Effectiveness of mindfulness-based interventions on burnout and self-compassion among critical care nurses caring for patients with COVID-19: a quasi-experimental study

Abstract Background Workloads in intensive care units (ICUs) have increased and extremely challenging ethical dilemmas were generated by the coronavirus disease 2019 (COVID-19) pandemic. ICU nurses experience high-stress levels and burnout worldwide. Egyptian studies on the effectiveness of mindfuln...

Full description

Bibliographic Details
Main Authors: Sahar Younes Othman, Nagia I. Hassan, Alaa Mostafa Mohamed
Format: Article
Language:English
Published: BMC 2023-09-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-023-01466-8
_version_ 1797577107186909184
author Sahar Younes Othman
Nagia I. Hassan
Alaa Mostafa Mohamed
author_facet Sahar Younes Othman
Nagia I. Hassan
Alaa Mostafa Mohamed
author_sort Sahar Younes Othman
collection DOAJ
description Abstract Background Workloads in intensive care units (ICUs) have increased and extremely challenging ethical dilemmas were generated by the coronavirus disease 2019 (COVID-19) pandemic. ICU nurses experience high-stress levels and burnout worldwide. Egyptian studies on the effectiveness of mindfulness-based intervention (MBI) among ICU nurses are limited, although MBI has been shown to reduce stress and burnout. Methods This quasi-experimental study included 60 nurses working in three hospitals in El-Beheira, Egypt. Participants were randomly allocated to one of the two groups: intervention or control (30 participants per group). The participants in the intervention group (MBI) received 8 MBI sessions, whereas the control group received no intervention. The Maslach Burnout Inventory, the Five-Facet Mindfulness Questionnaire (FFMQ), and the Self-Compassion Scale were used to assess the outcomes. Additionally, demographic and workplace data were collected. Results The post-test score of emotional exhaustion after MBI for 8 weeks significantly decreased in the MBI group to 15.47 ± 4.44 compared with the control group with 32.43 ± 8.87 (p < 0.001). The total Self-Compassion Scale significantly increased because of the mindfulness sessions 94.50 ± 3.83 for the MBI group vs. 79.00 ± 4.57 for the control group (p < 0.001). The post-test score of the FFMQ significantly increased to 137.03 ± 5.93, while the control group’s score decreased to 114.40 ± 7.44, following the MBI sessions (p < 0.001). As determined by Cohen’s d test, the effect size of MBI training is quite large, on the three burnout scale dimensions (emotional exhaustion, depersonalization, and personal achievement), as well as the total score of the mindfulness and self-compassion scales. Conclusion This study provides preliminary evidence that MBI sessions were effective in reducing emotional exhaustion and depersonalization and increasing levels of mindfulness and self-compassion among critical care nurses.
first_indexed 2024-03-10T22:04:18Z
format Article
id doaj.art-6cb9b567338e4f678c28e9170d093761
institution Directory Open Access Journal
issn 1472-6955
language English
last_indexed 2024-03-10T22:04:18Z
publishDate 2023-09-01
publisher BMC
record_format Article
series BMC Nursing
spelling doaj.art-6cb9b567338e4f678c28e9170d0937612023-11-19T12:51:29ZengBMCBMC Nursing1472-69552023-09-0122111410.1186/s12912-023-01466-8Effectiveness of mindfulness-based interventions on burnout and self-compassion among critical care nurses caring for patients with COVID-19: a quasi-experimental studySahar Younes Othman0Nagia I. Hassan1Alaa Mostafa Mohamed2Critical Care and Emergency Nursing Department, Faculty of Nursing, Damanhour UniversityPsychiatric and Mental Health Nursing Department, Faculty of Nursing, Damanhour UniversityCritical Care and Emergency Nursing Department, Faculty of Nursing, Damanhour UniversityAbstract Background Workloads in intensive care units (ICUs) have increased and extremely challenging ethical dilemmas were generated by the coronavirus disease 2019 (COVID-19) pandemic. ICU nurses experience