An On-the-Job Mindfulness-based Intervention For Pediatric ICU Nurses: A Pilot

Published:November 13, 2014DOI:


      • We found this mindfulness intervention feasible for our sample of critical care nurses.
      • Stress significantly decreased from baseline to follow-up across all nurses.
      • Findings demonstrate that irrespective of meditation experience and how many minutes meditated, stress levels decreased.
      • Brief interventions that support on-the-job self-care and stress-reduction may prove useful in critical care hospital settings.
      The feasibility of a 5-minute mindfulness meditation for PICU nurses before each work-shift to investigate change in nursing stress, burnout, self-compassion, mindfulness, and job satisfaction was explored. Thirty-eight nurses completed measures (Nursing Stress Scale, Maslach Burnout Inventory, Mindfulness Attention Awareness Scale and Self-Compassion Scale) at baseline, post-intervention and 1 month after. The intervention was found to be feasible for nurses on the PICU. A repeated measures ANOVA revealed significant decreases in stress from baseline to post intervention and maintained 1 month following the intervention. Findings may inform future interventions that support on-the-job self-care and stress-reduction within a critical care setting.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


        • Aiken L.H.
        • Clarke S.P.
        • Sloane D.M.
        • Sochalski J.
        • Silber J.H.
        Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction.
        JAMA, the Journal of the American Medical Association. 2002; 288: 28-30
        • Beddoe A.E.
        • Murphy S.O.
        Does mindfulness decrease stress and foster empathy among nursing students?.
        The Journal of Nursing Education. 2004; 43: 305-312
        • Bloomer M.J.
        • Endacott R.
        • O'Connor M.
        • Cross W.
        The “dis-ease” of dying: Challenges in nursing care of the dying in the acute hospital setting. A qualitative observational study.
        Palliative Medicine. 2013;
        • Bourbonnais R.
        • Comeau M.
        • Vézina M.
        Job strain and evolution of mental health among nurses.
        Journal of Occupational Health Psychology. 1999; 4: 95-107
        • Bratt M.M.
        • Broome M.
        • Kelber S.
        • Lostocco L.
        Influence of stress and nursing leadership on job satisfaction of pediatric intensive care unit nurses.
        American Journal of Critical Care. 2000; 9: 307-317
        • Cohen-Katz J.
        • Wiley S.
        • Capuano T.
        • Baker D.M.
        • Deitrick L.
        • Shapiro S.
        The effects of mindfulness-based stress reduction on nurse stress and burnout: A qualitative and quantitative study, part III.
        Holistic Nursing Practice. 2005; 19: 78-86
        • Cohen-Katz J.
        • Wiley S.D.
        • Capuano T.
        • Baker D.M.
        • Kimmel S.
        • Shapiro S.
        The effects of mindfulness-based stress reduction on nurse stress and burnout, part II: A quantitative and qualitative study.
        Holistic Nursing Practice. 2005; 19: 26-35
        • Cohen-Katz J.
        • Wiley S.D.
        • Capuano T.
        • Baker D.M.
        • Shapiro S.
        The effects of mindfulness-based stress reduction on nurse stress and burnout: A quantitative and qualitative study.
        Holistic Nursing Practice. 2004; 18: 302-308
        • Gray-Toft P.
        • Anderson J.G.
        The Nursing stress scale: Development of an instrument.
        Journal of Behavioral Assessment. 1981; 3: 11-23
        • Kabat-Zinn J.
        An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results.
        General Hospital Psychiatry. 1982; 4: 33-34
        • Kabat-Zinn J.
        Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness.
        Delta Trade Paperbacks, New York, N.Y.2005
        • Kemper K.
        • Bulla S.
        • Krueger D.
        • Ott M.J.
        • McCool J.A.
        • Gardiner P.
        Nurses' experiences, expectations, and preferences for mind–body practices to reduce stress.
        BMC Complementary and Alternative Medicine. 2011; 11: 26
        • Kimball B.
        Health care's human crisis—RX for an evolving profession.
        Online Journal of Issues in Nursing. 2004; 9: 1-82
        • Mackenzie C.S.
        • Poulin P.A.
        • Seidman-Carlson R.
        A brief mindfulness-based stress reduction intervention for nurses and nurse aides.
        Applied Nursing Research: ANR. 2006; 19: 105-109
        • MacKillop J.
        • Anderson E.
        Further psychometric validation of the mindful attention awareness scale (MAAS).
        Journal of Psychopathology and Behavioral Assessment. 2007; 29: 289-293
        • Maslach C.
        • Jackson S.E.
        The measurement of experienced burnout.
        Journal of Organizational Behavior. 1981; 2: 99-113
        • Milliken T.F.
        • Clements P.T.
        • Tillman H.J.
        The impact of stress management on nurse productivity and retention.
        Nursing Economic$. 2007; 25 (quiz 211): 203-210
        • McElligott D.
        • Capitulo K.L.
        • Morris D.L.
        • Click E.R.
        The effect of a holistic program on health-promoting behaviors in hospital registered nurses.
        Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association. 2010; 28: 175-183
        • Neff K.D.
        The development and validation of a scale to measure self-compassion.
        Self and Identity. 2003; 2: 223-250
        • Pipe T.B.
        • Bortz J.J.
        • Dueck A.
        • Pendergast D.
        • Buchda V.
        • Summers J.
        Nurse leader mindfulness meditation program for stress management: A randomized controlled trial.
        The Journal of Nursing Administration. 2009; 39: 130-137
        • Richardson K.M.
        • Rothstein H.R.
        Effects of occupational stress management intervention programs: A meta-analysis.
        Journal of Occupational Health Psychology. 2008; 13: 69-93
        • Rushton C.H.
        Defining and addressing moral distress: Tools for critical care nursing leaders.
        AACN Advanced Critical Care. 2006; 17: 161-168
        • Young L.E.
        • Bruce A.
        • Turner L.
        • VanderWal R.
        • Linden W.
        Features—Evaluation of a mindfulness-based stress reduction intervention—Student nurse health promotion at one British Columbia campus.
        The Canadian Nurse. 2001; 97: 23-26