The Effect of the Mindful Caring Education Program on Nurses' Intentionality

April 5, 2023 updated by: Fatma DURSUN ERGEZEN, Akdeniz University

The Effect of Mindful Caring Education Program Based on Human Caring Theory on Nurses' Intentionality: An Action Research

Intentionality is defined as the property of being about or directed toward a subject, as inherent in conscious states, beliefs, or creations of the mind. In nursing science, intentionality has been conceptualized as a dynamic and evolutionary antecedent of transpersonal caring in the mutual healing process. Intentionality is an ongoing process of discovering the nurse's self, purpose, and mission in life. The nurse's intentionality is a dynamic concept that evolves continuously. The nurse's cultural and ethnic background, philosophical and religious beliefs, life experiences, capacity for reflection, and self-awareness influence intentionality development and expression. It is recommended that nurses be encouraged to foster self-care and seek mentors and those who will support intentional care and healing practices. Also, breathing techniques, meditation, mindfulness, and self-reflection are recommended exercises for developing intentionality. Mindfulness is one way to cultivate personal knowing, awareness, and intentionality to facilitate growth and development in a transpersonal caring relationship. However, no research has been found to increase the nurse's mindful awareness or improve intentionality in the caring relationship. In this context, this research aimed to evaluate the effectiveness of mindful caring education on nurses' intentionality.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Intentionality is defined as the property of being about or directed toward a subject, as inherent in conscious states, beliefs, or creations of the mind. In nursing science, intentionality has been conceptualized as a dynamic and evolutionary antecedent of transpersonal caring in the mutual healing process. Person experience stress, trauma, loss, and crisis in their lives in a caring relationship. These situations precipitate a need for healing. Intentionality enhances presence and brings a more profound strength and focus to each interaction. Authentic presence allows the nurse to hear the call. A nurse's goal and purposeful thought activate intentionality. The intentionality focuses on caring-healing consciousness. The nurse and person enter the caring moment. The nurse and the person enter a shared consciousness field.

Intentionality is an ongoing process of discovering the nurse's self, purpose, and mission in life. The nurse's intentionality is a dynamic concept that evolves continuously. The nurse's cultural and ethnic background, philosophical and religious beliefs, life experiences, capacity for reflection, and self-awareness influence intentionality development and expression. It is recommended that nurses be encouraged to foster self-care and seek mentors and those who will support intentional care and healing practices. Also, breathing techniques, meditation, mindfulness, and self-reflection are recommended exercises for developing intentionality. Mindfulness is one way to cultivate personal knowing, awareness, and intentionality to facilitate growth and development in a transpersonal caring relationship. Mindfulness is consistently paying attention to what is happening in the present moment. Mindfulness helps support full attention, deep understanding, and immediacy in caring practice. Practicing mindfulness, the nurse becomes fully available to see, understand, love, and care. Mindfulness facilitates attending to one's thoughts and actions in each moment to extend compassion to self, others, the world, and beyond.

Evidence shows that mindfulness-based interventions (MBI) help to reduce work-related stress, psychological distress, depression, burnout, and compassion fatigue. Also, MBI positively affects self-care awareness, emotion management, empathy satisfaction, professionals' receptivity, motivation, and responsiveness to others. However, no research has been found to increase the nurse's mindful awareness or improve intentionality in the caring relationship. The study aimed to explore nurses' perceptions of intentionality in caring relationships and the effectiveness of the mindful caring education program based on the Theory of Unitary Caring Science. In this context, the research questions are as follows:

Research Question 1. What are nurses' perceptions of intentionality in the caring relationship? Research Question 2. What are the facilitators of intentionality in the caring relationship? Research Question 3. What are the impediments to intentionality in the caring relationship? Research Question 4. Is a mindful caring education program effective in improving nurses' intentionality?

Study Type

Observational

Enrollment (Actual)

9

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey
      • Antalya, Turkey, 07070
        • Akdeniz University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

Female

Sampling Method

Non-Probability Sample

Study Population

Nurses who care for adult patients in clinics.

Description

Inclusion Criteria:

  • At least 1 year of working experience in the clinic, willingness to participate in research.

Exclusion Criteria:

  • The exclusion criteria were that the participants wanted to quit at any research stage and did not complete the education program.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The perception of intentionality in the caring relationship
Time Frame: 3 month

Since intentionality is a subjective phenomenon, one's feelings and thoughts should be analyzed with in-depth methods. For this purpose, individual interviews, observation, and vignettes were used as data collection methods. The questions in the data collection form to measure these variables are as follows:

  1. Semi-Structured Interview Questions Question 1. What does the concept of caring intentionality mean to you? Question 2. Do you have a caring story that has had a lasting impact on you? Could you share it with me?

  2. Field Notes:

    Encountered event/situation (place/time/person/dialogue/reactions):

    Observer's Comment:

  3. Vignettes

Questions for vignettes are as follows:

  1. What did you think when you saw the patient?
  2. Can you describe how you felt when you saw the patient?
  3. What is the first situation/problem you want to solve when seeing the patient?
  4. What would you like to do for the patient's care?
3 month
The facilitators of intentionality in the caring relationship
Time Frame: 3 month

Some factors facilitate intentionality in the caring relationship. These factors are seen in both the expressions and actions of the nurse. There is no objective measurement tool that can measure these factors. Therefore, this result is measured using semi-structured questions and field notes. The questions in the data collection form to measure these variables are as follows:

  1. Semi-Structured Interview Questions Question 1. Is there anything similar to your shared caring story facilitating your intentionality toward the patient? Could you share it with me?
  2. Field Notes

Encountered event/situation (place/time/person/dialogue/reactions):

Observer's Comment:
3 month
The impediments to intentionality in the caring relationship
Time Frame: 3 month

Some factors hinder intentionality in the caring relationship. These factors are seen in both the expressions and actions of the nurse. There is no objective measurement tool that can measure these factors. Therefore, this result is measured using semi-structured questions and field notes. The questions in the data collection form to measure these variables are as follows:

  1. Semi-Structured Interview Questions Question: Is there anything similar to your shared caring story that hinders your intentionality toward the patient? Could you share it with me?
  2. Field Notes

Encountered event/situation (place/time/person/dialogue/reactions):

Observer's Comment:
3 month
Effectiveness of mindful caring education program
Time Frame: 3 month

The effectiveness of the education program was evaluated using semi-structured interview questions, field notes, and vignettes. The same people filled out the same vignettes before and after the education sessions. The researchers criticized by comparing the responses given before and after the education program.

  1. Semi-Structured Interview Questions Question 1. What are your thoughts on a mindful caring education program?

  2. Field Notes

    Encountered event/situation (place/time/person/dialogue/reactions):

    Observer's Comment:

  3. Vignettes

Questions for vignettes are as follows:

  1. What did you think when you saw the patient?
  2. Can you describe how you felt when you saw the patient?
  3. What is the first situation/problem you want to solve when seeing the patient?
  4. What would you like to do for the patient's care?
3 month

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Akdeniz University

Investigators

  • Principal Investigator: FATMA Dursun Ergezen, PhD, Akdeniz University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

December 29, 2021

Primary Completion (Actual)

February 13, 2022

Study Completion (Actual)

March 28, 2022

Study Registration Dates

First Submitted

March 23, 2023

First Submitted That Met QC Criteria

April 5, 2023

First Posted (Actual)

April 7, 2023

Study Record Updates

Last Update Posted (Actual)

April 7, 2023

Last Update Submitted That Met QC Criteria

April 5, 2023

Last Verified

April 1, 2023

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • AkdenizF

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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