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A Systematic Review and Meta-analysis of the Impact of Mindfulness-Based Interventions on the Well-Being of Healthcare Professionals
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“Multiple systematic reviews conducted by Lomas et al22 23 achieved similar results with overall study findings reporting that mindfulness was generally associated with positive outcomes in relation to most measures, however, the quality of assessed studies was inconsistent, especially noting the lack of RCT study designs that were eligible for inclusion.”
From Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review. (2023) · cites this paper as [23]
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“MBE interventions can be implemented quite sustainably as they are generally performed in the workplace (during scheduled breaks) or through self-directed practices.22–24”
From Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review. (2023) · cites this paper as [23]
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“As such, several recent systematic reviews have reported the benefit of individual focused interventions in healthcare, predominantly highlighting the effectiveness of mindfulness-based practices to improve well-being.22–24”
From Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review. (2023) · cites this paper as [23]
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“It has been observed that mindfulness practices, for example, in the context of mindfulness-based programs (MBPs), may improve anxiety, depression, psychological distress, and mental well-being in healthcare professionals [30].”
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“To date, systematic reviews and meta-analyses have primarily focused upon empirical investigations into the reduction of stress amongst HCPs using MBSR and are limited to empirical studies published before December 2019.”
From The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review (2021) · cites this paper as Lomas et al. 2019
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“They are indicated as therapeutic interventions with scientific evidence for reducing burnout, regulating emotions, improving emotional resilience, and reducing depression among nurses and other HP [5,6,7].”
From The Impact of an Online Mindfulness-Based Practice Program on the Mental Health of Brazilian Nurses during the COVID-19 Pandemic (2023) · cites this paper as [6]
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“In an extensive literature review, Lomas et al. [6] found that most of the 41 included studies showed a statistically significant reduction in stress levels.”
From The Impact of an Online Mindfulness-Based Practice Program on the Mental Health of Brazilian Nurses during the COVID-19 Pandemic (2023) · cites this paper as [6]
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Mindfulness-based interventions: an overall review
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“Multiple systematic reviews conducted by Lomas et al 22 23 achieved similar results with overall study findings reporting that mindfulness was generally associated with positive outcomes in relation to most measures, however, the quality of assessed studies was inconsistent, especially noting the…”
ResultKriakous, S. A., Elliott, K. A., Lamers, C., & Owen, R. (2021) · Mindfulness · doi:10.1007/s12671-020-01500-9 · Cited by 342
“Future studies are encouraged to employ robust controlled designs with ‘active’ control groups (Lomas et al. 2019), obtain larger sample sizes and more heterogeneous samples to increase the generalisability of research findings.”
BackgroundGalante, J., Friedrich, C., Dawson, A. F., Modrego-Alarcón, M., Gebbing, P., Delgado-Suárez, I., Gupta, R., Dean, L., Dalgleish, T., White, I. R., et al. (2021) · PLOS Medicine · doi:10.1371/journal.pmed.1003481 · Cited by 319
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Mindfulness-Based Programs in the Workplace: a Meta-Analysis of Randomized Controlled Trials
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“…as teaching/education (Hwang et al. 2017; Lomas et al. 2017b), health care (Boellinghaus et al. 2014; Escuriex and Labbé 2011; Irving et al. 2009; Lomas et al. 2018; Luken and Sammons 2016; Morgan et al. 2015; Rudaz et al. 2017; Smith 2014), social workers (Trowbridge andMische Lawson 2016), and…”
BackgroundSuleiman‐Martos, N., Gomez‐Urquiza, J. L., Aguayo‐Estremera, R., Cañadas‐De La Fuente, G. A., De La Fuente‐Solana, E. I., & Albendín‐García, L. (2020) · Journal of Advanced Nursing · doi:10.1111/jan.14318 · Cited by 217
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“The benefits of MBIs extend beyond clinical populations, with RCTs demonstrating beneficial effects on stress in nonclinical populations [26], including working adults [27] and, specifically, health care workers [28-30].”
BackgroundSalvado, M., Marques, D. L., Pires, I. M., & Silva, N. M. (2021) · Healthcare · doi:10.3390/healthcare9101342 · Cited by 109
“Contrary to previous meta-analyses that included physicians of all specialties [4,41], other healthcare professionals [39], or mixed interventions [42], we circumscribed our analysis only to MBIs and PHCP.”
