Qualitative and Quantitative Evaluation of a Pilot Integrative Coping and Resiliency Program for Healthcare Professionals
Abstract
Stress, fatigue, and burnout are common maladies among healthcare employees. To address this problem, a holistic integrative self-care program for healthcare practitioners was designed, implemented, and evaluated. A total of 84 participants, recruited via presentations, flyers, and word of mouth, completed the 8-week program. The experiential course, entitled Healing Pathways, combined training in Reiki, guided imagery, yoga, toning, meditation, intuitive scanning, creative expression, and mentorship to foster more empowered and resilient individuals. We measured the effectiveness of the program via mixed methods consisting of qualitative interviews providing in-depth feedback and quantitative analysis demonstrating statistically significant benefit. Participants reported significantly lower levels of stress and significantly increased confidence in their ability to cope at treatment conclusion (8 weeks) and long-term follow-up (12 months). These findings suggest that an integrative wellness and resiliency program, coupled with individual mentorship, may improve coping, decrease stress, and improve functioning and well-being for nurses and other health care providers.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
Individual programs can improve coping and reduce emotional exhaustion, generally with modest effects.
“Individual programs (for example, mindfulness, coaching, and peer support) can improve coping and reduce emotional exhaustion, generally with modest effects”
From Individual-Focused Interventions for Physician Burnout: A Meta-Analysis of Mindfulness, Coaching, and Peer Support (2025) · cites this paper as [18]
System changes target structural drivers of burnout.
“system changes (for example, workload redesign, schedule flexibility, and supportive leadership) target structural drivers [16,17,18]”
From Individual-Focused Interventions for Physician Burnout: A Meta-Analysis of Mindfulness, Coaching, and Peer Support (2025) · cites this paper as [18]
Cites
A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807 · see citing works
A validity and reliability study of the coping self‐efficacy scale
Chesney, M. A., Neilands, T. B., Chambers, D. B., Taylor, J. M., & Folkman, S. (2006) · British Journal of Health Psychology · doi:10.1348/135910705x53155 · Cited by 942 · see citing works
McHugh, M. D., Kutney-Lee, A. M., Cimiotti, J. P., Sloane, D. M., & Aiken, L. H. (2011) · Health Affairs · doi:10.1377/hlthaff.2010.0100 · Cited by 772 · see citing works
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout
Cohen-Katz, J., Wiley, S. D., Capuano, T. A., Baker, D. M., & Shapiro, S. L. (2004) · Holistic Nursing Practice · doi:10.1097/00004650-200411000-00006 · Cited by 388 · see citing works
Cohen-Katz, J., Wiley, S. D., Capuano, T., Baker, D. M., & Shapiro, S. (2005) · Holistic Nursing Practice · doi:10.1097/00004650-200501000-00008 · Cited by 285 · see citing works
(2005) · Cited by 195 · see citing works
Professional tears: developing emotional intelligence around death and dying in emergency work
Bailey, C., Murphy, R., & Porock, D. C. (2011) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2011.03860.x · Cited by 134 · see citing works
An exploration of the experience of compassion fatigue in clinical oncology nurses
Perry, B., Toffner, G., Merrick, T., & Dalton, J. E. (2011) · Canadian Oncology Nursing Journal · doi:10.5737/1181912x2129197 · Cited by 105 · see citing works
Raingruber, B. J., & Robinson, C. (2007) · Issues in Mental Health Nursing · doi:10.1080/01612840701581255 · Cited by 82 · see citing works
Nurse staffing decisions: an integrative review of the literature.
