Effects of mindfulness-based interventions on mental health in nurses: a meta-analysis of randomized controlled trials
Abstract
Mindfulness as a positive mental health intervention approach has been increasingly applied to nurses. This meta-analysis evaluated the psychological effects of mindfulness-based interventions (MBIs) on mental health in nurses. We searched PubMed, EMBASE, Cochrane, and CINAHL up to February 2020. Randomized controlled trials (RCTs) evaluating the effects of MBIs for nurses were included. Data extraction and the risk of bias assessment were conducted by two authors independently. Standardized mean differences (SMDs) with 95% confidence intervals (CIs) were calculated using a random-effects meta-analysis. Of 370 studies retrieve from databases, nine RCTs, which involved 572 participants with 283 in an intervention group and 289 in a control group, were included in the final analysis. Compared to the control groups (no treatment, treatment as usual, or active control), MBIs reduced psychological distress such as anxiety, depression, or stress (SMD = −0.47; 95% CI, −0.67 to −0.32; I2 = 34.7; n = 17) in nurses. Also, MBIs slightly improved psychological wellbeing such as resilience, wellbeing, or quality of life (SMD = 0.28; 95% CI, 0.11 to 0.46; I2 = 0.00; n = 8). However, no statistically significant effects were found in Job related outcomes (SMD = 0.23; 95% CI, −0.01 to 0.47; I2 = 20.5; n = 6). This meta-analysis found that MBIs had beneficial effects on mental health such as psychological distress and wellbeing in nurses.
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Our findings were consistent with related studies that mindfulness and acceptance and commitment therapy-based interventions are effective in reducing psychological distress and depression, as well as enhancing psychological flexibility and subjective psychological wellbeing among nurses.
“Our findings were consistent with the findings of related studies that mindfulness and acceptance and commitment therapy-based interventions are effective in reducing psychological distress and depression, as well as enhancing psychological flexibility and subjective psychological wellbeing among nurses (37–39).”
From Translation, adaptation, and initial evaluation of a guided self-help intervention to reduce psychological distress among nurses during COVID-19 in China (2023) · cites this paper as [37]
Cites
Assessing the quality of reports of randomized clinical trials: Is blinding necessary?
Jadad, A. R., Moore, R. A., Carroll, D., Jenkinson, C., Reynolds, D. J. M., Gavaghan, D. J., & McQuay, H. J. (1996) · Controlled Clinical Trials · doi:10.1016/0197-2456(95)00134-4 · Cited by 17,582 · see citing works
Cochrane Handbook for Systematic Reviews of Interventions
(2019) · doi:10.1002/9781119536604 · Cited by 14,828 · see citing works
Mindfulness-based interventions in context: Past, present, and future
Kabat-Zinn, J. (2003) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.bpg016 · Cited by 8,615 · cited 1× · see citing works
“Of therapeutic interventions for the treatment of mental disorders, mindfulness-based interventions (MBIs) are known to be helpful for individuals through recognition of their present emotion, attention to the present task, and promotion of inner peace and happiness (Kabat‐Zinn, 2003).”
BackgroundHospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction
Aiken, L. H. (2002) · JAMA · doi:10.1001/jama.288.16.1987 · Cited by 5,226 · see citing works
Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011) · Perspectives on Psychological Science · doi:10.1177/1745691611419671 · Cited by 3,024 · see citing works
Effects of mindfulness on psychological health: A review of empirical studies
Keng, S.-L., Smoski, M. J., & Robins, C. J. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.04.006 · Cited by 2,687 · cited 1× · see citing works
“…al., 2017; Yazdanimehr et al., 2016) such as depression, anxiety, or stress and psychological wellbeing (Davis & Hayes, 2011; Escuriex & Labbé, 2011; Keng et al., 2011; Richards et al., 2010; Taylor et al., 2016; Wylde et al., 2017) such as resilience or quality of life (QOL) as well as…”
BackgroundNurses’ Reports On Hospital Care In Five Countries
Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J. A., Busse, R., Clarke, H. F., Giovannetti, P., Hunt, J., Rafferty, A. M., & Shamian, J. (2001) · Health Affairs · doi:10.1377/hlthaff.20.3.43 · Cited by 1,623 · see citing works
Mindfulness-based cognitive therapy for depression
TEASDALE, J. D. (2006) · Routledge eBooks · doi:10.4324/9780203098899-33 · Cited by 1,331 · see citing works
Contemplating Mindfulness at Work: An Integrative Review
Good, D. J., Lyddy, C. J., Glomb, T. M., Bono, J. E., Brown, K. W., Duffy, M. K., Baer, R. A., Brewer, J. A., & Lazar, S. W. (2016) · Journal of Management · doi:10.1177/0149206315617003 · Cited by 1,043 · see citing works
Nurse turnover: the mediating role of burnout
LEITER, M. P., & MASLACH, C. (2009) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2009.01004.x · Cited by 838 · see citing works
Kim, M. J., Loucks, R. A., Palmer, A. L., Brown, A. C., Solomon, K. M., Marchante, A. N., & Whalen, P. J. (2011) · Behavioural Brain Research · doi:10.1016/j.bbr.2011.04.025 · Cited by 838 · see citing works
What are the benefits of mindfulness? A practice review of psychotherapy-related research.
