An evaluation of a short course in mindfulness for Health Visitor Practice Teachers

Project report


Greaves, J., Watson, J., Keen, H. and Health Education England working across Kent Surrey and Sussex 2016. An evaluation of a short course in mindfulness for Health Visitor Practice Teachers.
AuthorsGreaves, J., Watson, J., Keen, H. and Health Education England working across Kent Surrey and Sussex
TypeProject report
Abstract

Practice Teachers (PTs) participated in an 8 week course, Mindfulness Based Cognitive for well-being and resilience. The evaluation was undertaken using three (3) evidenced based questionnaires: Perceived stress(PSS) (Cohen et al 1983), Self-Compassion Score SCS (Neff 2003) and Five Facet Mindfulness Questionnaire (FFMQ) (Baer et al 2006) to identify outcomes for the mindfulness training. Findings indicate the impact on personal wellbeing and professional practice with recommendations for retention of students & Health Visitor (HV) workforce.

Summary
Mindfulness skills to support top performance and good mental health were offered in eight two-hour sessions to 18 Practice Teachers from September- December 2014 and was evaluated. The course drew on the approach of Mindfulness Based Cognitive Therapy, where participants learn to focus their attention and develop the possibility of creating the space for reflection and response rather than reacting to life’s difficulties. Participants had the opportunity to develop self–care and self-compassion in the sessions as well as in between sessions and which research has shown can have a positive effect on others. Compassion is a contemporary theme in the CNO’s strategy to return to the fundamentals of nursing; mindfulness enables the foundation of practising compassion on self and ultimately to practice compassion with others we work and care for.
The attendees were encouraged to review and refresh their practice through with the ultimate planned outcome, to reduce student attrition and prevent breakdown of the practice placement. However, this is a the complex area of adult learning and the nature of student attrition from courses as well as from the workforce cannot necessarily be reduced to one factor.
The practice of mindfulness can have an influential effect on health, well-being and resilience, as shown by scientific and medical evidence. This experiential course was neither therapy nor religious instruction but an effective means of helping to alleviate stress and promoting well-being, resilience and flourishing. The course was delivered at a time when practitioners, including PTs were experiencing an increase of student numbers and service delivery changes with associated imperative data collection. The perception of practitioners about the declared increase in the HV workforce (DH 2011) to support and implement these changes was not evident and the evaluation indicates the need for self-care and resilience in the workforce which includes students and practitioners.
The project outcomes make recommendations based on the impact of this mindfulness training with PTs to inform future developments within the programme and practice education as well as the HV workforce where a number of interventions call for 'mindfulness' with infants, children and families.

Year2016
Output statusUnpublished
File
Publication process dates
Deposited04 Nov 2016
Completed13 Oct 2016
FunderHealth Education England Kent Surrey and Sussex
References

Albrecht, N. J., Albrecht, P. M. & Cohen, M. 2012. Mindfully teaching in the classroom: A literature review. Australian Journal of Teacher Education, 37, 1-14.
Appleton, JV. Cowley, S. (2008) Health visiting assessment—unpacking critical attributes in health visitor needs assessment practice: A case study International Journal of Nursing Studies 45 (2008) 232–245
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27-45.
Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., et al. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15, 329-342.
Bond, A.R., Mason, H.F., Lemaster, C.M., Shaw, S.E., Mullin, C.S., Holick, E.A. and Saper, R.B. ((2013) 'Embodied health: the effects of a mind-body course for medical students', Med Education Online 18 20699 http://dx.doi.org/10.3402/meo.v18i0.20699
Breathworks (2013) Department of Health Staff well-being pilot. http://www.breathworks-mindfulness.org.uk/blog/entry/department-of-h...
Brown, K.W. & Ryan, R.M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84,822-848.
Chambers, C., (June 2013) Taking a lead in compassionate care: The challenge for Health Visitors in responding to the six Cs Journal of Health Visiting Volume 1 Issue 6
Chaskalson, M. (2011) The Mindful Workplace: Developing resilient individuals and resonant organisations with MBSR, Chichester: Wiley- Blackwell
Cohen, S; Kamarck T; Mermelstein R (December 1983). A global measure of perceived stress Journal of Health and Social Behavior 24 (4): 385–396Link to full-text (pdf)
Cohen, S., & Williamson, G. (1988). Perceived stress in a probability sample of the United States. In S. Spacapam & S. Oskamp (Eds.), The social psychology of health: Claremont Symposium on applied social psychology. Newbury Park, CA: Sage. Link to full-text (pdf)
Crane, R. S., Eames, C., Kuyken, W., Hastings, R. P., Williams, J. M. G., Bartley, T., Evans, A., Silverton, S., Soulsby, J. G. & Surawy, C. (2013). Development and Validation of the Mindfulness-Based Interventions - Teaching Assessment Criteria (MBI:TAC). Assessment, 20, 681-688.
Cummings J, Bennett V (2012) Compassion in Practice Department of Health, London (Accessed Jan 2014) Available at http://www.england.nhs.uk/wp-content/uploads/2012/12/compassion-in-p...
Department of Health (2009) Healthy Child Programme: Pregnancy and the First 5 Years of Life London (Accessed on August 2009) Available at https://www.gov.uk/government/uploads/system/uploads/attachment_data...

