Brief Mindfulness Practices for Healthcare Providers - A Systematic Literature Review.
Open accessAbstract
Mindfulness practice, where an individual maintains openness, patience, and acceptance while focusing attention on a situation in a nonjudgmental way, can improve symptoms of anxiety, burnout, and depression. The practice is relevant for health care providers; however, the time commitment is a barrier to practice. For this reason, brief mindfulness interventions (eg, ≤ 4 hours) are being introduced. We systematically reviewed the literature from inception to January 2017 about the effects of brief mindfulness interventions on provider well-being and behavior. Studies that tested a brief mindfulness intervention with hospital providers and measured change in well-being (eg, stress) or behavior (eg, tasks of attention or reduction of clinical or diagnostic errors) were selected for narrative synthesis. Fourteen studies met inclusion criteria; 7 were randomized controlled trials. Nine of 14 studies reported positive changes in levels of stress, anxiety, mindfulness, resiliency, and burnout symptoms. No studies found an effect on provider behavior. Brief mindfulness interventions may be effective in improving provider well-being; however, larger studies are needed to assess an impact on clinical care.
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Claims the paper makes
6 of 32 cited sources checked · 1 supported · 0 flagged · accuracy not yet measured
- Premisecitation§ How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1
Compliance with hand hygiene among health care personnel remains low.
“yet low compliance by HCP continues to be a concern.”
Quote in the paperNot a substantial claim1 of 3 sources checked- cites [15] source
- cites [23] source
- cites [28] source
The Discussion (p. 30) describes PRISMA’s aims for reporting systematic reviews, and the explanation on p. 25 discusses how review results should be presented. Neither addresses hand hygiene or compliance among health care personnel. Searches for hand hygiene compliance and handwashing adherence found no relevant passage in our copy. (LLM, conf=0.78)
Experimental — accuracy not yet measured
- Premisecitation§ How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1
Hand hygiene by health care personnel is a foundational evidence-based practice for reducing health care-associated infections.
“However, 1 of the most important and foundational evidence-based practices to reduce HAI is hand hygiene.”
- Also stated in: § How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1 · plain
“Thus, HCP hand hygiene is an important step in breaking the transmission chain for development of HAIs, an area extensively researched.”
Quote in the paperSubstantial claim1 of 6 sources checked- cites [10] source
- cites [15] source
- cites [22] source
The Introduction and Discussion address physician distress and resilience training, not hand hygiene or prevention of health care-associated infections. Searches for hand hygiene, handwashing, infection control, and health care-associated infections found no passage addressing the claim; page numbers were not available in our copy. (LLM, conf=0.76)
Experimental — accuracy not yet measured - cites [23] source
- cites [24] source
- cites [25] source
- Also stated in: § How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1 · plain
- Premisecitation§ CONCLUSIONS · p. 9
Juice glove is generally considered the most sensitive sampling method for MRSA.
“with the latter generally considered the most sensitive sampling method for MRSA. 101”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [101] Landers TF, Dent A, Schmidt AE, Binder C, Ari ~ no-Blasco S. Nitrile versus latex for glove juice sampling. PloS One 2014;9:e110686. http://refhub.elsevier.com/S0196-6553(1831031-9/sbref0098) source
The Discussion (page not provided) says swabbing recovers fewer Staphylococcus spp. than glove juice sampling, supporting a narrower comparison. It does not specifically address MRSA or say glove juice is generally the most sensitive method among all sampling methods. (LLM, conf=0.82)
Experimental — accuracy not yet measured
- Premisecitation§ CONCLUSIONS · p. 9
Nurse-to-patient ratios have been associated with higher rates of health care-associated infection.
“Nurse-to-patient ratios have been associated with higher rates of health care -associated infection. 103-105”
Quote in the paperNot a substantial claim1 of 3 sources checked- cites [103] Cimiotti JP, Aiken LH, Sloane DM, Wu ES. Nurse staf fi ng, burnout, and health careassociated infection. Am J Infect Control 2012;40:486-90. http://refhub.elsevier.com/S0196-6553(1831031-9/sbref0100) source
- cites [104] Penoyer DA. Nurse staf fi ng and patient outcomes in critical care: a concise review. Crit Care Med 2010;38:1521-8. http://refhub.elsevier.com/S0196-6553(1831031-9/sbref0101)
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [105] Hugonnet S, Chevrolet JC, Pittet D. The effect of workload on infection risk in critically ill patients. Crit Care Med 2007;35:76-81. http://refhub.elsevier.com/S0196-6553(1831031-9/sbref0102) source
- Findingown data§ How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1
For MRSA isolation, sample collection methods gave comparable rates (4%-7%) except agar direct contact (1.55%).
“Sample collection methods used were comparable for MRSA isolation (4%-7%) except for agar direct contact (1.55%).”
Quote in the paperNot a substantial claim
- Findingown data§ How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1
The pooled prevalence of MRSA on health care personnel hands was 4.26%.
“Pooled prevalence for MRSA, P aeruginosa , A baumannii , and vancomycin-resistant Enterococcus were 4.26%, 4.59%, 6.18%, and 9.03%, respectively.”
Quote in the paperSubstantial claim - Findingown data§ How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1
There was substantial heterogeneity in pathogen isolation rates across studies, with I2 values from 81% to 95%.
“Substantial heterogeneity in rates of pathogen isolation were observed across studies (I 2 = 81%-95%).”
Quote in the paperNot a substantial claim - Findingown data§ How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1
The pooled prevalence of vancomycin-resistant Enterococcus on health care personnel hands was 9.03%.
“Pooled prevalence for MRSA, P aeruginosa , A baumannii , and vancomycin-resistant Enterococcus were 4.26%, 4.59%, 6.18%, and 9.03%, respectively.”
Quote in the paperSubstantial claim - Findingown data§ How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1
The pooled prevalence of P aeruginosa on health care personnel hands was 4.59%.
“Pooled prevalence for MRSA, P aeruginosa , A baumannii , and vancomycin-resistant Enterococcus were 4.26%, 4.59%, 6.18%, and 9.03%, respectively.”
Quote in the paperSubstantial claim - Findingown data§ How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1
In subgroup analysis of MRSA, the highest health care personnel hand contamination rate was in North America (8.28%).
“Subgroup analysis of MRSA revealed the highest HCP hand contamination rates in North America (8.28%).”
Quote in the paperNot a substantial claim - Findingown data§ How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1
The pooled prevalence of A baumannii on health care personnel hands was 6.18%.
“Pooled prevalence for MRSA, P aeruginosa , A baumannii , and vancomycin-resistant Enterococcus were 4.26%, 4.59%, 6.18%, and 9.03%, respectively.”
Quote in the paperSubstantial claim - Findingown data§ (A) MRSA · p. 5
MRSA isolation rates across studies showed a high level of heterogeneity (I2 = 80.7%; P < .001).
“Across studies, a high level of heterogeneity was observed in rates of MRSA isolation (I 2 = 80.7%; P < .001)”
Quote in the paperNot a substantial claim - Findingown data§ (A) MRSA · p. 5
Agar direct contact cultures yielded a pooled MRSA prevalence of 1.55% (95% CI 0.28-3.51).
“agar direct contact cultures were positive in 1.55% (95% CI, 0.28-3.51)”
Quote in the paperNot a substantial claim - Findingown data§ CONCLUSIONS · p. 9
Juice glove and swab (including moist swab) collection methods had consistently higher observed MRSA rates, ranging from 4.48% to 6.90%.
“Conversely, juice glove and swab (including moist swab) collection methods had consistently higher observed rates, ranging from 4.48%-6.90%.”
Quote in the paperSubstantial claim - Findingown data§ (A) MRSA · p. 5
Juice glove sampling yielded a pooled MRSA prevalence of 4.48% (95% CI 2.09-7.55).
“juice glove 4.48% (95% CI, 2.09-7.55)”
Quote in the paperNot a substantial claim - Findingown data§ (B) VRE · p. 5
VRE isolation rates showed a high level of heterogeneity (I2 = 95.3%, P < .001).
“and a high level of heterogeneity (I 2 = 95.3%, P < .001).”
Quote in the paperNot a substantial claim - Findingown data§ (A) P aeruginosa and A baumannii · p. 7
ICU vs general ward plus mixed inpatient: A baumannii carriage rates were statistically similar at 7.52% (95% CI 2.16-15.37) and 5.60% (95% CI 1.70-11.22).
“Subgroup analysis was limited to care setting comparing the ICU vs the general ward plus mixed inpatient group, which revealed statistically similar rates of A baumannii carriage at 7.52% (95% CI, 2.16-15.37) and 5.60% (95% CI, 1.7011.22), respectively.”
