Evidence-Based Practice Project: Evaluation of Literature Table
Literature Evaluation Table
Learner Name:
PICOT:
Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article | Article Title and Year Published | Research Questions/ Hypothesis, and Purpose/Aim of Study | Design (Quantitative, Qualitative, or other) | Setting/Sample | Methods: Intervention/ Instruments | Analysis/Data Collection | Outcomes/Key Findings | Recommendations | Explanation of How the Article Supports Your Proposed EBP Practice Project Proposal |
| Ameli et al., JAMA Network Open, doi:10.1001/jamanetworkopen.2020.13424 | Title: Effect of a brief mindfulness-based program on stress in health care professionals at a us biomedical research hospital: a randomized clinical trial. Published: 2020 | Research question: is brief mindfulness-based program effective and feasible in reducing stress among health care professionals during work hours? Purpose: the study evaluated the effectiveness of a brief mindfulness-based program on stress reduction among health care professionals. | Quantitative design- Ameli et al. (2020) conducted a randomized controlled trial. | Setting: the study was conducted at the Clinical Center at the National Institutes of Health in Bethesda. Sample: 78 health care professionals participated. | A randomized controlled trial: participants in the intervention group received a 5-session, 7.5-hour program on mindfulness-based self-care while the control group continued with life-as-usual practices. The program’s components included mindfulness breathing, mindfulness walking, and body scan. | Questionnaires were administered and completed at baseline, immediately after the program (5th week) and at follow-up (week 13). The researchers analyzed the data using the Perceived Stress Scale 10-Item version (PSS-100 to evaluate changes in stress levels. The Visual Analogue Scale-Anxiety (VAS-A0 was used to measure changes in anxiety levels. | The primary outcome was stress level. Anxiety level was secondary outcome among others like positive affect and mindfulness self-care. The intervention group had lower stress and anxiety levels after the program than the control group. | The authors recommended larger studies to examine the impact of the mindfulness program on clinical care and patient outcomes. | The article supports the EBP practice project proposal by underlining the effectiveness of mindfulness programs that include mindfulness breathing in reducing stress and anxiety (leading causes of burnout) among health care professionals. |
| Brun et al., Frontiers in Psychology, https://doi.org/10.3389/fpsyg.2022.1113453 | Title: Mindfulness and compassion training for health professionals: a qualitative study. Published: 2023 | Hypothesis: a mindfulness and compassion training program benefits both patients and health care professionals. Purpose: to assess the impact of a compassion-centered mindfulness program on health care professionals. | Design: qualitative Brun et al. (2023) conducted an exploratory qualitative study. | Settings: hospitals, Espace Cityzen Sample: 11 health care professionals. | Participants received the Mindfulness-Based (MB) CARE program (4 days in a row and some once a week for 4 weeks. The program is a curriculum dedicated to healthcare professionals to reduce burnout levels by training in mindfulness and compassion. Mindfulness training, which included breathing strategies, focused on developing participants’ non-judgmental attitude and good intentional skills, while the compassion component was primarily about enabling participants to accept themselves as human beings. | Brun et al. (2023)conducted phone (semi-structured) interviews with healthcare practitioners who benefitted from the program. Focus areas for thematic analysis included: the training experience, practitioners’ ability to care for themselves, and how the program impacted their practice. | The study’s primary outcome was the impact of a compassionate-centered mindfulness program on healthcare practitioners. Brun et al. (2023) found that the training enabled participants to accept difficult work experiences with less reactivity and more perceived equanimity. | The authors recommended future improvements on the program by including meta-cognition theoretical frameworks and extending the program’s scope. | The study supports the EBP project by underlining the effectiveness of mindfulness-based interventions that include mindfulness breathing in improving health care professionals’ resilience. |
| Pan et al., Neuropsychiatric Disease and Treatment, https://doi.org/10.2147/NDT.S223036 | Title: Mindfulness-based intervention for nurses in AIDS care in China: a pilot study. Published: 2019 | Research question: what is the effect of mindfulness-based intervention among nurses caring for people living with human immunodeficiency virus? Purpose: the study assessed the impact of a mindfulness-based program among nurses in AIDS care center in China. | Pan et al. (2019) conducted a mixed-methods pilot study. | Setting: First Hospital of Changsha, China. Sample: Twenty nurses. | Nurses received mindfulness-based training of 2-hr sessions weekly for six weeks. The content included mindfulness awareness of stress through breathing, mindful movement, and body listening, among others. Participants completed questionnaires and answered interview questions. | Quantitative data were collected through questionnaires before and after the program. Qualitative data were collected post-intervention through audio-recorded interviews. Data were analyzed using SPSS22.0 (quantitative data) and thematic analysis (qualitative data). | Primary outcomes were stress levels and emotions management. Pan et al. (2019) found a significant change in the different facets of mindfulness after the program and a great decrease in daily life pressures among nurses. | The researchers recommended a larger study using a randomized controlled trial design to confirm the program’s effectiveness. | The article demonstrates the effectiveness of mindfulness breathing and related strategies in reducing nurses’ stress levels. Stress reduction helps to reduce nurse burnout as hypothesized in the evidence-based practice project. |
