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A qualitative exploration of NHS-staff social identification with mindfulness in-groups and engagement with mindful practices.

Daniel Cullen, Kate Cavanagh, Clara Strauss

PLoS One October 23, 2025 DOI: 10.1371/journal.pone.0331196 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 20
Population Healthcare staff from three healthcare Trusts
Topics Meditation
Key findings Social identification with mindfulness in-groups among healthcare staff was described as rich and fluid, with tentative evidence of positive boosts to psychological engagement tempered by dissonance about current physical engagement levels. Healthcare and mindfulness identities complemented each other by aiding practice and aligning values, though cultural clashes occurred depending on participants' sense of connection or disconnection. The authors propose that employers and trainers consider strategies to enhance social identification with mindfulness in-groups and call for further research on whether identification strength translates into improved engagement.

Abstract

BACKGROUND/

Objectives: Mindfulness practice has been widely adopted by healthcare staff, being grounded in evidence and supported by national guidelines. However, certain fundamental factors are not well understood, including attitudes towards mindfulness in-groups. The aim of this project was to explore the nature of social identification with mindfulness in-groups in relation to engagement with mindful practices.

Methods: Twenty healthcare staff from three healthcare Trusts were recruited to engage in semi-structured interviews of one-hour duration. Transcripts of these interviews were then subjected to reflexive thematic analysis.

Results: Social identification was simultaneously rich and fluid, with some tentative evidence of positive boosts to psychological engagement tempered by dissonance about current physical engagement levels. Healthcare and mindfulness identities complemented, in that being aided doing, aligning values and aspirations, although clashes also presented through culture, depending on one's sense of connection/disconnection. DISCUSSION/

Conclusions: Employers and trainers could consider implementing strategies to enhance social identification with mindfulness in-groups. Further research should also explore whether strength of social identification translates into improved engagement with mindful practices.

Comparable studies

Other qualitative studies on meditation, most cited first.

Study Year Design Participants
The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists Western Buddhist meditation practitioners and experts in Theravāda, Zen, and Tibetan... 2017 Qualitative study with mixed-methods
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout Nurses in a hospital system 2004 Implementation study with mixed methods
An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Primary care patients with recurrent depression or recurrent depression and anxiety 2006 Exploratory mixed methods study n = 13
A qualitative study of mindfulness‐based cognitive therapy for depression Participants in mindfulness-based cognitive therapy in a mental-health context 2001 Qualitative study n = 7
Effortless awareness: using real time neurofeedback to investigate correlates of posterior cingulate cortex activity in meditators' self-report Meditators 2013 Qualitative study using grounded theory methodology

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