Interdisciplinary Centre for Palliative Medicine, Medical Faculty, Heinrich Heine University Düsseldorf, Moorenstr 5, 40225, Düsseldorf, Germany.
Cusanus Krankenhaus, Karl-Binz-Weg 12, 54470, Bernkastel-Kues, Germany.
BMC Palliat Care. 2023 Apr 10;22(1):37. doi: 10.1186/s12904-023-01158-9.
Palliative care teams work under challenging conditions in a sensitive setting with difficult tasks. The multi-professional team can play an important role. Mindfulness and compassion-based practices are used to build resilience. Our aim was to examine (1) feasibility and acceptability, (2) satisfaction and impact, and (3) opportunities and limitations of a mindfulness course.
An eight-week mindfulness and compassion course was delivered in a university-based specialized palliative care unit. A meditation teacher provided preparatory evening sessions and meditation exercises that could be integrated into daily activities. The scientific analysis of the course was based on a questionnaire developed for quality assessmentThe first two parts consisted of demographic, Likert-type, and free-text items. Part 3 consisted of learning objectives that were self-assessed after finishing the course (post-then). In the analysis, we used descriptive statistics, qualitative content analysis, and comparative self-assessment.
Twenty four employees participated. 58% of participants attended 4 or more of the 7 voluntary mindfulness days. 91% expressed moderate to high satisfaction and would recommend the palliative care program to others. Three main categories emerged in the qualitative content analysis: providing feedback on the course, personal impact, and impact on professional life. The opportunity for self-care in a professional context was highlighted. Learning gains (CSA Gain) were high (38.5-49.4%) in terms of knowledge and techniques, moderate (26.2-34.5%) in terms of implementation of learned skills, and rather low (12.7-24.6%) in terms of changes to attitude.
Our evaluation shows that the participants of a mindfulness and compassion course considered it as a feasible and welcome tool to familiarize a multi-professional palliative care team with self-care techniques.
Internal Clinical Trial Register of the Medical Faculty, Heinrich Heine University Düsseldorf, No. 2018074763 (registered retrospectively on 30 July 2018).
姑息治疗团队在具有挑战性的条件下，在敏感的环境中完成困难的任务。多专业团队可以发挥重要作用。正念和基于慈悲的实践被用来建立韧性。我们的目的是检查（1）可行性和可接受性，（2）满意度和影响，以及（3）正念课程的机会和局限性。
在一所大学的专门姑息治疗病房中，提供了八周的正念和慈悲课程。一位冥想教师提供预备的晚间课程和冥想练习，可以将其融入日常活动中。课程的科学分析基于为质量评估而开发的问卷。前两部分包括人口统计学、李克特量表和自由文本项目。第三部分包括完成课程后的自我评估学习目标（后测）。在分析中，我们使用了描述性统计、定性内容分析和比较自我评估。
共有 24 名员工参加了该课程。58%的参与者参加了 7 次自愿正念日中的 4 次或更多次。91%的人表示满意度中等至很高，并会向他人推荐姑息治疗计划。定性内容分析中出现了三个主要类别：对课程的反馈、个人影响和对职业生活的影响。在专业背景下进行自我保健的机会得到了强调。在知识和技术方面，学习增益（CSA 增益）较高（38.5-49.4%），在所学技能的实施方面中等（26.2-34.5%），而在态度改变方面则较低（12.7-24.6%）。
我们的评估表明，正念和慈悲课程的参与者认为这是一种可行且受欢迎的工具，可以使多专业姑息治疗团队熟悉自我保健技术。
海因里希·海涅大学杜塞尔多夫医学院内部临床试验注册处，编号 2018074763（于 2018 年 7 月 30 日回溯注册）。
