Reflections on the integration of a narrative medicine and mindfulness program in hospice and palliative care

Essary, Alison C.; Lussier, Mark; Stone, Noah; Volk-Craft, Barbara E.; Hamilton, Gillian

doi:10.1080/09699260.2020.1734380

Cited by 4 publications

(13 citation statements)

References 9 publications

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“…Time/energy commitment. Interventions ranged from very low impact, with a brief, at-work training and an expectation of one, 30-minute workplace activity per week (not enforced and also not necessarily provided-for in the schedule), 41 to a commitment to practice, study and journal outside of work as well as attending on-site training. 22,23,35,39…”

Section: Comparing Resultsmentioning

confidence: 99%

“…Five measures (Beck Depression Inventory-II (BDI), Cognitive Fusion Questionnaire (CFQ), Acceptance and Action Questionnaire (AAQII), Post-traumatic Symptoms Checklist (PCL), Five Factor Mindfulness Questionnaire (FFMQ) were used by two studies 35,39 and 1 (the Maslach Burnout Inventory (MBI)) was used by five. 22,23,35,39,41 The two studies which used the BDI, CFQ, AAQII and PCL both found statistically significant improvements in the score of the BDI, with medium effect sizes. 35,39 One found statistically significant improvement in the CFQ total, also with a medium effect size.…”

Section: Self-report Measuresmentioning

confidence: 99%

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Mindfulness-Based Interventions for Professionals Working in End-of-Life Care: A Systematic Review of the Literature

et al. 2022

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Objectives: The potential usefulness of mindfulness-based interventions (MBIs) is being investigated for healthcare staff burnout and associated problems, but empirical research on MBI's for end-of-life (EOL) professionals is still in its infancy. The aim of this review is to describe and evaluate the body of evidence-based research on the use of MBIs to support the psychological wellbeing of professional staff in EOL care settings. Methods: A systematic review of the literature was conducted. Database records were extracted from ERIC, PsycInfo, EBSCO, PubMed Central (PMC) and Web of Science, using search terms to locate peer-reviewed studies on professional (not volunteer) staff in dedicated end-of-life settings, administering MBIs not embedded in more general therapeutic modalities (such as ACT or DBT). After removing duplicates, 8701 potential studies were identified: eliminating those that did not fit the eligibility criteria reduced the number of eligible studies to six. Results: A total of six empirical studies were identified and further evaluated. Interventions primarily focussed on reducing burnout symptoms, increasing self-care and self-compassion, and fostering mindfulness. Studies demonstrated very little overlap in treatment, methodology and measures. Only one study was a randomised control trial, which on application of the 3-item Jadad quality scoring, (evidence of randomisation, blinding of researcher to participants’ identity and accounts provided of all participants), achieved 1 out of 5 possible points. Furthermore, other concerns were identified as to the study's methodology. Conclusions: Results of this review point to significant gaps in the research on the potential of MBIs to improve the wellbeing of EOL professionals.

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Section: Comparing Resultsmentioning

confidence: 99%

Section: Self-report Measuresmentioning

confidence: 99%

Mindfulness-Based Interventions for Professionals Working in End-of-Life Care: A Systematic Review of the Literature

et al. 2022

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“…One of the values that stands out in recent explorations of spirituality in medicine is the connective relationships and personal connections that a spiritual approach to care affords (Puchalski et al 2014;Ventres and Dharamsi 2013;Essary et al 2020). As one team of researchers put it, "[spiritual care] training led to an increase in self-perceived compassion for the dying but also compassion for self, an increase in attitudes to family and work colleagues and the decrease of work stress.…”

Section: Religion and Spirituality In Medicinementioning

confidence: 99%

“…Indeed, one research team has concluded that "narrative medicine and mindfulness interventions create meaningful connections with patients, improve the delivery of patient-centered care, and enhance the health of the caregivers." (Essary et al 2020). Building Karuna's Buddhist values into a biography project that focused on aged care residents rather than palliative care patients involved three core mindfulness practices that believers and non-believers alike could learn and apply.…”

Section: The Biography Project's Buddhist Foundationmentioning

confidence: 99%

A Buddhist Biography Project: Story-Telling, Spiritual Connection, and Intergenerational Exchange

Dhavernas

Williams

2022

Religions

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This descriptive article discusses the development, delivery, and impact of the “Biography Project”. The project is a research and teaching initiative focused on both enhancing the quality of life of older persons, and providing university students across diverse degree programs the opportunity to learn about and engage first-hand with the challenges that confront older adults living in residential aged care. In accounting for the project and its objectives, the article explores the Buddhist values that underpin the project’s approach to teaching, and the important role of spirituality in training students to engage older people in telling the stories of their lives.

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“…While a growing body of evidence supports the positive impact of mindfulness training on the well-being of the broader healthcare provider workforce, only a small subset of these studies focuses on hospice care workers. Studies on mindfulness among hospice care workers suggest that brief mindfulness training lessens anxiety, compassion fatigue [12], and factors that lead to burnout, such as depersonalization [13].…”

Section: Introductionmentioning

confidence: 99%

Impact of a Mindfulness Intervention on Hospice Care Worker Safety and Well-Being

Valley¹,

Stallones²

2021

obm icm

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Hospice care workers are exposed to the hazards associated with in-home care in uncontrollable environments as well as occupational stress related to caring for terminally ill patients and their families. This study aimed to assess the effectiveness of an abbreviated mindfulness intervention to improve hospice care worker occupational safety performance and well-being. This study used a single-group pre-post design to pilot test an 18-hour mindfulness training as an intervention on self-reported safety performance and well-being among 13 hospice care workers in Colorado. Participants reported statistically increased levels of safety compliance, one component of safety performance, and subjective well-being following the abbreviated mindfulness intervention in comparison to baseline. The findings that mindfulness training can improve self-reported safety compliance and well-being among hospice workers support further testing of the use of abbreviated mindfulness trainings within hospice care organizations to promote worker safety and well-being.

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Reflections on the integration of a narrative medicine and mindfulness program in hospice and palliative care

Cited by 4 publications

References 9 publications

Mindfulness-Based Interventions for Professionals Working in End-of-Life Care: A Systematic Review of the Literature

Mindfulness-Based Interventions for Professionals Working in End-of-Life Care: A Systematic Review of the Literature

A Buddhist Biography Project: Story-Telling, Spiritual Connection, and Intergenerational Exchange

Impact of a Mindfulness Intervention on Hospice Care Worker Safety and Well-Being

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