Effects of a mindfulness-based interventions on stress, burnout in nurses: a systematic review and meta-analysis

被引:19
作者
Wang, Qi [1 ]
Wang, Fang [2 ]
Zhang, Shurong [1 ]
Liu, Chaofan [1 ]
Feng, Yue [1 ]
Chen, Junzhu [1 ]
机构
[1] Chengdu Univ Tradit Chinese Med, Sch Nursing, Chengdu, Sichuan, Peoples R China
[2] Guang An Hosp Tradit Chinese Med, Guang An, Sichuan, Peoples R China
关键词
mindfulness; nurse; burnout; pressure; systematic review; COGNITIVE THERAPY; MEDITATION; ANXIETY; REDUCTION; DISORDER; PROFESSIONALS; COMPASSION; DEPRESSION; PROGRAM; CARE;
D O I
10.3389/fpsyt.2023.1218340
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Stress in the healthcare environment causes negative effects in nurses such as burnout, anxiety, and depression. The COVID-19 pandemic has resulted in increased pressure on medical staff globally, highlighting the potential benefits of mindfulness-based interventions in reducing nurses' stress levels. Despite numerous studies exploring the effect of mindfulness-based training on nurses, the results remain inconclusive.Objective: To systematically evaluate the impact of mindfulness training on nurse's performance and increase the certainty of existing evidence.Methods: This study searched various databases, including EBSCO, Embase, Web of Science, PubMed, ProQuest, Scopus, Cochrane Online Library, Wanfang, SinoMed, CNKI, and VIP, for randomized controlled trials on the impact of mindfulness-based interventions for nurses up until 02 December 2022. Two investigators independently screened and extracted data from the articles, while also assessing the risk of bias. The data was analyzed using RevMan 5.4 software.Results: This review identified 15 studies out of the 2,171 records retrieved, consisting of a total of 1,165 participants who were randomized. Post-intervention analysis provided very-low certainty evidence of moderate effectiveness of mindfulness-based training in reducing stress [standardized mean difference (SMD) = -0.81; 95% confidence interval (CI) = -1.11 to -0.52], with no significant effect on anxiety (SMD = -0.30; 95% CI = -0.72 to 0.13) or depression (SMD = -0.24; 95% CI = -0.55 to 0.07). However, the training was effective in reducing burnout, as demonstrated by the lower scores for emotional exhaustion (SMD = -4.27; 95% CI = -5.94 to -2.59) and depersonalization (SMD = -2.89; 95% CI = -4.24 to -1.54) and higher scores for personal accomplishment (SMD = 2.81; 95% CI = 0.12 to 5.50). There was a sustained improvement in stress levels in the short-term (=3 months), with delayed benefits for burnout. However, only two studies were available for later follow-ups, and there was no significant evidence of long-term effects.Conclusion: Mindfulness-based training may be a viable intervention for improving the psychological wellbeing of nurses, including reducing stress, burnout.
引用
收藏
页数:9
相关论文
共 65 条
[1]   The impact of COVID-19 pandemic-related stress experienced by Australian nurses [J].
Aggar, Christina ;
Samios, Christina ;
Penman, Olivia ;
Whiteing, Nicola ;
Massey, Deb ;
Rafferty, Rae ;
Bowen, Karen ;
Stephens, Alexandre .
INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, 2022, 31 (01) :91-103
[2]   The effectiveness of adapted group mindfulness-based stress management program on perceived stress and emotion regulation in midwives: a randomized clinical trial [J].
Aghamohammadi, Fatemeh ;
Saed, Omid ;
Ahmadi, Reza ;
Kharaghani, Roghieh .
BMC PSYCHOLOGY, 2022, 10 (01)
[3]   Job satisfaction and burnout among paediatric nurses [J].
Akman, Ozlem ;
Ozturk, Candan ;
Bektas, Murat ;
Ayar, Dijle ;
Armstrong, Merry A. .
JOURNAL OF NURSING MANAGEMENT, 2016, 24 (07) :923-933
[4]  
Alexander GK, 2015, WORKPLACE HEALTH SAF, V63, P462, DOI 10.1177/2165079915596102
[5]   Mindfulness-based cognitive therapy: An efficacy study for mental health care staff [J].
Askey-Jones, Ryan .
JOURNAL OF PSYCHIATRIC AND MENTAL HEALTH NURSING, 2018, 25 (07) :380-389
[6]  
Botha Elmarie, 2015, JBI Database System Rev Implement Rep, V13, P21, DOI 10.11124/jbisrir-2015-2380
[7]  
Calisi CC, 2017, J HOLIST NURS, V35, P318, DOI 10.1177/0898010117719207
[8]   Multidimensional Approach Toward Spiritual Coping: Construction and Validation of the Spiritual Coping Questionnaire (SCQ) [J].
Charzynska, Edyta .
JOURNAL OF RELIGION & HEALTH, 2015, 54 (05) :1629-1646
[9]   Religious Coping, Depression and Anxiety among Healthcare Workers during the COVID-19 Pandemic: A Malaysian Perspective [J].
Chow, Soon Ken ;
Francis, Benedict ;
Ng, Yit Han ;
Naim, Najmi ;
Beh, Hooi Chin ;
Ariffin, Mohammad Aizuddin Azizah ;
Yusuf, Mohd Hafyzuddin Md ;
Lee, Jia Wen ;
Sulaiman, Ahmad Hatim .
HEALTHCARE, 2021, 9 (01)
[10]  
Cimen M, 2012, Acibadem Universitesi Saglik Bilim Derg, V3, P21