Shullanberger, G. (2000) · PubMed · Cited by 43 · see citing works
Brathovde, A. (2006) · Holistic Nursing Practice · doi:10.1097/00004650-200603000-00010 · Cited by 38 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Thimmapuram, J., Pargament, R., Sibliss, K., Grim, R. D., Risques, R. A., & Toorens, E. (2017) · Journal of Community Hospital Internal Medicine Perspectives · doi:10.1080/20009666.2016.1270806 · Cited by 121 · see citing works
Zhang, M., Murphy, B., Cabanilla, A., & Yidi, C. (2021) · Journal of Occupational Health · doi:10.1002/1348-9585.12243 · Cited by 125 · see citing works
Bischoff, L. L., Otto, A.-K., Hold, C., & Wollesen, B. (2019) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2019.06.002 · Cited by 104 · see citing works
Nurses’ Resilience and Effective Factors
Çam, O. (2017) · Journal of Psychiatric Nursing · doi:10.14744/phd.2017.75436 · Cited by 90 · see citing works
Si̇s Çeli̇k, A., & Kılınç, T. (2022) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2022.101637 · Cited by 68 · see citing works
The Resilient Nurse: An Emerging Concept
Turner, S. B. (2014) · Nurse Leader · doi:10.1016/j.mnl.2014.03.013 · Cited by 64 · see citing works
The THRIVE© Program: Building Oncology Nurse Resilience Through Self-Care Strategies
Blackburn, L. M., Thompson, K., Frankenfield, R., Harding, A., & Lindsey, A. (2019) · Oncology nursing forum · doi:10.1188/20.onf.e25-e34 · Cited by 59 · see citing works
Sarıbudak, T. P., & Güner, P. (2020) · Journal of Advanced Nursing · doi:10.1111/jan.14568 · Cited by 59 · see citing works
Giordano, F., Cipolla, A., & Ungar, M. T. (2021) · Stress and Health · doi:10.1002/smi.3085 · Cited by 58 · see citing works
Ofei-Dodoo, S., Cleland-Leighton, A., Nilsen, K., Cloward, J. L., & Casey, E. (2020) · Journal of Occupational & Environmental Medicine · doi:10.1097/jom.0000000000001892 · Cited by 53 · see citing works
Jung, Y.-H., Ha, T. M., Oh, C. Y., Lee, U. S., Jang, J. H., Kim, J., Park, J.-O., & Kang, D.-H. (2016) · PLOS ONE · doi:10.1371/journal.pone.0159841 · Cited by 53 · see citing works
Resilience Training for Nurses
Zhai, X., Ren, L.-N., Liu, Y., Liu, C.-J., Su, X.-G., & Feng, B.-E. (2021) · Journal of Hospice and Palliative Nursing · doi:10.1097/njh.0000000000000791 · Cited by 53 · see citing works
Alarcao, Z. P., & Fonseca, J. R. S. (2015) · European Journal of Integrative Medicine · doi:10.1016/j.eujim.2015.12.003 · Cited by 51 · see citing works
Baluszek, J. B., Brønnick, K., & Wiig, S. (2023) · International Journal of Health Governance · doi:10.1108/ijhg-11-2022-0098 · Cited by 43 · see citing works
SMART-R: A Prospective Cohort Study of a Resilience Curriculum for Residents by Residents
Chaukos, D. C., Chad‐Friedman, E., Mehta, D. H., Byerly, L. K., Celik, A., McCoy, T. H., & Denninger, J. W. (2017) · Academic Psychiatry · doi:10.1007/s40596-017-0808-z · Cited by 44 · see citing works
Building nurse resilience in the workplace
Andersen, S., Mintz-Binder, R. D., Sweatt, L., & Song, H. (2021) · Applied Nursing Research · doi:10.1016/j.apnr.2021.151433 · Cited by 39 · see citing works
Evaluation of a Web-Based Holistic Stress Reduction Pilot Program Among Nurse-Midwives
Wright, E. M. (2017) · Journal of Holistic Nursing · doi:10.1177/0898010117704325 · Cited by 38 · see citing works
Calisi, C. C. (2017) · Journal of Holistic Nursing · doi:10.1177/0898010117719207 · Cited by 37 · see citing works