Quote in the paperNot a substantial claim - Findingcitation§ (B) VRE · p. 5
Two VRE studies reported a 0% prevalence.
“Two studies reported a 0% prevalence. 48,63”
Quote in the paperNot a substantial claim - Findingown data§ (A) MRSA · p. 5
Swab sampling yielded a pooled MRSA prevalence of 6.90% (95% CI 3.25-11.61).
“studies utilizing swabs revealed a prevalence of 6.90% (95% CI, 3.25-11.61)”
Quote in the paperNot a substantial claim - Findingown data§ (A) MRSA · p. 5
Six studies reported a 0% MRSA prevalence in at least one care setting.
“Of these, 6 studies reported a 0% prevalence in at least 1 care setting. 46,48,55,63,71,77”
Quote in the paperNot a substantial claim - Findingown data§ (A) MRSA · p. 5
In a meta-analysis of 42 studies, the pooled prevalence of MRSA on healthcare personnel hands was 4.26% (95% CI 2.92-5.80) among 5,288 samples across all care settings.
“Forty-two (71.2%) studies tested for MRSA, yielding a pooled prevalence of 4.26% (95% CI, 2.92-5.80) 37,38,41-44,46-51,53-55,57,61-66,68, 70-73,75-82,85,86,89,91-94 among 5,288 samples collected across all care settings.”
Quote in the paperNot a substantial claim - Findingown data§ CONCLUSIONS · p. 9
The review identified results spanning the last 30 years.
“Finally, our review identi fi ed results spanning the last 30 years”
Quote in the paperSubstantial claim - Findingown data§ (A) P aeruginosa and A baumannii · p. 5
P aeruginosa isolation rates showed a high level of heterogeneity (I2 = 93.4%, P < .001).
“with a high level of heterogeneity observed (I 2 = 93.4%; P < .001).”
Quote in the paperNot a substantial claim - Findingown data§ (A) P aeruginosa and A baumannii · p. 7
A baumannii isolation rates showed a high level of heterogeneity (I2 = 88.7%, P < .001).
“with a high level of heterogeneity observed (I 2 = 88.7%, P < .001).”
Quote in the paperNot a substantial claim - Findingown data§ (A) MRSA · p. 5
Moist swab sampling yielded a pooled MRSA prevalence of 4.89% (95% CI 2.08-8.64).
“moist swab 4.89% (95% CI, 2.088.64)”
Quote in the paperNot a substantial claim - Interpretationown data§ How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1
The prevalence of common multidrug-resistant organisms on health care personnel hands varies by pathogen, care setting, culture acquisition method, study design, and geography.
“Prevalence of common MDROs on HCP hands vary by pathogen, care setting, culture acquisition method, study design, and geography.”
Quote in the paperSubstantial claim - Interpretationreasoning§ CONCLUSIONS · p. 9
Cross-sectional studies may underestimate or overestimate true rates of pathogen prevalence because they measure at a specified time.
“Speci fi cally, as cross-sectional studies measure at a speci fi ed time, they may underestimate or overestimate true rates of pathogen prevalence.”
Quote in the paperSubstantial claim - Interpretationown data§ CONCLUSIONS · p. 9
HCP hands are frequently contaminated with various MDROs across all care settings.
“We conclude that HCP hands are frequently contaminated with various MDROs across all care settings.”
Quote in the paperSubstantial claim - Study design and conductown data§ CONCLUSIONS · p. 9
Nineteen studies reported only pooled data from the acute care setting, combining samples from general care wards, the ICU, and other inpatient care areas.
“First, 19 studies reported only pooled data from the acute care setting, combining samples from general care wards, the ICU, and other inpatient care areas.”
Quote in the paperSubstantial claim - Interpretationown data§ CONCLUSIONS · p. 9
In this systematic review, the pooled prevalence of each MDRO on HCP hands ranged from 4% to 9%.
“In this systematic review, we pooled rates of MDRO contamination on HCP hands and found that the pooled prevalence of each organism ranged from 4%-9%.”
Quote in the paperSubstantial claim - Study design and conductreasoning§ CONCLUSIONS · p. 9
Because many included studies were cross-sectional with sampling at a single point in time, we are unable to determine whether MDROs isolated from a hand culture represent persistent colonization or transient contamination.
“Fourth, as many of the included studies were of the cross-sectional design with sampling at a single point in time, we are unable to determine whether MDROs isolated from a hand culture represent persistent colonization or transient contamination.”
Quote in the paperSubstantial claim - Interpretationreasoning§ CONCLUSIONS · p. 9
The use of direct contact agar may not be accurate for MRSA surveillance.
“the use of direct contact agar, although easier, cheaper, and faster, may not be accurate.”
Quote in the paperSubstantial claim - Study design and conductcitation§ CONCLUSIONS · p. 9
Grouping by continent may be overly broad because many included studies were single-center with variability in infection control and hygiene practices.
“Second, grouping by continent may be overly broad, as many included studies were single-center with variability in infection control and hygiene practices, consistent with fi ndings from other studies. 4,8-10,100”
Quote in the paperSubstantial claim
- Classified as probably not a substantial claim. 20
- May combine two claims. 31
- The quote only partly states this claim. 1
Classified as probably not a substantial claim. May combine two claims.
Study design and conductown data§ Data extraction and quality assessment · p. 2Risk of bias was assessed independently by two authors, using the Cochrane Collaboration tool for randomized controlled trials and the Newcastle-Ottawa scale for observational studies.
“As recommended by the Cochrane Collaboration, 2 authors (A.M. and A.G.) independently assessed risk of bias in the included studies.”
- Also stated in: § Data extraction and quality assessment · p. 2 · plain
“For randomized controlled trials, the Cochrane Collaboration tool 29 was used to determine risk of bias, with studies achieving low-risk scores in all 6 domains considered high quality.”
- Also stated in: § Data extraction and quality assessment · p. 2 · plain
“For observational studies, the Newcastle-Ottawa scale 30 that utilizes a star system to assess the quality of study in 3 domains (selection of study groups, comparability of groups, and ascertainment of outcome) was used.”
Quote in the paperSubstantial claim1 of 2 sources checked- cites [29] source
The Risk of bias section states that two authors independently assessed all included studies, supporting the independent-assessment part of the claim. It says they used seven EPOC criteria for RCTs; it does not support the claim that they used the Newcastle–Ottawa scale for observational studies. No page number is available in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measured - cites [30]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Also stated in: § Data extraction and quality assessment · p. 2 · plain
Probably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation§ CONCLUSIONS · p. 9The global epidemiology of MRSA varies considerably by continent.
“The global epidemiology of MRSA has been extensively studied and varies considerably by continent. 46,97-100”
Quote in the paperNot a substantial claim1 of 5 sources checked- cites [46]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [97] Center for Disease Dynamics, Economics & Policy. MRSA infection rates by country. Available from: http://www.cddep.org/tool/mrsa\_infection\_rates\_country# sthash.bzbuW4ur.Fz8kLVt2.dpbs. Accessed July 27, 2017.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [98] Martin-Loeches I, Diaz E, Valles J. Risks for multidrug-resistant pathogens in the ICU. Curr Opin Crit Care 2014;20:516-24. http://refhub.elsevier.com/S0196-6553(1831031-9/sbref0096) source
- cites [99] O ' Neil J. Antimicrobial resistance: tackling a crisis for the health and wealth of nations. Available from: https://amr-review.org/sites/default/ fi les/AMR%20Review %20Paper%20-%20Tackling%20a%20crisis%20for%20the%20health%20and%20 wealth%20of%20nations\_1.pdf. Accessed July 25, 2017.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [100] Dickmann P, Keeping S, Doring N, Schmidt AE, Binder C, Ari ~ no-Blasco S, et al. Communicating the risk of MRSA: the role of clinical practice, regulation, and other policies in fi ve European countries. Front Public Health 2017;5:44. http://refhub.elsevier.com/S0196-6553(1831031-9/sbref0097) source
The Introduction (page not provided) says MRSA prevalence varies across Europe, generally increasing from north to south. That supports geographic variation, but the paper does not establish variation between continents or describe global epidemiology. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown data§ RESULTS · p. 3The number of health care personnel hand samples per study ranged from 13 to 762, and 6,840 samples were reported in total.
“Within these studies, the number of HCP hand samples reported ranged from 13-762, 63,75 with results from 6,840 samples reported in total.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown data§ RESULTS · p. 3The studies were conducted in general wards (20; 33.9%), intensive care units (20; 33.9%), mixed inpatient settings (19; 32.2%), and nursing facilities (5; 8.5%).