| Komariah et al., Healthcare (Basel, Switzerland), https://doi.org/10.3390/healthcare11010026 | Title: Effect of mindfulness breathing meditation on depression, anxiety, and stress: a randomized controlled trial among university students. Published: 2022 | Does mindfulness breathing meditation decrease the mean scores for depression, anxiety, and stress? The purpose of the study was to examine the potential of mindfulness breathing on reducing anxiety, depression, and stress among university students. | Quantitative: Komariah et al. (2022) conducted a randomized controlled trial. | Setting: Universitas Padjadjaran and other provinces Sample: 122 students | Participants were randomized into the intervention and control group (61 students in each group). The intervention group received mindfulness breathing training sessions of 15 minutes for 4 weeks. | Researchers administered a pretest and post-test before and after the training and analyzed outcomes using the Depression Anxiety Stress Scales (DASS-42). | The primary outcome was the levels of depression, anxiety, and stress. Komariah et al. (2022) found that mindfulness breathing meditation decreased the variables’ mean scores in the intervention group with stress and anxiety showing a significant difference. | The researchers recommended a future study on the factors that influence the effectiveness of mindfulness breathing meditation therapy. | The article supports the EBP project by confirming the effectiveness of mindfulness breathing meditation in averting nurse burnout by reducing stress, anxiety, and depression levels. |
| Yıldırım and Çiriş Yıldız, Holistic Nursing Practice, https://doi.org/10.1097/HNP.0000000000000511 | Title: The effect of mindfulness-based breathing and music therapy practice on nurses’ stress, work-related strain, and psychological well-being during the COVID-19 pandemic: a randomized controlled trial. Published: 2022 | Hypotheses: mindfulness-based breathing and music therapy effectively reduce nurses’ stress levels, raise their well-being levels, and lower work-related strain levels. The study investigated the effect of mindfulness-based breathing and music therapy on stress, work-related strain, and psychological well-being of nurses struggling against COVID-19. | Quantitative; Yıldırım and Çiriş Yıldız (2022) conducted a randomized controlled trial. | Setting: a COVID-19 department at a Turkish university. Sample: 104 nurses participated. | Participants were randomized into the intervention group (n = 52) and the contro group (n = 52). The intervention group received mindfulness-base breathing and music therapy. | Yıldırım and Çiriş Yıldız (2022) used a survey form created via Google forms to collect data. Components included personal information, State Anxiety Inventory, Work Related Strain Scale, and the Psychological Well-Being Scale. Independent-samples t-test, Mann-Whitney U test, and x2 test were used for data analysis to get statistical differences. | The primary outcome was stress, work-related strain, and psychological well-being levels. Yıldırım and Çiriş Yıldız (2022) found that the mindfulness-based breathing and music therapy program decreased stress and work-related strain levels and improved psychological well-being (p < .05) | Yıldırım and Çiriş Yıldız (2022) recommended a study evaluating the long-term effects of mindfulness-based breathing and music therapy. | The article supports the EBP project by confirming the usefulness of mindfulness breathing as an intervention for preventing nurse burnout. |
| Lin et al., Workplace Health & Safety, https://doi.org/10.1177/2165079918801633 | Title: The effects of a modified mindfulness-based stress reduction program for nurses: a randomized controlled trial. Published: 2019 | Question: How does a modified mindfulness-based stress reduction (MBSR) program impact stress, affect, and resilience among nurses? The study investigated the effects of a MBSR program on nurses’ stress, affect, and resilience levels. | Quantitative: Lin et al. (2019) conducted a randomized controlled trial. | Setting: general hospitals in mainland China. Sample: 100 nurses participated in the study. | Nurses were randomized into the intervention and control group and the intervention group received a modified 8-week MBSR program. Education areas included mindfulness eating, yoga, mindfulness breathing, and body scan. | Data were collected via questionnaires at baseline, immediately after the program, and three months later. Lin et al. (2019) analyzed data using SPSS 22.0 to get statistical differences. | The main study outcome was stress, affect, and resilience levels. Lin et al. (2019) found that the program reduced stress levels, increased positive affect, and improved resilience among nurses after the intervention. | Lin et al. (2019) recommended the integration of MBSR program into short-term and long-term health promotion plans for nurses. | The article supports the EBP project by illustrating the effectiveness of a mindfulness-based program that includes mindfulness breathing in reducing nurses stress and improving resilience. |