Davis, D. M., & Hayes, J. A. (2011) · Psychotherapy · doi:10.1037/a0022062 · Cited by 831 · see citing works
Glomb, T. M., Duffy, M. K., Bono, J. E., & Yang, T. (2011) · Research in Personnel and Human Resources Management · doi:10.1108/s0742-7301(2011)0000030005 · Cited by 809 · 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
Cultivating mindfulness: effects on well‐being
Shapiro, S. L., Oman, D., Thoresen, C. E., Plante, T. G., & Flinders, T. (2008) · Journal of Clinical Psychology · doi:10.1002/jclp.20491 · Cited by 699 · see citing works
van der Velden, A. M., Kuyken, W., Wattar, U., Crane, C., Pallesen, K. J., Dahlgaard, J., Fjorback, L. O., & Piet, J. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.02.001 · Cited by 455 · see citing works
Prevalence and Risk Factors of Depression, Anxiety, and Stress in a Cohort of Australian Nurses
Maharaj, S., Lees, T., & Lal, S. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16010061 · Cited by 421 · see citing works
Richards, K. C., Campenni, C. E., & Muse‐Burke, J. L. (2010) · Journal of Mental Health Counseling · doi:10.17744/mehc.32.3.0n31v88304423806 · Cited by 319 · see citing works
Hölzel, B. K., Hoge, E. A., Greve, D. N., Gard, T., Creswell, J. D., Brown, K. W., Barrett, L. F., Schwartz, C., Vaitl, D., & Lazar, S. W. (2013) · NeuroImage: Clinical · doi:10.1016/j.nicl.2013.03.011 · Cited by 281 · see citing works
Mindfulness-Based Programs in the Workplace: a Meta-Analysis of Randomized Controlled Trials
Vonderlin, R., Biermann, M., Bohus, M., & Lyssenko, L. (2020) · Mindfulness · doi:10.1007/s12671-020-01328-3 · Cited by 259 · see citing works
Lamothe, M., Rondeau, É., Malboeuf-Hurtubise, C., Duval, M., & Sultan, S. (2016) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2015.11.001 · Cited by 228 · cited 1× · see citing works
“…studies have reported the beneficial effects of MBIs on psychological distress (Davis & Hayes, 2011; Escuriex & Labbé, 2011; Kiken & Shook, 2012; Lamothe et al., 2016; Shapiro et al., 2008; White, 2014; Wylde et al., 2017; Yazdanimehr et al., 2016) such as depression, anxiety, or stress and…”
BackgroundNurse Leader Mindfulness Meditation Program for Stress Management: A Randomized Controlled Trial
Pipe, T. B., Bortz, J. J., Dueck, A., Pendergast, D., Buchda, V., & Summers, J. (2009) · JONA: The Journal of Nursing Administration · doi:10.1097/nna.0b013e31819894a0 · Cited by 213 · see citing works
Nurses and stress: recognizing causes and seeking solutions
Happell, B., Dwyer, T., Reid‐Searl, K., Burke, K. J., Caperchione, C. M., & Gaskin, C. J. (2013) · Journal of Nursing Management · doi:10.1111/jonm.12037 · Cited by 198 · see citing works
Reb, J. M., Chaturvedi, S., Narayanan, J., & Kudesia, R. S. (2018) · Journal of Business Ethics · doi:10.1007/s10551-018-3927-x · Cited by 189 · see citing works
A mixed‐methods systematic review of the effects of mindfulness on nurses
Guillaumie, L., Boiral, O., & Champagne, J. (2017) · Journal of Advanced Nursing · doi:10.1111/jan.13176 · Cited by 186 · see citing works
Keng, S.-L., Smoski, M. J., Robins, C. J., Ekblad, A. G., & Brantley, J. G. (2012) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.26.3.270 · Cited by 184 · see citing works
Yoga for Self-Care and Burnout Prevention Among Nurses
Alexander, G. K., Rollins, K., Walker, D., Wong, L., & Pennings, J. (2015) · Workplace Health & Safety · doi:10.1177/2165079915596102 · Cited by 180 · see citing works
Howlett, M. P., Doody, K. F., Murray, J., LeBlanc-Duchin, D., Fraser, J. M., & Atkinson, P. (2015) · Emergency Medicine Journal · doi:10.1136/emermed-2014-203750 · Cited by 168 · see citing works
