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The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta‐analysis
Open accessAbstract
Aim: To analyse the effect of mindfulness training on levels of burnout among nurses. Background: Burnout syndrome is a common occupational hazard for nursing staff. Mindfulness training has been proposed as a valid intervention for burnout. Design: Systematic review and meta‐analysis. Data sources: The CINAHL, LILACS, Medline, ProQuest, PsycINFO, Scielo and Scopus databases were consulted, using the search equation ‘Nurs * AND burnout AND mindfulness’. There was no restriction on the year of publication. Review methods: Papers were selected for analysis in accordance with the PRISMA guidelines. The meta‐analysis was carried out using Review Manager 5.3 software. Results: The sample was of 17 articles including 632 nurses. Mindfulness training reduces levels of burnout, producing lower scores for emotional exhaustion and depersonalization and higher for personal accomplishment. The differences in the means were 1.32 (95% CI: −9.41–6.78), 1.91 (95% CI: −4.50–0.68) and 2.12 (95% CI: −9.91–14.14), respectively, between the intervention and control groups. Conclusion: Mindfulness training reduces the emotional burden and hence levels of burnout, among nurses. However, further randomized clinical trials are required.
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TL;DR
This systematic review and meta-analysis found that mindfulness-based interventions were generally associated with reduced burnout among nurses, especially emotional exhaustion, but the quantitative evidence was limited to two studies. The authors conclude that mindfulness training may help reduce nurse burnout, while calling for more randomized controlled trials.
Key findings
- The review included 17 articles (8 randomized controlled trials and 9 quasi-experimental studies), with a total sample of 632 nurses; most participants were women, ranging from 87% to 100% across studies.
- In all included studies, emotional exhaustion decreased after mindfulness intervention, with reported reductions of 14.32–31%; depersonalization decreased by 7–17.60% in some studies, while several others found no significant changes; total burnout scores decreased by 12–30% in three studies.
- The meta-analysis included only 2 studies, with N = 46 nurses in intervention groups and N = 44 in control groups. For emotional exhaustion, the mean difference was 1.32 (95% CI: −9.41 to 6.78), with lower values in the intervention group; for depersonalization, the mean difference was 1.91 (95% CI: −4.50 to 0.68) in favour of intervention; for personal accomplishment, the mean difference was 2.12 (95% CI: −9.91 to 14.14) in favour of intervention.
- Heterogeneity was I² = 71% for emotional exhaustion, 26% for depersonalization, and 95% for personal accomplishment.
Methods
- Systematic review and meta-analysis following PRISMA recommendations; databases searched were CINAHL, LILACS, Medline, ProQuest, PsycINFO, Scielo, and Scopus, using the search equation “Nurs* AND burnout AND mindfulness” in June 2019.
- Inclusion criteria were clinical trial or quasi-experimental study, analysis of mindfulness-based intervention impact on burnout, sample of nurses, publication in English, Spanish, French, or Portuguese, and no year restriction.
- Quality was appraised with Oxford Centre for Evidence-Based Medicine levels and Cochrane Collaboration Risk of Bias tool; when sufficient data were available, random-effects meta-analyses were performed for each burnout dimension using Review Manager 5.3, with heterogeneity assessed by I².
Limitations
- The authors state that very few randomized controlled trials were available, so only limited data could be meta-analysed and results should be interpreted with caution.
- The authors note heterogeneity of mindfulness approaches, including reduced session times or combined treatment approaches, which may have affected inter-study findings; they also cite limited intervention duration and follow-up, and a sample mainly composed of female nurses.
- Evident from the text: the meta-analysis included only 2 studies with small samples, confidence intervals were wide and crossed zero for all three burnout dimensions, and heterogeneity was high for emotional exhaustion and personal accomplishment.
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In the paper
“In all cases, decreased levels of EE were reported following the mindfulness intervention.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.2 | The effectiveness of mindfulness training in reducing burnout
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesNone of the sources cited for this claim have been checked yet.
In the paper
“The sample populations initially presented medium-high levels of EE, ranging from 42-69% (Mealer et al., 2014;Montanari et al., 2018).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.2 | The effectiveness of mindfulness training in reducing burnout
What the sources say
- Not checked yetcites Mealer et al., 2014
- Not checked yetcites Montanari et al., 2018
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In the paper
“The intervention achieved reductions in EE of 14.32-31% (to mediumlow levels) (Mackenzie et al., 2006;Mealer et al., 2014;Montanari et al., 2018;Norouzinia et al., 2017;Poulin, Mackenzie, Soloway, & Karayolas, 2008).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.2 | The effectiveness of mindfulness training in reducing burnout
What the sources say
- Not checked yetcites Mackenzie et al., 2006
- Not checked yetcites Mealer et al., 2014
- Not checked yetcites Montanari et al., 2018
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesNone of the sources cited for this claim have been checked yet.