“Twenty (33.9%) of the studies were performed after sampling HCP hands on general wards, 38,42-44,47,48,51,55,56,61,67,71,73,74,77,78, 85,86,89,92 20 (33.9%) in an ICU setting”
- Also stated in: § RESULTS · p. 3 · plain
“19 (32.2%) in mixed inpatient settings, 37,40,41,49, 50,57,62,64-66,68,72,79-81,84,90,93,94 and 5 (8.5%) in nursing facilities. 39,53,54,63,88”
Quote in the paperNot a substantial claim- Also stated in: § RESULTS · p. 3 · plain
May combine two claims.
Findingown data§ How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1C difficile was sampled in only 4 of 59 studies, and 2 of those 4 found no growth.
“Only 4 of 59 studies sampled for C difficile , with 2 of 4 fi nding no growth.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown data§ RESULTS · p. 3At sampling, 28 (47.5%) studies collected from health care personnel during direct patient care, 26 (44.1%) did not specify activity, and 5 (8.5%) sampled after specific activities such as entering the ward or exiting a patient room.
“Regarding HCP activities performed at time of sampling, 28 (47.5%) studies were collected samples during direct patient care, 37,39,40,44,52-54,57,58,60,62-64,69,70,75,77-79,81-83,85,87,89,90, 92,94 26 (44.1%) were unspeci fi ed”
- Also stated in: § RESULTS · p. 3 · plain
“and 5 (8.5%) were captured after speci fi c activities (ie, entering the ward or exiting a patient ' s room). 43,65,67,91,95”
Quote in the paperNot a substantial claim- Also stated in: § RESULTS · p. 3 · plain
May combine two claims.
Findingown data§ RESULTS · p. 3Among the 59 included studies, testing covered MRSA in 42 (71.2%), P aeruginosa in 17 (28.8%), A baumannii in 14 (23.7%), VRE in 8 (13.6%), and C difficile in 4 (6.8%).
“Of the 59 included studies, 42 (71.2%) tested for MRSA, 17 (28.8%) for P aeruginosa , 14 (23.7%) for A baumannii , 8 (13.6%) for VRE, and 4 (6.8%) for C difficile .”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown data§ RESULTS · p. 2Among the included studies, 47 (79.7%) were cross-sectional, 7 (11.9%) were pre-post, 3 (5.1%) were randomized controlled trials, and 2 (3.4%) used mixed designs.
“Forty-seven (79.7%) of the included studies used a cross-sectional design, 37-83 7 (11.9%) used pre-post designs, 84-90 3 (5.1%) were randomized controlled trials, 91-93 and 2 (3.4%) used mixed designs (eg, nonrandomized single arm, nonrandomized control). 94,95”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown data§ RESULTS · p. 2The included studies came from Asia (23; 39%), North America (18; 30.5%), Europe (13; 22%), South America (2; 3.4%), Africa (2; 3.4%), and Australia (1; 1.7%).
“Twenty-three (39%) of the studies were conducted in Asia, 37,38,43,48,50,52,55,57,60,61,66,67,71,73-76,78,80,81,84,92,94 18 (30.5%) in North America”
- Also stated in: § RESULTS · p. 2 · plain
“13 (22%) in Europe, 41,46,47,56,59,65,69,72,77,79,82,85,89 2 (3.4%) in South America, 62,68 2 (3.4%) in Africa, 49,58 and 1 (1.7%) in Australia. 83”
Quote in the paperNot a substantial claim- Also stated in: § RESULTS · p. 2 · plain
Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims. The quote only partly states this claim.
Findingown data§ RESULTS · p. 3Sample collection used juice glove in 20 (33.9%) studies, moist swab in 17 (28.9%), agar direct contact in 13 (22%), swab in 7 (11.9%), subungual scraping in 1 (1.7%), and was unspecified in 1 study.
“swab was used in 7 (11.9%), 38,47,49,65,73,75,86 and subungual scraping was used in 1 (1.7%). 61 One study did not specify a collection method. 93”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown data§ RESULTS · p. 2The electronic search found 6,335 articles; 57 met inclusion criteria, and 2 additional studies from content experts brought the total to 59 included articles.
“A total of 6,335 articles were retrieved by our electronic search, of which 57 met inclusion criteria. Two additional studies provided by content experts were identi fi ed, leading to a total of 59 articles in the systematic review (Fig 1).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown data§ (A) P aeruginosa and A baumannii · p. 5Seventeen studies tested for P aeruginosa on HCP hands, with 2,477 samples, yielding a pooled prevalence of 4.59% (95% CI 1.54-8.89).
“Seventeen (28.8%) studies tested for P aeruginosa on HCP hands, with a total of 2,477 samples collected. A pooled prevalence of 4.59% (95% CI, 1.54-8.89) was observed for this pathogen across these studies”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown data§ CONCLUSIONS · p. 9In the 42 included studies, the highest MRSA rates were in North America (8.28%), followed by Asia (4.23%) and Europe (2.47%).
“In the 42 studies included in this review, the highest rates of MRSA were found among those conducted in North America (8.28%), followed by Asia (4.23%), and Europe (2.47%).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown data§ CONCLUSIONS · p. 9Five of the 10 ICU studies reported recovery rates of 0%, of which 3 used the agar direct method.
“Furthermore, 5 of the 10 ICU studies reported recovery rates of 0%, of which 3 46,71,77 used the agar direct method.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown data§ CONCLUSIONS · p. 9Agar direct contact had the lowest observed MRSA prevalence rate (1.55%), with 4 studies demonstrating 0% prevalence.
“Agar direct contact had the lowest observed prevalence rate (1.55%), with 4 studies demonstrating 0% prevalence. 46,63,71,77”
Quote in the paperSubstantial claimMay combine two claims.
Findingown data§ (A) MRSA · p. 5By continent, MRSA pooled prevalence was highest in North America (8.28%, 95% CI 3.54-14.52), followed by Asia (3.96%, 95% CI 2.08-6.31) and Europe (2.54%, 95% CI 1.04-4.53).
“When grouping by continent, North America showed the highest pooled prevalence of 8.28% (95% CI, 3.54-14.52), followed by Asia (3.96%; 95% CI, 2.08-6.31), and Europe (2.54%; 95% CI, 1.04-4.53) (Fig 3).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingcitation§ (A) P aeruginosa and A baumannii · p. 5Two P aeruginosa studies reported a 0% prevalence.
“Two of these studies reported a 0% prevalence. 66,75”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown data§ (A) P aeruginosa and A baumannii · p. 5ICU vs general ward plus mixed inpatient: P aeruginosa carriage rates were statistically similar at 5.67% (CI 0.11-16.75) and 3.93% (CI 0.92-8.47).
“Subgroup analysis was limited to care setting comparing the ICU vs the general ward plus mixed inpatient group, which showed statistically similar rates of P aeruginosa carriage at 5.67% (CI, 0.11-16.75) and 3.93% (CI, 0.92-8.47) on HCP hands, respectively.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown data§ (A) MRSA · p. 5MRSA prevalence in the ICU was 2.20% (95% CI 0.34-5.12) compared with 5.14% (95% CI 3.40-7.17) in the general ward plus mixed inpatient group, a non-significant difference.
“When comparing the ICU to the general ward plus mixed inpatient group, MRSA prevalence differed but was not signi fi cant (2.20% [95% CI, 0.34-5.12] vs 5.14% [95% CI, 3.40-7.17]).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown data§ (A) P aeruginosa and A baumannii · p. 7Fourteen studies reported culturing for A baumannii, with 2,154 samples, yielding a pooled prevalence of 6.18% (95% CI 3.05-10.17).
“Fourteen (23.7%) studies reported culturing for A baumannii , with a total of 2,154 samples collected. Across 14 studies, the pooled prevalence of A baumannii was 6.18% (95% CI, 3.05-10.17)”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown data§ (A) MRSA · p. 5Cross-sectional studies had a pooled MRSA prevalence of 3.25% (95% CI 2.12-4.57), compared with 12.49% (95% CI 5.27-21.98) in non-cross-sectional studies.
“with 31 cross-sectional studies showing a pooled prevalence of 3.25% (95% CI, 2.12-4.57) vs 7 non -cross-sectional studies (eg, pre-post, randomized control trial), with a prevalence of 12.49% (95% CI, 5.27-21.98).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown data§ (C) C difficile · p. 5Four studies cultured for C difficile (not spores), with 235 samples collected.
“Four (6.8%) studies reported culturing for the presence of the bacterium C difficile (not spores), with a total of 235 samples collected 53,56,90,93 in multiple care settings.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown data§ (B) VRE · p. 5Eight studies screened for VRE, with 590 samples, yielding a pooled prevalence of 9.03% (95% CI 0.74-23.37).