ResultGkintoni, E., Vassilopoulos, S. P., & Νικολάου, Γ. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14051703 · Cited by 117
Pérez, V., Menéndez-Crispín, E. J., Sarabia-Cobo, C., de Lorena, P., Fernández-Rodríguez, A., & González-Vaca, J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191811441 · Cited by 77
“Although such a conclusion may be somewhat premature given the heterogeneity of mindfulness-based interventions and the lack of independent research groups replicating specific mindfulness-based interventions, the field clearly indicates that engaging in mindfulness-based practices helps caregivers improve their well-…”
BackgroundMindfulness-based programmes to reduce stress and enhance well-being at work: a realist review
Micklitz, K., Wong, G., & Howick, J. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-043525 · Cited by 87
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“With regard to stress, several studies indicate the effectiveness of mindfulness practices in improving stress [6,31,34].”
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“The program is grounded in a theoretical framework based on acceptance and commitment therapy (ACT) [26–28] and cognitive behavioral therapy (CBT) [29,30] with an emphasis on mindfulness [31,32].”
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Saunders, D. C., & Hedy Kober, A. (2020) · Mindfulness · doi:10.1007/s12671-020-01360-3 · Cited by 34
“…and medical disorders in adults, beginning with Kabat-Zinn’s (1982) study of a mindfulness-based program (MBP) for adults with chronic pain (Castellanos et al. 2020; Goldberg et al. 2018; Khoury et al. 2015; Lomas et al. 2019;McClintock et al. 2019; Turgon et al. 2019; Vonderlin et al. 2020).”
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“Interestingly, the relationship between mindfulness and resilience has not been well-studied in clinical populations [39].”
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“Accumulating research indicates that mindfulness reduces anxiety and depression and enhances well-being among health profession trainees, and a recent meta-analysis highlighted the potential efficacy of mind-body wellness programs such as mindfulness meditation for improving trainee well-being [18,19].”
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Hedderman, E., O’Doherty, V., & O’Connor, S. (2020) · Irish Journal of Psychological Medicine · doi:10.1017/ipm.2020.59 · Cited by 25
“Mindfulness is the foundation of self-compassion insofar as we can only respond self-compassionately when we know we are struggling (McGehee et al. 2017).”
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The search for scientific meaning in mindfulness research: Insights from a scoping review
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Wisdom-Based Buddhist-Derived Meditation Practices for Prosocial Behaviour: A Systematic Review
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“Following previous systematic reviews that assess the impact and effectiveness of MBIs and meditative practices (Kriak-ous et al., 2021; Lomas et al., 2019; Shonin et al., 2015), this review also assessed the quality and risk of bias of the included studies using the Quality Assessment Tool for…”
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“A systematic review 39 presents evidence that mindfulness practices effectively reduced job burnout in healthcare professionals.”
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Job Demands and Resources, Mindfulness, and Burnout Among Delivery Drivers in China
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“Meditations, stress reduction programs and other mind-fulness-based interventions are well-known remedies due to their potential to enhance consciousness and emo - tional stability [21–23].”
What is positive psychological functioning?
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“…Snyder et al., 1996), self-esteem (Leary & Baumeister, 2000; Rosenberg, 1965; Sowislo & Orth, 2013), and mindfulness (Brown & Ryan, 2003; Grossman et al., 2004; Keng et al., 2011; Lomas et al., 2019a) as each has generated their own research programs examining how well they predict well-being.”
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“6 Mindfulness and self-compassion are potential mediators for positive effects of mindfulness-based programme.”
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Biber, D. (2021) · Nursing Management · doi:10.7748/nm.2021.e2028 · Cited by 12
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“…neither the type of mindfulness-based intervention nor aspects of delivery significantly affected the outcome (Vonderlin et al., 2020), but Lomas et al. (2019) reported larger effects on health-related outcomes for standardized versions of Mindfulness-Based Stress Reduction (Lomas et al., 2019).”
BackgroundResultInfluentialThe environmental model of mindfulness
Meaden, J. (2024) · Frontiers in Social Psychology · doi:10.3389/frsps.2024.1385819 · Cited by 16
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“…self-care plans with nurses and facilitating advisory councils to assess and bring forward ideas for wellness activities that would be accessible and acceptable to the nurses that they represent (Brand et al., 2017), to one-on-one interventions, such as mindfulness teaching (Lomas et al., 2019).”
BackgroundKöksal, Z., Topkaya, N., & Şahin, E. (2023) · Elektronik Sosyal Bilimler Dergisi · doi:10.17755/esosder.1223885 · Cited by 10
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“It has been observed that mindfulness practices, for example, in the context of mindfulness-based programs (MBPs), may improve anxiety, depression, psychological distress, and mental well-being in healthcare professionals [30].”
BackgroundHealthcare professionals’ well-being at work: a professional and organizational identity perspective
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Mindfulness predicts impostorism in trainee psychologists in professional programs.