Mind-Body Exercises for Nurses with Chronic Low Back Pain: An Evidence-Based Review
Budhrani-Shani, P., Berry, D. L., Arcari, P. M., Langevin, H. M., & Wayne, P. M. (2016) · Nursing Research and Practice · doi:10.1155/2016/9018036 · Cited by 37 · see citing works
Denneson, L. M., Smolenski, D. J., Bush, N. E., & Dobscha, S. K. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.01.018 · Cited by 37 · see citing works
Mindfulness: Assessing the Feasibility of a Pilot Intervention to Reduce Stress and Burnout
Montanari, K. M., Bowe, C. L., Chesak, S. S., & Cutshall, S. M. (2018) · Journal of Holistic Nursing · doi:10.1177/0898010118793465 · Cited by 35 · see citing works
Thimmapuram, J., Grim, R. D., Bell, T. D., Benenson, R. S., Lavallee, M. E., Modi, M., Noll, D., & Salter, R. (2019) · Global Advances in Health and Medicine · doi:10.1177/2164956118821056 · Cited by 36 · see citing works
Professional resilience among nurses working in an overcrowded emergency department in Taiwan
Lin, C., Liang, H., Han, C.-Y. S., Chen, L., & Hsieh, C.-L. (2018) · International Emergency Nursing · doi:10.1016/j.ienj.2018.05.005 · Cited by 35 · see citing works
The Mediating Role of Coping Self-Efficacy in Hope Box Use and Suicidal Ideation Severity
Denneson, L. M., Smolenski, D., Bauer, B. W., Dobscha, S., & Bush, N. (2018) · Archives of Suicide Research · doi:10.1080/13811118.2018.1456383 · Cited by 28 · see citing works
Turan, N. (2020) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2020.102915 · Cited by 29 · see citing works
Wright, E. M., Matthai, M. T., & Warren, N. (2017) · Journal of Midwifery & Women s Health · doi:10.1111/jmwh.12651 · Cited by 28 · see citing works
Implementation of an Integrative Coping and Resiliency Program for Nurses
Deible, S., Fioravanti, M. A., Tarantino, B., & Cohen, S. M. (2015) · Global Advances in Health and Medicine · doi:10.7453/gahmj.2014.057 · Cited by 28 · see citing works
Self-citationANGIN, Y. (2021) · cumhuriyet ilahiyat dergisi · doi:10.18505/cuid.884399 · Cited by 24 · see citing works
Mache, S., Bernburg, M., Baresi, L., & Groneberg, D. A. (2016) · European Journal of Emergency Medicine · doi:10.1097/mej.0000000000000434 · Cited by 23 · see citing works
Trent, N. L., Borden, S., Miraglia, M., Pasalis, E., Dusek, J. A., & Khalsa, S. B. S. (2019) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2018.0526 · Cited by 22 · see citing works
Trent, N. L., Miraglia, M., Dusek, J. A., Pasalis, E., & Khalsa, S. B. S. (2017) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000001216 · Cited by 21 · see citing works
Williams, S. P., Malik, H. T., Nicolay, C. R., Chaturvedi, S., Darzi, A. W., & Purkayastha, S. (2017) · Journal of Healthcare Risk Management · doi:10.1002/jhrm.21284 · Cited by 20 · see citing works
Benson, N. M., Chaukos, D. C., Vestal, H. S., Chad‐Friedman, E., Denninger, J. W., & Borba, C. P. C. (2018) · Academic Psychiatry · doi:10.1007/s40596-018-0934-2 · Cited by 20 · see citing works
Exploring Strategies to Build Resiliency in Nurses During Work Hours
Mintz-Binder, R. D., Andersen, S., Sweatt, L., & Song, H. (2021) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0000000000000996 · Cited by 19 · see citing works
Mensah, S. B., & Anderson, J. G. (2015) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2015.01.004 · Cited by 17 · see citing works
Turan, N., & Ançel, G. (2020) · Contemporary Nurse · doi:10.1080/10376178.2020.1782762 · Cited by 14 · see citing works
