Event Title
Effects of Mindfulness Stress Reduction Program on Nurses: An Integrated Research Review
Location
Virtual Conference
Start Date
24-6-2022 1:30 PM
End Date
27-6-2022 2:10 PM
Keywords:
texas
Description
Background/Purpose:
Prevalence of nurse burnout can be as high as 40% (Duarte & Pinto-Gouveia, 2016). Variations of mindfulness-based interventions (MBI) have been utilized to combat burnout among nurses. Many studies utilize an adapted version(s) of the eight week mindfulness-based stress reduction (MBSR) course develop by Dr. Kabat-Zinn, which aims to aid in the improvement of mindfulness through practice of linking one’s physical and mental state in a nonjudgmental way (Ghawadra et al., 2019). Multiple instruments to measure levels of burnout and other psychological effects job stressors may have on nurses have also been applied. Higher levels of burnout have been shown to have a negative impact on job satisfaction, patient outcomes due to quality of care; and in increase in nursing absenteeism and turn over (Green & Kinchen, 2018).
Purpose/Aims
A systematic integrative search of the literature was performed to evaluate the effectiveness of mindfulness-based interventions among nurses in hospital care settings.
Methods:
Methodology implemented for the integrative research review was derived from search design recommendations from Brown (2018), Whittemore & Knafle (2005) and “The Preferred Reporting Items for Systematic Review and Meta-Analysis” (PRISMA) guidelines (Page, et al., 2021). A comprehensive literature search was conducted with the following search terms: mindfulness based interventions, nurses, effects or impacts or consequences or influence outcomes; utilizing the Cochrane Library, Medline Complete, Cinahl and Pubmed databases. All databases were set with the same search terms, limitations, and publication year setting (2016-2022) with the exception of the Pubmed database, in which an additional filter was added to limit the search to systematic reviews and meta-analysis.
Results:
A total of 125 articles were found with thirty-three duplicates leaving ninety-two for review. Of the ninety-two remaining articles eighty were excluded for not meeting inclusion parameters. The remaining twelve articles were reviewed for critical appraisal, and was comprised of four level one, three level two, two level three, one level 4, one level five and one level seven study, which meet the inclusion criteria for the literature review. Appraisal of the studies was performed with the utilization of the evidence based research (EBR) tool, appraising checklist by Brown (2018) and the PRISMA checklist (Long & Gannaway, 2015; Page, et al., 2021).
Conclusion:
There was inconsistency found among the mindfulness based programs and interventions utilized in each study, as well as the instruments implemented to measure burnout and mental health of nurses. Although each study varied in interventions and data collection strategies each showed some form of positive impact on the overall wellbeing of nurses, however, the statistical significance of the impact varied among studies. As noted by Jung et al., (2021) there is no “gold standard” for primary outcomes for nursing mental health unlike the clear expectations for patient outcomes and may contribute to the heterogeneity of MBI/MBSR studies for nurses.
Implication:
In the future, researchers studying the effectiveness of an MBI or MBSR on nurses, should consider developing a standardized practice for data collection, which include but not limited to the use of selected validated and reliable measure instruments for example, the Maslach Burnout Inventory (MBI), mass attention awareness scale (MASS), etc. (Jung et a., 2021). In doing so this may potentially create a homogeneous environment in which the effectiveness of the applied MBI, MSBR or abbreviated programs may be measured more effectively and efficiently and may lead to more reliable and creditable findings.
References
Alkhawaldeh, J. M. A., Soh, K. L., Mukhtar, F. B. M., Peng, O. C., & Anshasi, H. A. (2020). Stress management interventions for intensive and critical care nurses: A systematic review. Nursing in Critical Care, 25(2), 84–92. https://doi.org/10.1111/nicc.12489
Duarte, J., & Pinto-Gouveia, J. (2016). Effectiveness of a mindfulness-based intervention on oncology nurses’ burnout and compassion fatigue symptoms: A non-randomized study. International Journal of Nursing Studies, 64, 98–107. https://doi-org.lcu.idm.oclc.org/10.1016/j.ijnurstu.2016.10.002
Fadzil, N. A., Heong, W. O., Kueh, Y. C., & Phang, C. K. (2021). The Effect of a Mindfulness-Based Intervention on Nurses in Kelantan, Malaysia. The Malaysian Journal of Medical Sciences : MJMS, 28(6), 121–128. https://doi-org.lcu.idm.oclc.org/10.21315/mjms2021.28.6.12
Ghawadra, S. F., Lim Abdullah, K., Choo, W. Y., Danaee, M., & Phang, C. K. (2020). The effect of mindfulness-based training on stress, anxiety, depression and job satisfaction among ward nurses: A randomized control trial. Journal of Nursing Management, 28(5), 1088–1097. https://doi-org.lcu.idm.oclc.org/10.1111/jonm.13049
