Skip to main content
Top
Published in: BMC Primary Care 1/2021

Open Access 01-12-2021 | Care | Research article

Mindfulness in primary care healthcare and teaching professionals and its relationship with stress at work: a multicentric cross-sectional study

Authors: Rosa Magallón-Botaya, Luis Angel Pérula-de Torres, Juan Carlos Verdes-Montenegro Atalaya, Celia Pérula-Jiménez, Norberto Lietor-Villajos, Cruz Bartolomé-Moreno, Javier Garcia-Campayo, Herminia Moreno-Martos, the Minduudd Collaborative Study Group

Published in: BMC Primary Care | Issue 1/2021

Login to get access

Abstract

Background

Work stress is a common problem among the health personnel of the Spanish National Health System. The objective of this paper is to assess the state of mindfulness among Spanish primary care providers and to evaluate its potential relationship with work stress and basic labor and sociodemographic characteristics.

Methods

Cross-sectional, multi-centric study. Primary care nurses, teachers, teaching collaborators and residents assigned to six Spanish Family Medicine/Family and Community Care Departments were invited to participate (n = 475). A template was designed in Google Forms, including sociodemographic and work-related variables. The state of mindfulness was measured with the Five Facet Mindfulness Questionnaire (FFMQ), while work-related stress was measured using an ordinal scale ranging from 0 to 10 points. Descriptive and inferential statistical analyses were carried out, as well as bivariate and multivariate statistics.

Results

The mean age of participants was 40,14 ± 13.12 (range:23–65 years); 66.9% were women, 42.5% internal medicine residents, 29.3% family physicians, and 20.2% nurses. More than half (54.5%) knew about mindfulness, with 24.0% have received training on it, and 22.5% were usual practitioners. The average level of mindfulness was 127.18 ± 15.45 (range: 89–177). The average score of stress at work was 6.00 ± 2.44; 49.9% (range: 0–10). 49.9% of participants scored 7 or more on the stress at work scale. There was an inverse correlation between the levels of mindfulness (FFMQ total score) and work-related stress (Spearman’s r = − 0.155, p = 0.003). Significant relationships between the mindfulness practice and the level of mindfulness (F = 29.80, p < 0.001), as well as between the mindfulness practice and the level of work-related stress (F = 9.68, p = 0.042), were also found.

Conclusions

Levels of mindfulness in primary care health providers were in line with those levels observed in other groups of health professionals. Half of all of the primary care providers suffered from a high degree of stress. Although weak, inverse relationships were observed between levels of mindfulness and stress at work, with lower values of stress at work among those who practiced mindfulness.

