Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job“ program
Abstract Background Maintaining a sense of self-care while providing patient centered care, can be difficult for practitioners in palliative medicine. We aimed to pilot an “on the job” mindfulness and compassion-oriented meditation training for interdisciplinary teams designed to reduce distress, fo...
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| Format: | Article |
| Language: | English |
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BMC
2017-07-01
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| Series: | BMC Palliative Care |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12904-017-0219-7 |
| _version_ | 1828537405455466496 |
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| author | Claudia L. Orellana-Rios Lukas Radbruch Martina Kern Yesche U. Regel Andreas Anton Shane Sinclair Stefan Schmidt |
| author_facet | Claudia L. Orellana-Rios Lukas Radbruch Martina Kern Yesche U. Regel Andreas Anton Shane Sinclair Stefan Schmidt |
| author_sort | Claudia L. Orellana-Rios |
| collection | DOAJ |
| description | Abstract Background Maintaining a sense of self-care while providing patient centered care, can be difficult for practitioners in palliative medicine. We aimed to pilot an “on the job” mindfulness and compassion-oriented meditation training for interdisciplinary teams designed to reduce distress, foster resilience and strengthen a prosocial motivation in the clinical encounter. Methods Our objective was to explore the feasibility and effectiveness of this newly developed training. The study design was an observational, mixed-method pilot evaluation, with qualitative data, self-report data, as well as objective data (cortisol) measured before and after the program. Twenty-eight staff members of an interdisciplinary palliative care team participated in the 10-week training conducted at their workplace. Measures were the Perceived Stress Questionnaire, the Maslach Burnout Inventory, the somatic complaints subscale of the SCL-90-R, the Emotion Regulation Skills Questionnaire, the Hospital Anxiety and Depression Scale, and a Goal Attainment Scale that assessed two individual goals. Semi-structured interviews were employed to gain insight into the perceived outcomes and potential mechanisms of action of the training. T-tests for dependent samples were employed to test for differences between baseline and post-intervention. Results Significant improvements were found in two of three burnout components (emotional exhaustion and personal accomplishment), anxiety, stress, two emotional regulation competences and joy at work. Furthermore, 85% of the individual goals were attained. Compliance and acceptance rates were high and qualitative data revealed a perceived enhancement of self-care, the integration of mindful pauses in work routines, a reduction in rumination and distress generated in the patient contact as well as an enhancement of interpersonal connection skills. An improvement of team communication could also be identified. Conclusions Our findings suggest that the training may be a feasible, effective and practical way of reducing caregiver-distress and enhancing the resources of palliative care teams. |
| first_indexed | 2024-12-12T00:24:34Z |
| format | Article |
| id | doaj.art-ed34c8e9dadd4b0c96ad68d9a4e828de |
| institution | Directory Open Access Journal |
| issn | 1472-684X |
| language | English |
| last_indexed | 2024-12-12T00:24:34Z |
| publishDate | 2017-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj.art-ed34c8e9dadd4b0c96ad68d9a4e828de2022-12-22T00:44:39ZengBMCBMC Palliative Care1472-684X2017-07-0117111510.1186/s12904-017-0219-7Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job“ programClaudia L. Orellana-Rios0Lukas Radbruch1Martina Kern2Yesche U. Regel3Andreas Anton4Shane Sinclair5Stefan Schmidt6Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Medical Center, University of FreiburgPalliative Care Centre, Malteser Hospital Bonn/Rhein-SiegPalliative Care Centre, Malteser Hospital Bonn/Rhein-SiegClinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Medical Center, University of FreiburgInstitute for the Investigation of Border Areas of Psychology and Mental HealthFaculty of Nursing, University of CalgaryClinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Medical Center, University of FreiburgAbstract Background Maintaining a sense of self-care while providing patient centered care, can be difficult for practitioners in palliative medicine. We aimed to pilot an “on the job” mindfulness and compassion-oriented meditation training for interdisciplinary teams designed to reduce distress, foster resilience and strengthen a prosocial motivation in the clinical encounter. Methods Our objective was to explore the feasibility and effectiveness of this newly developed training. The study design was an observational, mixed-method pilot evaluation, with qualitative data, self-report data, as well as objective data (cortisol) measured before and after the program. Twenty-eight staff members of an interdisciplinary palliative care team participated in the 10-week training conducted at their workplace. Measures were the Perceived Stress Questionnaire, the Maslach Burnout Inventory, the somatic complaints subscale of the SCL-90-R, the Emotion Regulation Skills Questionnaire, the Hospital Anxiety and Depression Scale, and a Goal Attainment Scale that assessed two individual goals. Semi-structured interviews were employed to gain insight into the perceived outcomes and potential mechanisms of action of the training. T-tests for dependent samples were employed to test for differences between baseline and post-intervention. Results Significant improvements were found in two of three burnout components (emotional exhaustion and personal accomplishment), anxiety, stress, two emotional regulation competences and joy at work. Furthermore, 85% of the individual goals were attained. Compliance and acceptance rates were high and qualitative data revealed a perceived enhancement of self-care, the integration of mindful pauses in work routines, a reduction in rumination and distress generated in the patient contact as well as an enhancement of interpersonal connection skills. An improvement of team communication could also be identified. Conclusions Our findings suggest that the training may be a feasible, effective and practical way of reducing caregiver-distress and enhancing the resources of palliative care teams.http://link.springer.com/article/10.1186/s12904-017-0219-7Self careBurnoutCompassionMindfulnessPalliative carePsychological distress |
| spellingShingle | Claudia L. Orellana-Rios Lukas Radbruch Martina Kern Yesche U. Regel Andreas Anton Shane Sinclair Stefan Schmidt Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job“ program BMC Palliative Care Self care Burnout Compassion Mindfulness Palliative care Psychological distress |
| title | Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job“ program |
| title_full | Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job“ program |
| title_fullStr | Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job“ program |
| title_full_unstemmed | Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job“ program |
| title_short | Mindfulness and compassion-oriented practices at work reduce distress and enhance self-care of palliative care teams: a mixed-method evaluation of an “on the job“ program |
| title_sort | mindfulness and compassion oriented practices at work reduce distress and enhance self care of palliative care teams a mixed method evaluation of an on the job program |
| topic | Self care Burnout Compassion Mindfulness Palliative care Psychological distress |
| url | http://link.springer.com/article/10.1186/s12904-017-0219-7 |
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