• No results found

MANUSCRIPT #

5.11 Suggestions for Implementation and Future Research

For future students a hybrid online course integrating occasional face-to-face meetings may be a good way to carry-out implementation of this MM intervention in nursing curriculum going forward. This would allow for improved treatment fidelity and was something that participants expressed a desire for in a post-intervention survey. This design would also allow for the use of a more comprehensive MBSR training program as the interventional modality which was not available in online format at the time of this study. Future research using this longer (eight week) intervention and expansion on training could yield additional data on the benefits of a full mindfulness meditation program for enhancing attention in nursing students. Additional research on the impact of MM on safety in nursing practice at the point of care – perhaps in simulation exercises – is also necessary to further investigate the correlation between attentional efficiency and direct patient-related outcomes.

95 5.12 Conclusion

The results of this study suggest cognitive training in the form of MM may possibly hold promise as a method of enhancing the executive attention efficiency of pre-licensure RN

students. These preliminary findings, from a first-known study of the interventional effect of MM on attentional efficiency in a specific population of pre-licensure nursing students, will require further investigation and replication. Other significant study findings support the integration of MM training into nursing curriculum for the development of mindfulness

characteristics as well as for a self-regulating stress reduction benefit that may have implications for patient safety as well. A convergence of these three outcomes may help nurse educators in their quest to cultivate more intrinsically safe nurses of the future.

96 References

Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., . . . Williams, J. M. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15, 329-342. doi: 10.1177/1073191107313003

Beddoe, A.E., & Murphy, S.O. (2004). Does mindfulness decrease stress and foster empathy among nursing students? Journal of Nursing Education, 43(7), 305-312. Retrieved from

http://www.ncbi.nlm.nih.gov/pubmed/15303583

Beyea, S. C. (2007). Distractions, interruptions, and patient safety. AORN Journal, 86(1), 109. doi: 10.1016/j.aorn.2007.06.015

Brady S., O'Connor N., Burgermeister D., & Hanson P. (2011).The impact of mindfulness meditation in promoting a culture of safety on an acute psychiatric unit. Perspectives In Psychiatric Care 48(3), 129-137. doi: 10.1111/j.1744-6163.2011.00315.x

Broome, M.A., Caperk, A.L., Carachi P., Akeroyd, M.A. & Hilditch, G. (2011). Critical phase distractions in anesthesia and the sterile cockpit concept. Anesthesia 66(3), 175-179. doi: 10.1111/j.1365-2044.2011.06623.x

Bush, G., Luu, P., & Posner, M. (2000). Cognitive and emotional influence in anterior cingulate cortex. Trends in Cognitive Sciences 4(6), 215-222.doi:10.1016/S1364-6613(00)01483-2 Callejas, A., Lupianez, J., Tudela, P. (2004). The three attentional networks: On their

independence and interactions. Brain and Cognition, 54 225- 227.doi:10.1016/j.bandc.2004.02.012

97

Chan, D., & Woollacott, M. (2007). Effects of level of meditation experience on attentional focus: Is the efficiency of executive or orientation networks improved? The Journal of Alternative and Complementary Medicine, 13(6). 651-657. doi: 10.1089/acm.2007.7022 Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ:

Lawrence Erlbaum Associates.

Cohen, S., Kamarch, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385-396. Retrieved from

http://www.jstor.org/stable/2136404

Cook, R. I., O’Connor, M., Render, M., & Woods, D. (2004). Operating at the sharp end: the human factors of complex technical work and its implications for patient safety. In B. Manuel & P. Nora (Eds.),Surgical patient safety. Essential information for surgeons in today’s environment (pp.19-30). Chicago, IL: American College of Surgeons. Retrieved from http://psnet.ahrq.gov/resource.aspx?resourceID=1426

Corbetta M., Kincade J., Ollinger J., McAvoy M., Shulman G. (2000). Voluntary orienting is dissociated from target detection in human posterior parietal cortex. Nature Neuroscience 3(3), 292-297. doi:10.1038/73009

Cornell, P., Herrin-Griffith, D., Keim, C., Petschonek, S., Sanders, A., D'Mello, S., . . .

Shephard, G. (2010). Transforming nursing workflow, part I: The chaotic nature of nurse activities. Journal of Nursing Administration, 40(10), 432-439. doi:

98

Coull, J. T., Frith, C. D., Frackowiak, R. S., & Grasby, P. M. (1996).A fronto-parietal network for rapid visual information processing: A PET study of sustained attention and working memory. Neuropsychologia,34, 1085–1095. doi:10.1016/0028-3932(96)00029-2

Davidson, R.J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, Muller, D., Santorelli, S.,..Sheridan, J.F. (2002). Alterations in brain and immune function produced by mindfulness

meditation. Psychosomatic Medicine 65(4)564-70. doi: 10.1097/01.PSY.0000077505.67574.E3

Davis, D.M. & Hayes, J. A. (2011). What are the benefits of mindfulness? A practice review of psychotherapy-related research. American Psychological Association, 48(2), 198– 208 doi: 10.1037/a0022062

Despins, L.A., Cawiezell, J.S., & Rouder, J.N. (2009). Detection of patient risk by nurses: A theoretical framework. Journal of Advanced Nursing, 66(2), 465-474. doi:

10.1111/j.1365-2648.2009.05215.x

Eberth, J., & Sedlmeier, P. (2012). The effects of mindfulness meditation: A meta-analysis. Mindfulness, 3(3), 174-189. doi:10.1007/s12671-012-0101-x

Ebright, P., Carter Kooken, W., Moody, R., & Latif Hassan Al-Ishaq, M. (2006). Mindful attention to complexity: Implications for teaching and learning patient safety in nursing. Annual Review of Nursing Education, 4, 339-355,358-XII.

