Factors affecting implementation of mindfulness in hospital settings: A qualitative meta-synthesis of healthcare professionals' experiences

Randi Karkov Knudsen , Sine Skovbjerg , Elna Leth Pedersen , Camilla Littau Nielsen , Marie Højriis Storkholm , Connie Timmermann
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Abstract

Background

Researchers have found that mindfulness-based interventions can reduce stress and improve mental health in healthcare professionals, as well as support relationship building, communication, and compassionate care. However, few researchers have systematically examined what determines successful implementation in hospital settings, which is essential for integrating research in clinical practice.

Objectives

The aim of this study was to synthesize qualitative data regarding healthcare professionals’ experiences of factors affecting implementation of mindfulness in hospital settings and outline recommendations for clinical practice.

Design

A systematic review and meta-synthesis of qualitative studies.

Data sources

A systematic search was conducted in six databases; Scopus, PubMed, CINAHL, PsycINFO (Ovid), Web of Science, and ProQuest Dissertations and Theses Global. The inclusion criteria were: 1) Healthcare professionals engaged in patient care in hospital settings, 2) Mindfulness-based interventions defined by Crane and colleagues’, and 3) Primary studies using a qualitative design.

Review methods

Multiple researchers were engaged in screening, quality assessment, data extraction, and interpretation of the results. Thematic synthesis described by Thomas and Harden guided the data analysis. Reporting followed Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ).

Results

Eighteen studies were included. We identified three overall themes of importance for successful implementation: 1) Buying In, 2) Allocating time and space, and 3) Keeping it going. The results revealed that cultural values, held beliefs about mindfulness, inter-professional relationships, and context-related factors such as time and space could affect implementation of mindfulness in hospital settings.

Conclusion

Based on the results, we formulated eight recommendations to guide stakeholders and hospital management in planning implementation of mindfulness in hospital settings. However, to confirm the results, more research where mindfulness implementation is the primary aim is needed.

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影响在医院环境中实施正念的因素:医护人员经验的定性元综合
背景研究人员发现,以正念为基础的干预措施可以减轻医护专业人员的压力并改善其心理健康,还可以支持关系建设、沟通和爱心护理。本研究旨在综合医护人员对影响正念在医院环境中实施的因素的体验的定性数据,并概述对临床实践的建议。数据来源在六个数据库中进行了系统检索:Scopus、PubMed、CINAHL、PsycINFO (Ovid)、Web of Science 和 ProQuest Dissertations and Theses Global。纳入标准为综述方法多名研究人员参与了筛选、质量评估、数据提取和结果解释工作。Thomas 和 Harden 所描述的主题综合法指导了数据分析。报告遵循《提高定性研究综合报告的透明度》(ENTREQ)。我们确定了成功实施的三个重要主题:1) 认同,2) 分配时间和空间,3) 坚持下去。结果表明,文化价值观、对正念的信念、跨专业关系以及时间和空间等与环境相关的因素都会影响正念在医院环境中的实施。结论根据研究结果,我们提出了八项建议,以指导利益相关者和医院管理层规划在医院环境中实施正念。然而,为了证实这些结果,还需要进行更多的以正念实施为主要目标的研究。
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来源期刊
CiteScore
5.80
自引率
0.00%
发文量
45
审稿时长
81 days
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