Nurse Leader Mindfulness Meditation Program for Stress Management: A Randomized Controlled Trial
Abstract
OBJECTIVE: The aim of this study was to rigorously evaluate a brief stress management intervention for nurse leaders. BACKGROUND: Despite the nursing shortage, evidence-based workplace approaches addressing nurse stress have not been well studied. METHODS: Nurse leaders (n = 33) were randomly assigned to brief mindfulness meditation course (MMC) or leadership course (control). Self-report measures of stress were administered at baseline and within 1 week of course completion. RESULTS: Among MMC participants, change scores (from baseline to postintervention) on several subscales of the Symptom Checklist 90-Revised showed significantly more improvement in self-reported stress symptoms relative to controls. Mindfulness meditation course participants had significantly more improvement in Positive Symptom Distress Index (P = 0.010; confidence interval [CI] = -0.483 to -0.073) and Global Severity Index (P = 0.019; CI = -0.475 to -0.046) and nearly significantly more improvement in Positive Symptom Total (P = 0.066; CI = -16.66 to 0.581) compared with controls. CONCLUSION: Results support preliminary effectiveness of a 4-week MMC in reducing self-reported stress symptoms among nursing leaders.
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For nurses, cognitive-behavioral and relaxation methods may help them cope with and lower personal stress.
“Studies of stress management programs conducted specifically for nurses indicate that cognitive-behavioral and relaxation techniques can be effective in helping nurses cope with and reduce personal stress (Milliken et al., 2007; Pipe et al., 2009; Cohen-Katz et al., 2005).”
From Reducing nurses' stress: A randomized controlled trial of a web-based stress management program for nurses (2016) · cites this paper as Pipe et al., 2009
These results mirror findings from in-person workplace stress management interventions that focus on cognitive-behavioral and relaxation strategies.
“These results mirror findings for in-person workplace stress management interventions that focus on cognitive-behavioral and relaxation strategies (Milliken et al., 2007; Pipe et al., 2009; Cohen-Katz et al., 2005).”
From Reducing nurses' stress: A randomized controlled trial of a web-based stress management program for nurses (2016) · cites this paper as Pipe et al., 2009
Three included MBSR programmes were 4 weeks long and produced significant improvements in psychological distress, anxiety, depression, stress, and mindfulness.
“Three MBSR programmes were 4 weeks in duration and yielded significant improvements in psychological distress, anxiety, depression, stress and mindfulness (Brady et al. 2012; Pipe et al. 2009; Verweij et al. 2016)”
From The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review (2021) · cites this paper as Pipe et al. 2009
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- Authors
- Pipe, T. B., Bortz, J. J., Dueck, A., Pendergast, D., Buchda, V., & Summers, J.
- Affiliations
- Mayo Clinic (US)
- Venue
- JONA: The Journal of Nursing Administration
- Published
- 2009-03
- Volume
- 39
- Issue
- 3
- Pages
- 130-137
- ISSN
- 0002-0443 (ISSN-L)
- OpenAlex
- W1967044732
- Cited by
- 213
- References
- 26
- Citations by year
- 2026: 2 · 2025: 10 · 2024: 9 · 2023: 11 · 2022: 10 · 2021: 16 · 2020: 19 · 2019: 22 · 2018: 15 · 2017: 22 · 2016: 10 · 2015: 22 · 2014: 15 · 2013: 10 · 2012: 7
- FWCI
- 6.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JONA The Journal of Nursing Administration (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- mindfulness meditation, nurse leaders, stress management, occupational stress, nursing shortage, workplace interventions, SCL-90-R, Global Severity Index, nursing leadership
- MeSH terms
- Burnout, Professional, Depression, Humans, Health Knowledge, Attitudes, Practice, Leadership, Nurses, Stress, Psychological, Program Development, Meditation
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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.
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