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Mindfulness: Assessing the Feasibility of a Pilot Intervention to Reduce Stress and Burnout.

Kate M Montanari, Cassandra L Bowe, Sherry S Chesak, Susanne M Cutshall

Journal of Holistic Nursing June 2019 DOI: 10.1177/0898010118793465 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Single-arm, pre/post test study Qualitative Peer reviewed
Sample size 52
Population Inpatient medical unit nursing staff
Interventions Guided mindfulness CD soothing sounds machine with a breathing technique instructional mindfulness prompts a journal water/snacks
Duration Six consecutive weekends; pre-intervention baseline and 6 weeks post-intervention
Measures Perceived Stress Scale (PSS), Maslach Burnout Inventory (MBI), pre/post demographic questionnaires
Topics Meditation
Keywords Meditation/mindfulness Nurses Stress and coping Stress management/relaxation
Key points The brief mindfulness intervention did not reduce mean Perceived Stress Scale scores, which increased slightly over six weekends, but Maslach Burnout Inventory scores improved for emotional exhaustion, depersonalization, and personal accomplishment. Most participants (75%) perceived the intervention as effective or very effective in reducing work stress, and 84.9% were interested in continuing a similar intervention.

Abstract

To examine the feasibility of a brief mindfulness intervention and to reduce nurse stress and burnout in an inpatient medical unit. Single-arm, pre/post test study design. Perceived Stress Scale (PSS), Maslach Burnout Inventory (MBI), and pre/post demographic questionnaires given at pre-intervention (baseline) and 6 weeks post-intervention. Intervention effectiveness was compared between the pre-survey ( N = 52) and post-survey ( N = 33). Five choices were offered to inpatient staff: a guided mindfulness CD, soothing sounds machine with a breathing technique instructional, mindfulness prompts, a journal, and water/snacks during six consecutive weekends. The mean PSS score did not improve and demonstrated a slight increase during the six-weekend intervention. However, mean MBI scores for the subscales of emotional exhaustion and depersonalization did demonstrate improvement as evident by decreased scores. Additionally, the mean MBI score for the subscale of personal accomplishment also improved with increased scores. Qualitative themes were positive and included relaxation, nourishment, and refocus. Majority of participants (75%) perceived the intervention as being effective or very effective in reducing stress at work. Respondents were "interested" or "very interested" in continuing a similar intervention in the future (84.9%). The improvement in scores for the MBI measures were a positive finding. The intervention was low cost, individualized, and accessible. The feasibility and perceptions of the intervention's effectiveness has positive implications for the well-being of nurses.

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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