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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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Written from the paper’s full text.
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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Claims the paper makes
44 Not checked yet · 10 Own result · 10 No basis given · 6 Own interpretation · 5 Own method
None of the sources cited for this claim have been checked yet.
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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
None 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
None of the sources cited for this claim have been checked yet.
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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
None 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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
None of the sources cited for this claim have been checked yet.
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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
In 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
The 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
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
“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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Probably not a substantial claim. 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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
plainn = 46- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“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
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“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)
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
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
boosteddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
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
“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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
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
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
- 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
boosteddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
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
hedgeddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“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
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
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
boosteddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“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
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. 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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
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
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. 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
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
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.
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ 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
“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 > 3.3 | Duration and monitoring of mindfulness interventions
“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)”
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.3 | Duration and monitoring of mindfulness interventions
“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”
§ The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis > 3.3 | Duration and monitoring of mindfulness interventions
“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
(2008) · Medical Entomology and Zoology · Cited by 7,477
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
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
Mindfulness-based interventions: an overall review
Zhang, D., Lee, E. K. P., Mak, E. C. W., Ho, C. Y., & Wong, S. Y. S. (2021) · British Medical Bulletin · doi:10.1093/bmb/ldab005 · Cited by 668
“reducing depression and burnout and improving emotional resilience.(76,77) However,”
BackgroundGalante, J., Friedrich, C., Dawson, A. F., Modrego-Alarcón, M., Gebbing, P., Delgado-Suárez, I., Gupta, R., Dean, L., Dalgleish, T., White, I. R., et al. (2021) · PLOS Medicine · doi:10.1371/journal.pmed.1003481 · Cited by 319
Ramírez-Elvira, S., Romero-Béjar, J. L., Suleiman-Martos, N., Gómez-Urquiza, J. L., Monsalve-Reyes, C., Cañadas-De la Fuente, G. A., & Albendín-García, L. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182111432 · Cited by 267
“Thus, it is essential to provide interventions to improve mental health and promote coping strategies [52,53].”
BackgroundSelf-citationPicón, N. J., Romero‐Martín, M., Ponce‐Blandón, J. A., Ramírez‐Baena, L., Palomo-Lara, J. C., & Gómez-Salgado, J. C. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18105491 · Cited by 216
“There is evidence of the impact and effectiveness of mindfulness for healthcare professionals, resulting in the reduction of stress and the promotion of self-compassion and self-care [32–35], the reduction of emotional exhaustion and the incidence of burnout [36,37], the improvement of wellbeing and mental health, and…”
BackgroundResultBurnout among healthcare providers during COVID-19: Challenges and evidence-based interventions
Sultana, A., Sharma, R., Hossain, M. M., Bhattacharya, S., & Purohit, N. (2020) · Indian Journal of Medical Ethics · doi:10.20529/ijme.2020.73 · Cited by 156
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
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.
A language model drew the claims from the paper on 2026-10-09, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).
A second model labelled each claim on 2026-10-09 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
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 ›
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