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Mindfulness for Novice Pediatric Nurses: Smartphone Application Versus Traditional Intervention.

Chelsey Morrison Wylde, Nicole E Mahrer, Rika M L Meyer, Jeffrey I Gold

Journal of pediatric nursing 2017 DOI: 10.1016/j.pedn.2017.06.008 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 95
Population Novice nurses participating in a pediatric nurse residency program
Intervention Traditionally delivered mindfulness
Duration Three months
Topics Meditation
Keywords Burnout Compassion fatigue Compassion satisfaction Nurses
Key findings Nurses using a smartphone-delivered mindfulness app reported significantly more 'acting with awareness' and marginally more 'non-reactivity to inner experience' than those receiving traditional mindfulness. The app group also showed marginally more compassion satisfaction and marginally less burnout, and lower risk for compassion fatigue only among those with sub-clinical posttraumatic symptoms at baseline. The authors suggest smartphone mindfulness may offer more benefits for novice nurses, but may be better indicated for those without existing posttraumatic stress symptoms.

Abstract

The current study compares the effects of a traditionally delivered mindfulness (TDM) intervention to a smartphone delivered mindfulness (SDM) intervention, Headspace, an audio-guided mindfulness meditation program, in a group of novice nurses. Novice nurses participating in a pediatric nurse residency program were asked to participate in either a TDM or SDM intervention. Participants (N=95) completed self-administered pencil and paper questionnaires measuring mindfulness skills, and risk and protective factors at the start of their residency and three months after entering the program. Nurses in the SDM group reported significantly more "acting with awareness" and marginally more "non-reactivity to inner experience" skills compared to the TDM group. The smartphone intervention group also showed marginally more compassion satisfaction and marginally less burnout. Additionally, nurses in the SDM group had lower risk for compassion fatigue compared to the TDM group, but only when the nurses had sub-clinical posttraumatic symptoms at the start of the residency training program. Smartphone delivered mindfulness interventions may provide more benefits for novice nurses than traditionally delivered mindfulness interventions. However, the smart-phone intervention may be better indicated for nurses without existing symptoms of posttraumatic stress. Mindfulness interventions delivered through smartphone applications show promise in equipping nurses with important coping skills to manage stress. Because of the accessibility of smartphone applications, more nurses can benefit from the intervention as compared to a therapist delivered intervention. However, nurses with existing stress symptoms may require alternate interventions.

Comparable studies

Other observational and cohort studies on meditation, most cited first.

Study Year Design Participants
Using Self-Report Assessment Methods to Explore Facets of Mindfulness Undergraduate students 2006 Observational cohort
Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders Patients with generalized anxiety disorder or panic disorder with or without agoraphobia 1992 Observational cohort n = 22
Meditation experience is associated with increased cortical thickness Participants with extensive Insight meditation experience and matched controls 2005 Observational cohort n = 20
Meditation experience is associated with differences in default mode network activity and connectivity Experienced meditators and matched meditation-naive controls 2011 Observational cohort
Long-term meditators self-induce high-amplitude gamma synchrony during mental practice Long-term Buddhist practitioners and controls 2004 Observational cohort

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