Cited by 78Mindfulness and Compassion InterventionsHealth Policy Implementation ScienceStress and Burnout Research

Implementation of Mindfulness Training for Mental Health Staff: Organizational Context and Stakeholder Perspectives

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Byron, Gerard, Ziedonis, Douglas M., McGrath, Caroline, Frazier, Jean A., deTorrijos, Fernando, Fulwiler, Carl·2015·Mindfulness

Abstract

Occupational stress and burnout adversely impacts mental health care staff well-being and patient outcomes. Mindfulness training reduces staff stress and may improve patient care. However, few studies explore mental health setting implementation. This qualitative study used focus groups to evaluate stakeholders' perceptions of organizational factors affecting implementation of an adapted version of Mindfulness-Based Stress Reduction (MBSR) for staff on adolescent mental health units. Common facilitators included leadership securing buy-in with staff, allocating staff time to participate, and quiet space for training and practice. Other facilitators were past staff knowledge of mindfulness, local champions, and acculturating staff with mindfulness through a non-mandatory training attendance policy. Common barriers were limited staff time to attend training sessions and insufficient training coverage for some staff. Staff also reported improved focus when interacting with adolescents and improved social cohesion on the units. We conclude that a mindfulness-based program for reducing occupational stress can be successfully implemented on adolescent mental health units. Implementation appeared to change the social context of the units, including staff and patient interactions. More broadly, our findings highlight the importance of environmental factors in shaping attitudes, diffusion of innovation, and acculturation of wellness program implementations.

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  • Bryon et al. (2015) identified barriers to implementing mindfulness training for HCPs in psychiatric inpatient units, including limited time, insufficient cover, and inadequate preparation.

    “Bryon et al. (2015) identified several barriers to the implementation of mindfulness training for HCPs working within psychiatric inpatient units, which included limited time for staff to attend training sessions, insufficient cover to allow staff to participate in the sessions without using personal time and inadequate preparation for the new initiative on some units.”

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Authors
Byron, G., Ziedonis, D. M., McGrath, C., Frazier, J. A., deTorrijos, F., & Fulwiler, C.
Affiliations
University of Massachusetts Chan Medical School (US)
Corresponding author
Fulwiler, Carl
Venue
Mindfulness
Published
2014-08-08
Volume
6
Issue
4
Pages
861-872
ISSN
  • 1868-8527 (ISSN-L)
  • 1868-8535
OpenAlex
W2064812696
Cited by
70
References
55
Citations by year
2026: 6 · 2025: 7 · 2024: 13 · 2023: 6 · 2022: 9 · 2021: 7 · 2020: 7 · 2019: 5 · 2018: 4 · 2017: 3 · 2016: 1 · 2015: 2
FWCI
2.36
Type
journal article
Language
en
Open access
Locations
  • Mindfulness (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Center for Complementary and Integrative Health (R34AT006963)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
Keywords
mindfulness training, mindfulness-based stress reduction, occupational stress, burnout, mental health professionals, implementation barriers and facilitators, organizational context, stakeholder perspectives, diffusion of innovations, employee well-being, social cohesion, staff-patient interaction

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