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The interplay between mindfulness and caring for bliss on later student burnout
Rudaz, M., Ledermann, T., & Fincham, F. D. (2022) · Journal of American College Health · doi:10.1080/07448481.2021.2024549 · Cited by 6
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Williams, M. S., Ordonez, K., King, D., Solomon, J., Ardito, S., Polo, J., Weiss, S., & Hajizadeh, N. (2024) · OBM Integrative and Complementary Medicine · doi:10.21926/obm.icm.2404060 · Cited by 5
Andersson, G., Björklind, A., Bennett–Levy, J., & Bohman, B. (2020) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x20000483 · Cited by 6
“Common corrective self-care strategies among therapists include meditation (e.g. mindfulness and compassion; Boellinghaus et al ., 2013; Lomas et al ., 2019) and personal therapy (Orlinsky et al ., 2011).”
Leung, M., Ahmed, K., & Famakin, I. O. (2022) · Engineering Construction & Architectural Management · doi:10.1108/ecam-01-2022-0005 · Cited by 5
Yin, J., Yue, C., Chen, X., & Tang, L. (2022) · International Journal of Sport and Exercise Psychology · doi:10.1080/1612197x.2022.2098354 · Cited by 5
Alhawatmeh, H. N., Abusaif, L., Alharrasi, M., ABUALRUB, R. F., & Hamaideh, S. H. (2025) · Journal of Holistic Nursing · doi:10.1177/08980101251323021 · Cited by 6
“…as demonstrated by research from Alfurjani et al. (2024), Bartlett et al. (2021), Brouwer et al. (2024), Ficarra (2024), Ghawadra et al. (2020), Goyal et al. (2014), Green and Kinchen (2021), Lomas et al. (2019), Ramachandran et al. (2022), Sulosaari et al. (2022), and Young et al. (2023).”
Yagi, S. R., Napa, W., Awirutworakul, T., Ittasakul, P., Yagi, N., & Hartelius, G. (2023) · Journal of Professional Nursing · doi:10.1016/j.profnurs.2023.04.005 · Cited by 4
Puhlmann, L. M. C., & Engert, V. (2025) · Frontiers in Endocrinology · doi:10.3389/fendo.2025.1415081 · Cited by 5
Bailey, A., Sawyer, A. T., Tao, H., Durr, L. I., Lajeunesse, A., Sabapathy, R., & Hall, T. L. (2023) · Journal of Wellness · doi:10.55504/2578-9333.1186 · Cited by 3
“This may be a barrier for busy physicians and APPs, and the retreat format could potentially integrate the methods and topics of longer evidence-based interventions [19, 42, 69].”
BackgroundHealing Through Humanized Care: Lessons from a Patient-Centered Perinatal Loss Protocol
Caro-Costa, R., Alcaide-Leyva, J. M., García-Luque, L., Alcaraz-Clariana, S., Guzmán-García, J.-M., & Jiménez-Mérida, M. D. R. (2025) · Healthcare · doi:10.3390/healthcare13030242 · Cited by 4
“These interventions can empower healthcare providers to address their own emotional well-being, thereby improving their capacity to care for bereaved families [32].”
Burić, I., Žderić, L., Wrzesien, M., & de Bruin, E. I. (2025) · Mindfulness · doi:10.1007/s12671-025-02625-5 · Cited by 3
“While the benefits of MBIs are well-documented (Chiesa et al., 2011; Eberth & Sedlmeier, 2012; Gu et al., 2015; Lomas et al., 2019; Simpson et al., 2023; Zuo et al., 2023), limited studies have explored sources of individual differences that explain why some people experience positive outcomes and…”
Kumar, A., Varsha, P. S., Joshi, M., Samara, G., Narayanasamy, A., & Edacherian, S. (2026) · Journal of Open Innovation Technology Market and Complexity · doi:10.1016/j.joitmc.2026.100732 · Cited by 3
Taleb, A., Ismail, A., & Abbas, L. A. (2024) · PLoS ONE · doi:10.1371/journal.pone.0310272 · Cited by 3
Pérez-Marqués, M. (2024) · Romanian Journal of Applied Psychology · doi:10.2478/rjap-2024-0005 · Cited by 5
Mindfulness Matters: Untangling Entrapment and Mental Well-Being in Married Couples
Akyıl, Y., Erdinç, B., & Satıcı, S. A. (2025) · Psychiatric Quarterly · doi:10.1007/s11126-025-10168-0 · Cited by 3
“Systematic review studies have demonstrated the efficacy of mindfulness-based interventions on suicidal behavior and well-being [17, 18].”