Ghawadra, S. F., Abdullah, K. L., Choo, W. Y., & Phang, C. K. (2019). Mindfulness-based stress reduction for psychological distress among nurses: A systematic review. Journal of Clinical Nursing, 28(21-22), 3747–3758. https://doi.org/10.1111/jocn.14987
Green, A. A., & Kinchen, E. V. (2021). The Effects of Mindfulness Meditation on Stress and Burnout in Nurses. Journal of Holistic Nursing: Official Journal of the American Holistic Nurses’ Association, 39(4), 356–368. https://doi-org.lcu.idm.oclc.org/10.1177/08980101211015818
Jung, S.-E., Ha, D.-J., Park, J.-H., Lee, B., Kim, M.-S., Sim, K.-L., Choi, Y.-H., & Kwon, C.-Y. (2021). The Effectiveness and Safety of Mind-Body Modalities for Mental Health of Nurses in Hospital Setting: A Systematic Review. International Journal of Environmental Research and Public Health, 18(16). https://doi-org.lcu.idm.oclc.org/10.3390/ijerph18168855
Kang, M.-J., & Myung, S.-K. (2021). Effects of Mindfulness-Based Interventions on Mental Health in Nurses: A Meta-Analysis of Randomized Controlled Trials. Issues in Mental Health Nursing, 1–9. https://doi-org.lcu.idm.oclc.org/10.1080/01612840.2021.1949765
Lin, L., He, G., Yan, J., Gu, C., & Xie, J. (2019). The Effects of a Modified Mindfulness-Based Stress Reduction Program for Nurses: A Randomized Controlled Trial. Workplace Health & Safety, 67(3), 111–122. https://doi.org/10.1177/2165079918801633
Sarazine, J., Heitschmidt, M., Vondracek, H., Sarris, S., Marcinkowski, N., & Kleinpell, R. (2021). Mindfulness Workshops Effects on Nurses’ Burnout, Stress, and Mindfulness Skills. Holistic Nursing Practice, 35(1), 10–18. https://doi-org.lcu.idm.oclc.org/10.1097/HNP.0000000000000378
Xie, C., Zeng, Y., Lv, Y., Li, X., Xiao, J., & Hu, X. (2020). Educational intervention versus mindfulness-based intervention for ICU nurses with occupational burnout: A parallel, controlled trial. Complementary Therapies in Medicine, 52, 102485. https://doi-org.lcu.idm.oclc.org/10.1016/j.ctim.2020.102485
Yi-Yan Chen, & Xiang-Shu Cui. (2020). Intervention effect of mindfulness-based stress reduction for psychological health among nurses: A meta-analysis. TMR Integrative Nursing, 4(5), 163–171. https://doi-org.lcu.idm.oclc.org/10.12032/TMRIN20201004
Recommended Citation
Bazan, Gisele Nicole, "Effects of Mindfulness Stress Reduction Program on Nurses: An Integrated Research Review" (2022). 2022 Providence Nurse Research Conference. 1.
https://digitalcommons.providence.org/prov_rn_conf_22/2022/posters/1
Included in
Effects of Mindfulness Stress Reduction Program on Nurses: An Integrated Research Review
Virtual Conference
Background/Purpose:
Prevalence of nurse burnout can be as high as 40% (Duarte & Pinto-Gouveia, 2016). Variations of mindfulness-based interventions (MBI) have been utilized to combat burnout among nurses. Many studies utilize an adapted version(s) of the eight week mindfulness-based stress reduction (MBSR) course develop by Dr. Kabat-Zinn, which aims to aid in the improvement of mindfulness through practice of linking one’s physical and mental state in a nonjudgmental way (Ghawadra et al., 2019). Multiple instruments to measure levels of burnout and other psychological effects job stressors may have on nurses have also been applied. Higher levels of burnout have been shown to have a negative impact on job satisfaction, patient outcomes due to quality of care; and in increase in nursing absenteeism and turn over (Green & Kinchen, 2018).
Purpose/Aims
A systematic integrative search of the literature was performed to evaluate the effectiveness of mindfulness-based interventions among nurses in hospital care settings.
Methods:
Methodology implemented for the integrative research review was derived from search design recommendations from Brown (2018), Whittemore & Knafle (2005) and “The Preferred Reporting Items for Systematic Review and Meta-Analysis” (PRISMA) guidelines (Page, et al., 2021). A comprehensive literature search was conducted with the following search terms: mindfulness based interventions, nurses, effects or impacts or consequences or influence outcomes; utilizing the Cochrane Library, Medline Complete, Cinahl and Pubmed databases. All databases were set with the same search terms, limitations, and publication year setting (2016-2022) with the exception of the Pubmed database, in which an additional filter was added to limit the search to systematic reviews and meta-analysis.
Results:
A total of 125 articles were found with thirty-three duplicates leaving ninety-two for review. Of the ninety-two remaining articles eighty were excluded for not meeting inclusion parameters. The remaining twelve articles were reviewed for critical appraisal, and was comprised of four level one, three level two, two level three, one level 4, one level five and one level seven study, which meet the inclusion criteria for the literature review. Appraisal of the studies was performed with the utilization of the evidence based research (EBR) tool, appraising checklist by Brown (2018) and the PRISMA checklist (Long & Gannaway, 2015; Page, et al., 2021).