“Eight (13.6%) studies screened for VRE, with a total of 590 samples collected. This yielded a pooled prevalence of 9.03% (95% CI, 0.7423.37)”
Quote in the paperNot a substantial claimMay combine two claims.
Findingcitation§ (C) C difficile · p. 5Two of four C difficile studies reported 0% prevalence, while two reported 10.7% and 2.4%.
“Two of 4 studies reported a 0% prevalence 53,56 , whereas 2 others reported a prevalence of 10.7% 93 and 2.4%. 90”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitation§ Data synthesis and analysisThe review followed PRISMA guidelines.
“This review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. 36”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [36]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown data§ RESULTS · p. 2Inter-rater agreement for study eligibility was 0.95.
“Inter-rater agreement for study eligibility was 0.95.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone given§ Data synthesis and analysis · p. 2The funding source did not participate in designing the study, collecting or analyzing data, interpreting results, or writing the report.
“The funder of the study had no role in study design, data collection, data analysis, data interpretation, or writing of the report.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone given§ Data synthesis and analysis · p. 2The corresponding author had full access to all data and final responsibility for the decision to submit for publication.
“The corresponding author had full access to all of the data in the study and had fi nal responsibility for the decision to submit for publication.”
Quote in the paperNot a substantial claimMay combine two claims.
Premisecitation§ How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1Health care personnel hands can carry multidrug-resistant organisms and thereby transmit infections.
“Hands of health care personnel (HCP) can transmit multidrug-resistant organisms (MDROs), resulting in infections.”
- Also stated in: § How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1 · plain
“For hospitalized patients, health care personnel (HCP) are a vector for MDROs as their hands frequently contact contaminated medical devices and environmental surfaces.”
Quote in the paperSubstantial claim0 of 10 sources checked- Also stated in: § How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1 · plain
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown data§ Data extraction and quality assessment · p. 2Because no included studies had comparability measures, that domain was removed from the risk-of-bias assessment for all studies.
“Because no studies included comparability measures, this was removed from the assessment of risk of bias for all studies.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown data§ Study selection · p. 2Study eligibility was determined independently by two authors, and disagreements were adjudicated by a third author.
“Two authors (A.M. and R.S.) independently determined study eligibility. Any differences in opinion regarding inclusion were adjudicated by a third author (V.C.).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone given§ How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1The systematic review was registered with PROSPERO (CRD42017068296).
“This systematic review was registered with PROSPERO (number CRD42017068296).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown data§ Data extraction and quality assessment · p. 2Data extraction was done independently and in duplicate by two authors using a standardized template.
“Two authors (A.G. and R.S.) used a standardized template to extract data independently and in duplicate.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation§ CONCLUSIONS · p. 9Overall prevalence of MRSA among patients in the United States is higher than in most other countries.
“given an overall higher prevalence of MRSA among patients in the United States compared to most other countries. 97”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [97] Center for Disease Dynamics, Economics & Policy. MRSA infection rates by country. Available from: http://www.cddep.org/tool/mrsa\_infection\_rates\_country# sthash.bzbuW4ur.Fz8kLVt2.dpbs. Accessed July 27, 2017.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown data§ (A) P aeruginosa and A baumannii · p. 9The Cohen kappa coefficient for adjudication of study bias was 0.90.
“The Cohen k coef fi cient for adjudication of study bias, used to measure inter-rater agreement, was 0.90.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Interpretationnone given§ CONCLUSIONS · p. 9To our knowledge, this is the first comprehensive systematic review and meta-analyses of MDRO prevalence on HCP hands.
“to our knowledge, this is the fi rst comprehensive systematic review and meta-analyses of MDROprevalence on HCP hands.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductreasoning§ CONCLUSIONS · p. 9Many studies inferred samples were collected during direct patient care activities, but circumstances at collection, timing of last hand hygiene or antiseptic solution, and local endemic MDRO levels were often not explicitly reported, leading to potential variability in transient bacterial load on HCP hands.
“Third, we acknowledge that although many studies inferred samples were collected during direct patient care activities, often the circumstances at the time of collection were not explicitly reported, nor was the timing of the last hand hygiene or antiseptic solution used, or the difference in local endemic levels of MDRO, leading to potential variability between studies in the transient bacterial”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown data§ CONCLUSIONS · p. 9The rates of HCP contamination appear to vary by continent, patient contamination, culture methods, and study design.
“The rates of HCP contamination appear to vary not only by continent, but are also in fl uenced by patient contamination, culture methods, and study design.”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown data§ (A) P aeruginosa and A baumannii · p. 9Fifty-seven (96.7%) studies were determined to be at low risk of bias using the Newcastle-Ottawa or Cochrane tool, whereas 2 (3.4%) were considered high risk.
“Fifty-seven (96.7%) studies were determined to be a low risk for bias using the Newcastle-Ottawa or Cochrane tool, whereas 2 (3.4%) were considered high risk (Table 1).”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductown data§ CONCLUSIONS · p. 9Only 5 studies were identified pertaining to MDROs in nursing facilities, limiting understanding of prevalence rates in this group.
“Whereas our systematic review was robust, only 5 studies were identi fi ed pertaining to MDROs in nursing facilities, thus limiting our understanding of prevalence rates in this group.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone given§ CONCLUSIONS · p. 9Our study included a thorough search of the literature by a reference librarian using robust methodology.
“Our study included a thorough search of the literature by a reference librarian using robust methodology”
Quote in the paperNot a substantial claim
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
A systematic review of brief mindfulness practices for health care providers found that these practices increased mindfulness and reduced stress and anxiety.
“This is in keeping with the findings of a systematic review of brief mindfulness practices for health care providers, which found that these practices increased mindfulness and reduced stress and anxiety (Gilmartin et al., 2017).”
From Emergency department nurses' experiences of a mindfulness training intervention: A phenomenological exploration (2023) · cites this paper as Gilmartin et al., 2017
The supplied passages and further searches for mindfulness, stress, and anxiety return text about hand hygiene and multidrug-resistant organisms, including a different article title on p. 1. Although the index labels this as the cited review, the available text does not address whether brief mindfulness practices increased mindfulness or reduced stress and anxiety. (LLM, conf=0.78)
Experimental — accuracy not yet measuredSeveral reviews of EBS interventions for healthcare staff have focused only on mindfulness-based interventions.
“Several reviews of EBS interventions for healthcare staff have focused only on mindfulness-based interventions [33, 133–135].”
From Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda (2024) · cites this paper as [133]
The supplied passages concern hand hygiene and multidrug-resistant organisms, not mindfulness interventions. Searches of the indexed copy for mindfulness and brief practices for healthcare providers returned no relevant passage, so this copy cannot verify what the cited review covers. (LLM, conf=0.77)
Experimental — accuracy not yet measuredPersonality traits are relatively stable through time but can be enhanced through specific interventions.
“Although personality traits are relatively stable through time they are not cast in stone and can be enhanced, as research has shown, through specific interventions (for reviews and metanalyses see Galante et al., 2018; Gilmartin et al., 2017; Jayawardene et al., 2017; McConville et al., 2017; Quaglia et al., 2016; Spinelli et al., 2018).”
From Specific mindfulness traits protect against negative effects of trait anxiety on medical student wellbeing during high-pressure periods (2021) · cites this paper as Gilmartin et al., 2017
The indexed passages returned for this DOI discuss hand hygiene and multidrug-resistant organisms (Introduction, p. 1; Results, p. 4), not personality traits. Searches for trait stability and changes through interventions found no passage addressing either point, so this copy cannot verify the attribution. (LLM, conf=0.76)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Regional MRSA prevalence differs between results and conclusions
MinorThe results give pooled MRSA prevalence as 3.96% for Asia and 2.54% for Europe, but the conclusions give 4.23% and 2.47%, respectively.
“followed by Asia (3.96%; 95% CI, 2.08-6.31), and Europe (2.54%; 95% CI, 1.04-4.53)”
“followed by Asia (4.23%), and Europe (2.47%)”
MRSA study-design groups leave four studies unaccounted for
MinorThe paper says 42 studies tested for MRSA, but its cross-sectional and non-cross-sectional groups contain only 31 and 7 studies, totaling 38. It does not explain the four-study difference.
