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    Efeitos de um programa de redução de estresse, fundamentado em mindfulness, em profissionais de enfermagem brasileiros: avaliação quantitativa e qualitativa
    (Universidade Federal de São Paulo (UNIFESP), 2015-10-29) Santos, Teresa Maria dos [UNIFESP]; Martins, Luiz Antonio Nogueira Martins [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introdution: mindfulness has been shown to effectively mitigate the negative effects of stress among nursing professionals, but in countries like Brazil, these practices are relatively unexplored. Objective: to evaluate the effects of a Stress Reduction Program (SRP) including mindfulness meditation among nursing professionals working in a Brazilian hospital setting. Study Design: in this longitudinal study, we used a mixed model with quantitative and qualitative methods to evaluate a group of participants at three different time points: pre-intervention, post-intervention and throughout. Setting: this study was conducted at Hospital São Paulo (São Paulo, Brazil). Participants: the sample consisted of 13 nursing professionals employed at the hospital. Intervention: participants underwent attention and concentration practices, mindfulness meditation: body scan, breathing anchor and informal meditation, and loving kindness meditation during a period of six weeks and an additional six-week follow-up. Instruments: the Perceived Stress Scale (PSS), Maslach Burnout Inventory (MBI), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Satisfaction with Life Scale (SWLS), Self-Compassion Scale (SCS), WHOQOL-BREF quality of life assessment, and Work Stress Scale (WSS). Qualitative data were collected via a group interview following participation in the SRP. Results: the quantitative analyses revealed a significant reduction between pre- and post-intervention scores for BDI, PSS, MBI, STAI (trait) and a significant increase in the physical and psychological domains of the WHOQOL-BREF (p <0.05). Except for those last two domains of the WHOQOL-BREF (which decreased significantly six weeks after the end of the intervention), all other variables were maintained at the last follow-up. The remaining variables showed no significant differences between post-intervention and follow-up scores. Qualitative results showed improvement in the reactivity to inner experience; a more attentive perception of internal and external experiences; greater attention and awareness of actions and attitudes at every moment; and a positive influence of the SRP in nursing activities.