Effectiveness of an online mindfulness-based stress reduction program for nurses in high-stress occupational settings during the COVID-19 pandemic

IF 2.2 4区医学 Q1 NURSING

Applied Nursing Research Pub Date : 2026-02-01 Epub Date: 2025-11-27 DOI:10.1016/j.apnr.2025.152032

Ching-Wen Hsieh , Wan-Na Sun , Hui-Ying Chiang , Shih-Feng Weng , Yi-Fen Hsu , Erica Yu , Hsin-Tien Hsu

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引用次数: 0

Abstract

Background

Frontline nurses face heavy infection control demands, rotating shifts, and psychological stress, leading to pandemic fatigue and reduced resilience. Evidence on mindfulness-based stress reduction (MBSR) for this group remains limited.

Aims

To evaluate the effectiveness of an online MBSR program on pandemic-related fatigue and resilience among nurses in COVID-19–designated wards.

Method

A convergent parallel mixed-methods design was used. Sixty nurses were assigned to the MBSR (n = 30) or control (n = 30) groups. The six-week online program included weekly 90-min sessions. Data were collected at baseline (T1), week 3 (T2), and week 6 (T3). Seven MBSR participants also completed qualitative interviews.

Results

At baseline, both groups demonstrated moderate levels of pandemic fatigue and resilience. The MBSR group showed a significant reduction in pandemic fatigue at T3 (p < 0.001) but not at T2 (p = 0.057), and significant improvements in resilience at both T2 (p < 0.001) and T3 (p < 0.001). Compared with the control group, the MBSR group exhibited significantly greater reductions in fatigue at T2 (p = 0.007) and T3 (p < 0.001), as well as greater improvements in resilience at T2 (p < 0.001) and T3 (p < 0.001). Qualitative analysis further identified four themes illustrating participants' experiences of the program.

Conclusions

This study provides preliminary evidence that an online MBSR program may help alleviate pandemic fatigue and strengthen resilience among frontline nurses. Integrating digital mindfulness programs into occupational health initiatives could support nurses' mental well-being and compassionate care in high-stress clinical settings.

Trial registration

ClinicalTrials.gov identifier no. NCT06433544 (https://clinicaltrials.gov/study/NCT06433544).

查看原文本刊更多论文

2019冠状病毒病大流行期间高压力职业环境中护士在线正念减压计划的有效性

一线护士面临着沉重的感染控制需求、轮班和心理压力，导致大流行疲劳和应变能力下降。针对这一群体的正念减压（MBSR）的证据仍然有限。目的评估在线MBSR项目对covid -19指定病房护士与大流行相关的疲劳和恢复能力的有效性。方法采用收敛并行混合方法设计。60名护士被分为MBSR组（n = 30）和对照组（n = 30）。这个为期六周的在线课程包括每周90分钟的课程。在基线（T1）、第3周（T2）和第6周（T3）收集数据。7名正念减压参与者还完成了定性访谈。结果在基线水平上，两组均表现出中等水平的流行病疲劳和恢复能力。MBSR组在T3 （p < 0.001）时的大流行疲劳显著减少，但在T2 （p = 0.057）时则没有（p = 0.057），在T2 （p < 0.001）和T3 （p < 0.001）时恢复力均有显著改善。与对照组相比，MBSR组在T2 （p = 0.007）和T3 （p < 0.001）时表现出更大的疲劳减轻，在T2 （p < 0.001）和T3 （p < 0.001）时表现出更大的弹性改善。定性分析进一步确定了四个主题，说明了参与者对该计划的体验。本研究提供了初步证据，表明在线MBSR计划可能有助于缓解大流行的疲劳，增强一线护士的应变能力。将数字正念计划整合到职业健康计划中可以支持护士在高压力临床环境中的心理健康和同情心护理。临床试验注册号：clinicaltrials .govNCT06433544 (https://clinicaltrials.gov/study/NCT06433544)。

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来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.