Department of Health (2011) Health Visitor Implementation Plan 2011 – 15. A call to Action. https://www.gov.uk/government/publications/health-visitor-implementa...
Department of Health (2010) The Operating Framework for the NHS in England 2011/12 Available at https://www.gov.uk/government/uploads/system/uploads/attachment_data...
Department of Health (2011) Health Visitor Implementation Plan 2011-2015: A Call to Action, London (Accessed on Jan 2012) Available at http://www.england.nhs.uk/ourwork/qual-clin-lead/hlth-vistg-prog/
Department of Health (2013a) Public Health Outcomes Framework for England 2013 to 2016 London
Devlin, A.; Adams,K.; Hall, L.; Watts,P.; (October 2014) Educating Practice Teachers and Specialist Practice Mentors for their New Role: Ensuring high quality practice learning Final Report from the Task and Finish Group on Health Visitor Practice Education Health Education England
De Zulueta, P. (2014). Compassionate resilience- why we need it in healthcare. Human Values in Healthcare Forum. Summer Update p.2 cited by Institute of Health Visitor & Health Education England (October 2014) Making the Most of Health Visiting The Importance of Developing Compassionate Resilience in Health Visiting

De Vibe, M., Solhaug, I., Tyssen, R., Friborg, O., Rosenvinge, J.H., Sorlie, T. and Bjorndal, A. (2013) 'Mindfulness training for stress management: a randomised controlled study of medical and psychology students.' BMC Medical Education 13: 107
Devlin, A. Adams, K., Hall, L. and Watts, P. (2014) Educating Practice Teachers and Specialist Practice Mentors for their new role: Ensuring high quality Practice Learning. Project Report. Health Education England
Dobkin, P.L., Bernardi, N.F., and Bagnis, C.I., (2016) 'Enhancing Clinicians' wellbeing and patient-centered care through Mindfulness'. Journal Continuing Education Health Professionals 36:
Douglas, H. (2007) Containment and Reciprocity: integrating psychoanalytic theory and child development research for work with children London: Routledge
Eary, M. R., Tate, E. B., Adams, C. E. & Allen, A. B. 2007. Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. Journal of Personality and Social Psychology, 887-904.
Feldman, C. & Kuyken, W. (2013) Compassion in the Landscape of Suffering. In: WilliamS, J. M. G. & Kabat-Zinn, J. (eds.) Mindfulness: Diverse Perspectives on its Meaning Origins and Applications. 1st ed. London: Routledge.
Foster, D. (2016) ' Is Mindfulness making us ill'. http://www.theguardian.com/lifeandstyle/2016/jan/23
Germer, C. K. 2009. The mindful path to self-compassion: freeing yourself from destructive thoughts and emotions. New York, The Guilford Press.
Gilbert, P. (2014)The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53, 6-41.
Gilbert, P. & Choden (2013) Mindful compassion, London, Constable and Robinson
Gustin, L.W. And Wagner, L. (2013) 'The butterfly effect of caring- clinical nursing teachers' understanding of self-compassion as a source to compassionate care. 'Scandinavian Journal of Caring Sciences. 27 pp 175 – 183
Institute of Health Visiting (2014) Infant Mental Health Training Pack Wave London
Irving, J.A., Dobkin, P.L., and Park, J. (2009), 'Cultivating Mindfulness in health care professionals: A review of empirical studies of mindfulness-based stress reduction 9MSBR). Complimentary Therapies in Clinical Practice 15 pp61 – 66.
Jain, S., Shapiro, S.L., Swanick, S., Roesch, S.C., Mills, P.J., Bell, I. and Schwartz, G.E.R.(2007) 'A randomized controlled trial of Mindfulness meditation versus relaxation training: Effects on distress, positive states of mind, rumination and distraction.' Annals of Behavioural Medicine, 33, pp11 – 21