School of Nursing, C. S. U., Yang, J., Tang, S., School of Nursing, C. S. U., Zhou, W., & The Second Xiangya Hospital, C. S. U. (2018) · Psychiatria Danubina · doi:10.24869/spsih.2018.189 · Cited by 163 · see citing works
Mindfulness in nursing: an evolutionary concept analysis
White, L. (2013) · Journal of Advanced Nursing · doi:10.1111/jan.12182 · Cited by 143 · see citing works
Lin, L., He, G., Jin, Y., Gu, C., & Xie, J. (2018) · Workplace Health & Safety · doi:10.1177/2165079918801633 · Cited by 135 · see citing works
Mindfulness for Novice Pediatric Nurses: Smartphone Application Versus Traditional Intervention
Morrison Wylde, C., Mahrer, N. E., Meyer, R. M. L., & Gold, J. I. (2017) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2017.06.008 · Cited by 124 · see citing works
Schuh, S. C., Zheng, X., Xin, K., & Fernández, J. A. (2017) · Journal of Business Ethics · doi:10.1007/s10551-017-3610-7 · Cited by 117 · see citing works
Yazdanimehr, R., Omidi, A., Sadat, Z., & Akbari, H. (2016) · Journal of Caring Sciences · doi:10.15171/jcs.2016.021 · Cited by 96 · see citing works
Escuriex, B. F., & Labbé, E. E. (2011) · Mindfulness · doi:10.1007/s12671-011-0068-z · Cited by 95 · see citing works
Mindfulness and emotional distress: The role of negatively biased cognition
Kiken, L. G., & Shook, N. J. (2012) · Personality and Individual Differences · doi:10.1016/j.paid.2011.10.031 · Cited by 92 · see citing works
Be(com)ing Real: a Multi-source and an Intervention Study on Mindfulness and Authentic Leadership
Nübold, A., Quaquebeke, N. V., & Hulsheger, U. R. (2019) · Journal of Business and Psychology · doi:10.1007/s10869-019-09633-y · Cited by 89 · see citing works
Daigle, S., Talbot, F., & French, D. J. (2018) · Journal of Advanced Nursing · doi:10.1111/jan.13729 · Cited by 57 · see citing works
A mindfulness intervention for residents: relevance for pediatricians
Taylor, M., Hageman, J. R., & Brown, M. (2016) · Pediatric Annals · doi:10.3928/19382359-20160912-01 · Cited by 49 · see citing works
Calisi, C. C. (2017) · Journal of Holistic Nursing · doi:10.1177/0898010117719207 · Cited by 37 · see citing works
Maatouk, I., Müller, A., Angerer, P., Schmook, R., Nikendei, C., Herbst, K., Gantner, M., Herzog, W., & Gündel, H. (2018) · PLoS ONE · doi:10.1371/journal.pone.0191000 · Cited by 35 · see citing works
Effect of Mindfulness-Based Stress Reduction Training on Health Care Worker Safety
Valley, M., & Stallones, L. F. (2017) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000001090 · Cited by 31 · see citing works
Moll, S. E., Frolic, A. N., & Key, B. L. (2015) · Journal of Hospital Administration · doi:10.5430/jha.v4n6p36 · Cited by 27 · see citing works
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Sorted by citations
Wang, Q., Wang, F., Zhang, S., Liu, C., Feng, Y., & Chen, J. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1218340 · Cited by 89 · see citing works
“Research has established that elevated levels of job stress are associated with a greater vulnerability to mood and anxiety disorders (42).”
BackgroundInfluentialThe effects of mindfulness‐based interventions on nurses' anxiety and depression: A meta‐analysis
Liu, H., Kong, L., Sun, Q., & Ma, X. (2023) · Nursing Open · doi:10.1002/nop2.1610 · Cited by 36 · see citing works
Reangsing, C., Trakooltorwong, P., Maneekunwong, K., Thepsaw, J., & Oerther, S. E. (2023) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-023-04102-9 · Cited by 23 · see citing works
Cybulska, A. M., Rachubińska, K., Stanisławska, M., Grochans, S., Cymbaluk-Płoska, A., & Grochans, E. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19169777 · Cited by 22 · see citing works
“Stress in the workplace can affect anyone, regardless of the position held, the sector of work or the size of the institution in which they work [1,2].”
