The DOI matches its Crossref record; 74 of the 74 references it cites were found in a registry or an index; 6 of the 32 sources its claims cite were checked for support.
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
40 Own result · 15 Own method · 7 Own interpretation · 4 Not checked yet · 3 Partly supported · 2 Couldn’t confirm · 2 Sources not found · 1 Supported so far · accuracy not yet measured
The cited sources that could be checked couldn’t confirm or dispute this claim.
In the paper
“yet low compliance by HCP continues to be a concern.”
What the sources say
- Not checked — no full text of the sourcecites [15] source
- Not checked — no full text of the sourcecites [23] source
- Could not verifycites [28] sourceExperimental — accuracy not yet measured
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)
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
The cited sources that could be checked couldn’t confirm or dispute this claim.
In the paper
“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.”
What the sources say
- Not checked — no full text of the sourcecites [10] source
- Not checked — no full text of the sourcecites [15] source
- Could not verifycites [22] sourceExperimental — accuracy not yet measured
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)
- Not checked — no full text of the sourcecites [23] source
- Not checked — no full text of the sourcecites [24] source
- Not checked — no full text of the sourcecites [25] source
boosteddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Also stated in: § How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1 · plain
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“with the latter generally considered the most sensitive sampling method for MRSA. 101”
What the sources say
- Partly supportedcites [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) sourceExperimental — accuracy not yet measured
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)
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Partly supported
The sources with a verdict support this claim; the rest weren’t checked yet, have no full text we could read, or their verdicts aren’t rated yet.
In the paper
“Nurse-to-patient ratios have been associated with higher rates of health care -associated infection. 103-105”
What the sources say
- Supportedcites [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
The Results report that each additional patient assigned to a nurse was associated with higher urinary tract and surgical site infection rates. The Discussion likewise states that hospitals where nurses cared for more patients had higher infection rates; it notes that burnout appeared to account for much of the association. Page numbers are not provided in our copy. (LLM, conf=0.93)
- Not matchedcites [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.
- Not checked — no full text of the sourcecites [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
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Supported
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Sample collection methods used were comparable for MRSA isolation (4%-7%) except for agar direct contact (1.55%).”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Pooled prevalence for MRSA, P aeruginosa , A baumannii , and vancomycin-resistant Enterococcus were 4.26%, 4.59%, 6.18%, and 9.03%, respectively.”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Substantial heterogeneity in rates of pathogen isolation were observed across studies (I 2 = 81%-95%).”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Pooled prevalence for MRSA, P aeruginosa , A baumannii , and vancomycin-resistant Enterococcus were 4.26%, 4.59%, 6.18%, and 9.03%, respectively.”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Pooled prevalence for MRSA, P aeruginosa , A baumannii , and vancomycin-resistant Enterococcus were 4.26%, 4.59%, 6.18%, and 9.03%, respectively.”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Subgroup analysis of MRSA revealed the highest HCP hand contamination rates in North America (8.28%).”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Probably not a substantial claim. 20
- It may state two separate claims as one. 31
- The quote only partly states this claim. 1
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“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.”
What the sources say
- Partly supportedcites [29] sourceExperimental — accuracy not yet measured
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)
- Not matchedcites [30]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may state two separate claims as one.
- Also stated in: § Data extraction and quality assessment · p. 2 · plain
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“The global epidemiology of MRSA has been extensively studied and varies considerably by continent. 46,97-100”
What the sources say
- Not matchedcites [46]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Not matchedcites [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.
- Not checked — no full text of the sourcecites [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
- Not matchedcites [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.
- Partly supportedcites [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) sourceExperimental — accuracy not yet measured
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)
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
- Not matched
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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.”
plainn = 6,840- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
- Also stated in: § RESULTS · p. 3 · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Only 4 of 59 studies sampled for C difficile , with 2 of 4 fi nding no growth.”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
- Also stated in: § RESULTS · p. 3 · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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 .”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
- Also stated in: § RESULTS · p. 2 · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds. It may state two separate claims as one. The quote only partly states this claim.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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).”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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”
plainn = 2,477- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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%).”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Furthermore, 5 of the 10 ICU studies reported recovery rates of 0%, of which 3 46,71,77 used the agar direct method.”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Agar direct contact had the lowest observed prevalence rate (1.55%), with 4 studies demonstrating 0% prevalence. 46,63,71,77”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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).”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Two of these studies reported a 0% prevalence. 66,75”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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.”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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]).”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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)”
plainn = 2,154- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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).”
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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.”
plainn = 235- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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)”
plainn = 590- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Two of 4 studies reported a 0% prevalence 53,56 , whereas 2 others reported a prevalence of 10.7% 93 and 2.4%. 90”
plainn = 235- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“This review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. 36”
What the sources say
- Not matchedcites [36]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
- Not matched
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Inter-rater agreement for study eligibility was 0.95.”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The funder of the study had no role in study design, data collection, data analysis, data interpretation, or writing of the report.”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“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.”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“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.”
What the sources say
- Not checked — no full text of the sourcecites [12] source
- Not checked — no full text of the sourcecites [13] source
- Not checked — no full text of the sourcecites [14] source
- Not checked — no full text of the sourcecites [15] source
- Not checked — no full text of the sourcecites [16] source
- Not matchedcites [17]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Not checked — no full text of the sourcecites [18] source
- Not checked — no full text of the sourcecites [19] source
- Not checked — no full text of the sourcecites [20] source
- Not matchedcites [21]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
- Also stated in: § How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis · p. 1 · plain
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Because no studies included comparability measures, this was removed from the assessment of risk of bias for all studies.”
