The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis

J Adv Nurs. 2020 May;76(5):1124-1140. doi: 10.1111/jan.14318. Epub 2020 Mar 4.

Abstract

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.

目的: 分析正念训练对护士职业倦怠程度的影响。 背景: 倦怠综合征对护理人员来说是一种常见的职业危害。而正念训练被认为是一种有效的职业倦怠干预措施。 设计: 系统评估与荟萃分析。 数据来源: 通过使用搜索方程‘Nurs*和倦怠与正念’在CINAHL、LILACS、Medline、ProQuest、Psychinfo、Scielo和Scopus数据库中进行检索(不限制文献出版年份)。 评估方法: 根据PRISMA指南选择论文进行分析。使用Review Manager 5.3软件进行荟萃分析。 结果: 共选取17篇文献,包括632名护士。结果显示,正念训练可降低职业倦怠程度,而情绪衰竭和人格解体得分较低,个人成就感得分较高。干预组和对照组之间的平均值差异分别为1.32(95%CI:-9.41-6.78)、1.91(95%CI:-4.50-0.68)和2.12(95%CI:-9.91-14.14)。 结论: 正念训练可减轻护士的情绪负担,从而降低其职业倦怠程度。然而,还需开展进一步的随机临床试验进行验证。.

Keywords: burnout; health promotion; intervention; literature review; mindfulness; nursing; systematic review.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Adult
  • Behavior Therapy / methods*
  • Burnout, Professional / psychology*
  • Burnout, Professional / therapy*
  • Burnout, Psychological / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mindfulness / methods*
  • Nursing Staff / psychology*