In the paper
“Several authors observed medium-high initial levels of D, which after the intervention had decreased by 7-17.60% (Gauthier et al., 2015;Mealer et al., 2014;Norouzinia et al., 2017).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.2 | The effectiveness of mindfulness training in reducing burnout
What the sources say
- Not checked yetcites Gauthier et al., 2015
- Not checked yetcites Mealer et al., 2014
- Not checked yetcites Norouzinia et al., 2017
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In the paper
“Two focused on oncology departments, where high levels of burnout have been reported (Duarte & Pinto-Gouveia, 2016;Hevezi, 2016) and found that the intervention reduced burnout to a moderate level.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.2 | The effectiveness of mindfulness training in reducing burnout
What the sources say
- Not checked yetcites Duarte & Pinto-Gouveia, 2016
- Not checked yetcites Hevezi, 2016
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesA 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
“Finally, for PA the difference in the means was 2.12 (95% CI: -9.91-14.14), in favour of the intervention group.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.4 | Meta-analysis of the effect size of the mindfulness intervention in reducing the impact of burnout
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesA 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
“For D, the difference in the means was 1.91 (95% CI: -4.50-0.68) in favour of the intervention group.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.4 | Meta-analysis of the effect size of the mindfulness intervention in reducing the impact of burnout
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIn the paper
“in a study that followed up outcomes over a longer period over time, the adherence fell to 12.8% (Duarte & Pinto-Gouveia, 2016).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.3 | Duration and monitoring of mindfulness interventions
What the sources say
- Not checked yetcites Duarte & Pinto-Gouveia, 2016
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesThe paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“very few controlled randomized clinical trials have been conducted to compare the effectiveness of different mindfulness interventions”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 4.1 | Limitations
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In the paper
“many studies, despite using the mindfulness description, have implemented variations such as reduced session times or the combination of several treatment approaches”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 4.1 | Limitations
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- Probably not a substantial claim. 25
- It may state two separate claims as one. 26
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
“the final sample obtained for analysis was composed of 17 articles”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.1 | Characteristics of the studies included
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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 17 articles included in the final sample, eight referred to randomized controlled trial and nine described quasi-experimental studies.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.1 | Characteristics of the studies included
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt 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
“After reading the title and abstract of each one, 631 were excluded because they did not meet the inclusion criteria or because they were duplicates.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.1 | Characteristics of the studies included
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably 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
“In total, 673 articles were found in the different databases.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.1 | Characteristics of the studies included
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“In nine of the papers, a mindfulness-based intervention was compared with the results for a control group and eight studies analysed the effects of a mindfulness programme over time, with follow-up ranging from 1 month (Craigie et al., 2016;Gauthier, Meyer, Grefe, & Gold, 2015) to 13 months (Watanabe et al., 2019).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.1 | Characteristics of the studies included
What the sources say
- Not checked yetcites Craigie et al., 2016
- Not checked yetcites Gauthier et al., 2015
- Not checked yetcites Watanabe et al., 2019
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably 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
“Among the studies included in our review, four analysed the influence of MBSR on specific hospital units.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.2 | The effectiveness of mindfulness training in reducing burnout
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“The same pattern of results was observed for nurses working in intensive care units (Gauthier et al., 2015;Mealer et al., 2014), where the mindfulness training reduced levels of burnout, enhanced satisfaction and fostered positive cognitive retraining (Duarte & Pinto-Gouveia, 2016).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.2 | The effectiveness of mindfulness training in reducing burnout
What the sources say
- Not checked yetcites Gauthier et al., 2015
- Not checked yetcites Mealer et al., 2014
- Not checked yetcites Duarte & Pinto-Gouveia, 2016
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“However, other authors observed medium-low levels for this parameter, with no significant changes following the intervention (Cohen-Katz et al., 2005;Mackenzie et al., 2006;Montanari et al., 2018;Poulin et al., 2008;Watanabe et al., 2019).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.2 | The effectiveness of mindfulness training in reducing burnout
What the sources say
- Not checked yetcites Cohen-Katz et al., 2005
- Not checked yetcites Mackenzie et al., 2006
- Not checked yetcites Montanari et al., 2018
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Mealer et al. (2014) reported low levels of PA (77%) pre-intervention; however, other authors observed moderate levels for this parameter (Mackenzie et al., 2006;Norouzinia et al., 2017;Poulin et al., 2008).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.2 | The effectiveness of mindfulness training in reducing burnout
What the sources say
- Not checked yetcites Mealer et al., 2014
- Not checked yetcites Mackenzie et al., 2006
- Not checked yetcites Norouzinia et al., 2017
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Six papers (Bazarko et al., 2013;Ceravolo & Raines, 2018;Cohen-Katz et al., 2005;Delaney, 2018;Norouzinia et al., 2017;Poulin et al., 2008) analysed outcomes achieved under the traditional MBSR approach, with a total duration of 8 weeks.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.3 | Duration and monitoring of mindfulness interventions
What the sources say
- Not checked yetcites Bazarko et al., 2013
- Not checked yetcites Ceravolo & Raines, 2018
- Not checked yetcites Cohen-Katz et al., 2005
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Several authors (Craigie et al., 2016;Dos Santos et al., 2016;Slatyer et al., 2018) showed that a brief intervention can be effective, reducing burnout and maintaining the positive outcome”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.3 | Duration and monitoring of mindfulness interventions
What the sources say
- Not checked yetcites Craigie et al., 2016
- Not checked yetcites Dos Santos et al., 2016
- Not checked yetcites Slatyer et al., 2018
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Before the intervention, the nurses in each of the study populations considered showed high levels of burnout.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 4 | D ISCUSS I ON
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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
“For EE, the difference in the means was 1.32 (95% CI: -9.41-6.78),with lower mean values in the intervention group.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.4 | Meta-analysis of the effect size of the mindfulness intervention in reducing the impact of burnout
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In the paper
“Two of the studies of mindfulness-based interventions (Mackenzie et al., 2006;Norouzinia et al., 2017) provided the data necessary to perform a statistical analysis of possible bias (see Figure 2).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.4 | Meta-analysis of the effect size of the mindfulness intervention in reducing the impact of burnout
What the sources say
- Not checked yetcites Mackenzie et al., 2006
- Not checked yetcites Norouzinia et al., 2017
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“Regarding the duration of the benefits obtained, some authors observed no significant changes or even reported an increase in the postintervention burnout score.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 4 | D ISCUSS I ON
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In the paper
“The other studies of MBSR used shorter versions, lasting 6 weeks (Dos Santos et al.,”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.3 | Duration and monitoring of mindfulness interventions
What the sources say
- Not checked yetcites Dos Santos et al., 2016
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably 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
“Regarding heterogeneity, the I 2 results were 71% for EE, 26% for D and 95% for PA.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.4 | Meta-analysis of the effect size of the mindfulness intervention in reducing the impact of burnout
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt 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
“The total sample of nurses was N = 46 for the intervention group and N = 44 for the control group.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.4 | Meta-analysis of the effect size of the mindfulness intervention in reducing the impact of burnout
Strength:plain· not yet calibratedn = 46Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“However, some studies of workers in these departments have observed no changes in burnout levels, or improvements only in EE but not in D or PA, possibly due to the high initial levels of burnout experienced (Moody et al., 2013).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 4 | D ISCUSS I ON
What the sources say
- Not checked yetcites Moody et al., 2013
Strength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“However, the studies in question (Duarte & Pinto-Gouveia, 2016;Wong, Teng, Chee, Doshi, & Lim, 2018) reported high dropout rates, a pattern that has been repeated in other studies of healthcare workers (De Vibe et al., 2018;Shapiro, Astin, Bishop, & Cordova, 2005).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 4 | D ISCUSS I ON
What the sources say
- Not checked yetcites Duarte & Pinto-Gouveia, 2016
- Not checked yetcites Wong et al., 2018
- Not checked yetcites De Vibe et al., 2018
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The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Another question is that of the limited duration of the intervention and of the time allowed for follow-up”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 4.1 | Limitations
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably 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
“Montanari et al. (2018) reported that the moderate levels of PA in their sample remained unchanged after mindfulness training, thus corroborating the earlier findings of Norouzinia et al. (2017) and Watanabe et al. (2019)”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 5 | CON CLUS ION
What the sources say
- Not checked yetcites Montanari et al. (2018)
- Not checked yetcites Norouzinia et al. (2017)
- Not checked yetcites Watanabe et al. (2019)
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The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“The remaining studies addressed in our review are quasi-experimental in nature, lacking randomization”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 5 | CON CLUS ION
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The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Follow-up studies of nurses' adherence to the programme recorded rates of 60-100% in the short term”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 5 | CON CLUS ION
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None of the sources cited for this claim have been checked yet.