Turan, N., & Canbulat, Ş. (2023) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2023.03.002 · Cited by 14 · see citing works
Resiliency and Self-Care Behaviors in Health Professional Schools
Lin, L. C., Chan, M., Hendrickson, S. G., & Zuniga, J. A. (2020) · Journal of Holistic Nursing · doi:10.1177/0898010120933487 · Cited by 12 · see citing works
Okolo, O. N., & Gowin, K. L. (2019) · Current Hematologic Malignancy Reports · doi:10.1007/s11899-019-00526-8 · Cited by 8 · see citing works
Current Directions in Military Health-care Provider Resilience
Lester, P. B., Taylor, L. C., Hawkins, S. A., & Landry, L. P. (2015) · Current Psychiatry Reports · doi:10.1007/s11920-014-0539-8 · Cited by 8 · see citing works
Resiliency and Creativity in Psychiatric and Mental Health Nursing
Çam, O., Turgut, E. Ö., & Büyükbayram, A. (2014) · Journal of Psychiatric Nursing · doi:10.5505/phd.2014.64326 · Cited by 8 · see citing works
Shack, A. R., Meiyappan, S., & Grossman, L. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.01169 · Cited by 6 · see citing works
Sai Sailesh Kumar, G., Bv, P., Srilatha, B., & Mukkadan, J. K. (2020) · MOJ Anatomy & Physiology · doi:10.15406/mojap.2020.07.00283 · Cited by 7 · see citing works
Nutting, R., Ofei-Dodoo, S., Rose-Borcherding, K., & Strella, G. (2022) · PRiMER · doi:10.22454/primer.2022.746202 · Cited by 8 · see citing works
Resilience Education for Health-Care Professionals
Martin, S., Fiske, E., & Lane, S. H. (2020) · Creative Nursing · doi:10.1891/crnr-d-19-00077 · Cited by 6 · see citing works
Gupta, P. K., Malhotra, N., Goel, P., Thimmapuram, J., & Krishna, P. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1214603 · Cited by 6 · see citing works
Self-Care and Yoga— Academic—Practice Collaboration for Occupational Health
Alexander, G. K. (2013) · Workplace Health & Safety · doi:10.1177/216507991306101202 · Cited by 6 · see citing works
Gupta, P. K., Thimmapuram, J., Krishna, P., Karmarkar, Y., & Madhusudhan, D. K. (2022) · Global Advances in Health and Medicine · doi:10.1177/2164957x221123559 · Cited by 5 · see citing works
The psychometric properties of Turkish version of the resilience scale for nurses
Adıbelli, D., Kırca, N., & Bademli̇, K. (2021) · Current Psychology · doi:10.1007/s12144-021-02029-3 · Cited by 4 · see citing works
The effect of religious attitudes (religiosity) on resilience of cancer patients
Kh, J. A., & Sardari, B. (2019) · Iranian Journal of Cancer Care · doi:10.29252/ijca.1.2.1 · Cited by 4 · see citing works
Dyer, N. L., Adan, F., Barnett, T. D., & Dusek, J. A. (2022) · Global Advances in Health and Medicine · doi:10.1177/2164957x221089258 · Cited by 4 · see citing works
Helping People to Self-Actualize: Revising the Role and Goal of Our Healthcare System
Perlman, A. I. (2016) · EXPLORE · doi:10.1016/j.explore.2016.10.009 · Cited by 4 · see citing works
Nursing Department, F. O. H. S., Jadmiko, A. W., Department of Medical Education, F. O. M., Mustika, R., Department of Medical Education, F. O. M., Bashiruddin, J., & Department of Medical Education, F. O. M. (2024) · Education in Medicine Journal · doi:10.21315/eimj2024.16.4.9 · Cited by 3 · see citing works
Khan, A., Kim, D., Atwater, R., & Reddy, R. (2025) · Medicina · doi:10.3390/medicina62010039 · Cited by 3 · see citing works
Elhay, E. S. A., El‐Gilany, A., & Abdelhay, I. S. (2022) · Egyptian Journal of Health Care · doi:10.21608/ejhc.2022.245105 · Cited by 2 · see citing works