Reported 42 · recomputed 38
“with 31 cross-sectional studies showing a pooled prevalence of 3.25% (95% CI, 2.12-4.57) vs 7 non -cross-sectional studies”
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Psychological interventions to foster resilience in healthcare professionals
Kunzler, A. M., Helmreich, I., Chmitorz, A., König, J., Binder, H., Wessa, M., & Lieb, K. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012527.pub2 · Cited by 390 · see citing works
Conversano, C., Ciacchini, R., Orrù, G., Di Giuseppe, M., Gemignani, A., & Poli, A. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.01683 · Cited by 243 · see citing works
Zhang, X.-J., Song, Y., Jiang, T., Ding, N., & Shi, T.-Y. (2020) · Medicine · doi:10.1097/md.0000000000020992 · Cited by 233 · see citing works
“Other interventions such as yoga,([16,32,33]) massage,([15]) mindfulness([16,18,20,31,37,39,42]) and meditation([16,19,35,40]) have been reported.”
Spinelli, C., Wisener, M., & Khoury, B. (2019) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2019.03.003 · Cited by 170 · see citing works
Psychological interventions to foster resilience in healthcare students
Kunzler, A. M., Helmreich, I., König, J., Chmitorz, A., Wessa, M., Binder, H., & Lieb, K. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013684 · Cited by 172 · see citing works
Mindfulness‐based stress reduction for psychological distress among nurses: A systematic review
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Evidence of Workplace Interventions—A Systematic Review of Systematic Reviews
Pieper, C., Schröer, S., & Eilerts, A.-L. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16193553 · Cited by 158 · see citing works
“Few reviews recommended special interventions or intervention components with caution [7,42,44,46,50,54,56].”
BackgroundChoe, E. Y., Jorgensen, A., & Sheffield, D. (2020) · Landscape and Urban Planning · doi:10.1016/j.landurbplan.2020.103886 · Cited by 121 · see citing works
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“Elsewhere, efforts to address loneliness and social isolation through mindfulness strategies have been attempted, showing in certain cases that individuals who receive mindfulness training subsequently report reduced loneliness (Gilmartin et al., 2017; Lindsay et al., 2019; Tkatch et al. 2020).”
BackgroundAmeli, R., Sinaii, N., West, C. P., Luna, M. J., Panahi, S., Zoosman, M., Rusch, H. L., & Berger, A. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.13424 · Cited by 94 · see citing works
Klein, A., Taieb, O., Xavier, S., Baubet, T., & Reyre, A. (2020) · EXPLORE · doi:10.1016/j.explore.2019.09.002 · Cited by 79 · see citing works
Mindfulness meditation for workplace wellness: An evidence map
Hilton, L. G., Marshall, N. J., Motala, A., Taylor, S. L., Miake-Lye, I. M., Baxi, S. M., Shanman, R., Solloway, M. R., Beroesand, J. M., & Hempel, S. (2019) · Work · doi:10.3233/wor-192922 · Cited by 81 · see citing works
Mindfulness and intergroup bias: A systematic review
Oyler, D. L., Price‐Blackshear, M. A., Pratscher, S. D., & Bettencourt, B. A. (2021) · Group Processes & Intergroup Relations · doi:10.1177/1368430220978694 · Cited by 78 · see citing works
“Currently, mindfulness interventions are being implemented widely within schools (Sibinga et al., 2016), businesses (Good et al., 2016), hospitals (Gilmartin et al., 2017), law-enforcement agencies (https://www.mindfulpublicsafety.org/), courtrooms (Kalscheur, 2017), governmental organizations…”
BackgroundShorey, S., & Chan, V. (2020) · Midwifery · doi:10.1016/j.midw.2020.102821 · Cited by 75 · see citing works
Loneliness, Social Isolation, and All-Cause Mortality in a Large Sample of Older Adults
Barnes, T. L., Ahuja, M., MacLeod, S., Tkatch, R., Albright, L., Schaeffer, J. A., & Yeh, C. S. (2022) · Journal of Aging and Health · doi:10.1177/08982643221074857 · Cited by 78 · see citing works
Mindfulness Workshops Effects on Nurses' Burnout, Stress, and Mindfulness Skills
Sarazine, J., Heitschmidt, M. G., Vondracek, H., Sarris, S., Marcinkowski, N., & Kleinpell, R. M. (2020) · Holistic Nursing Practice · doi:10.1097/hnp.0000000000000378 · Cited by 69 · see citing works
Mindfulness-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 71 · see citing works
Shiri, R., Nikunlaakso, R., & Laitinen, J. H. (2023) · Healthcare · doi:10.3390/healthcare11121792 · Cited by 81 · see citing works
Burnout among academic nursing faculty
Zangaro, G. A., Rosseter, R. J., Trautman, D. E., & Leaver, C. A. (2023) · Journal of Professional Nursing · doi:10.1016/j.profnurs.2023.06.001 · Cited by 59 · see citing works
Vega, B. R., Palao, Á., Muñoz‐Sanjosé, A., Zarcero, M. T., Aguirre, P., Fernández, A., Amador, B., González, C. R., Blanco, L., Martí-Esquitino, J., et al. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.562578 · Cited by 57 · see citing works
“conclude in a systematic literature review that brief mindfulness interventions (lasting 5–20min once a day) may be effective in improving healthcare provider’s well-being and decreasing levels of anxiety and stress (23).”
BackgroundRespiratory therapy for the treatment of anxiety: Meta-analytic review and regression
Leyro, T. M., Versella, M. V., Yang, M.-J., Brinkman, H. R., Hoyt, D. L., & Lehrer, P. (2021) · Clinical Psychology Review · doi:10.1016/j.cpr.2021.101980 · Cited by 53 · see citing works
Sawyer, A. T., Bailey, A., Green, J. F., Sun, J., & Robinson, P. S. (2021) · Journal of the American Psychiatric Nurses Association · doi:10.1177/10783903211033338 · Cited by 52 · see citing works
“In a review of brief mindfulness interventions on health care provider wellbeing, nine of 14 studies reported positive changes in levels of resilience as well as levels of stress and burnout symptoms (Gilmartin et al., 2017).”
BackgroundMcVeigh, C., Ace, L., Ski, C. F., Carswell, C., Burton, S., Rej, S., & Noble, H. R. (2021) · Healthcare · doi:10.3390/healthcare9111493 · Cited by 55 · see citing works
“Whilst there is good evidence to support the effectiveness of the traditional programme in both clinical and non-clinical populations [13], one of the major barriers to mindfulness practice is the time commitment required from participants, resulting in attrition [76].”
BackgroundFuentes, M. D. C. P., Linares, J. J. G., Jurado, M. D. M. M., Márquez, M. D. M. S., & Martínez, Á. M. (2020) · BMC Public Health · doi:10.1186/s12889-019-8129-7 · Cited by 47 · see citing works
Fino, E., Martoni, M., & Russo, P. M. (2021) · Advances in Health Sciences Education · doi:10.1007/s10459-021-10039-w · Cited by 46 · see citing works
Waddell, A., Kunstler, B., Lennox, A., Pattuwage, L., Grundy, E. A. C., Tsering, D., Olivier, P. L., & Bragge, P. (2023) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.4087 · Cited by 49 · see citing works
Gozalo, R. M. G., Tarrés, J., Ayora, A., Herrero, M. A., Kareaga, A. A., & Ferrer, R. (2019) · Medicina Intensiva (English Edition) · doi:10.1016/j.medine.2019.03.006 · Cited by 45 · see citing works
“On the other hand, brief practices have been used to develop a strategy that appears to be promising, and which has already produced evidence of benefit in healthcare professionals.(36) In relation to the effects of the program upon the variables referred to burnout, the factor seen to experience statistically signifi…”
MethodGozalo, R. M. G., Tarrés, J., Ayora, A., Herrero, M. A., Kareaga, A. A., & Ferrer, R. (2018) · Medicina Intensiva · doi:10.1016/j.medin.2018.02.005 · Cited by 45 · see citing works
Combating Compassion Fatigue With Mindfulness Practice in Military Nurse Practitioners
Best, N. I., Durham, C. F., Woods‐Giscombé, C. L., & Waldrop, J. B. (2020) · The Journal for Nurse Practitioners · doi:10.1016/j.nurpra.2020.02.023 · Cited by 40 · see citing works
Gür, G. C., & Yılmaz, E. (2020) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2020.101140 · Cited by 41 · see citing works
Leffel, G. M., Mueller, R. A. O., Ham, S. A., Karches, K. E., Curlin, F. A., & Yoon, J. D. (2018) · Teaching and Learning in Medicine · doi:10.1080/10401334.2017.1414608 · Cited by 39 · see citing works
Resilience and Burnout Resources in Respiratory Care Departments
Miller, A. G., Roberts, K. J., Hinkson, C. R., Davis, G., Strickland, S. L., & Rehder, K. J. (2020) · Respiratory Care · doi:10.4187/respcare.08440 · Cited by 34 · see citing works
“19,20 Mindfulness also aids physicians in emotional regulation and Data are presented as the number of respondents for each driver or n (”
Fong, J. S. Y., Hui, A. N. N., Ho, K. M., Chan, A. K. M., & Lee, A. S. Y. (2022) · Medicine · doi:10.1097/md.0000000000031253 · Cited by 35 · see citing works
“[12] However, time commitment is a barrier for traditional MBIs, such as the MBSR, to be implemented broadly in the nursing setting due to nurses’ irregular and long working hours.[13] Brief MBIs that were adapted to increase accessibility were introduced to overcome this barrier, and studies demonstrate effectiveness…”
BackgroundFacing epistemic and complex uncertainty in serious illness: The role of mindfulness and shared mind
Epstein, R. M. (2021) · Patient Education and Counseling · doi:10.1016/j.pec.2021.07.030 · Cited by 31 · see citing works
Elder, E. G., Johnston, A. N. B., Wallis, M. C., & Crilly, J. L. (2020) · Australasian Emergency Care · doi:10.1016/j.auec.2020.02.002 · Cited by 30 · see citing works
Exploring the Use of Virtual Reality for the Delivery and Practice of Stress-Management Exercises
Soh, D. J. H., Ong, C. H., Fan, Q., Seah, D., Henderson, S., Jeevanandam, L., & Doshi, K. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.640341 · Cited by 25 · see citing works
Gil, G. B., Martínez‐Zaragoza, F., Castro, J. F., Pérez, A. S., & García‐Sierra, R. (2024) · Systematic Reviews · doi:10.1186/s13643-024-02574-5 · Cited by 38 · see citing works
Osman, I., Hamid, S., & Singaram, V. S. (2021) · Health SA Gesondheid · doi:10.4102/hsag.v26i0.1682 · Cited by 31 · see citing works
“In a systematic literature review of brief mindfulness practices for HCPs, Gilmartin et al. (2017) found that shorter mindfulness-based intervention (MBI) programmes (≤ 4 h) also reported positive changes in stress levels, resiliency and burnout symptoms.”