In the paper
“Their positive effect has also been demonstrated in studies with nurses, although the types of intervention vary and different effect sizes have been reported (Dos Santos et al., 2016;Slatyer, Craigie, Heritage, Davis, & Rees, 2018).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 1.1 | Background
What the sources say
- Not checked yetcites Dos Santos et al., 2016
- Not checked yetcites Slatyer et al., 2018
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt 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
“No study was excluded, all articles reached a quality level according to quality assessment tools.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 2.5 | Quality appraisal
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably 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 degree of their agreement on this coding was tested by Cohen's kappa and the intraclass correlation coefficient.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 2.6 | Data abstraction
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In the paper
“The studies were classified by level of evidence in accordance with the recommendations of the Oxford Center for Evidence-based Medicine (OCEBM) (Howick et al., 2011).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 2.5 | Quality appraisal
What the sources say
- Not checked yetcites Howick et al., 2011
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably 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 data were recorded using a data coding manual, by two researchers working independently.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 2.6 | Data abstraction
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably 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
“Heterogeneity of the sample was assessed by the I 2 index.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 2.7 | Synthesis
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In the paper
“The risk of bias was analysed by pairs of independent reviewers using the Cochrane Collaboration Risk of Bias tool (Higgins & Green, 2011).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 2.5 | Quality appraisal
What the sources say
- Not checked yetcites Higgins & Green, 2011
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably 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 process was carried out by two investigators working independently and a third was consulted if any disagreement arose.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 2.4 | Search outcomes
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably 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
“In every case, the mindfulness programme produced a reduction in burnout among these nurses, to a degree comparable with that reported in similar studies focused on physicians and other healthcare personnel (Braun et al., 2019;Fortney, Luchterband, Zakletskaia, Zgierska, & Rakel, 2013).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 4 | D ISCUSS I ON
What the sources say
- Not checked yetcites Braun et al., 2019
- Not checked yetcites Fortney et al., 2013
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Regarding the individual dimensions of burnout, EE scores were reduced by the intervention (Duchemin, Steinberg, Marks, Vanover, & Klatt, 2015;Steinberg, Klatt, & Duchemin, 2017) and those for PA increased.However, no significant changes were observed in D (Sallon, Katz-Eisner, Yaffe, & Bdolah-Abram, 2017;Verweij, van Ravesteijn, van Hooff, Lagro-Janssen, & Speckens, 2018).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 4 | D ISCUSS I ON
What the sources say
- Not checked yetcites Duchemin et al., 2015
- Not checked yetcites Steinberg et al., 2017
- Not checked yetcites Sallon et al., 2017
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt 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
“This outcome may be due to low adherence by the nurses taking part in the studies, since regular training is known to maintain low levels of burnout.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 4 | D ISCUSS I ON
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
- Rests on an assumption: Regular training maintains low levels of burnout.
None of the sources cited for this claim have been checked yet.
In the paper
“Mindfulness training for nurses also enhances positive cognitive retraining (Luberto et al., 2017), an outcome that has been corroborated by studies of brain images, which have shown that mindfulness training produces increases in brain activity, associated with positive moods and the regulation of emotions (Guillaumie, Boiral, & Champagne, 2017;Huang et al., 2019;Young et al., 2018).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 4 | D ISCUSS I ON
What the sources say
- Not checked yetcites Guillaumie et al., 2017
- Not checked yetcites Huang et al., 2019
- Not checked yetcites Young et al., 2018
Strength:boosted· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“Some researchers have even observed improvements in reactions to posttraumatic situations (Meyer et al., 2018;O'Mahony, Gerhart, Grosse, Abrams, & Levy, 2016) and even positive effects on stress biomarkers such as reduction in cortisol salivary cortisol levels (Veiga et al., 2019).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 4 | D ISCUSS I ON
What the sources say
- Not checked yetcites Meyer et al., 2018
- Not checked yetcites O'Mahony et al., 2016
- Not checked yetcites Veiga et al., 2019
Strength:hedged· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably 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
“Nevertheless, in line with some of our review findings, other authors have observed persistent improvements, lasting up to 12 months postintervention, with a reduction of 8.2% in burnout scores (Askey-Jones, 2018; Fortney et al., 2013;Lebares et al., 2018;Martín-Asuero & García-Banda, 2010;Steinberg et al., 2017).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 4 | D ISCUSS I ON
What the sources say
- Not checked yetcites Askey-Jones, 2018
- Not checked yetcites Fortney et al., 2013
- Not checked yetcites Lebares et al., 2018
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
In the paper
“The regulation of burnout levels has been associated with adherence to mindfulness training and with perseverance, which are considered to be complementary forces (Sallon et al., 2017).”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 4 | D ISCUSS I ON
What the sources say
- Not checked yetcites Sallon et al., 2017
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Thus, studies have highlighted the long-term beneficial effects that these resources have produced in individuals suffering from pathologies such as fibromyalgia (Andrés-Rodríguez et al., 2019), cancer (Zhang, Zhao, & Zheng, 2019), mental disorders (Hedman-Lagerlöf, Hedman-Lagerlöf, & Öst, 2018; Rupp, Jürgens, Doebler andor, & Buhlmann, 2019), stress (Gawrysiak et al., 2018) and insomnia (Wang et”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 4 | D ISCUSS I ON
What the sources say
- Not checked yetcites Andrés-Rodríguez et al., 2019
- Not checked yetcites Zhang et al., 2019
- Not checked yetcites Hedman-Lagerlöf et al., 2018
Strength:boosted· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably 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
“These results may have a positive impact for well-being and quality of life in nurses and also for the quality care.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > Impact
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✗ Checkable: fails✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. It may be too vague to check against evidence. 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
“Although mindfulness interventions have shown effectiveness in reducing burnout syndrome among nurses, there is still a limitation in knowing for which aspect is more effective like, for example, improving patient care, develop of enhanced awareness, sense of pleasure of the moment, changes in the personality of the conductor or increased curiosity and hope for the new (Hemanth & Fisher, 2015;”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 4 | D ISCUSS I ON
What the sources say
- Not checked yetcites Hemanth & Fisher, 2015
- Not checked yetcites Hunter, 2019
- Not checked yetcites Irving et al., 2014
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt 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
“Mindfulness, through body-mind training, allows workers to address and overcome situations of severe emotional impact.”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > Impact
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✗ Checkable: fails✗ Load-bearing: fails✗ Based: failsProbably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
In the paper
“following the recommendations of the PRISMA statement (Moher, Liberati, Tetzlaff, & Altman, 2009)”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 5 | CON CLUS ION
What the sources say
- Not checked yetcites Moher, Liberati, Tetzlaff, & Altman, 2009
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
The paper relies on this without support.
