Improving the culture of safety on a high‐acuity inpatient child/adolescent psychiatric unit by mindfulness‐based stress reduction training of staff

Hallman, Ilze S.; OʼConnor, Nancy; Hasenau, Susan M.; Brady, Stephanie

doi:10.1111/jcap.12191

Cited by 10 publications

(15 citation statements)

References 20 publications

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“…Of note, one study reported a reduction in stress on the Depression Anxiety Stress Scale (Lovibond and Lovibond 1995 ), but a non-significant finding on the Perceived Stress Scale (Cohen et al 1983 ; Duchemin et al 2015 ). Significant reductions in stress were also maintained ranging from 2 months (Hallman et al 2017 ) to 1-year (Geary and Rosenthal 2011 ) follow-up. However, significant reductions in stress were not maintained at 3-month follow-up (Ducar et al 2019 ; Suyi et al 2017 ) and 6-month follow-up (Ducar et al 2019 ).…”

Section: Resultsmentioning

confidence: 89%

“…However, non-significant findings were also reported for the facet observe (Dobie et al 2016 ), describe (Manotas et al 2014 ; Martin-Asuero et al 2014 ), acting with awareness and non-reactiveness (Manotas et al 2014 ). In terms of follow-up, significant improvements in mindfulness were observed ranging from 2 months (Hallman et al 2017 ) to 3 months (Brady et al 2012 ; Ducar et al 2019 ; Schroeder et al 2016 ; Suyi et al 2017 ). However, in several studies significant improvements in mindfulness were not maintained at 3 (Wang et al 2017 ) or 6 months (Ducar et al 2019 ; Wang et al 2017 ) follow-up.…”

Section: Resultsmentioning

confidence: 99%

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The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review

Kriakous¹,

Elliott²,

et al. 2020

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Objectives Burnout and occupational stress are frequently experienced by healthcare professionals (HCPs). Mindfulness-based stress reduction (MBSR) has been found to improve the psychological health outcomes of HCPs. To date, systematic reviews and meta-analyses have primarily focused upon empirical investigations into the reduction of stress amongst HCPs using MBSR and are limited to empirical studies published before December 2019. This systematic review aimed to update the current evidence base and broaden our understanding of the effectiveness of MBSR on improving the psychological functioning of HCPs. Methods Three electronic databases (Medline, Psych Info and Web of Science) were searched without time frame restrictions. Quantitative studies included randomised controlled trials, clinical controlled trials, pre-post designs and studies with up to a 12-month follow-up period. All studies included in the review employed a MBSR programme, standardised measures of psychological functioning and qualified HCPs as participants. Results Using PRISMA guidelines thirty studies were included in the review. The reviewed literature suggested that MBSR was effective in reducing HCPs experiences of anxiety, depression and stress. MBSR was also found to be effective in increasing HCP levels of mindfulness and self-compassion. However, MBSR did not appear as effective in reducing burnout or improving resilience amongst HCPs. Abbreviated MBSR programmes were found to be as effective as the traditional 8-week MBSR programmes. Conclusions MBSR is an effective intervention which can help improve the psychological functioning of HCPs. Recommendations include improving the overall quality of the studies by employing more robust controlled designs with randomisation, increased sample sizes with heterogeneous samples, and making active comparisons between interventions used.

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Section: Resultsmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 99%

The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review

Kriakous¹,

Elliott²,

et al. 2020

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“…Just as adolescents need to feel safe and contained, clinicians have similar needs. The more clinicians had a sense of a structured pathway and model for providing care, they appeared to feel secure and confident in their work, in turn this is helpful for adolescents in creating a safe environment (Hallman et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…The culture of any organization is crucial to how it operates and functions (Davis & Cates, 2018;Garcia et al, 2017). Studies of adolescent inpatient units have focused on the importance of culture models in improving quality of care (Hallman, O'Connor, Hasenau, & Brady, 2017;Slemon, Jenkins, & Bungay, 2017;Vella et al, 2017). Regan et al (2017) reported that to create a therapeutic milieu, a philosophy of care needs to be established to guide the culture and structure of the unit.…”

Section: Discussionmentioning

confidence: 99%

The unheard voice of the clinician: Perspectives on the key features of an adolescent inpatient model of care

Hayes

Simmons

Palmer

et al. 2019

Child Adoles Psych Nursing

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Problem Little has been reported from clinicians about the operations, interventions, and outcomes of inpatient units and how these comprise models of care in such units. The aim of this study was to explore an inpatient model of care in operation at the study site by defining key features of the model from the perspectives of clinicians. Methods Semi‐structured face to face interviews were conducted with ten clinicians working in a private inpatient unit in Melbourne, Australia. Interview data were analyzed using thematic analysis. Findings Analysis resulted in the identification of three thematic features relating to containment, engagement, and therapy. These included (a) an environment conducive to containment, (b) adolescent engagement through shared experiences, and (c) dialectical behavior therapy embedded culture. Conclusions The findings provide insights into often unheard clinician perspectives on what the key features of an adolescent inpatient model of care are. These features relate to the interventions that are currently offered on the unit and ways of working as informed by philosophies and practices. These findings should be used to improve clinical services and inform research aiming to articulate exemplary adolescent inpatient models of care. Furthermore, the findings provide guidance and practical information to commissioners, clinicians, and policy makers implementing models of care.

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“…The article by Hallman, O'connor, Hasenau, and Brady () is a good complement to strategies for building a positive unit culture and reducing coercive measures. In inpatient units, support is bidirectional.…”

mentioning

confidence: 99%

Special edition on inpatient treatment: A new annual tradition

Delaney

2017

Child Adoles Psych Nursing

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Improving the culture of safety on a high‐acuity inpatient child/adolescent psychiatric unit by mindfulness‐based stress reduction training of staff

Abstract: A brief MBSR training program offered to an interprofessional staff of a high-acuity inpatient adolescent psychiatric unit was effective in decreasing their stress, increasing their mindfulness, and improving staff and patient safety.

Cited by 10 publications

References 20 publications

The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review

The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review

The unheard voice of the clinician: Perspectives on the key features of an adolescent inpatient model of care

Special edition on inpatient treatment: A new annual tradition

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