BackgroundAdults living with irritable bowel syndrome (IBS): A qualitative systematic review
Shorey, S., Demutska, A., Chan, V., & Siah, K. T. H. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2020.110289 · Cited by 28 · see citing works
oneED: Embedding a mindfulness‐based wellness programme into an emergency department
Braganza, S., Young, J., Sweeny, A. L., & Brazil, V. A. (2018) · Emergency Medicine Australasia · doi:10.1111/1742-6723.12977 · Cited by 27 · see citing works
Wright, B., Faulkner, N., Bragge, P., & Graber, M. (2019) · Diagnosis · doi:10.1515/dx-2018-0104 · Cited by 25 · see citing works
Mindfulness Training to Improve Nurse Clinical Performance: A Pilot Study
Zeller, J. M., Johnson, A. M., Hoffman, A., Hoyem, R. L., Alexander, M. B., Yudkowsky, R., & Hicks, F. D. (2020) · Western Journal of Nursing Research · doi:10.1177/0193945920964938 · Cited by 26 · see citing works
“More recently, streamlined approaches have been introduced (Gilmartin et al., 2017).”
BackgroundMethodMindfulness intervention for foundation year doctors: a feasibility study
Bu, C., Cotzias, E., & Panagioti, M. (2019) · Pilot and Feasibility Studies · doi:10.1186/s40814-019-0449-y · Cited by 21 · see citing works
<p>Mindfulness-Based Intervention For Nurses In AIDS Care In China: A Pilot Study</p>
Pan, C., Wang, H., Chen, M., Cai, Y., Xiao, C., Tang, Q., & Koniak-Griffin, D. (2019) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s223036 · Cited by 23 · see citing works
“Our findings are consistent with previous studies which show that mindfulness-based intervention can enhance interpersonal relationships with patients experiencing generalized anxiety disorders,(30,31) cultivate the forgiveness of other people among social work students,(32) improve emotional regulation in nurses work…”
ResultHegel, J., Halkett, G. K. B., Schofield, P. E., Rees, C. S., Heritage, B., Suleman, S., Inhestern, L., Butler, T. W., Fitch, M. I., & Breen, L. J. (2021) · Mindfulness · doi:10.1007/s12671-020-01591-4 · Cited by 23 · see citing works
“Frequent exposure to such emotional disturbances can lead to an overall decrease in empathy, which may contribute to burnout and compassion fatigue (Gilmartin et al. 2017).”
BackgroundPilot randomised controlled trial to improve hand hygiene through mindful moments
Gilmartin, H., Saint, S. K., Rogers, M. A. M., Winter, S. M., Snyder, A. M., Quinn, M., & Chopra, V. (2018) · BMJ Quality & Safety · doi:10.1136/bmjqs-2017-007359 · Cited by 23 · see citing works
Self-citationMcNulty, D. S., LaMonica-Way, C., & Senneff, J.-A. (2022) · JONA: The Journal of Nursing Administration · doi:10.1097/nna.0000000000001137 · Cited by 22 · see citing works
“In addition, disengagement correlates with lower productivity and patient satisfaction and increasedworkplace injuries.(18)”
BackgroundPresti, G., Lago, B. D., Fattori, A., Mioli, G., Moderato, P., Sciaretta, L., & Costantino, M. A. (2020) · General Psychiatry · doi:10.1136/gpsych-2020-100244 · Cited by 22 · see citing works
Vivian, E., Oduor, H., Arceneaux, S. R., Flores, J. A., Vo, A., & Madden, B. M. (2019) · SAGE Open Nursing · doi:10.1177/2377960819827472 · Cited by 25 · see citing works
“Healthy practices of cognitive reappraisal and mindfulness techniques (such as mindfulness-based stress-reduction interventions) have been shown to benefit individuals and enable them to better respond to these stressors (Gilmartin et al., 2017; Irving, Dobkin, & Park, 2009).”
BackgroundInfluentialThe Use of Mindfulness-Based Interventions to Mitigate Stress and Burnout in Nurses
Bianchini, C., & Copeland, D. (2021) · Journal for Nurses in Professional Development · doi:10.1097/nnd.0000000000000708 · Cited by 21 · see citing works
Workplace Mindfulness in Accounting Practice: Issues, Opportunities, and Challenges
Chang, Y.-T., & Stone, D. N. (2019) · Accounting Horizons · doi:10.2308/acch-52551 · Cited by 20 · see citing works
Coelho, B. A., Paiva, S. D. P. C., & Filho, A. L. D. S. (2018) · Breast Cancer Research and Treatment · doi:10.1007/s10549-018-4869-9 · Cited by 20 · see citing works
Barcons, C., García, B., Sarri, C., Rodríguez, E., Cunillera, O., Parellada, N., Fernandez, B., Alvarado, C. E., Barrio, C., Fleta, J. C., et al. (2019) · BMC Family Practice · doi:10.1186/s12875-019-1036-2 · Cited by 19 · see citing works
Gilmartin, H., Hess, E., Mueller, C., Connelly, B., Plomondon, M. E., Waldo, S. W., & Battaglia, C. T. (2022) · Health Services Research · doi:10.1111/1475-6773.13907 · Cited by 19 · see citing works
Self-citationVitale, E. (2021) · Journal of Holistic Nursing · doi:10.1177/08980101211015804 · Cited by 18 · see citing works
“…Association Volume 39 Number 4 December 2021 345–355 © The Author(s) 2021 Article reuse guidelines: sagepub.com/journals-permissions 10.1177/08980101211015804 journals.sagepub.com/home/jhn (Conversano et al., 2020; Gilmartin et al., 2017; Luken & Sammons, 2016; Pérula-de Torres et al., 2019).”
InfluentialA Psychoeducational Group Intervention for Nurses: Rationale, Theoretical Framework, and Development
Bailey, A., Sawyer, A. T., & Robinson, P. S. (2021) · Journal of the American Psychiatric Nurses Association · doi:10.1177/10783903211001116 · Cited by 21 · see citing works
“Interventions for nurses have focused on resilience (Gilmartin et al., 2017; Joyce et al., 2018), stress reduction (Ghawadra et al.”
BackgroundInfluentialThe Effect of a Mindfulness-Based Intervention on Nurses in Kelantan, Malaysia
Fadzil, N. A., Ooi, H. W., Kueh, Y. C., & Phang, C. K. (2021) · Malaysian Journal of Medical Sciences · doi:10.21315/mjms2021.28.6.12 · Cited by 19 · see citing works
“(8) found that a brief mindfulness-based intervention based on the programme developed by Kabat-Zinn (6) improved perceptions of stress and well-being among healthcare workers.”
