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

      systematic-review

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          Abstract

          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.

          Systematic review registration

          https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42023387081.

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          Most cited references64

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          Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions

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            COVID-19 pandemic and mental health consequences: systematic review of the current evidence

            Highlights • COVID-19 patients displayed high levels of PTSS and increased levels of depression. • Patients with preexisting psychiatric disorders reported worsening of psychiatric symptoms. • Higher levels of psychiatric symptoms were found among health care workers. • A decrease in psychological well-being was observed in the general public. • However, well conducted large-scale studies are highly needed.
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              Job burnout.

              Burnout is a prolonged response to chronic emotional and interpersonal stressors on the job, and is defined by the three dimensions of exhaustion, cynicism, and inefficacy. The past 25 years of research has established the complexity of the construct, and places the individual stress experience within a larger organizational context of people's relation to their work. Recently, the work on burnout has expanded internationally and has led to new conceptual models. The focus on engagement, the positive antithesis of burnout, promises to yield new perspectives on interventions to alleviate burnout. The social focus of burnout, the solid research basis concerning the syndrome, and its specific ties to the work domain make a distinct and valuable contribution to people's health and well-being.
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                Author and article information

                Contributors
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                03 August 2023
                2023
                : 14
                : 1218340
                Affiliations
                [1] 1School of Nursing, Chengdu University of Traditional Chinese Medicine , Chengdu, Sichuan, China
                [2] 2Guang’an Hospital of Traditional Chinese Medicine , Guang’an, Sichuan, China
                Author notes

                Edited by: Gerard Kennedy, Federation University Australia, Australia

                Reviewed by: Damien Claverie, Ministère de la Défense, France; Luis Felipe Dias Lopes, Federal University of Santa Maria, Brazil; Yuke Tien Fong, Singapore General Hospital, Singapore

                *Correspondence: Fang Wang, wangf7640@ 123456163.com

                These authors have contributed equally to this work

                Article
                10.3389/fpsyt.2023.1218340
                10434780
                37599884
                85a804c3-2d9e-4110-b572-fe8f7a5d5a66
                Copyright © 2023 Wang, Wang, Zhang, Liu, Feng and Chen.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 07 May 2023
                : 17 July 2023
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 65, Pages: 9, Words: 7074
                Funding
                This study was supported by the Sichuan Provincial Health Research Project for Cadres (HCS2021-502) and the Institutional Project of Sichuan Provincial Hospital of Traditional Chinese Medicine (20HL01).
                Categories
                Psychiatry
                Systematic Review
                Custom metadata
                Public Mental Health

                Clinical Psychology & Psychiatry
                mindfulness,nurse,burnout,pressure,systematic review
                Clinical Psychology & Psychiatry
                mindfulness, nurse, burnout, pressure, systematic review

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