Mindful Self-Care and Resiliency
Mindful Self-Care and Resiliency (MSCR) is a psychoeducation and skills-based program developed by Mark Craigie for nurses and health professionals wishing to learn skills to be more resilient to work place stress as well as prevent compassion fatigue and burnout. This program in its current form consists of a 1-day workshop, followed by three 1-hour and 45 minute practice seminars that are run over 3 consecutive weeks following the workshop. The intervention is based on Eric Gentry’s compassion fatigue resiliency program previously evaluated by Flarity et al., (2013) and a modified and briefer version of Segal, Williams and Teasdale’s (2002) original MBCT program. The core elements of MSCR consist of education about CF and training skills in self-regulation, intentionality, perceptual maturation, sharing narratives, self-care, and mindfulness in a group format. MSCR has been delivered to nurses at Sir Charles Gairdner Hospital in Perth since 2014 as part of ongoing professional development.
Health professionals and nurses working in acute care hospitals and similar environments are routinely exposed to organisational change, patient distress, patient trauma, unrealistic patient expectations, and high workload stressors (Dominguez-Gomez & Rutledge, 2009; McVicar, 2003). Such stressors experienced by healthcare providers and nurses can take a high professional, physical and emotional toll, and can result in the acute syndrome known as compassion fatigue (CF: Figley, 1995, 2002). Charles Figley (1995) first defined CF as a combination of secondary traumatic stress (STS) and burnout. Compassion fatigue in this conception develops from the negative aspects of care provision, and is the consequence of the demands of the work environment and caregiving to distressed individuals. Secondary traumatic stress is an acute condition that can occur for carers and health professionals frequently exposed to the stress and trauma of others (Boyle, 2011). On the other hand, burnout is a work-related stress symptom and is associated with depersonalisation, emotional exhaustion, and an inability to work effectively (Maslach, Schaufeli, & Leiter, 2001).
The MSCR intervention was piloted in 2014 with nurses at Sir Charles Gairdner Hospital in Perth as a project associated with the International Collaboration for Workforce Resilience (ICWR) project at Curtin University. The initial findings by Craigie et al. (2016) have been promising with a larger replication controlled trial has now been published (go to journal article abstract at: 10.1007/s12671-016-0516-x). A further effectiveness evaluation is planned for rural doctors in Queensland in 2018. It is also conceivable that MSCR is likely to be applicable to arrange of health care professionals where burnout and CF are a potential problem.
Most recently, MSCR is being further progressed as part of the International Collaboration of Occupational Resilience (ICOR). ICOR is an international research consortium currently based at CQ University in Queensland, with the primary objective to advance the understanding of factors impacting on occupational resilience within multiple occupational groups. These occupational groups include but are not limited to, health care workers (nurses, midwives, doctors, allied health, administrative and operational staff), teachers and first-responders. Empirical research studies are being conducted by researchers from multiple universities across Australia and internationally. The consortium is led by Professor Desley Hegney at CQUniversity and Professor Clare Rees at Curtin University. More information on ICOR can be obtained from the official ICOR website.
Further Information: Email Mark at Contact.
Slatyer, S., Craigie, M., Heritage, B. et al (2017). Evaluating the effectiveness of a brief mindful self-care and resiliency (MSCR) intervention for nurses: a controlled trial. Mindfulness. https://doi.org/10.1007/s12671-017-0795-x
Craigie, M. A., Slatyer, S., Hegney, D., Osseiran-Moisson, R., Gentry, E., et al. (2016). A pilot evaluation of a mindful self-care and resiliency (MSCR) intervention for nurses. Mindfulness, DOI: 10.1007/s12671-016-0516-x.
Flarity, K., Gentry, J. E., & Mesnikoff, N. (2013). The effectiveness of an educational program on preventing and treating compassion fatigue in emergency nurses. Advanced Emergency Nursing Journal, 35(3), 247-258.