Improving the culture of safety on a high‐acuity inpatient child/adolescent psychiatric unit by mindfulness‐based stress reduction training of staff
Abstract
Problem: The purpose of this study was to reduce perceived levels of interprofessional staff stress and to improve patient and staff safety by implementing a brief mindfulness‐based stress reduction (MBSR) training program on a highacuity psychiatric inpatient unit. Methods: A one‐group repeated measure design was utilized to measure the impact of the (MBSR) training program on staff stress and safety immediately posttraining and at 2 months. Two instruments were utilized in the study: the Toronto Mindfulness Scale and the Perceived Stress Scale. Findings: The MBSR program reduced staff stress across the 2‐month post‐training period and increased staff mindfulness immediately following the brief training period of 8 days, and across the 2‐month post‐training period. A trend toward positive impact on patient and staff safety was also seen in a decreased number of staff call‐ins, decreased need for 1:1 staffing episodes, and decreased restraint use 2 months following the training period. Conclusions: A brief MBSR training program offered to an interprofessional staff of a high‐acuity inpatient adolescent psychiatric unit was effective in decreasing their stress, increasing their mindfulness, and improving staff and patient safety.
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Significant stress reductions were maintained at follow-ups ranging from 2 months to 1 year.
“Significant reductions in stress were also maintained ranging from 2 months (Hallman et al. 2017) to 1-year (Geary and Rosenthal 2011) follow-up.”
From The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review (2021) · cites this paper as Hallman et al. 2017
Significant improvements in mindfulness were observed at follow-ups ranging from 2 months to 3 months.
“significant improvements in mindfulness were observed ranging from 2 months (Hallman et al. 2017) to 3 months (Brady et al. 2012; Ducar et al. 2019; Schroeder et al. 2016; Suyi et al. 2017).”
From The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review (2021) · cites this paper as Hallman et al. 2017
In one less-than-3-week programme, improvements in stress and burnout were maintained at 2-month follow-up.
“Improvements in stress and burnout were maintained at 2-month follow-up (Hallman et al. 2017)”
From The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review (2021) · cites this paper as Hallman et al. 2017
Even MBSR programmes shortened to within 3 weeks produced effective outcomes for stress and mindfulness maintained at 2-month follow-up and for anxiety, depression, stress, and burnout maintained at 9-month follow-up.
“Even MBSR programmes that were shortened and delivered within a 3-week period, produced effective treatment outcomes for (1) stress and mindfulness maintained at 2-month follow-up (Hallman et al. 2017) and (2) anxiety, depression, stress and burnout maintained at 9-month follow-up (Fortney et al. 2013).”
From The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review (2021) · cites this paper as Hallman et al. 2017
Three included MBSR programmes were less than 3 weeks long and produced significant reductions in anxiety, depression, stress, and burnout and significant improvements in mindfulness.
“Three MBSR programmes were less than 3 weeks in duration and yielded significant reductions in anxiety, depression, stress and burnout and significant improvements in mindfulness (Ando et al. 2011; Fortney et al. 2013, Hallman et al. 2017).”
From The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review (2021) · cites this paper as Hallman et al. 2017
In one included study, HCPs were allocated 15 minutes of meditation time within their working day.
“HCPs were allocated 15-min meditation time within their working day (Hallman et al. 2017).”
From The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review (2021) · cites this paper as Hallman et al. 2017
Hallman et al. (2017) found that only a few HCPs used the allocated meditation time, and Brady et al. (2012) reported a 30% attrition rate due to varying work schedule demands.
“Hallman et al. (2017) found that only a few HCPs used the allocated meditation time and Brady et al. (2012) reported a 30% attrition rate due to the varying work schedule demands of the unit.”
From The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review (2021) · cites this paper as Hallman et al. 2017
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- Authors
- Hallman, I. S., O'Connor, N., Hasenau, S., & Brady, S.
- Affiliations
- University of Michigan (US)
- Professor and Chair, Nursing Graduate Program Madonna University Livonia Michigan USA
- Madonna University (US)
- Ascension (US)
- Corresponding author
- Hallman, Ilze S.
- ORCID
- Hasenau, Susan
- Venue
- Journal of Child and Adolescent Psychiatric Nursing
- Publisher
- Wiley
- Published
- 2017-11
- Volume
- 30
- Issue
- 4
- Pages
- 175-180
- ISSN
- 1073-6077 (ISSN-L)
- 1744-6171
- OpenAlex
- W4242861756
- Cited by
- 11
- References
- 22
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 3 · 2021: 3 · 2020: 1 · 2019: 1
- FWCI
- 0.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Child and Adolescent Psychiatric Nursing (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- mindfulness-based stress reduction, staff stress, mindfulness, patient safety, staff safety, safety culture, restraint use, staffing requirements, Perceived Stress Scale
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