BackgroundFrías, C. E., Samarasinghe, N., Cuzco, C., Koorankot, J., de Juan, A., Rudwan, H. M. A., Rahim, H. F. A., Zabalegui, A., Tulley, I., Al-Harahsheh, S. T., et al. (2025) · Frontiers in Medicine · doi:10.3389/fmed.2025.1530287 · Cited by 20 · see citing works
Karo, M., Simorangkir, L., Daryanti Saragih, I., Suarilah, I., & Tzeng, H. (2024) · Journal of Nursing Scholarship · doi:10.1111/jnu.12941 · Cited by 20 · see citing works
Mindful, mindless, or misunderstood? A critical perspective of the mindfulness concept
Kelly, B. D. (2022) · Irish Journal of Psychological Medicine · doi:10.1017/ipm.2022.31 · Cited by 14 · see citing works
Tian, T., Sun, J., Jiang, Y., Guo, Q., Huang, Z., Wang, D., Rahman, A., Li, X., & Yang, L. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1168117 · Cited by 8 · see citing works
A Mixed‐Methods Evaluation of a Peer Group Intervention to Promote Wellbeing in Mental Health Nurses
Cooper, A. L., Read, R. A., Burrows, S., & Brown, J. A. (2025) · International Journal of Mental Health Nursing · doi:10.1111/inm.70032 · Cited by 4 · see citing works
Öztürk, Ş., & Alagöz, E. (2024) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/02793695-20240828-03 · Cited by 3 · see citing works
(En) pleine conscience : revue critique du concept
Kotsou, I., & Leys, C. (2023) · HEGEL - HEpato-GastroEntérologie Libérale · doi:10.3917/heg.132.0146 · Cited by 1 · see citing works
Jeremías: Historia, vida y mensaje
Rivas, P. J. (2003) · Reseña bíblica: Revista trimestral de la Asociación Bíblica Española
Babamiri, B., Hanifi, N., Mohammadi, F., Amini, K., & Faraji, N. (2025) · Annals of Medicine and Surgery · doi:10.1097/ms9.0000000000004216
“For example, the meta-analysis by Kang and Myung [ 23 ] reported no significant effects of mindfulness interventions on job-related outcomes among healthcare workers.”
Reangsing, C., Trakooltorwong, P., Maneekunwong, K., Thepsaw, J., & Oerther, S. E. (2023) · Figshare · doi:10.6084/m9.figshare.23803102
Hadi, M., Rohita, T., Hasanah, I., Yen, M., Yoong, T. L., & Natashia, D. (2026) · SAGE Open Nursing · doi:10.1177/23779608261436807
“Furthermore, systematic reviews and meta-analyses demonstrate that interventions — particularly mindfulness and caring-based programs — effectively reduce burnout while enhancing nurse well-being and performance (Kang & Myung, 2022).”
Yu, F., Chu, G., Smith, M., & Fernandez, R. S. (2026) · International Journal of Applied Positive Psychology · doi:10.1007/s41042-026-00328-3
“Stress Four reviews involving 18 unique RCTs, corresponding to 21 trials when duplicates were counted, identified a significant effect on stress at less than 3-month follow-up (Kang & Myung, 2022 ; Kunzler et al., 2022 ; Liu et al., 2025a, 2025b; Zhai et al., 2021) (Table 3).”
InfluentialZhao, L., Zhao, H., Han, Y., Xiaoxia, Y., Zhou, Y., Che, W., & Wang, J. (2026) · Perspectives In Psychiatric Care · doi:10.1155/ppc/8598577
- Authors
- Kang, M.-J., & Myung, S.-K.
- Affiliations
- Eulji University (KR)
- National Cancer Center (KR)
- Corresponding author
- Myung, Seung-Kwon
- Venue
- Issues in Mental Health Nursing
- Publisher
- Informa UK Limited
- Published
- 2021-07-22
- Volume
- 43
- Issue
- 1
- Pages
- 51-59
- ISSN
- 0161-2840 (ISSN-L)
- 1096-4673
- OpenAlex
- W3185139041
- Cited by
- 17
- References
- 43
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 1 · 2023: 7 · 2022: 2
- FWCI
- 0.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Issues in Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Keywords
- mindfulness-based interventions, nurses, mental health, psychological distress, anxiety, depression, stress, psychological well-being, resilience, quality of life, job-related outcomes
- MeSH terms
- Anxiety, Anxiety Disorders, Depression, Humans, Mental Health, Randomized Controlled Trials as Topic, Mindfulness
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