Twenty-two nurses consented to participate in the program evaluation. Sixteen of the 22 nurses completed the post-implementation Qualtrics survey. Of these 16 nurses, 15 completed all four modules. The nurse participants ranged in age from 20 to 61+ years old. The majority of the sample was female (87.5%) and worked primarily on day shift (81.25%). There was no
representation from nightshift. Further, the majority (87.5%) of participants worked full time (36-40 hours/week) and had 15 or less years of experience as a nurse in the psychiatric-mental health field.
Helpfulness of Program Content and Learning Platform - Primary Outcomes
Statements 11-19 on the Qualtrics Survey asked participants to rate (strongly disagree- strongly agree) whether the program content was helpful for increasing curiosity, paying attention to small details, using multiple perspectives, and engaging in mindfulness practice. Responses strongly supported content helpfulness with outcomes of strongly agree (32%) and agree (55%) (See Figure 1). Statements 20-25 asked participants to rate (strongly agree-strongly disagree) the ease of use of Google Sites, multimedia, type of information to promote
understanding, and clarity of modules. Questions about the learning platform feasibility demonstrated similar strong results: strongly agree (49%) and agree (42%) (See Figure 2). A total of 91% of the participants agreed they had aspirations for behavior change and desired to integrate mindfulness into the workplace setting and everyday life (statements 15 and 16).
Participants indicated they practiced mindfulness approximately four days a week during and after the program.
Figure 1: Program Content Helpfulness
* The degree to which each participant agreed with statements related to helpfulness of the program content.
0 2 4 6 8 10 12 1= Strongly Disagree 2= Disagree 3= Nuetral 4= Agree 5= Strongly Agree
Program Content Helpfulness
I feel that mindfulness can help me effectively manage stress and burnout. I have a better understanding of how mindfulness can reduce stress and burnout.
I am able to successfully utilize interventions to practice mindfulness. I plan to use at least one mindfulness strategy in the workplace setting. I plan to use mindfulness in my everyday life.
I feel more open to considering multiple perspectives.
I feel more open to considering new ways of doing things.
Figure 2: Learning Platform Feasibility
* The degree to which each participant agreed with statements related to the feasibility of the learning platform.
The modules were designed to require approximately 30 minutes or less each week. The majority of the participants indicated they spent between 10 and 30 minutes on average
completing each module (See Appendix 9). Five participants downloaded and used one of the smartphone applications that would send “be mindful” reminders at various times. Eighty-six percent of the participants responded “agree” or “strongly agree” to a positive change in attitude, because of working with Langer’s tenets of mindfulness (statements 11-14). Twelve participants thought mindfulness could assist with management of stress and burnout (statement 19). Finally,
0 2 4 6 8 10 12 1= Strongly Disagree 2=Disagree 3= Neutral 4= Agree 5= Strongly Agree
Learning Platform Feasibility
Google sites was easy to access and navigate.
The amount of multimedia (audio, video, animation) used in the modules added value to the effectiveness of the program.
I would recommend these modules to peers in the workplace.
The program modules were clear and easy to follow.
The activities helped me gain a clearer understanding of mindfulness. This program was useful in meeting my needs for information about ways to use mindfulness to reduce stress and burnout.
91% of the participants agreed the program increased their knowledge and use of mindfulness to decrease stress and burnout and felt capable of practicing mindfulness interventions (statements 17 and 18).
Barriers and Facilitators - Secondary Outcome
The goal of the focus group was to gather information related to barriers to and
facilitators of the program. Two of the sixteen nurse participants attended the 30-minute focus group. This group occurred the first week after implementation of the four-week module implementation. The discussion did not reveal any barriers to participation in the program. A valuable suggestion was offered to combine all the practice skills into one printed document for easy reference. Major facilitators of the program identified by the focus group participants included the brief length of the modules, reminder emails, easy use of Google Sites, and increased accessibility from multiple types of devices. One of the participants described practicing the mindfulness skills either early in the morning or later in the evening when everything was quiet and there were fewer distractions.
Website and Anecdotal Data
Based on Google Analytics for the Paving the Path to Mindfulness Website, there were 380 “page views” during implementation. Thirteen minutes was the average duration of
engagement with the website during a single session. Participants used hand-held smart devices to access the website approximately 53% of the time (See Appendix 10).
Information was also recorded by the Project Leader through informal communication with the nurses during various work shifts and through email communication. Two nurses communicated that they would have liked the website to offer some type of confirmation when they completed the module. Approximately five-to-six nurses commented how much they
enjoyed the engaging videos and expert speakers that presented the content. While at work, the Project Leader overheard a fellow nurse’s phone play a sound alert and she indicated the mindfulness mobile application was the cause of the sound. Another nurse commented she had always thought of “stress as the enemy…and will now think of stress in a different way.”