Trial registration

Appendix
Available only for authorised users
Literature
1.
go back to reference Vilà M, Cruzate C, Orfila F, Creixell J, González MP, Davins J. Burnout y trabajo en equipo en los profesionales sanitarios de Atención Primaria. Aten Primaria. 2015;47(1):25–31.CrossRef Vilà M, Cruzate C, Orfila F, Creixell J, González MP, Davins J. Burnout y trabajo en equipo en los profesionales sanitarios de Atención Primaria. Aten Primaria. 2015;47(1):25–31.CrossRef
2.
go back to reference Prieto Albino L, Robles Agüero E, Salazar Martínez LM, Daniel VE. Burnout en médicos de Atención Primaria de la provincia de Cáceres. Aten Primaria. 2002;29(5):294–302.CrossRef Prieto Albino L, Robles Agüero E, Salazar Martínez LM, Daniel VE. Burnout en médicos de Atención Primaria de la provincia de Cáceres. Aten Primaria. 2002;29(5):294–302.CrossRef
3.
go back to reference Matía Cubillo AC, Cordero Guevara J, Mediavilla Bravo J, Pereda Riguera MJ, González Castro ML, González SA. Evolución del burnout y variables asociadas en los médicos de Atención Primaria. Aten Primaria. 2012;44(9):532–9.CrossRef Matía Cubillo AC, Cordero Guevara J, Mediavilla Bravo J, Pereda Riguera MJ, González Castro ML, González SA. Evolución del burnout y variables asociadas en los médicos de Atención Primaria. Aten Primaria. 2012;44(9):532–9.CrossRef
4.
go back to reference Benito E, Arranz P, Cancio H. Herramientas para el autocuidado del profesional que atiende a personas que sufren. FMC. 2011;18(2):59–65. Benito E, Arranz P, Cancio H. Herramientas para el autocuidado del profesional que atiende a personas que sufren. FMC. 2011;18(2):59–65.
5.
go back to reference Grossman P, Niemann L, Schmidt S, et al. Mindfulness-based stress reduction and health benefits. A metaanalysis. J Psychosom Res. 2004;57(1):35–43.CrossRef Grossman P, Niemann L, Schmidt S, et al. Mindfulness-based stress reduction and health benefits. A metaanalysis. J Psychosom Res. 2004;57(1):35–43.CrossRef
6.
go back to reference Fajardo A. El proceso de especialización en medicina familiar y comunitaria en España. Cambios profesionales en atención primaria en la década de 1980 Tesis Doctoral Universidad de Granada Autor: Angélica Fajardo Alcántara D.L.: Gr. 2354 – 2007 ISBN: 978-84-338-4506-1. Fajardo A. El proceso de especialización en medicina familiar y comunitaria en España. Cambios profesionales en atención primaria en la década de 1980 Tesis Doctoral Universidad de Granada Autor: Angélica Fajardo Alcántara D.L.: Gr. 2354 – 2007 ISBN: 978-84-338-4506-1.
7.
go back to reference Mascarúa-Lara E, Vázquez-Cruz E, Córdova-Soriano JA. Ansiedad y depresión en médicos residentes de la especialidad en Medicina Familiar. Aten Fam. 2014;21(2):55–7.CrossRef Mascarúa-Lara E, Vázquez-Cruz E, Córdova-Soriano JA. Ansiedad y depresión en médicos residentes de la especialidad en Medicina Familiar. Aten Fam. 2014;21(2):55–7.CrossRef
8.
go back to reference García Campayo J. La práctica del «estar atento» (mindfulness) en medicina. Impacto en pacientes y profesionales. Aten Primaria. 2008;40(7):363–6.CrossRef García Campayo J. La práctica del «estar atento» (mindfulness) en medicina. Impacto en pacientes y profesionales. Aten Primaria. 2008;40(7):363–6.CrossRef
10.
go back to reference Derksen F, Bensing J, Lagro-Janssen A. Effectiveness of empathy in general practice: a systematic review. Br J Gen Pract. 2013;63(606):76–84.CrossRef Derksen F, Bensing J, Lagro-Janssen A. Effectiveness of empathy in general practice: a systematic review. Br J Gen Pract. 2013;63(606):76–84.CrossRef
14.
go back to reference Martín Asuero A, Rodríguez Blanco T, Pujol-Ribera E, Berenguera A, Moix QJ. Evaluación de la efectividad de un programa de mindfulness en profesionales de atención primaria. Gac Sanit. 2013;27:521–8.CrossRef Martín Asuero A, Rodríguez Blanco T, Pujol-Ribera E, Berenguera A, Moix QJ. Evaluación de la efectividad de un programa de mindfulness en profesionales de atención primaria. Gac Sanit. 2013;27:521–8.CrossRef
15.
go back to reference Boellinghaus I, Jones FW, Hutton J. The role of mindfulness and loving-kindness meditation in cultivating self-compassion and other focused concern in health care professionals. Mindfulness. 2014;5:129–38.CrossRef Boellinghaus I, Jones FW, Hutton J. The role of mindfulness and loving-kindness meditation in cultivating self-compassion and other focused concern in health care professionals. Mindfulness. 2014;5:129–38.CrossRef
16.
go back to reference Franco JC. Reducción de los niveles de estrés y ansiedad en médicos de atención primaria mediante la aplicación de un programa de entrenamiento en conciencia plena (mindfulness). Aten Primaria. 2010;42(11):564–70.CrossRef Franco JC. Reducción de los niveles de estrés y ansiedad en médicos de atención primaria mediante la aplicación de un programa de entrenamiento en conciencia plena (mindfulness). Aten Primaria. 2010;42(11):564–70.CrossRef
17.