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“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.).”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“This systematic review was registered with PROSPERO (number CRD42017068296).”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Two authors (A.G. and R.S.) used a standardized template to extract data independently and in duplicate.”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“given an overall higher prevalence of MRSA among patients in the United States compared to most other countries. 97”
What the sources say
- Not matchedcites [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.
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
- Not matched
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The Cohen k coef fi cient for adjudication of study bias, used to measure inter-rater agreement, was 0.90.”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“to our knowledge, this is the fi rst comprehensive systematic review and meta-analyses of MDROprevalence on HCP hands.”
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“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”
hedgeddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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.”
hedgedcorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“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).”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“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.”
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Our study included a thorough search of the literature by a reference librarian using robust methodology”
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
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?
The check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“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
Experimental — accuracy not yet measuredThe check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“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]
Experimental — accuracy not yet measuredThe check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“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
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.
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ (A) MRSA · p. 5
“followed by Asia (3.96%; 95% CI, 2.08-6.31), and Europe (2.54%; 95% CI, 1.04-4.53)”
§ CONCLUSIONS · p. 9
“followed by Asia (4.23%), and Europe (2.47%)”
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
“with 31 cross-sectional studies showing a pooled prevalence of 3.25% (95% CI, 2.12-4.57) vs 7 non -cross-sectional studies”
Reported 42 · recomputed 38
Citations
Cites
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Audit and feedback: effects on professional practice and healthcare outcomes
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Mindfulness-based stress reduction for health care professionals: results from a randomized trial
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Cited by
Sorted by citations
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
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
Zhang, X.-J., Song, Y., Jiang, T., Ding, N., & Shi, T.-Y. (2020) · Medicine · doi:10.1097/md.0000000000020992 · Cited by 233
“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
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 177
Mindfulness‐based stress reduction for psychological distress among nurses: A systematic review
Ghawadra, S. F., Abdullah, K. L., Choo, W. Y., & Phang, C. K. (2019) · Journal of Clinical Nursing · doi:10.1111/jocn.14987 · Cited by 162
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 177
“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
Cumulative effect of loneliness and social isolation on health outcomes among older adults
Barnes, T. L., MacLeod, S., Tkatch, R., Ahuja, M., Albright, L., Schaeffer, J. A., & Yeh, C. S. (2022) · Aging & Mental Health · doi:10.1080/13607863.2021.1940096 · Cited by 97
“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
Klein, A., Taieb, O., Xavier, S., Baubet, T., & Reyre, A. (2020) · EXPLORE · doi:10.1016/j.explore.2019.09.002 · Cited by 79
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 92
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 84
“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 78
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 84
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 80
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 87
Shiri, R., Nikunlaakso, R., & Laitinen, J. H. (2023) · Healthcare · doi:10.3390/healthcare11121792 · Cited by 106
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
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 63
“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
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 61
“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 65
“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 56
Fino, E., Martoni, M., & Russo, P. M. (2021) · Advances in Health Sciences Education · doi:10.1007/s10459-021-10039-w · Cited by 46
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 70
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 55
“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 58
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
Gür, G. C., & Yılmaz, E. (2020) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2020.101140 · Cited by 49
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
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 36
“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 39
“[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
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
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
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 42
Osman, I., Hamid, S., & Singaram, V. S. (2021) · Health SA Gesondheid · doi:10.4102/hsag.v26i0.1682 · Cited by 31
“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
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
Wright, B., Faulkner, N., Bragge, P., & Graber, M. (2019) · Diagnosis · doi:10.1515/dx-2018-0104 · Cited by 25
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 27
“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 25
Mindfulness-Based Intervention For Nurses In AIDS Care In China: A Pilot Study
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 30
“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 26
“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
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
“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
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 31
“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
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 24
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
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 24
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
Self-citationVitale, E. (2021) · Journal of Holistic Nursing · doi:10.1177/08980101211015804 · Cited by 18
“…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
“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
“(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
Organizational Resilience in Healthcare: A Scoping Review
Ratliff, H. C., Lee, K. A., Buchbinder, M. H., Kelly, L. A., Yakusheva, O., & Costa, D. K. (2025) · Journal of Healthcare Management · doi:10.1097/jhm-d-24-00084 · Cited by 18
“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
“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 19
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
“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
“” 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. J., Pyörälä, E., Iriarte-Lûttjohann, M., Tuominen, T., Härkönen, T., Gluschkoff, K., & Paunio, T. (2022) · Advances in Health Sciences Education · doi:10.1007/s10459-022-10116-8 · Cited by 28
“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
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
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 21
“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 15
Brief Mindfulness Meditation With Night Nursing Unit Staff
Resnicoff, M., & Julliard, K. N. (2018) · Holistic Nursing Practice · doi:10.1097/hnp.0000000000000293 · Cited by 20
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 15
“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
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
Gesto, C. D., Policardo, G. R., Benucci, S. B., Çela, E., & Grano, C. (2025) · Healthcare · doi:10.3390/healthcare13131575 · Cited by 14
“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 19
“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
“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
“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
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
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 16
Wang, T., Tzeng, Y., Teng, Y., Pai, L., & Yeh, T. (2021) · Midwifery · doi:10.1016/j.midw.2021.103160 · Cited by 12
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
“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 12
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
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
“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 19
“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
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
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
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
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 26
“, 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
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 10
“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 11
Lee, C., Tseng, H., Wu, L., & Chuang, Y. (2019) · Research in Nursing & Health · doi:10.1002/nur.21997 · Cited by 9
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
“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
“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
“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
“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
“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
“There is early indications that mindful and gratitude-based teachings result in positive outcomes for students (Bamber & Schneider, 2016; Gilmartin et al., 2017).”
Background
Metadata
- 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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