Jenkins, J.,(DATE) Out of the ordinary: Is Mindfulness meditation dangerous? http://www.bbc.co.uk/programmes/articles/
Kabat- Zinn, J. (1990) Full Catastrophe Living: How to cope with stress, pain and illness using mindfulness meditation. New York, Dell.
Kabat- Zinn, J. 2005. Coming To Our Senses: Healing Ourselves and the World Through Mindfulness. London, Piatkus
Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., Evans, A., Radford, S., Teasdale, J. D. & Dalgleish, T. (2010) How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy, 48, 1105-1112.
Lindley, P.; (2016) Building resilience In health visitor students for coping with adversity in practice from PhD Thesis (unpublished) presentation to SCPHN Practice Teachers at CCCU March 2016
Mcalpine, L. (2013) Pilot study on the Mindfulness in Schools Project's Foundation Course for Teachers: Investigating the effects on levels of stress and well-being in secondary school teachers., Exeter University.
Malone, M.;Whittaker,K;.Cowley,S;. Ezhova,I;. Maben, J ;. (2016) Health visitor education for today's Britain: Messages from a narrative review of the health visitor literature Nurse Education Today 44 (2016) 175–186
Manley, K. Greaves (2016) Implementing & Evaluating a Community of Practice for Health Visiting Final Report Canterbury Christ Church University and HEKSS
Meyer,J. and Land, R.(2003) Threshold Concepts and Troublesome Knowledge: Linkages to Ways of Thinking and Practising within the Disciplines Occasional Report 4 © ETL Project, Universities of Edinburgh, Coventry and Durham
Mindfulness All-Party Parliamentary Group (MAPPG) 2015, Mindful Nation UK, http://themindfulnessinitiative.org.uk/images/reports/Mindfulness-AP...
Mindfulnet.org 'Applications and uses of Mindfulness.' http://mindfulnet.org/page3.htm
McGarrigle, T. and Walsh, C.A., (2011) 'Mindfulness, self-care and wellness in Social Work: effects of contemplative training.' Journal of religion and spirituality in Social Work: Social thought. 30:3, pp 212 – 233
Morgan, P., Simpson, J. & Smith, A. Mindfulness (2015) Health Care Workers’ Experiences of Mindfulness Training: a Qualitative Review Mindfulness 6:4 744. doi:10.1007/s12671-014-0313-3
Mouchel Management Consulting Ltd report prepared for the Centre for Workforce Intelligence (2012) Education Commissioning Risks in Health Visiting
Nursing and Midwifery Council (NMC) (2004) Standards and Proficiencies for Specialist Community Public Health Practice London (Accessed June 2004) Available at http://www.nmc-uk.org/Educators/Standards-for-education/Standards-of...
Nursing and Midwifery Council (NMC) (2008) Standards to support learning and assessment in practice (Accessed July 2008) Available at https://www.nmc.org.uk/standards/additional-standards/standards-to-s...
Nursing and Midwifery Council (NMC) circular 08/2011 (Revised 8 April 2014) Practice teachers supporting more than one SCPHN or SPQ student in practice (Accessed December 2011)
NHS Staff Survey (2015)http://www.nhsstaffsurveys.com/Caches/Files/20160322_NHS%20Staff%20S...
National Institute for Health and Care Excellence (NICE) (2009, updated 2016) needs more Depression in adults: Recognition and Management Nice Guidelines (CG90) https://www.nice.org.uk/guidance/CG90
Neff, K. D. (2003). Development and validation of a scale to measure self-compassion. Self and Identity, 2, 223-250.
Neff, K.D. (2016) The Self-Compassion Scale is a Valid and Theoretically Coherent Measure of Self-Compassion, 7: 264. Mindfulness DOI 10.1007/s12671-015-0479-3
Office for National Statistics (ONS) (2014). 'Full Report: Sickness absence in the labour market. February 2014.' http://webarchive.nationalarchives.gov.uk/20160105160709/http://www.ons.gov.uk/ons/dcp171776_353899.pdf