Regular training maintains low levels of burnout.
“since regular training is known to maintain low levels of burnout.”
The paper relies on this without support.
The outcome measures of burnout used in the included studies are comparable enough to pool in meta-analysis.
“When sufficient statistical data were available, three meta-analyses were performed of random effects, one for each dimension of burnout syndrome.”
The paper relies on this without support.
The mindfulness interventions in the included studies are comparable enough to combine in meta-analysis.
“Two of the studies of mindfulness-based interventions (Mackenzie et al., 2006;Norouzinia et al., 2017) provided the data necessary to perform a statistical analysis of possible bias (see Figure 2).”
The paper relies on this without support.
The two studies included in the meta-analysis are representative of the effect of mindfulness on burnout in nurses.
“The total sample of nurses was N = 46 for the intervention group and N = 44 for the control group.”
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?
In the citing paper
“Mindfulness-based training is effective in reducing burnout not only in nurses [29] but also in other health care professionals [30,31].”
From Development of an artificial intelligence-based tailored mobile intervention for nurse burnout: single-arm trial (2024) · cites this paper as [29]
In the citing paper
“This is interesting considering that the most researched program for nurse burnout is mindfulness meditation [29].”
From Development of an artificial intelligence-based tailored mobile intervention for nurse burnout: single-arm trial (2024) · cites this paper as [29]
In the citing paper
“They are indicated as therapeutic interventions with scientific evidence for reducing burnout, regulating emotions, improving emotional resilience, and reducing depression among nurses and other HP [5,6,7].”
From The Impact of an Online Mindfulness-Based Practice Program on the Mental Health of Brazilian Nurses during the COVID-19 Pandemic (2023) · cites this paper as [7]
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.
Claim that EE decreased in every case conflicts with Mealer table
MinorThe Mealer intervention group's EE value rises from 9 before intervention to 13.0 after intervention, contrary to the statement that EE decreased in all cases.
“In all cases, decreased levels of EE were reported following the mindfulness intervention.”
“EE: CG: 10.0 (7-15) IG: 9 (5-16) D: CG: 12 (7-13) IG: 12 (7-13) PA: CG: 12 (11-13) IG: 11 (10-13) M (25th-75th quartiles) EE: CG: 25.0 (13-28) IG: 13.0 (8-28)”
Delaney is counted as an MBSR study despite its MBSCR classification
MinorThe text includes Delaney among six studies using the traditional MBSR approach, but Table 1 classifies its programme as MBSCR.
“Six papers (Bazarko et al., 2013;Ceravolo & Raines, 2018;Cohen-Katz et al., 2005;Delaney, 2018;Norouzinia et al., 2017;Poulin et al., 2008) analysed outcomes achieved under the traditional MBSR approach”
“Delaney (2018) Ireland Quasi-experimental n = 13 nurses, 100% female, 44 years MBSCR/ProQOL”
Citations
Cites
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859
The measurement of experienced burnout
Maslach, C., & Jackson, S. E. (1981) · Journal of Organizational Behavior · doi:10.1002/job.4030020205 · Cited by 14,496 · cited 1×
“Burnout syndrome arises from chronic exposure to stress-provoking factors and is characterized by three dimensions: emotional exhaustion (EE); depersonalization (D); and low personal accomplishment (PA) (Maslach & Jackson, 1981).”
BackgroundMaslach, C., Schaufeli, W. B., & Leiter, M. P. (2001) · Annual Review of Psychology · doi:10.1146/annurev.psych.52.1.397 · Cited by 12,852
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
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 8,612
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Healthcare staff wellbeing, burnout, and patient safety: a systematic review
Hall, L. H., Johnson, J., Watt, I., Tsipa, A., & O’Connor, D. B. (2016) · PLOS ONE · doi:10.1371/journal.pone.0159015 · Cited by 1,683
Salvagioni, D. A. J., Melanda, F. N., Mesas, A. E., González, A. D., Gabani, F. L., & Andrade, S. M. D. (2017) · PLOS ONE · doi:10.1371/journal.pone.0185781 · Cited by 1,508 · cited 1×
“…available at https://publo ns.com/publo n/10.1111/jan.14318. impact on physical and mental health (Bagheri Hosseinabadi et al., 2019; McVicar, 2016; Salvagioni et al., 2017), decreases productivity and quality of care (Cañadas-De la Fuente et al., 2018; Daigle, Talbot, & French, 2018; Dall'Ora,…”
BackgroundInfluential
Flagged first, then by citations
Research works printed but not linked: 1
- Howick J. Chalmers I. Glasziou P. Greenhalg T. Heneghan C. Liberati A. Thornton H.(2011).The Oxford 2011 Levels of Evidence[updated June 2019]. Available fromhttps://www.cebm.net/2016/05/ocebm‐levels‐of‐evidence.
