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Improving the Culture of Safety on a High‐Acuity Inpatient Child/Adolescent Psychiatric Unit by Mindfulness‐Based Stress Reduction Training of Staff
Author(s) -
Hallman Ilze S.,
O'Connor Nancy,
Hasenau Susan,
Brady Stephanie
Publication year - 2014
Publication title -
journal of child and adolescent psychiatric nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 35
eISSN - 1744-6171
pISSN - 1073-6077
DOI - 10.1111/jcap.12091
Subject(s) - mindfulness , mindfulness based stress reduction , medicine , staffing , perceived stress scale , unit (ring theory) , stress reduction , nursing , stress (linguistics) , clinical psychology , psychiatry , psychology , mathematics education , linguistics , philosophy
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 high‐acuity 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 post‐training and at 2 months. Two instruments were utilized in the study: the T oronto M indfulness S cale and the P erceived S tress S cale. 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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