BackgroundMethodInfluentialAvoiding physician burnout through physical, emotional, and spiritual energy
Karr, S. S. (2018) · Current Opinion in Cardiology · doi:10.1097/hco.0000000000000574 · Cited by 17 · see citing works
Organizational Resilience in Healthcare: A Scoping Review
Ratliff, H. C., Lee, K. A., Buchbinder, M. H., et al. (2025) · Journal of Healthcare Management · doi:10.1097/jhm-d-24-00084 · Cited by 16 · see citing works
“Interventions that target individual resilience, such as mind-fulness or yoga, may be beneficial (Gilmartin et al., 2017), but bolstering individual resilience without addressing organizational factors is insufficient, and may leave clinicians feeling blamed (Panagioti et al., 2017).”
Çayır, E., Cunningham, T., Ackard, R., Haizlip, J. A., Logan, J. G., & Yan, G. (2021) · Western Journal of Nursing Research · doi:10.1177/01939459211027657 · Cited by 16 · see citing works
“practices can reduce stress reactivity in HCPs and increase the ability to provide competent, compassionate care (Gilmartin et al., 2017; Lamothe et al., 2016; Lomas et al., 2018).”
BackgroundJiménez-Giménez, M., Escribano-Martínez, A. S., OLTRA, M. F., Bonilla-Rodríguez, J., Sánchez, B. G., Rojo-Tejero, N., Sánchez-González, M. Á., & Muñoz-Lorenzo, L. (2021) · Current Psychiatry Reports · doi:10.1007/s11920-021-01253-9 · Cited by 17 · see citing works
Exploring the Effect of Mindfulness on Burnout in a Pediatric Emergency Department
Wong, K. U., Palladino, L., & Langhan, M. L. (2021) · Workplace Health & Safety · doi:10.1177/21650799211004423 · Cited by 15 · see citing works
“5-hour practice sessions weekly for 8 weeks, a full-day retreat, and recommended 45 minutes of meditating daily (Gilmartin et al., 2017; Kabat-Zinn, 1982; Lomas et al., 2018)—and thus, participation at a unit level would be challenging.”
BackgroundVillalón, F., Moreno, M. I., Rivera, R. M., Venegas, W. G., C., J. V. A., Soto, A., & Pemjean, A. (2023) · Mindfulness · doi:10.1007/s12671-023-02159-8 · Cited by 14 · see citing works
“” Nevertheless, interventions lasting more than 4 hr have been found to be effective at reducing anxiety symptomatology (Gilmartin et al., 2017; Howarth et al., 2019; McClintock et al., 2019).”
BackgroundRepo, S., Elovainio, M., Pyörälä, E., Iriarte-Lüttjohann, M., Tuominen, T., Härkönen, T., Gluschkoff, K., & Paunio, T. (2022) · Advances in Health Sciences Education · doi:10.1007/s10459-022-10116-8 · Cited by 14 · see citing works
“Further randomised controlled trials are also needed to determine the effects of mindfulness interventions (de Vibe et al., 2013; Gilmartin et al., 2017; Pinnock et al., 2021) and ACT interventions (Levin et al.”
BackgroundThe effect of brief mindfulness‐based intervention on patient satisfaction and loyalty after waiting
Sousa, E. C., & Freire, L. (2022) · Journal of Consumer Affairs · doi:10.1111/joca.12488 · Cited by 15 · see citing works
Alfurjani, A. M., Al‐Hammouri, M. M., Rababah, J. A., Alhawatmeh, H. N., & Hall, L. A. (2023) · Worldviews on Evidence-Based Nursing · doi:10.1111/wvn.12695 · Cited by 14 · see citing works
Coster, S., Gould, R. L., Coulson, M., & Norman, I. J. (2020) · International Journal of Nursing Studies Advances · doi:10.1016/j.ijnsa.2020.100004 · Cited by 15 · see citing works
“However, research suggests that mindfulness-based programmes can be abbreviated without reducing their effects on measures of physical and psychological health ( Carmody and Baer, 2009 ; Cavanagh et al., 2013 ; Gilmartin et al., 2017 ).”
Pinnock, R., Ritchie, D., Gallagher, S., Henning, M. A., & Webster, C. S. (2021) · Advances in Health Sciences Education · doi:10.1007/s10459-020-10022-x · Cited by 14 · see citing works
Brief Mindfulness Meditation With Night Nursing Unit Staff
Resnicoff, M., & Julliard, K. N. (2018) · Holistic Nursing Practice · doi:10.1097/hnp.0000000000000293 · Cited by 15 · see citing works
Perseverance: An Essential Trait of Military Interprofessional Healthcare Teams
Meyer, H. S., Durning, S. J., Bader-Larsen, K. S., Hamwey, M. K., & Varpio, L. (2021) · Military Medicine · doi:10.1093/milmed/usab185 · Cited by 14 · see citing works
“Results: We identified practices through which perseverance was exhibited by members of MIHTs: (1) humility, (2) mission focus, (3) team effort, (4) failure is not an option, (5) comfort with discomfort, and (6) continuous improvement.”
BackgroundMethodComparison of mindfulness interventions for healthcare professionals: A mixed-methods study
Morrow, E. H., Mai, T., Choi, B., Gu, L. Y., Thielking, P. D., Sandweiss, D. R., & Qeadan, F. (2022) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2022.102864 · Cited by 14 · see citing works
Factors affecting nurses' compassion fatigue: A path analysis study
Cura, Ş. Ü., Doğu, Ö., & Karadaş, A. (2024) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2024.01.014 · Cited by 13 · see citing works
Gesto, C. D., Policardo, G. R., Benucci, S. B., Çela, E., & Grano, C. (2025) · Healthcare · doi:10.3390/healthcare13131575 · Cited by 14 · see citing works
“Brief mindfulness interventions, such as five-minute ACT-consistent practices during shift changes, have shown promise in improving emotional regulation and reducing stress in healthcare providers [57].”
COVID-19, Suffering and Palliative Care: A Review
Beng, T. S., Kim, C. L. C., Chai, C.-S., Ching, D. N. L., Liang, T. J., Kumar, M. K. N., Ng, C. G., Khuen, L. P., Loong, L. C., Chin, L. E., et al. (2021) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/10499091211046233 · Cited by 13 · see citing works
“A systematic review concluded that brief mindfulness exercises lasting 5-20 minutes daily can be effective in improving HCWs’ well-being and decreasing levels of stress and anxiety.(86) Aside from regular mindfulness exercises at home and during work activities such as hand hygiene, a rapid two-breath mindfulness exer…”
BackgroundJiménez, Ó., Díaz, N. S. R., González-Moraleda, Á., & Resurrección, D. M. (2020) · Mindfulness · doi:10.1007/s12671-020-01320-x · Cited by 13 · see citing works
“Specifically, recent systematic reviews have found that brief MBI has a positive effect on recovery from dysphoric mood (Howarth et al. 2019; Keng et al. 2011) and are associated with improvements in anxiety and stress symptoms (Gilmartin et al. 2017; Goyal et al. 2014).”
BackgroundResultInfluentialEight Ways Nurses Can Manage a Burnt-Out Leader
Squellati, R., & Zangaro, G. A. (2022) · Nursing Clinics of North America · doi:10.1016/j.cnur.2021.11.005 · Cited by 25 · see citing works
“responsibility for reducing burnout and stress rests with the organization and promoting mindfulness-based activities for the staff has been shown to be a very effective approach to reducing burnout and stress.(21,22) Activities such as meditation, stretch-”
Trygg Lycke, S., Airosa, F., & Lundh, L. (2023) · Journal of Holistic Nursing · doi:10.1177/08980101221100091 · Cited by 12 · see citing works
Nurses Burnout, Resilience and Its Association with Safety Culture: A Cross Sectional Study
Majrabi, M. A. (2022) · Open Journal of Nursing · doi:10.4236/ojn.2022.121006 · Cited by 12 · see citing works
Long-term effects of a mindfulness and self-compassion program with Primary Healthcare professionals
Fuertes, M., Aranda, G., Rezola, N., Erramuzpe, A., Palacios, C., & Ibáñez, B. (2019) · Anales del Sistema Sanitario de Navarra · doi:10.23938/assn.0718 · Cited by 12 · see citing works
Wang, T., Tzeng, Y., Teng, Y., Pai, L., & Yeh, T. (2021) · Midwifery · doi:10.1016/j.midw.2021.103160 · Cited by 12 · see citing works
Friedman, N. M. G., Dingler, B., Gorstein, L. N., & Epstein, J. A. (2019) · Journal of American College Health · doi:10.1080/07448481.2019.1583654 · Cited by 12 · see citing works
“Evidence suggests that meditation and other brief mindfulness interventions for healthcare providers can improve measures of well-being, including stress, anxiety, and resilience.(26)”
BackgroundMindful self-compassion for nurses: a systematic review
Biber, D. (2021) · Nursing Management · doi:10.7748/nm.2021.e2028 · Cited by 11 · see citing works
Duffy, B. E., Rose-Wiles, L., & Loesch, M. F. (2021) · The Journal of Academic Librarianship · doi:10.1016/j.acalib.2021.102329 · Cited by 11 · see citing works
Thaprawat, P., Greene, M. T., Saint, S. K., Kasatpibal, N., Fowler, K. E., & Apisarnthanarak, A. (2022) · American Journal of Infection Control · doi:10.1016/j.ajic.2022.06.011 · Cited by 12 · see citing works
“Prior studies have shown the benefits of self-care practices (such as mindfulness, yoga, and spirituality) on reducing healthcare worker burnout, stress, and anxiety.(24-30) Our survey indicated that most infection preventionists find importance in both individual selfcare practices and spirituality for promoting well…”
Self-citationMindfulness as a tool for reducing stress in healthcare professionals: An umbrella review
Torre, G. L., Leggieri, P. F., Cocchiara, R. A., Dorelli, B., Mannocci, A., Sernia, S., & Guerra, F. (2022) · Work · doi:10.3233/wor-210504 · Cited by 11 · see citing works
“Outcomes regarding the providers’ mental and physical health were measured through different scores, and most of the studies reported statistically significant improvements; no significant improvement on medical errors reduction was reported [16].”