Cited by
Sorted by citations
Items 101–200 of 217
Factors influencing mindfulness among Jordanian nurses: A cross‐sectional study
Al‐Hammouri, M. M., Rababah, J. A., & Alfurjani, A. M. (2022) · Journal of Nursing Management · doi:10.1111/jonm.13797 · Cited by 7
Bibliometric Analysis of the Scientific Production on Compassion Fatigue
Sousa, L., Ferreira, B. A. M., Silva, P. A. M. D., Tomás, M. A. R., JOSÉ, H. M. G., Garcia-Navarro, E. B., & Ortega‐Galán, Á. M. (2022) · Journal of Personalized Medicine · doi:10.3390/jpm12101574 · Cited by 7
Gan, R., Chen, S., & Xue, J. (2024) · Human Resources for Health · doi:10.1186/s12960-024-00959-0 · Cited by 6
“These findings are consistent with other studies showing the beneficial effects of mindfulness intervention on mindfulness [46], emotion regulation [19, 22, 57], affect [27, 49], and burnout (Johannes C. [12, 13, 41, 53, 54]) (Fig.”
Ahn, M. H., Suh, S. A., & Chung, S. (2024) · Psychiatric Quarterly · doi:10.1007/s11126-024-10097-4 · Cited by 8
“Mindfulness-based interventions have been reported to effectively reduce nurses’ psychological distress, stress, depression, and burnout and improve their psycho - logical well-being [8].”
Gupta, P. K., Malhotra, N., Goel, P., Thimmapuram, J., & Krishna, P. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1214603 · Cited by 7
Mindfulness in ward nurses: A concept analysis
Feng, X., Zhu, H., Cai, P., Zhang, Y., & Chen, Y. (2023) · Nursing Open · doi:10.1002/nop2.2052 · Cited by 7
Brief Mindfulness Practice Course for Healthcare Providers
Seidel, L., Dane, F. C., & CARTER, K. F. (2021) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0000000000001035 · Cited by 6
Lee, S., Cunningham, B., Childers, M., Yefimova, M., Kim, H., Hoffmann, T., & Lebares, C. C. (2025) · Applied Nursing Research · doi:10.1016/j.apnr.2025.151965 · Cited by 6
Корчажкина, Н. Б., Aa, M., Kotenko, K. V., Nagornev, S. N., Фролков, В. К., Mikhaelis, M. A., Zhumanova, E. N., Kolgaeva, D. I., Badimova, A. V., & Reshetova, I. V. (2025) · Problems of Balneology Physiotherapy and Exercise Therapy · doi:10.17116/kurort202510205291 · Cited by 5
Wongtrakul, W., Dangprapai, Y., Saisavoey, N., & Sanguanpanich, N. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1054017 · Cited by 9
“Our validated Thai MBI-SS can and will be used to identify students with burnout syndrome and to evaluate the effects of several interventions with demonstrated preventive and alleviative effects on burnout syndrome, including health promotion programs that support physical activity, mindfulness, spirituality, and sel…”
MethodGender Gap in Mindfulness Assessment Among Italian Nurses: A Pilot Descriptive Study
Vitale, E. (2021) · Journal of Evidence-Based Psychotherapies · doi:10.24193/jebp.2021.2.12 · Cited by 7
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
“Notably, most of the literature examining self-care interventions for burnout is limited to healthcare settings for physicians, nurses, and medical students alike or mindfulness practices within accounting professionals.(22,24) It is therefore valuable to explore the benefits of different forms of meditative practices…”
BackgroundThe impact of mindfulness training for nurses in lowering stress and enhancing well-being
Shah, U. N., Gupta, S., & Koshy, B. (2023) · Salud Ciencia y Tecnología · doi:10.56294/saludcyt2023446 · Cited by 5
Psychotherapeutische Interventionen bei Burnout – Ein Umbrella-Review und Impulse für die Therapie
Kern, S., Jerg‐Bretzke, L., & Beschoner, P. (2024) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/s00103-024-03961-y · Cited by 4
Emotional Hazards of Nurses' Work
Boyle, D. A., & Steinheiser, M. M. (2021) · Journal of Infusion Nursing · doi:10.1097/nan.0000000000000419 · Cited by 5
Psychometric Properties of the New Working Parent Burnout Scale
Gawlik, K. S., Melnyk, B. M., Mu, J., & Tan, A. (2022) · Journal of Pediatric Health Care · doi:10.1016/j.pedhc.2022.05.020 · Cited by 5
Alhawatmeh, H. N., Abusaif, L., Alharrasi, M., ABUALRUB, R. F., & Hamaideh, S. H. (2025) · Journal of Holistic Nursing · doi:10.1177/08980101251323021 · Cited by 6
Stress and Burnout among Medical Workers in Indonesia: A Study during COVID-19 Pandemic
Hisan, U. K., & Amri, M. M. (2023) · Journal of Public Health Sciences · doi:10.56741/jphs.v2i02.346 · Cited by 5
“In addition, training [35, 36] and working environment [37-39] are important to reduce workers' stress and burnout.”
Bong, H. J., & Lee, M. (2024) · BMC Nursing · doi:10.1186/s12912-024-02013-9 · Cited by 6
“Mindfulness is classified into meditative mindfulness [15], which is widely researched in nursing [16–20] and socio-cognitive mindfulness [21], which has received little attention in the nursing field.”
BackgroundZou, Y., Lan, Q., Chen, L., Zheng, Y., & Zhai, J. (2024) · Nurse Education Today · doi:10.1016/j.nedt.2024.106324 · Cited by 4
Hayajneh, A. A., Al-Younis, M. O., Rababa, M. J., & Qahah, I. (2024) · Holistic Nursing Practice · doi:10.1097/hnp.0000000000000687 · Cited by 4
Li, J., Wang, F., Zhang, X., Zhang, H., Lan, M., Chen, S., Su, J., & Yang, L. (2024) · Journal of Clinical Nursing · doi:10.1111/jocn.17435 · Cited by 5
Mindfulness-Based Self-Care for Forensic Nurses: A Professional Lifestyle Approach
Bhattarai, M., Clements, P. T., & Downing, N. R. (2023) · Journal of Forensic Nursing · doi:10.1097/jfn.0000000000000456 · Cited by 4
Being a focused employee: Effects of job reattachment on cyberloafing
Liu, M., Sun, Y., Liu, T., & Qi, L. (2024) · Stress and Health · doi:10.1002/smi.3449 · Cited by 7
Yang, Z., Zhou, Y., Wan, W., Li, M., Yan, W., & Jiang, H. (2024) · BMJ Open · doi:10.1136/bmjopen-2024-087005 · Cited by 3
“22 Existing studies 23–25 have consistently demonstrated that mindfulness interventions effectively alleviated stress and burnout in nurses and simultaneously promoted their physical and mental well-being.”