Eisenhauer, L.A., Hurley, A.C., & Dolan, N. (2007). Nurses’ reported thinking during medication administration. Journal of Nursing Scholarship, 39(1), 82-87.

99

Epstein, R. M., Siegel, D. J., & Silberman, J. (2008). Self-monitoring in clinical practice: A challenge for medical educators. Journal of Continuing Education in the Health Professions, 28(1), 5-13. doi: 10.1002/chp.149

Fan, J., Gu, X., Guise, K. G., Liu, X., Fossella, J., Wang, H., & Posner, M. I. (2009). Testing the behavioral interaction and integration of attentional networks. Brain and cognition, 70(2), 209-220.doi:10.1016/j.bandc.2009.02.002

Fan, J., McCandliss, B. D., Sommer, T., Raz, A., & Posner, M. I. (2002). Testing the efficiency and independence of attentional networks. Journal of Cognitive Neuroscience, 14, 340-347. doi:10.1162/089892902317361886

Fore, A.M. & Sculli, G.L. (2013). A concept analysis of situational awareness in nursing. Journal of Advanced Nursing 69(12). 2613-2621. doi: 10.111/jan.12130

Fryer, L. A. (2012). Human factors in nursing: The time is now. Australian Journal of Advanced

Nursing, 30(2), 56-65. Retrieved from http://www.ajan.com.au/Vol30/Issue2/7Fryer.pdf

Hallman I, O'Connor N, Hasenau S, Brady S. (2014). Improving the culture of safety on a high- acuity inpatient child/adolescent psychiatric unit by mindfulness-based stress reduction training of staff. Journal of Child & Adolescent Psychiatric Nursing, 27(4), 183-189. doi: 10.1111/jcap.12091

Hart, T. (2008). Interiority and education: Exploring the neurophenomenology of contemplation and its potential role in learning. Journal of Transformative Education 6(4), 235-250. doi: 10.1177/1541344608329393

100

Holden, R. J., Scanlon, M. C., Patel, R. R., Kaushal, R., Escoto, K. H., Brown, R. L., . . . Karsh, B. (2011). A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life. British Medical Journal of Quality and Safety, 20, 15-24. doi: 10.1136/bmjqs.2088.028381

Institute of Medicine (2000). To err is human: Building a safer health system. Washington, DC: National Academy Press.

Ironside, P.M. (2014). Mindfulness: Implications for safety, self-care and empathy in nursing education. Retrieved from http://qsen.org/courses/learning-modules/module-three

Jensen, C. G., Vangkilde, S., Frokjaer, V., & Hasselbalch, S. G. (2012). Mindfulness training affects attention - or is it attentional effort? Journal of Experimental Psychology, 141(1), 106-123. doi: 10.1037/a0024931

Jha, A. P., Krompinger, J., & Baime, M. J. (2007). Mindfulness training modifies subsystems of attention. Cognitive, Affective and Behavioral Neuroscience (Pre-2011), 7(2), 109-19. doi: 10.3758/CABN.7.2.109

Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. New York, NY: Delacorte

Kabat-Zinn, J. (1995). Wherever you go, there you are: Mindfulness meditation in everyday life. New York, NY: Hyperion

101

Kerr, C. E., Jones, S. R., Wan, Q., Pritchett, D., Wasserman, R., Wexler, A., . . . Moore, C. (2011). Effects of mindfulness meditation training on anticipatory alpha modulation in primary somatosensory cortex. Brain Research Bulletin, 85, 96-103. doi:

10.1016/j.brainresbull.2011.03.026

Kozasa, E.H., Sato, J.R., Lacerda, S.S., Barreiros, M., Radvany, J., Russell, T.A…Amaro, Ed. (2012). Meditation training increases brain efficiency in an attention task. Neuroimage, 59. 745-749. doi: 10.1016/j.neuroimage.2011.06.088

Lazar, S. Kerr, C.E., Wasserman, R.H., Gray, J.R., Greye, D.N., Treadway, M.T., …Fischi, B. (2005). Meditation experience is associated with increased cortical thickness.

