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Mindfulness-Based Intervention For Nurses In AIDS Care In China: A Pilot Study.

Chen Pan, Honghong Wang, Minzhen Chen, Yu Cai, Changgen Xiao, Qiuping Tang, Deborah Koniak-Griffin

Neuropsychiatric Disease and Treatment November 8, 2019 DOI: 10.2147/ndt.s223036 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Mixed-method pilot study Randomized Qualitative Peer reviewed
Sample size 20
Population Nurses caring for people living with HIV at the First Hospital of Changsha, China
Intervention Mindfulness-based intervention
Duration 2-hour sessions weekly for 6 weeks; interviews 1 week after the end of the intervention
Measures Perceived Stress Scale, Maslach Burnout Inventory, Five Facets Mindfulness Questionnaire, State-Trait Anxiety Inventory, Beck Depression Inventory
Topics Meditation
Keywords Stress Human immunodeficiency virus Emotions Job burnout Mindfulness-based intervention
Key points Only mindfulness scores (Five Facets Mindfulness Questionnaire) changed significantly from pre- to post-intervention; perceived stress, burnout, anxiety, and depression showed no significant differences. In interviews, nurses reported reduced work and daily life pressures, better communication and emotion regulation, and greater acceptance and attention. The authors describe the intervention as acceptable with potential benefits and call for a randomized controlled trial.

Abstract

Background/purpose: Workplace stress among nurses providing care for people living with human immunodeficiency virus is a serious problem in China that may increase rates of job burnout and affect quality of care. Mindfulness-based intervention has been shown to be effective in relieving stress and burnout in nurses. Therefore, we designed a mixed-method pilot study to evaluate a mindfulness-based intervention for nurses providing care for people living with human immunodeficiency virus.

Methods: Twenty nurses caring for people living with human immunodeficiency virus in the First Hospital of Changsha, China participated in a mindfulness-based intervention for 2 hr sessions weekly for 6 weeks. The Perceived Stress Scale, Maslach Burnout Inventory, Five Facets Mindfulness Questionnaire, State-Trait Anxiety Inventory, and the Beck Depression Inventory were used to collect data before and after the mindfulness-based intervention. Participants were invited to attend an in-depth interview 1 week after the end of the mindfulness-based intervention to give feedback.

Results: The quantitative analyses revealed a significant change in Five Facets Mindfulness Questionnaire scores. There were no significant differences between pre- and post-intervention measures of any other variables. Qualitative results showed nurses experienced a decrease in work and daily life pressures; improvements in communications with patients, colleagues and families, with better regulation of negative emotions, and acceptance of other people and attention.

Conclusion: This study supports the acceptability and potential benefits of the mindfulness-based intervention in helping nurses caring for people living with human immunodeficiency virus to manage stress and emotions, and improve their acceptance of others and attention. A larger study with a randomized controlled trial design is warranted to confirm the effectiveness of this mindfulness-based intervention.

Comparable studies

Other non-randomized and open-label trials on meditation, most cited first.

Study Year Design Participants
Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients 2003 Pre-post intervention study n = 59
Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample 2010 Pre-post intervention study
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students 2003 Prospective nonrandomized cohort-controlled study n = 302
Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls 2011 Controlled trial with wait-list control group n = 60
The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents 2011 Within-group waitlist controlled trial n = 22

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