BackgroundYap, S. H., Zainal, L. N. B., Yusoff, S. Z., & Tan, X. R. (2025) · Work · doi:10.1177/10519815241313115 · Cited by 5
“38 Although the MBSR program is an evidence-based program that consists of 8 weekly sessions that are 2.5 h long and includes a day of silent retreat, 21,30,39 it is not always feasible to adopt this program in the AHPs ’ work environment.”
InfluentialMINDFULNESS-BASED APPROACHES IN NURSING: A COMPREHENSIVE SYSTEMATIC REVIEW
Iikura, A., Tamura, H., Miyamoto, S., & Sugawara, D. (2025) · Nurse and Holistic Care · doi:10.33086/nhc.v5i1.5615 · Cited by 3
Implementation of a mindfulness campaign to reduce nurse burnout
Jones, A., Schultz, A., Vanderpoorten, M., & Ejem, D. (2025) · Nursing · doi:10.1097/nsg.0000000000000239 · Cited by 3
Scerri, J., Sammut, A., Mangion, M., Galea, M., Grech, P., Vincenti, S. C., & Camilleri, L. (2022) · Humanities and Social Science Research · doi:10.30560/hssr.v6n1p1 · Cited by 3
“Whilst a systematic review of the effect of mindfulness-based person-directed programmes for burnout syndrome in nursing highlight, that programmes with shorter durations are equally effective and attenuate drop-out rates (Suleiman-Martos et al., 2020).”
BackgroundMindfulness dan Workplace Well-being Untuk Mengurangi Burnout pada Perawat
Azzam, H. M., Na’imah, T., Wulandari, D. A., & Herdian, H. (2023) · Psychocentrum Review · doi:10.26539/pcr.521206 · Cited by 3
The Effect of Mindfulness Training on Core Self-Evaluation and Academic Burnout
Zhu, M., Talib, M. A., Yao, X., Xiang, Y., Feng, X., & Geng, Q. (2024) · doi:10.53555/kuey.v30i5.1836 · Cited by 3
Sawyer, A. T., Bailey, A., & Harris, S. L. (2024) · Frontiers in Organizational Psychology · doi:10.3389/forgp.2024.1433400 · Cited by 6
Li, X., Wang, X., Zhang, C., Zhou, J., Li, T., & Yang, R. (2025) · BMC Nursing · doi:10.1186/s12912-025-03377-2 · Cited by 2
“Studies have shown that enhancing nurses’ mindfulness can effectively reduce occupational burn-out and boost personal achievement [15], while other research has demonstrated that increasing mindfulness among ICU nurses can reduce their work stress scores by 28.5% [16].”
InfluentialZhang, Y., Chen, Y.-H., Zhang, X., Hong, Y.-F., Zhou, Z.-H., & Ding, X.-C. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1649486 · Cited by 2
Gigola, F., Italiano, F., Riccio, M. D., Cassaro, F., Corso, L. D., Pagliara, C., & Zambaiti, E. (2025) · Journal of Pediatric Surgery · doi:10.1016/j.jpedsurg.2025.162647 · Cited by 2
KABA, N. K., & Öztürk, H. (2025) · Clinical Nurse Specialist · doi:10.1097/nur.0000000000000927 · Cited by 2
Sampedro, C. S., Fernández‐Peña, R., Ruiz-Pellón, N., Martín-Melón, R., & Ortego, C. (2026) · Nursing Outlook · doi:10.1016/j.outlook.2026.102715 · Cited by 7
Bonetto, C., Cheli, S., Bodini, L., Allegrini, E., Porru, S., Piccolo, L. D., Rimondini, M., Amaddeo, F., & Lasalvia, A. (2026) · Journal of Health Psychology · doi:10.1177/13591053261433480 · Cited by 2
ALTA PRODUTIVIDADE E A RELAÇÃO COM A SÍNDROME DE BURNOUT
Rodrigues, F. D. A. A. (2021) · RECISATEC - REVISTA CIENTÍFICA SAÚDE E TECNOLOGIA · doi:10.53612/recisatec.v1i4.39 · Cited by 2
L’infermiere e la percezione del Moral Distress nella cura del fine vita nel paziente dializzato
Brioni, E., Pennacchio, N., Villa, G., Giannetta, N., Magnaghi, C., Vezzoli, G., & Manara, D. F. (2022) · Giornale di Clinica Nefrologica e Dialisi · doi:10.33393/gcnd.2022.2357 · Cited by 2
“L’infermiere è una professione fisicamente ed emotivamente impegnativa, in quanto le aspettative di ruolo appaiono complesse e la criticità di alcune situazioni di lavoro può condurre a un esaurimento emotivo o a malattie legate allo stress (2,3).”
BackgroundErfolgsfaktoren zur Umsetzung von Interventionsmaßnahmen im Setting Pflege
Wollesen, B., Otto, A.-K., Heuel, L., Fricke, M., Vogel, O., & Bischoff, L. L. (2023) · Springer eBooks · doi:10.1007/978-3-662-67020-0_18 · Cited by 2
Krikorian, A., Siegert, A., Soto, M. M. R., Palacio, C., Vargas, J. J., Cubides, S. L. P., & Mesa, C. (2023) · Psicooncología · doi:10.5209/psic.88671 · Cited by 2
Development and Evaluation of a Nurse Practitioner Huddles Toolkit for Long Term Care Homes
Krassikova, A., Wills, A., Vellani, S., Sidani, S., Keatings, M., Boscart, V., Bethell, J., & McGilton, K. S. (2023) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s0714980823000740 · Cited by 2
Psychological capital, work stress and burnout among Chinese clinical nurses
Song, G., & Landicho, L. C. (2023) · International Journal of Research Studies in Psychology · doi:10.5861/ijrsp.2023.2004 · Cited by 2
Aldrich, K. M., & Anthamatten, A. (2025) · Clinical Nurse Specialist · doi:10.1097/nur.0000000000000901 · Cited by 2
Renaud, C., & Lacroix, A. (2022) · Annales Médico-psychologiques revue psychiatrique · doi:10.1016/j.amp.2022.08.001 · Cited by 2
Feasibility of a Mindfulness Education Module for Nurses: An Evidence-Based Practice Project
Looper, E. M., Gleason, P., Newnam, K. M., Talbott, E., & Rouch, T. M. (2023) · The Journal of Continuing Education in Nursing · doi:10.3928/00220124-20230918-02 · Cited by 1
Tett, R. P., Devlin, N., Galloway, K., Rigby, E., Ounpraseuth, S., & Martínez, R. N. (2025) · Stress and Health · doi:10.1002/smi.70027 · Cited by 1
Schröter, M., Koch, A. K., Berschick, J., Schiele, J. K., Bogdanski, M., Steinmetz, M., Czakert, J., Stritter, W., Keßler, C. S., & Seifert, G. (2025) · Scientific Reports · doi:10.1038/s41598-025-12543-0 · Cited by 2
“Mindfulness-based programs consistently demonstrated small but significant short-term effects on emotional exhaustion among healthcare professionals 14–16, 18,19 , 24 .”