Lee, Y.-L., Dai, J.-W., Li, X., Lin, Y.-C., & Wang, C. (2025) · Scientific Reports · doi:10.1038/s41598-025-18545-2 · Cited by 5
Kent, W., Hulbert-Williams, N., & Hochard, K. D. (2020) · Health Psychology Report · doi:10.5114/hpr.2020.100787 · Cited by 3
“…to find a small number of mindfulness-based intervention studies given that these have also been widely used for stress management in non-oncology nursing populations (Craigie et al., 2016; Delaney, 2018; Foureur et al., 2013; Lomas et al., 2018; Mackenzie et al., 2006; Watanabe et al., 2019).”
BackgroundEvidence to Support Mindful Healthcare Professionals
Kraemer, K. M., Wang, A., O’Bryan, E. M., & Luberto, C. M. (2022) · Springer eBooks · doi:10.1007/978-3-030-91062-4_2 · Cited by 3
Cheng, S. C., Thompson, E. A., & Price, C. J. (2022) · Journal of Integrative and Complementary Medicine · doi:10.1089/jicm.2021.0397 · Cited by 3
Steinberg, B. A., Mulugeta, Y., Quatman‐Yates, C. C., Williams, M., Gogineni, A., & Klatt, M. D. (2025) · International Journal of Mental Health Promotion · doi:10.32604/ijmhp.2025.067232 · Cited by 3
Selbst(für)sorge und Achtsamkeit praktizieren und fördern
Heidenreich, T., & Michalak, J. (2020) · Springer Reference Pflege, Therapie, Gesundheit · doi:10.1007/978-3-662-58685-3_10-1 · Cited by 3
Juarez-Reyes, M., Less, J., Gardner, R. M., Dahlen, A., & Blacker, A. (2024) · Journal of Workplace Behavioral Health · doi:10.1080/15555240.2024.2357692 · Cited by 2
“Prior to the pandemic, healthcare organizations had begun implementing mindfulness-based interventions (MBIs) among a variety of HCW role types such as nurses, physicians, trainees, occupational therapists, and mental health providers (Lomas et al., 2019).”
González, E. Q., Perugini, M. L. L., Delgado-Abella, L. E., Arenas, J., & Demarzo, M. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1470695 · Cited by 3
Luna, S., & Rodríguez-Carvajal, R. (2025) · Self and Identity · doi:10.1080/15298868.2025.2451794 · Cited by 2
“MBIs, known for their efficacy in enhancing overall well-being (Agteren et al., 2021; Eberth & Sedlmeier, 2012; Lomas et al., 2018; Querstret et al., 2020), have predominantly focused on explicit self-esteem as a mediator of the effects of MBIs on well-being (Bajaj et al., 2019).”
Future Directions in Coaching and Communication Research
Kayyali, M. (2025) · IGI Global eBooks · doi:10.4018/979-8-3693-7959-2.ch005 · Cited by 2
Panda, A., Thatta, S., & Pradhan, S. (2025) · International Journal of the Analytic Hierarchy Process · doi:10.13033/ijahp.v17i1.1252 · Cited by 1
Alves-Nogueira, A. C., Melo, C., Canavarro, M. C., & Carona, C. (2025) · Journal of Communications In Healthcare · doi:10.1080/17538068.2025.2515342 · Cited by 2
“More recently, evidence-based interventions based on mindfulness and compassion training have been shown to improve the psychological adjustment of healthcare professionals (cf. [95]), medical students [96], and physicians [97].”
Metadata
- Authors
- Lomas, T., Medina, J. C., Ivtzan, I., Rupprecht, S., & Eiroa-Orosa, F. J.
- Affiliations
- University of East London (GB)
- Universitat de Barcelona (ES)
- Leuphana University of Lüneburg (DE)
- Venue
- Mindfulness
- Published
- 2018-11-29
- Volume
- 10
- Issue
- 7
- Pages
- 1193-1216
- ISSN
- 1868-8527 (ISSN-L)
- 1868-8535
- OpenAlex
- W2902311059
- Cited by
- 152
- References
- 123
- Citations by year
- 2026: 9 · 2025: 39 · 2024: 20 · 2023: 17 · 2022: 23 · 2021: 24 · 2020: 17 · 2019: 3
- FWCI
- 1.85
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Mindfulness (publishedVersion)
- UEL Research Repository (University of East London) (acceptedVersion)
- Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (submittedVersion, public-domain)
- Multilingual Matters (Channel View Publications) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Keywords
- mindfulness-based interventions, healthcare workers, well-being, mental health, anxiety, depression, stress, life satisfaction, emotional intelligence, employee well-being
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