Brief Mindfulness Practices for Healthcare Providers - A Systematic Literature Review

被引:128
作者
Gilmartin, Heather [1 ]
Goyal, Anupama [2 ]
Hamati, Mary C. [3 ]
Mann, Jason [2 ]
Saint, Sanjay [2 ,4 ]
Chopra, Vineet [2 ,4 ]
机构
[1] VA Eastern Colorado Healthcare Syst, Denver Seattle Ctr Innovat Vet Ctr & Value Driven, 1055 Clermont St, Denver, CO 80220 USA
[2] Univ Michigan Hlth Syst, Ann Arbor, MI USA
[3] Michigan State Univ, E Lansing, MI 48824 USA
[4] VA Ann Arbor, Ann Arbor, MI USA
关键词
Health care providers; Inpatient; Mindfulness; Systematic literature review; Well-being; STRESS; PROGRAM; INTERVENTION; NURSES; FEASIBILITY; RESILIENCE; MEDITATION; MANAGEMENT; MEDICINE; STUDENTS;
D O I
10.1016/j.amjmed.2017.05.041
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Mindfulness practice, where an individual maintains openness, patience, and acceptance while focusing attention on a situation in a nonjudgmental way, can improve symptoms of anxiety, burnout, and depression. The practice is relevant for health care providers; however, the time commitment is a barrier to practice. For this reason, brief mindfulness interventions (eg, <= 4 hours) are being introduced. We systematically reviewed the literature from inception to January 2017 about the effects of brief mindfulness interventions on provider well-being and behavior. Studies that tested a brief mindfulness intervention with hospital providers and measured change in well-being (eg, stress) or behavior (eg, tasks of attention or reduction of clinical or diagnostic errors) were selected for narrative synthesis. Fourteen studies met inclusion criteria; 7 were randomized controlled trials. Nine of 14 studies reported positive changes in levels of stress, anxiety, mindfulness, resiliency, and burnout symptoms. No studies found an effect on provider behavior. Brief mindfulness interventions may be effective in improving provider well-being; however, larger studies are needed to assess an impact on clinical care. Published by Elsevier Inc.
引用
收藏
页码:1219.e1 / 1219.e17
页数:17
相关论文
共 35 条
[1]  
[Anonymous], 2013, How to Cope With Stress, Pain and Illness Using Mindfulness Meditation
[2]  
[Anonymous], CASP CHECKL 2014
[3]  
[Anonymous], HUM RELAT
[4]  
[Anonymous], 2009, SYST REV CTR REV DIS
[5]   Designing and implementing a resiliency program for family medicine residents [J].
Brennan, Julie ;
McGrady, Angele .
INTERNATIONAL JOURNAL OF PSYCHIATRY IN MEDICINE, 2015, 50 (01) :104-114
[6]  
Chesak SS, 2015, OCHSNER J, V15, P38
[7]   Being a mindful clinical teacher: Can mindfulness enhance education in a clinical setting? [J].
Dobkin, Patricia L. ;
Laliberte, Vincent .
MEDICAL TEACHER, 2014, 36 (04) :347-352
[8]   The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions [J].
Downs, SH ;
Black, N .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 1998, 52 (06) :377-384
[9]   Reducing Medication Administration Errors in Acute and Critical Care Multifaceted Pilot Program Targeting RN Awareness and Behaviors [J].
Durham, Marianne L. ;
Suhayda, Rosemarie ;
Normand, Patricia ;
Jankiewicz, Ann ;
Fogg, Louis .
JOURNAL OF NURSING ADMINISTRATION, 2016, 46 (02) :75-81
[10]   Mindful practice [J].
Epstein, RM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (09) :833-839