Zhao, X., Si, H., Guo, X., Song, Y., & Shi, X. (2025) · Current Psychology · doi:10.1007/s12144-025-08232-w · Cited by 1
Balsam, D., Stein, C. A., & Erikson, A. E. (2025) · Journal of Holistic Nursing · doi:10.1177/08980101251404156 · Cited by 2
Zhang, D., Chen, Y., Jia, Y., Liao, Q., Huang, L., & Yi, S. (2026) · Humanities and Social Sciences Communications · doi:10.1057/s41599-026-07029-x · Cited by 1
Sasaki, N., Inoue, A., Iida, M., Watanabe, K., Kobayashi, Y., Sakuraya, A., Eguchi, H., Tsuno, K., Komase, Y., Otsuka, Y., et al. (2026) · JMIR mhealth and uhealth · doi:10.2196/74272 · Cited by 1
“Another meta-analysis of interventions for nurses also reported nonsignificant effectiveness across all subscales of burnout [52].”
Burnout in Health Professionals in Context of Covid-19 Pandemic
Rashid, S. (2021) · Annals of PIMS-Shaheed Zulfiqar Ali Bhutto Medical University · doi:10.48036/apims.v17i2.418 · Cited by 1
“Self management of staff should be promoted by institution using self management exercises.(22)”
MethodTu, B., Wang, Y., Huang, E., & Huang, C. (2023) · Journal of the Society for Social Work and Research · doi:10.1086/724178 · Cited by 1
Hemşirelerin Bilinçli Farkındalık Düzeyleri / Mindfulness Levels of Nurses
Ünsar, S., GENÇ, A., ÖZDEMİR, Ö., & KARAKOÇ, K. (2023) · Turk Nefroloji Diyaliz ve Transplantasyon Hemsireleri Dernegi · doi:10.47565/ndthdt.2023.70 · Cited by 1
Mental Health of Nurses and Midwives through Self-Care
Kariuki, P. N., Omariba, M., & Motari, J. M. (2023) · EAS Journal of Nursing and Midwifery · doi:10.36349/easjnm.2023.v05i05.006 · Cited by 1
dos Santos, T. M., Balsanelli, A. P., & de Souza, K. M. J. (2024) · Revista Latino-Americana de Enfermagem · doi:10.1590/1518-8345.6548.4100 · Cited by 2
dos Santos, T. M., Balsanelli, A. P., & de Souza, K. M. J. (2024) · Revista Latino-Americana de Enfermagem · doi:10.1590/1518-8345.6548.4102 · Cited by 1
Zarling, A. L., Scheffert, R., Berta, M., & Mendoza, J. (2024) · Corrections · doi:10.1080/23774657.2024.2342878 · Cited by 2
“Mindfulness-based interventions have shown the most promise, particularly in medical and healthcare professionals, with small but significant effect sizes (e.g., Fendel et al., 2021; Suleiman ‐ Martos et al., 2020).”
Overvelde, A., McEachern, L. W., & Gilliland, J. (2024) · Journal of Occupational and Environmental Hygiene · doi:10.1080/15459624.2024.2358169 · Cited by 2
Reducing healthcare burnout through meditation: benefits and challenges
Varnika, F., Rajasekaran, D., Pilaniya, A., Aggarwal, K., Virmani, M., Gupta, A., & Jain, R. (2025) · Cogent Mental Health · doi:10.1080/28324765.2025.2477699 · Cited by 2
Mindfulness-Based Well-Being Interventions in Organizations and the COVID-19 Pandemic
Şahin, S. (2021) · Advances in psychology, mental health, and behavioral studies (APMHBS) book series · doi:10.4018/978-1-7998-8682-2.ch013 · Cited by 1
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
Bonakdari, N., Mohammadi, N., Yazdi, M. R. T., Norouzadeh, R., Abbasinia, M., & Aghaie, B. (2021) · Research Square · doi:10.21203/rs.3.rs-567623/v1 · Cited by 1
Evaluating burnout syndrome among healthcare workers: Prevalence and risk factors
Wang, X. (2025) · World Journal of Psychiatry · doi:10.5498/wjp.v15.i5.104880 · Cited by 1
Mindfulness-Based Intervention Program for Nurses
Savage, M. (2020) · Scholar Works at UT Tyler (The University of Texas at Tyler)
Reappraising Burnout Syndrome in Healthcare under Sars-Cov-2 Pandemic
Luis Madeira, L. D. A., Narciso, M. H., & Heitor, M. J. (2021) · Journal of Psychiatry and Mental Health · doi:10.16966/2474-7769.143
“Organizational interventions aim to help health professionals recognize the early signs of Burnout Syndrome, promote health and self-care [30,51] as well as restore well-being, improve decision making [28,99] productivity [100] resilience [18,54,97] and interpersonal communication [61].”
BackgroundBreaking Burnout: A Personal Reflection on Mindfulness Exercises for Physicians
Miller, D. (2020) · Journal of Yoga and Physiotherapy · doi:10.19080/jyp.2021.08.555746
“The benefits of mindfulness and Yoga on stress management have also been demonstrated to extend broadly to nurses, teachers, police officers, and military personnel [5-10].”