Pettit, A. and Stephen, R. (2015) 'Supporting Health Visitors and fostering resilience: Literature review.' http://ihealth visitor.org.uk/wp-content/uploads/2015/10/iHEALTH VISITOR_Literature-Review_V10.pdf
Poulin, P.A., Mackenzie, C.S., Soloway, G. and Karayolas, E. (2008) 'Mindfulness training as an evidence-based approach to reducing stress and promoting well-being among human services professionals.' International Journal of Health Promotion and Education, 46:2, pp72 – 80
Raab, K. (2014) 'Mindfulness, self-compassion and empathy among health care professionals: A review of the literature.' Journal of Health Care Chaplaincy 20:3 pp95 – 108
Reid, D.T., (2013) 'Teaching mindfulness to occupational therapy students: Pilot evaluation of an online curriculum.' Canadian Journal of Occupational Therapy 80:1 pp42 – 48
Roeser, R. W., Schonert-Reichl, K. A., Jha, A., Cullen, M., Wallace, L., Wilensky, R., Oberle, E., Thomson, K., Taylor, C. & Harrison, J. (2013). Mindfulness training and reductions in teacher stress and burnout: Results from two randomized, waitlist-control field trials. Journal of Educational Psychology, 105, 787-804.
Roeser, R. W., Skinner, E., Beers, J. & Jennings, P. A. (2012). Mindfulness Training and Teachers' Professional Development: An Emerging Area of Research and Practice. Child Development Perspectives, 6, 167-173.
Segal, Z. V., Williams, J. M. G. & Teasdale, J. D. (2013) Mindfulness-based cognitive therapy for depression, New York; London, Guilford Press.
Shapiro, S.L., Astin, J.A., Bishop, S.R. And Cordova, M.C. (2005) 'Mindfulness-based stress reduction for health care professionals: Results from a randomized trial.' International Journal of Stress Management 12:2, pp164 – 176
Shapiro, S.L., Carlson, L.E., Astin, J.A. And Freedman, B. (2006) 'Mechanisms of Mindfulness'. Journal of Clinical Psychology 62:3 pp373 – 386
Singh, N. N., Lancioni, G. E., Winton, A. S. W., Karazsia, B. T. & Singh, J. (2013) Mindfulness Training for Teachers Changes the Behavior of Their Preschool Students. Research in Human Development, 10, 211-233.
Van Dam, N. T., Sheppard, S. C., Forsyth, J. P. & Earleywine, M. (2011) Self-compassion is a better predictor than mindfulness of symptom severity and quality of life in mixed anxiety and depression. Journal of Anxiety Disorders, 25, 123-130
Wallbank,S. Woods G,. (2012) A healthier health visiting workforce: findings from the Restorative Supervision Programme Community Practitioner; 85(11): 20–23.
Warriner, S., Williams, M., Bardacke, N. and Dymond, M. (2012) 'A Mindfulness approach to antenatal preparation.' British Journal of Midwifery, 20:3 pp194 – 199
Whittaker, K., Grigulis, A., Hughes, J., Cowley, S., Morrow, E., Nicholson, C., Malone, M. and Maben, J. (2013) Start and Stay: The Recruitment and Retention of Health Visitors. National Nursing Research Unit, London (Accessed July 2013) Available at http://www.kcl.ac.uk/nursing/research/nnru/publications/index.aspxWi...
Williams & Penman,D. (2014) Mindfulness: a Practical Guide to finding Peace in a Frantic World. Piatkus.
Wolever, R.Q., McCabe, K., Fekete, E., Bobinet, K.J., Mackenzie, E.R. And Kusnick, C.A. (2012) 'Effective and viable mind-body stress reduction in the workplace: A randomized controlled trial.' Journal of Occupational Health Psychology 17:2 pp246 – 258
Zindel V. Segal, J. Mark G. Williams, John D. Teasdale (2002) Mindfulness-based Cognitive Therapy for Depression: A New Approach to Preventing Relapse Guilford Press 2

Permalink -

https://repository.canterbury.ac.uk/item/87yqz/an-evaluation-of-a-short-course-in-mindfulness-for-health-visitor-practice-teachers

  • 4
    total views
  • 0
    total downloads
  • 1
    views this month
  • 0
    downloads this month

Export as