<b>Randomized crossover clinical trial of a Mindfulness-based intervention for nurse leaders: A pilot study</b>
          <sup>
            
          </sup>

Santos, Teresa Maria dos; Balsanelli, Alexandre Pazetto; Souza, Káren Mendes Jorge de

doi:10.1590/1518-8345.6548.4101

Acessibilidade / Reportar erro

Brasil

Revista Latino-Americana de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • Rev. Latino-Am. Enfermagem 32 • 2024 • https://doi.org/10.1590/1518-8345.6548.4101 copy

Randomized crossover clinical trial of a Mindfulness-based intervention for nurse leaders: A pilot study ^* * Paper extracted from doctoral dissertation “Effects of a mindfulness-based intervention on nurse leaders’ emotional intelligence and resilience: a randomized crossover clinical trial”, presented to Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective:

to analyze the effects of a Mindfulness-based intervention on nurse leaders’ emotional intelligence and resilience.

Method:

a pilot study of a randomized crossover clinical trial. The sample (n=32) was randomized into Group A (n=18) and Group B (n=14) and evaluated at the pre-test, post-test and follow-up moments. The outcomes were assessed using the Emotional Intelligence Measure, the Connor-Davidson Resilience Questionnaire and the Five Facet Mindfulness Questionnaire, and analyzed using Generalized Linear Mixed Models.

Results:

a total of 32 nurses with a mean age of 42.6 years old were evaluated. The analyses showed significant interactions between the effects of the group x moment factors on the Self-motivation (p=0.005), Sociability (p<0.001), Self-control (p=0.013), and Total (p=0.002) emotional intelligence skill scores; as well as on the Observe (p=0.042), Describe (p=0.008), Non-judgment (p<0.001), Act with awareness (p=0.004) and Total (p<0.001) mindfulness facets. Post-test: there was a statistically significant increase in the Sociability (p=0.009) and Self-control (p=0.015) emotional intelligence skills; as well as in the Non-judgment (p=0.022) and Total (p=0.002) mindfulness facets. Follow-up: a significant increase was observed in the Non-judgment (p=0.024) and Total (p=0.026) mindfulness facets. The “resilience” variable did not present statistical significance in the “group x moment” factor, both in the post-test and during follow-up.

Conclusion:

the Mindfulness-based intervention used proved to be effective in increasing nurse leaders’ emotional intelligence and dispositional mindfulness skills. Brazilian Registry of Clinical Trials (RBR-3c62gy), registered on March 4 ^th , 2020, updated on September 16 ^th , 2022.

Descriptors:
Mindfulness; Emotional Intelligence; Resilience, Psychological; Leadership; Nursing; Clinical Trial

Highlights:

(1) Unpublished study of a Mindfulness-based intervention with nurse leaders.

(2) Positive effect on the participants’ emotional intelligence and mindfulness.

(3) Advances in knowledge about emotional intelligence and leadership resilience

(4) It encourages the implementation of sensitive and innovative health strategies.

Variable	Category	Group						p-value ^*
		B		A		Total
		n	%	n	%	n	%
Schooling	Higher Education	1	7,14	1	5,56	2	6,25	>0,999
	Specialization	11	78,57	14	77,78	25	78,13
	MSc	2	14,29	3	16,67	5	15,63
	PhD	0	0,00	0	0,00	0	0,00
Belief	None	1	7,14	2	11,76	3	9,68	0,974
	Catholic	2	14,29	4	23,53	6	19,35
	Spiritist	5	35,71	4	23,53	9	29,03
	Evangelical	3	21,43	2	11,76	5	16,13
	Afro-Brazilian	0	0,00	1	5,88	1	3,23
	Eastern	0	0,00	0	0,00	0	0,00
	Israelite	1	7,14	2	11,76	3	9,68
	Others	2	14,29	2	11,76	4	12,90
Marital status	Single	1	7,14	3	17,65	4	12,90	0,346
	Married	5	35,71	7	41,18	12	38,71
	Divorced	4	28,57	3	17,65	7	22,58
	Separated	1	7,14	1	5,88	2	6,45
	Widowed	0	0,00	2	11,76	2	6,45
	Stable union	3	21,43	0	0,00	3	9,68
	Others	0	0,00	1	5,88	1	3,23
Hiring institution	SMS	12	85,71	12	66,67	24	75,00	0,412
	HSP	2	14,29	6	33,33	8	25,00
Time as leaders	Less than 1 year	3	21,43	0	0,00	3	9,38	0,326
	Between 1 and 3 years and 11 months	4	28,57	5	27,78	9	28,13
	Between 4 and 6 years and 11 months	2	14,29	3	16,67	5	15,63
	Between 6 and 9 years and 11 months	2	14,29	2	11,11	4	12,50
	10+ years	3	21,43	8	44,44	11	34,38

