The Impact of Mindfulness Meditation in Promoting a Culture of Safety on an Acute Psychiatric Unit

Brady, Stephanie; OʼConnor, Nancy; Burgermeister, Diane; Hanson, Patricia

doi:10.1111/j.1744-6163.2011.00315.x

Cited by 82 publications

(99 citation statements)

References 32 publications

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“…All studies included participants working in a healthcare setting, including nursing (Bazarko et al, ; Horner et al, ), nursing and midwifery (Foureur et al, ) and mental health (Brady et al, ). Several studies used a variety of HCPs, including nurses, doctors and occupational therapists (Fortney et al, ; Manotas et al, ; Martín‐Asuero & García‐Banda, ; Schenstrom et al, ; Shapiro et al, ).…”

Section: Resultsmentioning

confidence: 99%

How Effective are Mindfulness‐Based Interventions for Reducing Stress Among Healthcare Professionals? A Systematic Review and Meta‐Analysis

et al. 2016

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Workplace stress is high among healthcare professionals (HCPs) and is associated with reduced psychological health, quality of care and patient satisfaction. This systematic review and meta-analysis reviews evidence on the effectiveness of mindfulness-based interventions (MBIs) for reducing stress in HCPs. A systematic literature search was conducted. Papers were screened for suitability using inclusion criteria and nine papers were subjected to review and quality assessment. Seven papers, for which full statistical findings could be obtained, were also subjected to meta-analysis. Results of the meta-analysis suggest that MBIs have the potential to significantly improve stress among HCPs; however, there was evidence of a file drawer problem. The quality of the studies was high in relation to the clarity of aims, data collection and analysis, but weaker in terms of sample size and the use of theoretical frameworks. MBIs have the potential to reduce stress among HCPs; however, more high-quality research is needed before this finding can be confirmed. Future studies would benefit from long-term follow-up measures to determine any continuing effects of mindfulness training on stress outcomes. Copyright © 2016 John Wiley & Sons, Ltd.

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Section: Resultsmentioning

confidence: 99%

How Effective are Mindfulness‐Based Interventions for Reducing Stress Among Healthcare Professionals? A Systematic Review and Meta‐Analysis

et al. 2016

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“…In the largest study involving 239 employees (Wolever et al 2012), participants receiving mind-body interventions showed greater improvements compared to controls on perceived stress, self-reported sleep quality, and heart rhythm coherence, a measure of autonomic balance. Positive results have also been reported for mindfulness-based interventions for healthcare staff (Cohen-Katz et al 2005; Krasner et al 2009; Pipe et al 2009; Shapiro et al 2005), including decreased job burnout (Cohen-Katz et al 2005) and decreased personal stress levels (Brady et al 2012; Pipe et al 2009). …”

Section: Introductionmentioning

confidence: 91%

“…Workplace studies have also shown that psychological stress contributes to poor morale, absenteeism, and high staff turnover (Limm et al 2011; Michie and Williams 2003; Noblet and Lamontagne 2006). In mental health treatment settings, stress may also negatively impact the staff-patient relationship and the healing environment, interfering with staff’s ability to effectively communicate with and understand the patient and thereby reduce care outcomes (Brady et al 2012; Garman et al 2002). Because of the evidence for the harmful effects of workplace stress, there has been increasing research on stress management interventions for improving physical and mental well-being and morale and reducing burnout and turnover in a variety of settings (Limm et al 2011; Wolever et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Implementation of Mindfulness Training for Mental Health Staff: Organizational Context and Stakeholder Perspectives