Neuroreport 16 (7) 1893-1897. Retrieved from

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1361002

Lutz, A., Slagter, H. A., Rawlings, N. B., Francis, A. D., Greischar, L. L., & Davidson, R. J. (2009). Mental training enhances attentional stability: Neural and behavioral evidence. The Journal of Neuroscience, 29(42), 13418-13427. doi: 10.1523/JNEUROSCI.1614-09.2009 Mackenzie, C. S., Poulin, P., & Seidman-Carlson, R. (2006). A brief mindfulness based stress

reduction intervention for nurses and nurse aides. Nursing Research, 19, 105-109. doi: 10.1016/j.apnr.2005.08.002

MacLean, K. A., Ferre, E., Aichele, S. R., Bridwell, D., Zanesco, A., Jacobs, T., . . . Saron, C. (2010). Intensive meditation improves perceptual discrimination and sustained attention. Psychological Science, 6(21), 829-839. doi: 10.1177/0956797610371339

102

MacLeod, J.W., McConnell, M., Lawrence, M., Eskes, G., Klein, R., & Shore, D. (2010). Appraising the ANT: Psychometric and theoretical considerations of the Attention Network Test. Neuropsychology, 24(5), 637-651. doi: 10.137/a0019803

McConnell, M.M. & Shore, D. I. (2011). Upbeat and happy: Arousal as an important factor in studying attention. Cognition and Emotion, 25 (7), 1184-1195.

doi.org/10.1080/02699931.2010.524396

Mowinski Jennings, B., Sandelowski, M., & Mark, B. (2011). The nurse’s medication day. Qualitative Health Research, 21(10), 1441-1451. doi: 10.1177/1049732311411927 Mrazek, M. D., Smallwood, J., & Schooler, J. W. (2013). Mindfulness and

mind-wandering: Finding convergence through opposing constructs. Emotion, 12(3), 442-448. doi: 10.1037/a0026678

National League for Nursing (2013). Annual survey of schools of nursing. Fall 2012. Retrieved

from www.nln.org

Newsome, S., Waldo, M., & Gruszka, C. (2012). Mindfulness group work: Preventing stress and increasing self-compassion among helping professionals in training. The Journal for Specialists in Group Work, 37(4), 297-311. doi: 10.1080/01933922.2012.690

Nhat-Hanh, T. (2011). Peace is every breath. New York, NY: Harper Collins.

Norman, D.A., & Shallice, T. (1986). Attention to action: Willed and automatic control of behavior. In R. Davidson, R. Schwartz & D. Shapiro (Eds.), Consciousness and self- regulation: Advances in research and theory IV. Retrieved from

103

Posner, M.I. & Petersen, S.E. (1990). The attention system of the human brain. Annual Review of Neuroscience. 13 (1): 25–42. doi: 10.1146/annurev.ne.13.030190.000325.

Potter, P., Wolf, L., Boxerman, S., Grayson, D., Sledge, J., Dunagan, C., & Evanoff, B. (2005). Understanding the cognitive work of nursing in the acute care environment. 35(7/8), 327- 335. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/16077274

Reason, J. (1995). Understanding adverse events: Human factors. Quality in Health Care, 4, 80- 89. doi:10.1136/qshc.4.2.80

Rhodes, M., Morris, A., & Lazenby, R. (2011). Nursing at its best: Competent and caring. The Online Journal of Issues in Nursing, 16(2) doi: 10.3912/OJIN.Vol16No02PPT01

Sexton, J., Thomas, R., & Helmreich, R. (2000). Error, stress, and teamwork in medicine and aviation: Cross sectional surveys. British Medical Journal, 320 745-749.

doi:10.1136/bmj.320.7237.745

Shapiro, S. L., Brown, K., & Astin, J. A. (2011). Toward the integration of meditation into higher education: A review of research evidence. Teachers College Record, 113(3). 493- 528. Retrieved from

http://www.colorado.edu/ftep/events/eventdocs/documents/ShapiroResearchReport.pdf

Sitterding, M.C., Broome, M.E., Everett, L.Q., & Ebright, P. (2012). Understanding situation awareness in nursing work: A hybrid concept analysis. Advances in Nursing Science, 35(1), 77-92. doi: 10.1097/ANS.0b013e318450158

104

Song Y., & Lindquist R. (2015). Effects of mindfulness-based stress reduction on depression, anxiety, stress and mindfulness in Korean nursing students. Nurse Education Today, 35(1), 86-90.doi.org/10.1016/j.nedt.2014.06.010

Tang, Y., Ma, Y., Wang, J., Fan, Y., Feng, S., Lu, Q., . . . Posner, F. (2007). Short-term

meditation training improves attention and self-regulation. National Academy of Sciences, USA. , 43(103) 17152-17156. doi: 10.1073/pnas.0707678104

Unver, V., Tastan, S., & Akbayrak, N.(2012). Medication errors: Perspectives of newly graduated and experienced nurses, 18, 317-324. doi: 10.111/j.1440-172X.2012.02052.x

van den Hurk, P., Giommi, F., Gielen, S.C., Speckens, A.E., & Barendregt, H. (2010). Greater efficiency in attentional processing related to mindfulness meditation. The Quarterly Journal of Experimental Psychology, 63(6), 1168-1180. doi: 10.1080/17470210903249365 Zeidan, F., Johnson, S. K., Diamond, B. J., David, S., & Goolkasian, P. (2010). Mindfulness

meditation improves cognition: Evidence of brief mental training. Consciousness and Cognition, 19, 597-605. doi:10.1016/j.concog.2010.03.014

105 CHAPTER 6