Table.

Concerns About an 8-Week MBCT Resilience Program, as Identified by Focus Groups

Barriers to adherence	Incentives for adherence	Preferred qualifications (of MBCT instructors)	Didactic content should address ICU-specific triggers:
			Burnout	PTSD, anxiety, depression
			Length of sessions: 2 hours may be too long Hesitancy to attend after work Childcare issues Long shift hours Consecutive 12-hour shifts Length of homework assignments Work–home life balance Didactic content time limits	Stipends and/or covering salary Hybrid online/face-to-face Teleconference component Podcasts to listen to while driving or multitasking at home Mindfulness practices that can be completed at work	At least 2 instructors ICU nursing experience Experience in MBCT delivery Importance of context and perspective Same instructors for each session No physician involvement	Environmental Mandatory overtime Staffing issues Fast turnover of patients Supplies not restocked Inexperienced nurses Coworker apathy Family needs Administrative Improper training for technical procedures Environment not conducive to learning Disconnect with bed-side nursing issues Pettiness Coworker arguments /interdepartment and intradepartment arguments Administration trying to fill FTE position without regard to how staff would fit with the team	No debriefing after patient deaths Startle reactions to monitor alarms Guilt associated with “bad care” Emotional injuries Nurses left to deal with family when patient close to death Stressful events Anxiety from being most experienced nurse in ICU Helping families through trauma Residents who rely on the nurses for critical issues

Abbreviations: FTE, full-time employee; ICU, intensive care unit; MBCT, mindfulness-based cognitive therapy; PTSD, posttraumatic stress disorder.