The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a
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REVIEW
The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review Sarah Angela Kriakous 1
&
Katie Ann Elliott 2 & Carolien Lamers 3 & Robin Owen 4
Accepted: 6 September 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Objectives Burnout and occupational stress are frequently experienced by healthcare professionals (HCPs). Mindfulness-based stress reduction (MBSR) has been found to improve the psychological health outcomes of HCPs. To date, systematic reviews and meta-analyses have primarily focused upon empirical investigations into the reduction of stress amongst HCPs using MBSR and are limited to empirical studies published before December 2019. This systematic review aimed to update the current evidence base and broaden our understanding of the effectiveness of MBSR on improving the psychological functioning of HCPs. Methods Three electronic databases (Medline, Psych Info and Web of Science) were searched without time frame restrictions. Quantitative studies included randomised controlled trials, clinical controlled trials, pre-post designs and studies with up to a 12month follow-up period. All studies included in the review employed a MBSR programme, standardised measures of psychological functioning and qualified HCPs as participants. Results Using PRISMA guidelines thirty studies were included in the review. The reviewed literature suggested that MBSR was effective in reducing HCPs experiences of anxiety, depression and stress. MBSR was also found to be effective in increasing HCP levels of mindfulness and self-compassion. However, MBSR did not appear as effective in reducing burnout or improving resilience amongst HCPs. Abbreviated MBSR programmes were found to be as effective as the traditional 8-week MBSR programmes. Conclusions MBSR is an effective intervention which can help improve the psychological functioning of HCPs. Recommendations include improving the overall quality of the studies by employing more robust controlled designs with randomisation, increased sample sizes with heterogeneous samples, and making active comparisons between interventions used. Keywords Mindfulness . Mindfulness-based stress reduction . Stress . Burnout . Resilience . Review
HCPs are exposed to emotionally challenging and stressful situations in the workplace, particularly in the current climate,
* Sarah Angela Kriakous [email protected] 1
Elysium Healthcare Limited, Ty Grosvenor, 16 Grosvenor Road, LL11 1BU Wrexham, UK
2
Forensic Clinical Psychology Department, North Wales Forensic Psychiatric Service, Ty Llywelyn Medium Secure Unit, Ysbyty Bryn y Neuadd, Llanfairfechan, LL33 0HH Conwy, UK
3
North Wales Clinical Psychology Programme, Bangor University, LL57 2DG Bangor, UK
4
Early Interventions in Psychosis, Hergest Unit, Ysbyty Gwynedd, Gwynedd, LL57 2PW Bangor, UK
with an increased demand for clinical productivity and other work-related pressures (Schinler et al. 2006). Occupational stres
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