Betke, M., Stiel, S., & Schwabe, S. (2024) · OMEGA - Journal of Death and Dying · doi:10.1177/00302228241233329 · Cited by 2 · see citing works
Nurses' Occupational Trauma Exposure, Resilience, and Coping Education
Jones, S. L. (2016) · ScholarWorks (Walden University) · Cited by 2 · see citing works
The Shannon Error: Trying to Catch Up When You Are Already Ahead
Dossey, L. (2013) · EXPLORE · doi:10.1016/j.explore.2013.04.006 · Cited by 1 · see citing works
Práticas integrativas e complementares no cuidado de trabalhadores de saúde: uma revisão de escopo
Faria, J. A. M., & Toma, T. S. (2023) · Research Society and Development · doi:10.33448/rsd-v12i3.40823 · Cited by 1 · see citing works
Beyazgül, B., CİNDOĞLU, Ç., & Koruk, İ. (2023) · Journal of Surgery and Medicine · doi:10.28982/josam.7379 · Cited by 1 · see citing works
Towards a dynamic understanding of burnout
Dawson, N. (2015) · City Research Online (City University London)
Nurse Practitioner Role Expansion
Reeves, G. C., Holley, S. L., Keilman, L. J., & Reyes, I. (2020) · Advances in Family Practice Nursing · doi:10.1016/j.yfpn.2020.02.001
Presler, C. M. (2021) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/p2fk-hh26
Singh, T., Kushwah, G. S., Singh, G., & Thapa, R. K. (2021) · Physical Education Theory and Methodology · doi:10.17309/tmfv.2021.4.07
Autocuidado e práticas integrativas e complementares
Gomes, T. D. C. (2018) · doi:10.47749/t/unicamp.2018.1014500
ÖZYER, Y., & Erdoğan, M. (2023) · doi:10.22541/au.169397282.29381350/v1
Wijanarko, A., & Suryono, J. (2024) · Jurnal Inovasi dan Pengembangan Hasil Pengabdian Masyarakat · doi:10.61650/jip-dimas.v2i2.652
Díaz-Díaz, A., & Zango-Martín, I. (2025) · Cadernos Brasileiros de Terapia Ocupacional · doi:10.1590/2526-8910.cto290137673
Justice, C., McWilliams, J., Brown, R. B., Fowkes, V., Kamimoto, J. D., Price, I., Gomez, I., Poplau, S., & Linzer, M. (2026) · Healthcare · doi:10.3390/healthcare14172735
- Authors
- Tarantino, B., Earley, M., Audia, D., D'Adamo, C., & Berman, B.
- Affiliations
- University of Maryland, Baltimore (US)
- University of Maryland Medical Center (US)
- Corresponding author
- Earley, Michael
- ORCID
- Berman, Brian
- Venue
- EXPLORE
- Publisher
- Elsevier BV
- Published
- 2013-01
- Volume
- 9
- Issue
- 1
- Pages
- 44-47
- ISSN
- 1550-8307 (ISSN-L)
- OpenAlex
- W2080633705
- Cited by
- 69
- References
- 11
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 6 · 2022: 5 · 2021: 9 · 2020: 8 · 2019: 6 · 2018: 6 · 2017: 10 · 2016: 5 · 2015: 5 · 2014: 2 · 2013: 2
- FWCI
- 8.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- EXPLORE (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- resilience, healthcare workers, nurse well-being, occupational stress, burnout, fatigue, self-care, Reiki, guided imagery, yoga, meditation, mentoring, creative expression, wellness interventions
- MeSH terms
- Adaptation, Psychological, Complementary Therapies, Burnout, Professional, Creativity, Fatigue, Follow-Up Studies, Health Personnel, Holistic Health, Humans, Interviews as Topic, Mentors, Nurses, Pilot Projects, Power, Psychological, Stress, Psychological, Yoga, Program Evaluation, Treatment Outcome, Imagery, Psychotherapy, Meditation, Therapeutic Touch, Intuition, Self Efficacy, Qualitative Research, Integrative Medicine
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
