The Effects of a Modified Mindfulness-Based Stress Reduction Program for Nurses: A Randomized Controlled Trial

Lin, Lin; He, Guoping; Yan, Jin; Gu, Can; Xie, Jianfei

doi:10.1177/2165079918801633

Cited by 70 publications

(104 citation statements)

References 53 publications

(65 reference statements)

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Section: Work-related or Organisational Outcomesmentioning

confidence: 90%

“…A further 16 studies [55,57,59,62,82,84,111,112,115,144,148,150,161,165,171,189] did not report significant improvements in any measures of work-related or organisational outcomes. Of these, nine were RCTs [55,57,59,62,111,115,150,161,165], one was a controlled study [84] and six were uncontrolled studies [82,112,144,148,171,189]. These studies found no positive changes in job satisfaction [55,82,112,144,148,161,165], work functioning/productivity [57,62,111,115], caring efficacy [150,189], work-family conflict [59], sick days [75,…”

Section: Work-related or Organisational Outcomesmentioning

confidence: 90%

“…Thirty-one studies included a mindfulness [62,66,69,93,126,133,135,[144][145][146][147][148][149][150][151][152][153][154][155][156][157][158][159] or meditation [87,[160][161][162][163][164][165][166] intervention (most often with the use of mindfulness-based stress reduction (MBSR) as a mindfulness program). Twenty-four studies [63,[70][71][72]86,96,105,151,160,162,[167][168][169][170][171][172][173][174][175]…”

Section: Mindfulness and Relaxationmentioning

confidence: 99%

“…There were 49 studies that reported improvements in a measure of stress [55,66,70,71,[80][81][82]85,86,92,95,99,106,107,109,110,122,127,[131][132][133]143,[146][147][148][149][150]153,154,156,157,159,161,[163][164][165]167,170,175,178,[180][181][182][183][184][185][186][187][188]. Of the 49 studies reporting improvements in the measure of stress, 16 were RCTs [55,…”

Section: Stress and Copingmentioning

confidence: 99%

“…Of the 49 studies reporting improvements in the measure of stress, 16 were RCTs [55,92,122,131,150,157,161,165,167,170,175,178,[182][183][184][185], seven were non-randomised controlled studies [86,99,106,110,147,149,188] and 26 were uncontrolled studies [66,70,71,[80][81][82]85,95,107,109,127,132,133,143,146,148,153,154,156,159,163,164,180,181,186,187]. The interventions in studies with positive outcomes used mindfulness/meditation...…”

Section: Stress and Copingmentioning

confidence: 99%

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Effectiveness of Lifestyle Health Promotion Interventions for Nurses: A Systematic Review

Stanulewicz

Knox

Narayanasamy

et al. 2019

IJERPH

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Background: Prior research has investigated various strategies to improve health, wellbeing and the job-related outcomes of nurses. However, the scope of this evidence is not clear and the types of intervention most likely to have positive outcomes are unknown. Objective: To provide an overview and synthesis of the effectiveness of interventions conducted with the goal of improving health, wellbeing and the job-related outcomes of nurses. Methods: A systematic database search was conducted from January 2000 to December 2018, with pre-defined criteria (Cochrane Central Register of Controlled Trials; MEDLINE and PubMed; EMBASE; CINAHL; PsycINFO; and BioMed Central). In total, 136 intervention studies with a total sample of 16,129 participants (range 9–3381) were included and evaluated. Data extraction, quality assessment and risk of bias analyses were performed. Results: Studies included randomised controlled trials (RCTs; n = 52, 38%), randomised crossover design studies (n = 2, 1.5%) and non-randomised pre-post studies with a control group (n = 31, 23%) and without a control group (n = 51, 37.5%). The majority of interventions focused on education, physical activity, mindfulness, or relaxation. Thirty-seven (27%) studies had a multimodal intervention approach. On average, studies had relatively small samples (median = 61; mode = 30) and were conducted predominantly in North America (USA/Canada, n = 53). The findings were mixed overall, with some studies reporting benefits and others finding no effects. Dietary habits was the most successfully improved outcome (8/9), followed by indices of body composition (20/24), physical activity (PA) (11/14), and stress (49/66), with >70% of relevant studies in each of these categories reporting improvements. The lowest success rate was for work-related outcomes (16/32). Separate analysis of RCTs indicated that interventions that focus solely on education might be less likely to result in positive outcomes than interventions targeting behavioural change. Conclusions: Interventions targeting diet, body composition, PA, or stress are most likely to have positive outcomes for nurses’ health and/or wellbeing. The methodologically strongest evidence (RCTs) is available for body composition and stress. Interventions relying solely on educational approaches are least likely to be effective. Organisational outcomes appear to be more challenging to change with lifestyle intervention, likely requiring more complex solutions including changes to the work environment. There is a need for more high-quality evidence since many studies had moderate or high risk of bias and low reporting quality.

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