et al. 2014

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Occupational stress and burnout adversely impacts mental health care staff well-being and patient outcomes. Mindfulness training reduces staff stress and may improve patient care. However, few studies explore mental health setting implementation. This qualitative study used focus groups to evaluate stakeholders’ perceptions of organizational factors affecting implementation of an adapted version of Mindfulness-Based Stress Reduction (MBSR) for staff on adolescent mental health units. Common facilitators included leadership securing buy-in with staff, allocating staff time to participate, and quiet space for training and practice. Other facilitators were past staff knowledge of mindfulness, local champions, and acculturating staff with mindfulness through a non-mandatory training attendance policy. Common barriers were limited staff time to attend training sessions and insufficient training coverage for some staff. Staff also reported improved focus when interacting with adolescents and improved social cohesion on the units. We conclude that a mindfulness-based program for reducing occupational stress can be successfully implemented on adolescent mental health units. Implementation appeared to change the social context of the units, including staff and patient interactions. More broadly, our findings highlight the importance of environmental factors in shaping attitudes, diffusion of innovation, and acculturation of wellness program implementations.

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“…28 41 While one study reported reductions in patient safety events such as aggression, falls, and medication errors, these were not statistically analysed. 21 There were insufficient number of studies to examine the combined effect of meditation on healthcare professional empathy, 33 43 job satisfaction 28 41 or patient safety events. 21 Both studies utilising mental health scales found statistically significant improvements in self-reported mental health after mindfulness training.…”

Section: Interventions Effects By Outcome Measurementsmentioning

confidence: 99%

“…21 There were insufficient number of studies to examine the combined effect of meditation on healthcare professional empathy, 33 43 job satisfaction 28 41 or patient safety events. 21 Both studies utilising mental health scales found statistically significant improvements in self-reported mental health after mindfulness training. 24 41 Heterogeneity Q statistics were statistically significant for controlled trials of self-efficacy (tables 4 and 5).…”

Section: Interventions Effects By Outcome Measurementsmentioning

confidence: 99%

A systematic review and meta-analysis of meditative interventions for informal caregivers and health professionals

Dharmawardene

Givens

Wachholtz

et al. 2015

BMJ Support Palliat Care

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Background Burnout, stress and anxiety have been identified as areas of concern for informal caregivers and health professionals, particularly in the palliative setting. Meditative interventions are gaining acceptance as tools to improve well-being in a variety of clinical contexts, however, their effectiveness as an intervention for caregivers remains unknown. Aim To explore the effect of meditative interventions on physical and emotional markers of well-being as well as job satisfaction and burnout among informal caregivers and health professionals. Design Systematic review of randomised clinical trials and pre–post intervention studies with meditative interventions for caregivers. Data sources PubMed, EMBASE, CINAHL and PsycINFO were searched up to November 2013. Of 1561 abstracts returned, 68 studies were examined in full text with 27 eligible for systematic review. Results Controlled trials of informal caregivers showed statistically significant improvement in depression (effect size 0.49 (95% CI 0.24 to 0.75)), anxiety (effect size 0.53 (95% CI 0.06 to 0.99)), stress (effect size 0.49 (95% CI 0.21 to 0.77)) and self-efficacy (effect size 0.86 (95% CI 0.5 to 1.23)), at an average of 8 weeks following intervention initiation. Controlled trials of health professionals showed improved emotional exhaustion (effect size 0.37 (95% CI 0.04 to 0.70)), personal accomplishment (effect size 1.18 (95% CI 0.10 to 2.25)) and life satisfaction (effect size 0.48 (95% CI 0.15 to 0.81)) at an average of 8 weeks following intervention initiation. Conclusions Meditation provides a small to moderate benefit for informal caregivers and health professionals for stress reduction, but more research is required to establish effects on burnout and caregiver burden.

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The Impact of Mindfulness Meditation in Promoting a Culture of Safety on an Acute Psychiatric Unit

Abstract: Increases in patient satisfaction and decreases in patient safety events were found.

Cited by 82 publications

References 32 publications

How Effective are Mindfulness‐Based Interventions for Reducing Stress Among Healthcare Professionals? A Systematic Review and Meta‐Analysis

How Effective are Mindfulness‐Based Interventions for Reducing Stress Among Healthcare Professionals? A Systematic Review and Meta‐Analysis

Implementation of Mindfulness Training for Mental Health Staff: Organizational Context and Stakeholder Perspectives

A systematic review and meta-analysis of meditative interventions for informal caregivers and health professionals

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