Conclusion:
There was inconsistency found among the mindfulness based programs and interventions utilized in each study, as well as the instruments implemented to measure burnout and mental health of nurses. Although each study varied in interventions and data collection strategies each showed some form of positive impact on the overall wellbeing of nurses, however, the statistical significance of the impact varied among studies. As noted by Jung et al., (2021) there is no “gold standard” for primary outcomes for nursing mental health unlike the clear expectations for patient outcomes and may contribute to the heterogeneity of MBI/MBSR studies for nurses.
Implication:
In the future, researchers studying the effectiveness of an MBI or MBSR on nurses, should consider developing a standardized practice for data collection, which include but not limited to the use of selected validated and reliable measure instruments for example, the Maslach Burnout Inventory (MBI), mass attention awareness scale (MASS), etc. (Jung et a., 2021). In doing so this may potentially create a homogeneous environment in which the effectiveness of the applied MBI, MSBR or abbreviated programs may be measured more effectively and efficiently and may lead to more reliable and creditable findings.
References
Alkhawaldeh, J. M. A., Soh, K. L., Mukhtar, F. B. M., Peng, O. C., & Anshasi, H. A. (2020). Stress management interventions for intensive and critical care nurses: A systematic review. Nursing in Critical Care, 25(2), 84–92. https://doi.org/10.1111/nicc.12489
Duarte, J., & Pinto-Gouveia, J. (2016). Effectiveness of a mindfulness-based intervention on oncology nurses’ burnout and compassion fatigue symptoms: A non-randomized study. International Journal of Nursing Studies, 64, 98–107. https://doi-org.lcu.idm.oclc.org/10.1016/j.ijnurstu.2016.10.002
Fadzil, N. A., Heong, W. O., Kueh, Y. C., & Phang, C. K. (2021). The Effect of a Mindfulness-Based Intervention on Nurses in Kelantan, Malaysia. The Malaysian Journal of Medical Sciences : MJMS, 28(6), 121–128. https://doi-org.lcu.idm.oclc.org/10.21315/mjms2021.28.6.12
Ghawadra, S. F., Lim Abdullah, K., Choo, W. Y., Danaee, M., & Phang, C. K. (2020). The effect of mindfulness-based training on stress, anxiety, depression and job satisfaction among ward nurses: A randomized control trial. Journal of Nursing Management, 28(5), 1088–1097. https://doi-org.lcu.idm.oclc.org/10.1111/jonm.13049
Ghawadra, S. F., Abdullah, K. L., Choo, W. Y., & Phang, C. K. (2019). Mindfulness-based stress reduction for psychological distress among nurses: A systematic review. Journal of Clinical Nursing, 28(21-22), 3747–3758. https://doi.org/10.1111/jocn.14987
Green, A. A., & Kinchen, E. V. (2021). The Effects of Mindfulness Meditation on Stress and Burnout in Nurses. Journal of Holistic Nursing: Official Journal of the American Holistic Nurses’ Association, 39(4), 356–368. https://doi-org.lcu.idm.oclc.org/10.1177/08980101211015818
Jung, S.-E., Ha, D.-J., Park, J.-H., Lee, B., Kim, M.-S., Sim, K.-L., Choi, Y.-H., & Kwon, C.-Y. (2021). The Effectiveness and Safety of Mind-Body Modalities for Mental Health of Nurses in Hospital Setting: A Systematic Review. International Journal of Environmental Research and Public Health, 18(16). https://doi-org.lcu.idm.oclc.org/10.3390/ijerph18168855
Kang, M.-J., & Myung, S.-K. (2021). Effects of Mindfulness-Based Interventions on Mental Health in Nurses: A Meta-Analysis of Randomized Controlled Trials. Issues in Mental Health Nursing, 1–9. https://doi-org.lcu.idm.oclc.org/10.1080/01612840.2021.1949765
Lin, L., He, G., Yan, J., Gu, C., & Xie, J. (2019). The Effects of a Modified Mindfulness-Based Stress Reduction Program for Nurses: A Randomized Controlled Trial. Workplace Health & Safety, 67(3), 111–122. https://doi.org/10.1177/2165079918801633
Sarazine, J., Heitschmidt, M., Vondracek, H., Sarris, S., Marcinkowski, N., & Kleinpell, R. (2021). Mindfulness Workshops Effects on Nurses’ Burnout, Stress, and Mindfulness Skills. Holistic Nursing Practice, 35(1), 10–18. https://doi-org.lcu.idm.oclc.org/10.1097/HNP.0000000000000378
Xie, C., Zeng, Y., Lv, Y., Li, X., Xiao, J., & Hu, X. (2020). Educational intervention versus mindfulness-based intervention for ICU nurses with occupational burnout: A parallel, controlled trial. Complementary Therapies in Medicine, 52, 102485. https://doi-org.lcu.idm.oclc.org/10.1016/j.ctim.2020.102485
Yi-Yan Chen, & Xiang-Shu Cui. (2020). Intervention effect of mindfulness-based stress reduction for psychological health among nurses: A meta-analysis. TMR Integrative Nursing, 4(5), 163–171. https://doi-org.lcu.idm.oclc.org/10.12032/TMRIN20201004