Moment	Group	n	Mean	SD ^§	p	ES ^\|\|
CD-RISC *	B	14	99,64	12,06	0,029	0,798
CD-RISC *	A	18	87,22	17,78
EIM^† ^Self-motivation	B	14	37,43	4,64	0,420	0,276
EIM^† ^Self-motivation	A	18	36,00	5,54
EIM^† ^Sociability	B	14	34,50	3,65	0,729	0,125
EIM^† ^Sociability	A	18	33,94	4,99
EIM^† ^Empathy	B	14	38,57	5,40	0,584	0,182
EIM^† ^Empathy	A	18	37,39	7,24
EIM^† ^Self-awareness	B	14	27,86	3,48	0,248	0,389
EIM^† ^Self-awareness	A	18	26,28	4,46
EIM^† ^Self-control	B	14	29,00	5,19	0,482	0,265
EIM^† ^Self-control	A	18	27,78	4,10
EIM^† ^Total	B	14	167,36	13,18	0,294	0,354
EIM^† ^Total	A	18	161,39	19,19
FFMQ ^‡ Observe	B	14	25,43	7,01	0,748	0,113
FFMQ ^‡ Observe	A	18	24,67	6,56
FFMQ ^‡ Describe	B	14	29,29	5,14	0,203	0,440
FFMQ ^‡ Describe	A	18	26,56	6,90
FFMQ^‡ ^Non-judgment	B	14	24,21	6,76	0,940	0,027
FFMQ^‡ ^Non-judgment	A	18	24,39	6,24
FFMQ ^‡ Non-reactivity	B	14	21,07	5,08	0,479	0,235
FFMQ ^‡ Non-reactivity	A	18	19,67	6,57
FFMQ ^‡ Act with awareness	B	14	29,29	5,11	0,405	0,279
FFMQ ^‡ Act with awareness	A	18	27,61	6,60
FFMQ ^‡ Total	B	14	129,36	16,32	0,298	0,346
FFMQ ^‡ Total	A	18	122,89	20,29

Measure	Factor	Par. *	Effects
		Degree of Freedom (DoF)	Intercept	Group	Moment	Group x Moment
CD-RISC ^†	--	DoF1,DoF2	6,31	1,28	1,30	1,30
CD-RISC ^†	--	p	0,048 ^‡	0,761	0,148	0,339
EIM ^§	Self-motivation	DoF1,DoF2	6,33	1,27	1,30	1,30
		p	< 0,001 ^‡	0,757	0,020 ^‡	0,005 ^‡
	Sociability	DoF1,DoF2	6,31	1,25	1,28	1,28
		p	< 0,001 ^‡	0,206	< 0,001 ^‡	< 0,001 ^‡
	Empathy	DoF1,DoF2	6,30	1,27	1,30	1,30
		p	< 0,001 ^‡	0,970	0,162	0,177
	Self-awareness	DoF1,DoF2	6,31	1,27	1,30	1,30
		P	0,008 ^‡	0,888	0,748	0,930
	Self-control	DoF1,DoF2	6,31	1,27	1,30	1,30
		p	< 0,001 ^‡	0,238	0,088	0,013 ^‡
	Total	DoF1,DoF2	6,32	1,27	1,30	1,30
		p	< 0,001 ^‡	0,587	0,002 ^‡	0,002 ^‡
FFMQ ^\|\|	Observe	DoF1,DoF2	6,30	1,27	1,29	1,29
		p	< 0,001 ^‡	0,435	0,016 ^‡	0,042 ^‡
	Describe	DoF1,DoF2	6,33	1,27	1,29	1,29
		p	< 0,001 ^‡	0,697	0,127	0,008 ^‡
	Non-judgment	DoF1,DoF2	6,30	1,27	1,29	1,29
		p	0,001 ^‡	0,965	0,314	< 0,001 ^‡
	Non-reactivity	DoF1,DoF2	6,32	1,27	1,30	1,30
		p	0,139	0,920	0,248	0,150
	Act with awareness	DoF1,DoF2	6,31	1,27	1,30	1,30
		p	0,022 ^‡	0,672	0,199	0,004 ^‡
	Total	DoF1,DoF2	6,29	1,26	1,28	1,28
		p	< 0,001 ^‡	0,564	0,025 ^‡	< 0,001 ^‡

Variable EIM* FFMQ ^†	Moment	Difference between the means (Group A - Group B)	Standard Error	95% Confidence Interval		p	Effect size
Variable EIM* FFMQ ^†	Moment		Standard Error	Lower Limit	Upper Limit	p	Effect size
EIM*-SM ^‡	Post-test	1,40	1,53	-1,69	4,50	0,364	0,267
	Follow-up	-2,38	1,62	-5,67	0,90	0,150	0,495
EIM*- SOC ^§	Post-test	3,30	1,19	0,88	5,73	0,009 ^\|\|	0,914
	Follow-up	-0,42	1,28	-3,02	2,19	0,748	0,111
EIM*-AC	Post-test	3,31	1,31	0,69	5,94	0,015 ^\|\|	0,803
	Follow-up	-0,73	1,40	-3,54	2,08	0,603	0,187
EIM*- Total	Post-test	8,86	4,42	-0,09	17,81	0,052	0,652
	Follow-up	-4,60	4,68	-14,07	4,87	0,332	0,323
FFMQ ^† - OBS**	Post-test	3,67	1,90	-0,14	7,48	0,059	0,541
	Follow-up	-1,36	2,18	-5,74	3,01	0,534	0,239
FFMQ ^† - DESC ^††	Post-test	2,33	1,57	-0,85	5,51	0,146	0,470
	Follow-up	-1,22	1,66	-4,58	2,13	0,464	0,238
FFMQ ^† - NJ ^‡‡	Post-test	6,17	2,59	0,95	11,38	0,022 ^\|\|	0,836
	Follow-up	-6,73	2,88	-12,53	-0,92	0,024 ^\|\|	1,153
FFMQ ^† - AWA ^§§	Post-test	4,48	2,28	-0,10	9,07	0,055	0,680
	Follow-up	-2,93	2,48	-7,93	2,06	0,243	0,557
FFMQ ^† - Total	Post-test	17,85	5,33	7,14	28,56	0,002 ^\|\|	1,067
	Follow-up	-13,42	5,83	-25,14	-1,70	0,026 ^\|\|	0,852

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Teresa Maria dos Santos E-mail: teresa1to@hotmail.com https://orcid.org/0000-0002-2531-8723