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Palliative care providers' experiences of mindfulness and resilience: An interpretative phenomenological analysis.

Wei-Ting Lai, Li-Yu Yang, Hsun-Kuei Ko, Hui-Chun Su, Li-Min Wu

Complementary Therapies in Clinical Practice July 21, 2025 DOI: 10.1016/j.ctcp.2025.102017 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 15
Population Palliative care providers (three physicians, eight nurses, three psychologists, and a spiritual care provider) providing end-of-life care in hospitals across Taiwan
Interventions Mindfulness-based stress reduction program breath awareness body scan meditation mindful walking
Topics Meditation End-of-life distress
Keywords Interview Palliative care Psychological resilience Qualitative research
Citations 1
Key findings Mindfulness fosters resilience in palliative care providers by integrating emotional, mental, and existential dimensions, serving as both an internal regulatory mechanism and a stabilizing force against external uncertainties.

Abstract

Although mindfulness is widely acknowledged to foster resilience, limited research has examined how palliative care providers sustain this practice and how it shapes their resilience. This study explores how providers with sustained mindfulness practice, understand, and embody the cultivation of resilience across personal and professional domains. Fifteen palliative care providers (three physicians, eight nurses, three psychologists, and a spiritual care provider) who providing end-of-life care in hospitals across Taiwan were recruited. All practiced mindfulness regularly after completing a mindfulness-based stress reduction program, integrating techniques such as breath awareness, body scan meditation, or mindful walking into their daily and professional lives. Data from individual semi-structured interviews were analyzed using Smith and Nizza's interpretative phenomenological approach. Three group experiential themes were derived: discovering inner resilience through mindfulness, living mindfully as a way of life, and staying resilient in challenging environments. They illustrate how mindfulness fosters resilience by integrating emotional, mental, and existential dimensions. Mindfulness served as both an internal regulatory mechanism and a stabilizing force against external uncertainties, thereby fostering adaptability in challenging environments. These findings deepen our understanding of mindfulness as long-term resilience-building practice in palliative care. This study addresses the psychological challenges of palliative care providers in high-stress settings. The findings highlight how mindfulness fosters resilience by integrating self-awareness, emotional stability, and a reflective perspective into professional experiences. These insights extend beyond short-term stress relief, informing research and policies on healthcare provider well-being and sustaining palliative care practice.

Comparable studies

Other qualitative studies on end-of-life distress, most cited first.

Study Year Design Participants
Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job“ program Interdisciplinary palliative care team staff 2017 Observational mixed-method pilot evaluation n = 28
Navigating groundlessness: An interview study on dealing with ontological shock and existential distress following psychedelic experiences. People who reported experiencing existential distress following psychedelic experiences 2025 Qualitative study n = 26
Exploring the Use of Psilocybin Therapy for Existential Distress: A Qualitative Study of Palliative Care Provider Perceptions Interdisciplinary palliative care providers from a hospital-based team 2021 Qualitative descriptive study n = 5
What do health professionals think about implementing psilocybin-assisted therapy in palliative care for existential distress? A World Café qualitative study. Palliative care professionals 2024 Qualitative study n = 16
The Lived Experiences of Palliative Care Professionals in Cultivating Mindfulness: A Phenomenological Study Palliative care professionals (three physicians, four nurses, three psychologists, and... 2024 Qualitative study using a phenomenological approach n = 11

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