go back to reference Tirch DD. Mindfulness as a context for the cultivation of compassion. Int J Cogn Ther. 2010;3(2):113–23.CrossRef Tirch DD. Mindfulness as a context for the cultivation of compassion. Int J Cogn Ther. 2010;3(2):113–23.CrossRef
18.
go back to reference Demarzo MM, Montero-Marin J, Cuijpers P, Zabaleta-del-Olmo E, Mahtani KR, Vellinga A, Vicens C, López-delHoyo Y, García-Campayo J. The efficacy of mindfulness-based interventions in primary care: a meta-analytic review. Ann Fam Med. 2015;13(6):573–82.CrossRef Demarzo MM, Montero-Marin J, Cuijpers P, Zabaleta-del-Olmo E, Mahtani KR, Vellinga A, Vicens C, López-delHoyo Y, García-Campayo J. The efficacy of mindfulness-based interventions in primary care: a meta-analytic review. Ann Fam Med. 2015;13(6):573–82.CrossRef
19.
go back to reference Peláez-Fernández MA. Burnout y variables asociadas en médicos de atención primaria. Aten Primaria. 2013;45(2):123–4.CrossRef Peláez-Fernández MA. Burnout y variables asociadas en médicos de atención primaria. Aten Primaria. 2013;45(2):123–4.CrossRef
20.
go back to reference Görgens-Ekermans G, Brand T. Emotional intelligence as a moderator in the stress-burnout relationship: a questionnaire study on nurses. J Clin Nurs. 2012;21:2275–85.CrossRef Görgens-Ekermans G, Brand T. Emotional intelligence as a moderator in the stress-burnout relationship: a questionnaire study on nurses. J Clin Nurs. 2012;21:2275–85.CrossRef
22.
go back to reference Aranda G, Elcuaz MR, Fuertes C, Güeto V, Pascual P, Sainz de Murieta E. Evaluación de la efectividad de un programa de mindfulness y autocompasión para reducir el estrés y prevenir el burnout en profesionales sanitarios de atención primaria. Aten Primaria. 2018;50(3):141–50.CrossRef Aranda G, Elcuaz MR, Fuertes C, Güeto V, Pascual P, Sainz de Murieta E. Evaluación de la efectividad de un programa de mindfulness y autocompasión para reducir el estrés y prevenir el burnout en profesionales sanitarios de atención primaria. Aten Primaria. 2018;50(3):141–50.CrossRef
23.
go back to reference Krasner MS, Epstein RM, Beckman H, Schuman AL, Chapman B, Mooney CJ, et al. Association of an educational program in mindful communication with burnout, empathy and attitudes among primary care physicians. JAMA. 2009;302:1284–93.CrossRef Krasner MS, Epstein RM, Beckman H, Schuman AL, Chapman B, Mooney CJ, et al. Association of an educational program in mindful communication with burnout, empathy and attitudes among primary care physicians. JAMA. 2009;302:1284–93.CrossRef
24.
go back to reference Beddoe AE, Murphy SO. Does mindfulness decrease stress and foster empathy among nursing students? J Nurs Educ. 2004;43:305–12.CrossRef Beddoe AE, Murphy SO. Does mindfulness decrease stress and foster empathy among nursing students? J Nurs Educ. 2004;43:305–12.CrossRef
25.
go back to reference Franco C, Mañas I, Justo E. Reducción de los niveles de estrés, ansiedad y depresión en docentes de educación especial a través de un programa de mindfulness. Inclusive Educ J. 2009;2:11–22. Franco C, Mañas I, Justo E. Reducción de los niveles de estrés, ansiedad y depresión en docentes de educación especial a través de un programa de mindfulness. Inclusive Educ J. 2009;2:11–22.
26.
go back to reference León B. Atención Plena y rendimiento académico en estudiantes de enseñanza secundaria. Eur J Educ Psychol. 2008;1(3):17–26.CrossRef León B. Atención Plena y rendimiento académico en estudiantes de enseñanza secundaria. Eur J Educ Psychol. 2008;1(3):17–26.CrossRef
27.
go back to reference Shapiro SL, Schwartz GE, Bonner G. The effects of mindfulness - based stress reduction on medical and pre-medical students. J Behav Med. 1998;21:581–99.CrossRef Shapiro SL, Schwartz GE, Bonner G. The effects of mindfulness - based stress reduction on medical and pre-medical students. J Behav Med. 1998;21:581–99.CrossRef
28.
go back to reference Weng H, Hung C, Liu Y, Cheng Y, Yen C, Chang C, et al. Associations between emotional intelligence and doctor burnout, job satisfaction and patient satisfaction. Med Educ. 2011;45:835–42.CrossRef Weng H, Hung C, Liu Y, Cheng Y, Yen C, Chang C, et al. Associations between emotional intelligence and doctor burnout, job satisfaction and patient satisfaction. Med Educ. 2011;45:835–42.CrossRef
Metadata
Title
Mindfulness in primary care healthcare and teaching professionals and its relationship with stress at work: a multicentric cross-sectional study
Authors
Rosa Magallón-Botaya
Luis Angel Pérula-de Torres
Juan Carlos Verdes-Montenegro Atalaya
Celia Pérula-Jiménez
Norberto Lietor-Villajos
Cruz Bartolomé-Moreno
Javier Garcia-Campayo
Herminia Moreno-Martos
the Minduudd Collaborative Study Group
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Care
Published in
BMC Primary Care / Issue 1/2021
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/s12875-021-01375-2

Other articles of this Issue 1/2021

BMC Primary Care 1/2021 Go to the issue