high-stress levels and burnout worldwide. Egyptian studies on the effectiveness of mindfulness-based intervention (MBI) among ICU nurses are limited, although MBI has been shown to reduce stress and burnout. Methods This quasi-experimental study included 60 nurses working in three hospitals in El-Beheira, Egypt. Participants were randomly allocated to one of the two groups: intervention or control (30 participants per group). The participants in the intervention group (MBI) received 8 MBI sessions, whereas the control group received no intervention. The Maslach Burnout Inventory, the Five-Facet Mindfulness Questionnaire (FFMQ), and the Self-Compassion Scale were used to assess the outcomes. Additionally, demographic and workplace data were collected. Results The post-test score of emotional exhaustion after MBI for 8 weeks significantly decreased in the MBI group to 15.47 ± 4.44 compared with the control group with 32.43 ± 8.87 (p < 0.001). The total Self-Compassion Scale significantly increased because of the mindfulness sessions 94.50 ± 3.83 for the MBI group vs. 79.00 ± 4.57 for the control group (p < 0.001). The post-test score of the FFMQ significantly increased to 137.03 ± 5.93, while the control group’s score decreased to 114.40 ± 7.44, following the MBI sessions (p < 0.001). As determined by Cohen’s d test, the effect size of MBI training is quite large, on the three burnout scale dimensions (emotional exhaustion, depersonalization, and personal achievement), as well as the total score of the mindfulness and self-compassion scales. Conclusion This study provides preliminary evidence that MBI sessions were effective in reducing emotional exhaustion and depersonalization and increasing levels of mindfulness and self-compassion among critical care nurses.https://doi.org/10.1186/s12912-023-01466-8Mindfulness-based interventionBurnoutCompassionCritical care nursesCoronavirus disease 2019 (COVID-19)
spellingShingle Sahar Younes Othman
Nagia I. Hassan
Alaa Mostafa Mohamed
Effectiveness of mindfulness-based interventions on burnout and self-compassion among critical care nurses caring for patients with COVID-19: a quasi-experimental study
BMC Nursing
Mindfulness-based intervention
Burnout
Compassion
Critical care nurses
Coronavirus disease 2019 (COVID-19)
title Effectiveness of mindfulness-based interventions on burnout and self-compassion among critical care nurses caring for patients with COVID-19: a quasi-experimental study
title_full Effectiveness of mindfulness-based interventions on burnout and self-compassion among critical care nurses caring for patients with COVID-19: a quasi-experimental study
title_fullStr Effectiveness of mindfulness-based interventions on burnout and self-compassion among critical care nurses caring for patients with COVID-19: a quasi-experimental study
title_full_unstemmed Effectiveness of mindfulness-based interventions on burnout and self-compassion among critical care nurses caring for patients with COVID-19: a quasi-experimental study
title_short Effectiveness of mindfulness-based interventions on burnout and self-compassion among critical care nurses caring for patients with COVID-19: a quasi-experimental study
title_sort effectiveness of mindfulness based interventions on burnout and self compassion among critical care nurses caring for patients with covid 19 a quasi experimental study
topic Mindfulness-based intervention
Burnout
Compassion
Critical care nurses
Coronavirus disease 2019 (COVID-19)
url https://doi.org/10.1186/s12912-023-01466-8
work_keys_str_mv AT saharyounesothman effectivenessofmindfulnessbasedinterventionsonburnoutandselfcompassionamongcriticalcarenursescaringforpatientswithcovid19aquasiexperimentalstudy
AT nagiaihassan effectivenessofmindfulnessbasedinterventionsonburnoutandselfcompassionamongcriticalcarenursescaringforpatientswithcovid19aquasiexperimentalstudy
AT alaamostafamohamed effectivenessofmindfulnessbasedinterventionsonburnoutandselfcompassionamongcriticalcarenursescaringforpatientswithcovid19aquasiexperimentalstudy