InfluentialHepner, K. A., Bloom, E. L., Newberry, S. J., Sousa, J., Osilla, K. C., Booth, M. S., Bialas, A., & Rutter, C. M. (2022) · Rand health quarterly · doi:10.7249/rhq-10-01-09 · Cited by 11 · see citing works
Use of a Mindfulness Smartphone App in an Advanced Psychiatry Elective for Pharmacy Students
McGuire, J., & Zhen, T. (2019) · INNOVATIONS in pharmacy · doi:10.24926/iip.v10i3.1346 · Cited by 11 · see citing works
Sauvain, M., Congard, A., Kop, J., Weismann-Arcache, C., & Villieux, A. (2022) · Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement · doi:10.1037/cbs0000312 · Cited by 10 · see citing works
Effect of mindfulness training program on well-being and leadership skills of psychiatric nurses
Hossny, E. K., El-fatah, O. A. A., Ali, H., Kandil, F. S., Behilak, S. E. G., Mohamed, I. A. I., Elsobky, F. A., Alshiekh, I., Shereda, H. M. A., Alhalawany, R. M., et al. (2024) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2024.10.002 · Cited by 12 · see citing works
Ruiz‐Íñiguez, R., Montero, A. C., Burgos-Julián, F. A., Roche, J. R. F., & Germán, M. Á. S. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1160714 · Cited by 24 · see citing works
“, 2019); for healthcare providers, studies have reported positive changes in levels of stress, anxiety, and burnout symptoms, among others (Gilmartin et al., 2017).”
BackgroundAn empirical study to evaluate the impact of mindfulness on helpdesk employees
Bernárdez, B., Panach, J. I., Parejo, J. A., Durán, A., Juristo, N., & Ruiz–Cortés, A. (2023) · Science of Computer Programming · doi:10.1016/j.scico.2023.102977 · Cited by 10 · see citing works
Favorable Outcomes From an In-person and Online Feasibility Mindful Moment Pilot Study
Patronis, S., & Staffileno, B. A. (2021) · Holistic Nursing Practice · doi:10.1097/hnp.0000000000000443 · Cited by 9 · see citing works
“For example, the Emotional Exhaustion subscale decreased from the bottom-level moderate range at baseline M = 18 (17-26) to the low range M = 12 (≤16) by the end of the 8-week study.”
BackgroundVerdes-Montenegro-Atalaya, J. C., de Torres, L. Á. P., Liétor-Villajos, N., Bartolomé-Moreno, C., Moreno-Martos, H., Rodríguez, L. A. G., Grande-Grande, T., Pardo-Hernández, R., del Barco, B. L., Santamaría‐Peláez, M., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910230 · Cited by 9 · see citing works
Lee, C., Tseng, H., Wu, L., & Chuang, Y. (2019) · Research in Nursing & Health · doi:10.1002/nur.21997 · Cited by 9 · see citing works
Potential Benefits of Teaching Mindfulness to Journalism Students
Pearson, M., McMahon, C., & O’Donovan, A. (2018) · Asia Pacific Media Educator · doi:10.1177/1326365x18800080 · Cited by 9 · see citing works
“Many research studies (Colgan, Wahbeh, Pleet, Besler, & Christopher, 2017; Gilmartin et al., 2017) have used meditation on the breath as a treatment when assessing meditation on a range of psychological scales.”
BackgroundA Mindfulness-Based Intervention for Acute Care Nursing Staff: A Pilot Study
Brouwer, K. R., Melander, S., Walmsley, L. A., Norton, J., & Okoli, C. (2024) · Journal of Holistic Nursing · doi:10.1177/08980101231181004 · Cited by 9 · see citing works
“Other studies have mentioned adherence as a barrier, especially for mindfulness practices, such as MBSR, which require an even greater time commitment (Gilmartin et al., 2017).”
BackgroundMethodInfluentialGarmaise-Yee, J. S., & LeBlanc, R. (2021) · Nursing Education Perspectives · doi:10.1097/01.nep.0000000000000887 · Cited by 8 · see citing works
“Common to all studies reviewed is an element of experiential learning, that is, practicing the skill (Gilmartin et al., 2017).”
BackgroundKheirkhah, H., Hartfeld, N. M. S., Widdifield, J., Kulhawy-Wibe, S., Roberts, J., Yacyshyn, E., Lee, J. J. Y., Jilkine, K., Jerome, D., Kwok, T. S. H., et al. (2023) · The Journal of Rheumatology · doi:10.3899/jrheum.2023-0437 · Cited by 8 · see citing works
“48 Given the time demands placed on rheumatologists, adapted brief mindful-ness-based interventions will be more feasible to implement, especially if delivered during protected time offered through their employer.”
BackgroundBrief tele-mindfulness-based intervention: A multicenter randomized controlled trial
AlQarni, A. M., ElFaki, A., Wahab, M. M. A., Aljehani, Y. M., ALKhunaizi, A. A., Alex, J., Othman, S. A., Amer, F. H., Alghamdi, F. A., & Alissa, K. A. (2023) · Journal of Family and Community Medicine · doi:10.4103/jfcm.jfcm_82_23 · Cited by 8 · see citing works
“Journal of Family and Community Medicine - Volume 30, Issue 3, July-September 2023 181 to health and well‐being enhancement.[11] This study’s aim was to compare the effectiveness of brief MBIs and PMR in improving the psychological well‐being, resilience, and anxiety in frontline HCPs dealing with COVID‐19 and investi…”
BackgroundMattila, A. M., DeIuliis, E. D., Martin, R., & Grogan, J. (2020) · Journal of Occupational Therapy Education · doi:10.26681/jote.2020.040410 · Cited by 8 · see citing works
“There is early indications that mindful and gratitude-based teachings result in positive outcomes for students (Bamber & Schneider, 2016; Gilmartin et al., 2017).”
Background
- Authors
- Gilmartin, H., Goyal, A., Hamati, M. C., Mann, J., Saint, S., & Chopra, V.
- Affiliations
- Denver VA Medical Center (US)
- Michigan Medicine (US)
- Michigan State University (US)
- VA Ann Arbor Healthcare System (US)
- Corresponding author
- Gilmartin, Heather
- Venue
- The American Journal of Medicine
- Publisher
- Elsevier BV
- Published
- 2017-10
- Volume
- 130
- Issue
- 10
- Pages
- 1219.e1-1219.e17
- ISSN
- 0002-9343 (ISSN-L)
- OpenAlex
- W2724327893
- Semantic Scholar
- 80aaf1230a29cdd2ac3685e1755e4f3579d86454
- Cited by
- 211
- References
- 43
- Citations by year
- 2026: 20 · 2025: 22 · 2024: 12 · 2023: 28 · 2022: 28 · 2021: 40 · 2020: 29 · 2019: 23 · 2018: 8
- FWCI
- 2.51
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The American Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Griffith Research Online (submittedVersion, cc-by-nc-nd)
- 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 › Stress and Burnout Research
- Keywords
- brief mindfulness intervention, healthcare workers, provider well-being, burnout, anxiety, stress, resilience, medical errors, attention, hospital staff
- MeSH terms
- Anxiety, Burnout, Professional, Depression, Health Personnel, Humans, Mindfulness
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