policymakers and individual organizations toward improving health care employee HWB. However, there is something of a paucity of evidence regarding the impact and value of specific HWB interventions within a health care setting. The aim of this article was to systematically review the literature on this topic utilizing the EMBASE, Global Health, Health Management Information Consortium, MEDLINE, and PsycINFO databases. Forty-four articles were identified and, due to a large degree of heterogeneity, were considered under different headings as to the type of intervention employed: namely, those evaluating changing ways of working, physical health promotion, complementary and alternative medicine, and stress management interventions, and those utilizing multimodal interventions. Our results consider both the efficacy and reliability of each intervention in turn and reflect on the importance of careful study design and measure selection when evaluating the impact of HWB interventions.

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Enhancing the resilience of nurses and midwives: pilot of a mindfulness based program for increased health, sense of coherence and decreased depression, anxiety and stress.

Cited by 87 publications

References 34 publications

Association Between Resilience and Family Member Psychologic Symptoms in Critical Illness

Association Between Resilience and Family Member Psychologic Symptoms in Critical Illness

Acute Effects of Online Mind–Body Skills Training on Resilience, Mindfulness, and Empathy

Interventions to improve employee health and well‐being within health care organizations: A systematic review

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