ArticleBMC pediatrics2025
Effects of a nurse-led mindfulness-based intervention on stress and emotional well-being in hospitalized school-aged children: a mixed-methods quasi-experimental study.
Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aimThis study aimed to evaluate the efficacy of a nurse-led mindfulness-based intervention (MBI) in reducing psychological distress and improving emotional well-being among hospitalized school-aged children.
designA mixed-methods quasi-experimental design was used to compare the psychological outcomes of children who participated in a two-week mindfulness program with those who received standard care.
methodsA total of 60 children aged 6-12 were systematically assigned to either the intervention group (n = 30) or the control group (n = 30). The intervention group received daily 30-minute mindfulness sessions, while the control group received standard care. Pre- and post-intervention assessments were conducted using validated measures, including the Perceived Stress Scale for Children (PSS-C), Screen for Child Anxiety Related Emotional Disorders (SCARED), Short Mood and Feelings Questionnaire (SMFQ), and PROMIS Fatigue Scale.
resultsSignificant improvements were observed in the intervention group across all measures. Reductions in perceived stress (PSS-C: p < 0.001, d = 1.05), anxiety (SCARED: p = 0.002, d = 0.67), depressive symptoms (SMFQ: p < 0.001, d = 0.88), and fatigue (PROMIS: p < 0.001, d = 0.94) were reported. Qualitative feedback from children, parents, and nurses supported these findings, highlighting enhanced emotional regulation, relaxation, and coping abilities.
conclusionThe nurse-led MBI significantly improved psychological well-being, reducing stress, anxiety, and fatigue among hospitalized children. The intervention shows promise for integration into pediatric care, with high satisfaction levels from participants and healthcare providers. IMPLICATIONS FOR THE PROFESSION: This study provides evidence supporting the inclusion of mindfulness-based interventions in pediatric nursing care. Due to their continuous interactions with patients, nurses are well-positioned to lead such interventions, which can enhance the emotional and physical recovery of hospitalized children.
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