"A Wellness Initiative: Mindfulness Training for Unlicensed Assistive P" by Julia Aurora Clarke MSN, RN, CNS

Document Type

DNP Project

Department

School of Nursing

Date of Degree

Spring 2024

Degree

Doctor of Nursing Practice (DNP)

Primary Advisor

Dr. Mercedes Echevarria

Keywords

MIndfulness; Self-care; Well-being; Burnout; MBSR; UAP

Abstract

Background: Burnout leads to decreased staff engagement, productivity, and high attrition rates. The nursing staff most impacted are Unlicensed Assistive Personnel (UAP); therefore, to combat burnout, resilience is to be cultivated. Resilience begins with self-care, which is nurturing the self: mind, body, and soul to safeguard well-being.

Objectives: This project provided mindfulness training as a wellness initiative to promote self-care skills and enhance well-being among the UAP within a healthcare facility.

Methods: This project followed an evidenced-based quality improvement practice framework ( Mindful Self-Care Scale-Brief and IHI- Well-Being Assessment Survey) and used a pre-post-test design to compare self-care and well-being after a mindfulness training program.

Results: Nine female UAPs participated in the intervention; seven completed the pre- and post-Mindful Self-Care Scale-B (MSCS-B) and the IHI- Well-Being Assessment Survey. The MSCS-B pre and post-intervention mean scores were favorable for self- care: pre-intervention means = 83.25 (SD =17.351); post-intervention means = 88.57 (SD = 7.525), and paired sample t-test showed an increase in self-care behaviors and proved statistically significant with a p-value < 0.1. The IHI-Well-being Assessment showed no significance statistically.

Conclusion: This intervention suggests mindfulness training promotes self-care and may enhance well-being. Self-care benefits are essential to the UAP to build resilience and prevent burnout. Healthcare organizations must embrace mindfulness training as it lends itself to a shift in culture: Better patient interaction, quality of care, and communication, as well as a decreased attrition rate. This step is a start for continued study of mindfulness in the UAP.

Open Access

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