Chapter 19: Self‐care and wellbeing
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Evidence‐based approaches
Evidence‐based mindfulness‐based interventions include Mindfulness‐Based Stress Reduction (MBSR) (Williams and Penman [81]) and Mindfulness‐Based Cognitive Therapy (MBCT) (Segal et al. [67]). Study outcomes show that those who satisfactorily complete an 8‐week course of weekly sessions each lasting 2–3 hours are able to cultivate mindfulness and self‐compassion. When mindfulness skills are developed, people also report improved mental health and resilience (Keng et al. [39]). Similarly, a systematic review demonstrated that nurses who undertook mindfulness‐based interventions and continued with practice showed significant changes in their health and wellbeing, self‐compassion, empathy, stress and serenity compared to those who did not (Burton et al. [7]).
In workplaces, a range of mindfulness interventions are helpful (Burton et al. [7]), such as brief introductory courses to fit around working patterns, tailored one‐off sessions for teams and 8‐week courses. An 8‐week mindfulness course adapted from MBSR and MBCT to be more accessible to employees in a healthcare setting has recently been piloted at The Royal Marsden Foundation NHS Trust. This showed significant benefits 3 months after completion for those who participated.
Rationale
Contraindications
Mindfulness is unsuitable for anyone diagnosed with post‐traumatic stress disorder, any psychotic mental health disorder or anyone suffering with dissociative states.