Evidence map›Paper›PMID 40598019›Full record

ArticleBMC nursing2025

Effectiveness of mindfulness-based interventions on burnout, resilience and sleep quality among nurses: a systematic review and meta-analysis of randomized controlled trials.

Jin Dou, Yujia Lian, Lili Lin, Siti Noraini Binti Asmuri, Peixi Wang, Ruthpackiavathy A/P Rajen Durai

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jin DouDepartment of Nursing, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.
Yujia LianDepartment of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.
Lili LinDepartment of Medicine and Health, Faculty of Environment and Public Health, Xiamen Huaxia University, Xiamen, China.
Siti Noraini Binti AsmuriDepartment of Rehabilitation Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia. ctnoraini@upm.edu.my.
Peixi WangInstitute of Chronic Disease Risks Assessment, School of Nursing and Health, Henan University, Kaifeng, China.
Ruthpackiavathy A/P Rajen DuraiDepartment of Nursing, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia. ruthpackiavaty@upm.edu.my.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to the occupational characteristics of clinical work, nurses often face many challenges related to physical and psychological health. Mindfulness-based interventions are psychological intervention therapies based on mindfulness, which has been proven to effectively improve burnout, resilience and sleep quality among nurses. But there is not sufficient evidence to examine the effectiveness of mindfulness-based interventions on burnout, resilience and sleep quality among nurses.

objectiveTo evaluate the effectiveness of mindfulness-based interventions in reducing burnout, resilience and sleep quality among nurses and enhance the quality of nursing medical service.

methodsSeven electronic databases, including PubMed, EMBASE, Scopus, Web of Science, PsycINFO, CINAHL and Chinese National Knowledge Infrastructure were searched from their inception to November, 2024. Randomized controlled trials investigated the effects of mindfulness-based interventions for improving burnout, resilience and sleep quality among nurses. The quality of the included studies was assessed by the Cochrane Risk of Bias Tool v2. Meta-analyses were conducted using Review Manager 5.4 and the Grading of Recommendations, Assessment, Development, and Evaluation approach was used to assess the certainty of evidence.

resultsA total of 4622 studies were initially retrieved and 16 articles (n = 1384 individuals) were included. The meta-analysis showed that mindfulness-based interventions could effectively improve burnout (SMD = -1.43, 95% CI: -1.94 to - 0.92, P < 0.001), resilience (MD = 9.78, 95% CI: 0.38 to 19.17, P = 0.04) and sleep quality (SMD = -1.1, 95% CI: -1.79 to -0.41, P = 0.002). However, due to some moderate risk of bias and high level of heterogeneity, the overall quality of the evidence was not high.

conclusionMindfulness-based interventions could improve burnout, resilience and sleep quality among nurses. This suggests that mindfulness-based interventions can provide preliminary clinical practice support for addressing mental health and well-being and work quality of nurses. But because of moderate to low certainty of evidence and some concerns of bias, more rigorous studies are needed to confirm the effectiveness of mindfulness-based interventions for improving the outcomes.

Indexed as

Burnout, psychologicalMeta-analysisMindfulnessNursesResilience, psychologicalSleep qualitySystematic review

Identifiers

PMID40598019
PMCPMC12210539

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.