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Starting where I am: a grounded theory exploration of mindfulness as a facilitator of transition in living with a long-term condition
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- 자료유형학술지논문
- 저자명Long, J.,Briggs, M.,Long, A.,Astin, F.
- 학회/출판사/기관명Wiley- Blackwell
- 출판년도2016
- 언어영어
- 학술지명/학위논문주기Journal of advanced nursing
- 발행사항Vol.72No.10[2016]_x000D_
- ISBN/ISSN0309-2402
- 소개/요약Aim: To explore how practising mindfulness affects people's experiences of living with a long-term condition. Background: Increasing evidence suggest that mindfulness meditation-based interventions benefit people with long-term conditions, particularly in terms of psychological well-being. Most evidence, however, relates to short-term outcomes and limited information exists about how people use mindfulness in the longer term and how this affects their experience of living with their condition. Design: A qualitative study using constructivist-informed grounded theory. Methods: Using interviews, diaries and focus groups, data were collected between 2011 - 2012 from participants and/or trainers of Breathworks' mindfulness intervention. Phased recruitment enabled theoretical sampling, with data analysed concurrently using Charmaz's two-stage coding strategy. Findings: The final sample comprised 41 adults with diverse physical and/or mental health conditions. Participants reported predominantly positive experiences, almost all identifying significant changes in thinking and behaviour. A core process of 'Starting where I am' was formulated, highlighting how people became more aware and accepting of their condition and thus able to self-care more effectively. The process was encapsulated in five themes: Getting a new perspective; Feeling equipped to cope; Doing life differently; Seeing a change; and Finding mindfulness difficult. Strong resonances were identified between participants' experiences and the process of transition through which people come to terms with challenging life events. Conclusion: Mindfulness can be conceptualized as a facilitator of transition, enabling people to adapt to living with a long-term condition. Transition is associated with improved, self-directed self-management, which is significant to both people with long-term conditions and healthcare providers.
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