Integrated course project combining three components from weeks 2, 4, and 8

The PICOT question is: Does mindfulness meditation (I) reduce long-term risk factors and suicidal behaviors (O) among psychiatric patients (P) versus those who do not participate in the meditation programs (C)? This is of great significance to the nursing practice because psychiatric disorders are risk factors that cause an increase in the probability of a suicidal occurrence. As a result, it is imperative for psychiatric nurses to comprehend how to pinpoint such risk factors and institute a clinical practice setting that dissuades suicide. More importantly, nursing practice encompasses the execution of best practices for generating a clinical setting that diminishes risk such as mindfulness meditation.

The mindfulness meditation theory is deemed to the most prospective one in treating addictive disorder patients. The safety of these models is guaranteed if carried out in the framework of clinical studies. In recent periods, associated interventions together with practices in the role of corresponding clinical aid for the treatment of several mental and physical sicknesses have become more popular. In particular, two of the practices that have been analyzed include the mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR) having all-encompassing participants demonstrating that they are efficacious. Assimilation of the elements of MBSR together with cognitive behavioral therapy and cognitive psychology approaches gave rise to the formation of MBCT. Initially, the latter was referred to as Attentional Control Training and fundamentally lay emphasis on treating psychiatric disorder. In accordance to a study conducted by Xie et al. (2014), the overall improvements in mental health portrayed by people going through MBCT may emanate from different benefits associated to training. As a result, individuals with diagnoses for depression and anxiety can benefit from MBCT while undergoing rehabilitation for enabling longstanding maintenance of enhanced quality of life.

Persons deployed to the battlefield have been associated to increased disorder due to substance use, chronic pain, post-traumatic stress disorder, and major depressive disorder. However, it has been shown that an increasing number of former servicemen have been progressively more acknowledging mindfulness as being an approach that can be easily understood with no difficulties, safe, cheap, and authenticated by a progressive pool of proofs (Vythilingam and Khusid, 2016). Mindfulness-based cognitive therapy is aimed at treating persons going through major depressive disorder remission. The key objective of this is to provide them with a chance at practicing the nurturing of non-judgemental mindfulness associated with harmless state of mind, physical ambiences and judgements, before attempting to utilize the same processing in case of harmful emotional state, physical sensations and judgements (Crane & Williams, 2010).

However, the mindfulness theory lacks an adequately lengthy history in the Western psychosomatic science owing to its foundations in Buddhist religious educations. Despite the fact that several self-report collections for mindfulness assessment have been fashioned, they substantially differ in their aspect and content structure, bringing to light discrepancies in its nature and meaning. Up to the present time, scarce information is present with reference to the circumstances under which, and the persons for whom, mindfulness training seems to be the most effective approach for. Regardless, initial evidences can be found showing that the effectiveness of the approach varies on the basis of individual differences (Keng et al., 2011).

From a positive perspective, in recent years, there has been a perceived substantial interest in the field of examining mindfulness not only as a mental construct but also as a clinical initiative and intervention. In accordance to Vilatte and Luoma (2012), it can be concluded that mindfulness as an approach for dealing with suicidal events has several positive mental impacts like improved perceived welfare and regulation of conduct, as well as decline in emotional reactivity and mental signs.

Moreover, a study conducted by Zgierska et al. (2009) shows the absence of material evidence of mindfulness meditation being considered as a therapy or treatment for addition. However, the initial evidences give the suggestion that mindfulness meditation is effective. To gain more conclusive information, it is imperative for clinical trials undertaken in the future to have an adequately huge sample size for effectively resolving a clinical issue. Moreover, they have to take into account comprehensively structured comparison groups for permitting assessment of mindfulness meditation’s means of action in addition to impact size. This can be buttressed by the study conducted by William and Crane (2010), which shows that individuals showing superior mental reactivity, depressive cogitation and threatening levels might significantly find it hard to cope with MBCT engagement. Nevertheless, strangely, they portray the probability of benefiting most from mindfulness skill attainment if they go on with attending class. Coping with how to ideally equip these persons for therapy and supporting them with ongoing therapy in the case of problems encompasses a key issue.

Despite the fact that there is a palpable need for further research on the topic, it can be noted that the mindfulness approach appears to have the potential in assisting people who are contemplating suicide and therefore ending their anguish. Positive initial evidences show that therapists may endorse mindfulness in a short time span and might have an impact on the different practices adding to suicide (Luoma and Villatte, 2012). Based on the analysis of numerous empirical research studies, it can be concluded the espousal of mindful meditation can facilitate adaptive psychosomatic procedure. More importantly, regardless of the insufficiencies in the prevailing methodologies of individual research studies, there is a connection between mindfulness researches and clinical intervention researches, all of which show a constrictive correlation between mental health and mindfulness. In accordance to Keng, Smoski & Robins (2011), mindfulness training can positively influence psychology, which portent from improved behavioral regulation to improved subjective welfare and diminished emotional reactivity and mental signs.
The main strategy for disseminating the evidence-based practice that you identified throughout your practice setting is using the extant literature on the studies conducted and their positive evidences on patient treatment. One of the ways that I would communicate the importance of the practice to the colleagues is to highlight the increasing number of suicide rates across the board. This is indicative of the need for comprehending and implementing the most effective practices that can facilitate in stopping prevailing suicidal attempts. The key way to addressing concerns and oppositions to the change in practice is through proper communication and providing evidences of the effectiveness of the approach. As noted, despite the fact that mindfulness meditation is not effective and necessitates further research, its initial evidences have shown that it is an effective approach for addiction therapy.