NSG 6999 W5 D4 -Mindfulness-Based Stress Reduction

NSG 6999 W5 D4 -Mindfulness-Based Stress Reduction

NSG 6999 W5 D4 -Mindfulness-Based Stress Reduction

PICOT: For nurses working in the patient care setting, does providing Mindfulness-Based Stress Reduction, opposed to no instruction, decrease the rate of Burnout over a six-month period.

1. Why was the study done?

To evaluate if the Mindfulness-based stress reduction technique of meditation for five minutes prior to the start of a shift mediated by a Zen Buddhist priest would decrease stress and burnout and increase job satisfaction, self-compassion, and mindfulness in PICU nurses over a one-month period.

2. What is the sample size?

Thirty-eight PICU nurses. The majority of the nurses that participated in the study were white females under the ago of forty who had less than five years of experience as a nurse.

3. Are instruments of the variables in the study clearly defined and reliable?

The independent variable was the intervention of the mindfulness-based stress reduction technique of five-minute meditation for five minutes prior to the start of the shift mediated by a Zen Buddhist priest. It was offered twice per day, before the start of dayshift and night shift, for the nurses participating in the study. The dependent variable was the outcome of the intervention, decrease in stress and burnout, and increase in mindfulness, self-compassion, and job satisfaction. The variables were clearly defined and reliable throughout the study.

4. How was the data analyzed?

Three surveys were completed throughout the one-month study. One was completed prior to the study beginning, one was completed immediately following the intervention, and one was completed at the end of the one-month study. The surveys used different scales to evaluate each separate area to be evaluated including: Maslach Burnout Inventory, Nursing Stress Scale, Mindful Attention Awareness Scale, Self-Compassion Scale, and Likert scale of 1–7. This data collected from the surveys was compared from the presurvey, post-intervention survey, and one month marks.

5. Were there any unusual events during the study?

Initially, sixty PICU nurses signed up for the study, but only forty-five completed the presurvey. Forty-five PICU nurses originally began the study, but thirty-eight completed the final survey. Reasons for the nurses not completing the study were time constraints and other priorities.

6. How do the results fit in with previous research in this area?

The research article was published in 2015, and it stated at that time there had only been five studies done on nursing and nursing students showing the outcomes of mindfulness-based stress reduction on lowering stress and burnout levels. During my review of literature last week using the different databases and narrowing the search down to the last five years, I found multiple studies that have been done as of recent on the effects of mindfulness-based stress reduction techniques on healthcare professionals.

7. What are the implications of the research for clinical practice?

The study showed that there was a significant decrease in burnout and stress for those that participated in the mindfulness-based stress intervention. There was no change in mindfulness and self-compassion, and there was an insignificant increase in job satisfaction. This study demonstrates that even over a short period of time, with as little as five minutes a day three times per week, a mindfulness-based stress technique has a positive effect on stress and burnout in nurses. The study also included that participation in the study to decrease stress and burnout was offered to all of the one hundred five nurses who worked in the PICU, and sixty were interested. This shows that over fifty percent of the nurses were interested in ways to decrease stress and burnout, and increase job satisfaction, mindfulness, and self-compassion.

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Reference

Gauthier, T., Meyer, R. M. L., Grefe, D., Gold, J. I. (2015). An On-the-Job Mindfulness-based Intervention For Pediatric ICU Nurses: A

Pilot. Journal of Pediatric Nursing. March-April 2015. 30(2):402-409. doi: 10.1016/j.pedn.2014.10.005

NSG 6999 W5 D4 -Mindfulness-Based Stress Reduction