BackgroundSíndrome de Burnout en internos rotativos de la carrera de medicina
Tello, G. D. J. B., Cuentas-Villavicencio, M. J., & Quispe-Romero, K. D. (2021) · Revista Arbitrada Interdisciplinaria de Ciencias de la Salud Salud y Vida · doi:10.35381/s.v.v5i1.1604
Zhu, J., Dong, A., Huang, J., & Guo, W. (2022) · Research Square · doi:10.21203/rs.3.rs-1416140/v1
Implementation of a Hospital-Wide Surge Plan to Reduce Emergency Department Length of Stay
Haik, L. (2023) · doi:10.46409/sr.ldch6371
“Most articles acknowledged the significant limitations in the studies that have been conducted and recommend that more research be done to solidify a body of evidence to mitigate nurse burnout (Suleiman-Martos et al., 2020).”
BackgroundEfektifitas Mindfulness Based Stress Reduction (MBSR) terhadap penurunan burnout
Rizkana, N. A. (2023) · TERAPUTIK Jurnal Bimbingan dan Konseling · doi:10.26539/teraputik.711793
“Temuan ini sejalan dengan hasil review yang dilakukan oleh (Chi et al., 2018), (Suleiman-Martos et al., 2020), (Daya & Hearn, 2018).”
BackgroundInfluentialÖZYER, Y., & Erdoğan, M. (2023) · doi:10.22541/au.169397282.29381350/v1
The “Why” in Mental Health, Stigma, and Addictive Behaviors: Causal Inferences in Applied Settings
Sánchez‐Iglesias, I. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20206915
Gan, R., Chen, S., & Xue, J. (2023) · Research Square · doi:10.21203/rs.3.rs-3589123/v1
Achtsamkeitsbasierte Ansätze zur Stressreduktion bei Pflegekräften
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Related Factors of Health-Related Quality of Life in Female Nurses with In-Service Training Program
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Factores influyentes del síndrome de desgaste profesional en el personal médico
Calderón-Sánchez, A. G., Peralta-Beltrán, Á. R., González-Salas, R., & Flores-Pilco, D. A. (2023) · Revista Arbitrada Interdisciplinaria de Ciencias de la Salud Salud y Vida · doi:10.35381/s.v.v7i2.3382
Prevalencia del síndrome de burnout a causa de Covid 19
Albán-Espinoza, C. G., Peralta-Beltrán, Á. R., González-Salas, R., & Flores-Pilco, D. A. (2023) · Revista Arbitrada Interdisciplinaria de Ciencias de la Salud Salud y Vida · doi:10.35381/s.v.v7i2.3362
A glimpse into the art and science of mindful nursing
Kirouac, N. (2024) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2024.05.034
Moghadasi, J., Nemati, S., Shahraki, H. R., Khabazi, M., & Shirvani, F. (2024) · Research Square · doi:10.21203/rs.3.rs-4783757/v1
Did Anyone Say Mindfulness and Self-compassion in the Capitalist World? Oh No! Wait. Yes, Please!
Pacaci, Y. (2024) · Emerald Group Publishing Limited eBooks · doi:10.1108/s2051-233320240000010007
Recognizing and Ameliorating Provider Implicit Bias
Kaplan, D. A. (2024) · Springer eBooks · doi:10.1007/978-3-031-76204-8_18
Schuller, K. A., & Burke, E. C. (2025) · Pain Management Nursing · doi:10.1016/j.pmn.2024.12.003
Athlete Burnout: Aiming to Limit the Sizzle and Fizzle in Sport
Hathaway, L., Gregg, M., & Greenspoon, L. A. (2025) · ACSMʼs Health & Fitness Journal · doi:10.1249/fit.0000000000001035
Zheng, S., Li, T., Han, M., & Wu, M. (2025) · International Theory and Practice in Humanities and Social Sciences · doi:10.70693/itphss.v2i4.321 · Cited by 1
BURNOUT SYNDROME AMONG MEDICAL STAFF IN THE DISTRICT OF BOR
Golubović, G., Živanović, M., Radosavljević, D., Nikolić, J., Alexopoulos, C., Nenezić, N., & Mirković, J. J. (2024) · RAP Conference Proceedings · doi:10.37392/rapproc.2024.20
“We had expected burnout syndrome to be more prevalent in emergency medical services than in pediatric outpatient and general medical services [25].”
Emotional Intelligence and Post-Pandemic Resilience
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“Improved emotional regulation could explain the benefit of mindfulness-based interventions for burnout prevention [14], leading to the hypothesis that being mindful could be a protective factor against burnout.”
Evaluating ‘livsdesigneren’: An occupational therapy intervention for stress reduction
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“Existing interventions targeting psychological and mental factors – such as mindfulness [9], flow [10], gratitude interventions [11], and cognitive behavioural therapy [12] have shown positive outcomes in stress reduction.”
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The BIG Moment in Critical Care
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“…regular psychological support and mindfulness-based stress reduction (MBSR) interventions to enhance emotional regulation and recovery abilities; 47 build a multidimensional emotional support system (such as mentorship programs, peer pairing, and structured emotional debriefings); 48 and…”
StreAM—Stress Reduction and Team Empowerment by Mindfulness for Hospital Staff: A Feasibility Trial
Müller-Käser, I., Thiele, J., Fringer, A., Hediger, H., Nakamura, Y. M., Wittchow, S., Kramer, K., & Schläppi, M. (2026) · Mindfulness · doi:10.1007/s12671-026-02796-9
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Metadata
- Authors
- Suleiman‐Martos, N., Gomez‐Urquiza, J. L., Aguayo‐Estremera, R., Cañadas‐De La Fuente, G. A., De La Fuente‐Solana, E. I., & Albendín‐García, L.
- Affiliations
- Universidad de Granada (ES)
- Nursing Department University of Granada Granada Spain
- Universidad de Málaga (ES)
- Brain, Mind and Behavior Research Center (CIMCYC) University of Granada Granada Spain
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2020-03-04
- Volume
- 76
- Issue
- 5
- Pages
- 1124-1140
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W3004541954
- Cited by
- 217
- References
- 101
- Citations by year
- 2026: 25 · 2025: 33 · 2024: 40 · 2023: 46 · 2022: 29 · 2021: 33 · 2020: 11
- FWCI
- 7.32
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Institutional Repository of the University of Granada (University of Granada) (submittedVersion, cc-by-nc-nd)
- Funders
- Junta de Andalucía (P11HUM-7771)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- mindfulness training, burnout, nurses, emotional exhaustion, depersonalization, personal accomplishment, occupational stress, nurse well-being
- MeSH terms
- Burnout, Psychological, Adult, Behavior Therapy, Burnout, Professional, Female, Humans, Male, Middle Aged, Nursing Staff, Mindfulness
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