| Pizutti et al., Journal of Clinical Psychology, https://doi.org/10.1002/jclp.22749 | Title: Evaluation of Breathworks’ Mindfulness for Stress 8‐week course: Effects on depressive symptoms, psychiatric symptoms, affects, self‐compassion, and mindfulness facets in Brazilian health professionals. Published: 2019 | Question: what is the impact of Breathworks’ Mindfulness course on health care professionals’ depressive and psychiatric symptoms? The purpose of the study was to evaluate the effects of the Breathwork’s Mindfulness for Stress course on health care professionals. | Quantitative: Pizutti et al. (2019) conducted a quasi-experimental study. | Setting: Porto Alegre, southern Brazil. Sample: 84 primary care health professionals participated in the study. | The participants were divided into three groups: wait list (WL), active control (AC), and mindfulness for stress program (MfS) group. Th AC group attended four bi-weekly group sessions of 2-hour each on relaxation exercise including breathing, stretching, and visualization. The MfS group received eight sessions focusing primarily on mindfulness exercises. Outcomes were compared before and after the intervention. | Researchers used different scales to collect and categorize data before and after the intervention. They included the scales Beck Depression Inventory, Self-Reporting Questionnaire, and Mindfulness Questionnaire. Statistical analyses were done using one-way analysis of variance and the chi-square. | The primary outcome was changes in the depressive and psychiatric symptoms. Pizutti et al. (2019) found a significant decrease in their levels post-intervention. | Pizutti et al. (2019) recommended future studies using longitudinal and randomized controlled designs to support the evidence in this study. | The article confirms the effectiveness of mindfulness breathing and related interventions in improving health care professionals’ well-being. The EBP project hypothesis is that nurses’ well-being will improve by implementing a mindfulness breathing education program. |
| Slatyer et al., Mindfulness, DOI: 10.1007/s12671-017-0802-2 | Title: Nurse experience of participation in a mindfulness-based self-care and resiliency intervention. Published: 2018 | Hypothesis: mindfulness reduces compassion fatigue and improves nurses’ resilience. The study evaluated the impact of a brief mindful self-care and resilience (MSCR) program on compassion fatigue and resilience among nurses. | Qualitative design: Slatyer et al. (2018) reported the qualitative findings of a larger mixed-methods study. | Setting: a tertiary acute care hospital in Australia Sample: 20 nurses completed the program. | Nurses received a one-day educational workshop on compassion fatigue resiliency and introduction to mindfulness. Education was delivered via PowerPoint slides and information worksheets. | Slatyer et al. (2018) collected data via unstructured interviews on nurses’ experiences with the program. The interview responses were further subjected to thematic analysis to identify themes and sub-themes. | The primary outcome was the program’s feasibility and acceptability in the setting. The researchers found the program feasible and acceptable from nurses’ perspective since it helped them to develop a feeling of inner calm and engage in self-care. | The article authors recommend future research that evaluates the effect of the program in diverse nursing populations to explore feasibility and appropriateness in the long-term. | The article demonstrates the importance of mindfulness-based programs that include mindfulness breathing in improving nurses’ well-being. Such outcomes are key to burnout reduction among nurses. |
| Luo et al., Journal of Occupational Health, https://doi.org/10.1002/1348-9585.12398 | Title: Effects of mindfulness decompression therapy on mental health and job burnout among nurses working in the frontline of the novel coronavirus pandemic: a retrospective study. Published: 2023 | Research question: what is the effect of mindfulness decompression therapy on mental health and job burnout in nurses? The study aimed to evaluate the impacts of mindfulness decompression therapy on mental health and job burnout in frontline nurses during the pandemic. | Design: quantitative (a retrospective study) | Setting: Xiangya Hospital, China Sample: 65 participants received the course. | Researchers ran a mindfulness decompression therapy course in groups of 20-25 participants. The control group received only psychological nursing intervention while the intervention group received the same training combined with mindfulness decompression therapy. Differences in symptoms were compared before and after the course. | The authors used questionnaires to collect data and compared scores using SCL-90 and MBI-GS scales. | The primary outcome was nurses’ distress and burnout levels. Luo et al. (2023) found that psychological distress and job burnout levels were significantly better in the intervention group than in the control group after the course. | The authors recommended future studies using randomized controlled trials. | The article supports the EBP project by confirming the effectiveness of mindfulness-based training in reducing job burnout among nurses. |
| Lautwein et al., BMC Palliative Care, https://doi.org/10.1186/s12904-023-01158-9 | Title: Mindfulness and compassion training on daily work with patients and within the multiprofessional palliative care team: a retrospective self-assessment study. Published: 2023 | Hypothesis: mindfulness and compass-based practices can effectively build resilience. The study’s aim was to evaluate the feasibility, impacts, opportunities, and limitations of a mindfulness course. | Design: qualitative (a retrospective descriptive self-assessment study). | Setting: a specialized palliative care unit at a University Hospital in Germany. Sample: 24 employees unit participated. | Participants received an 8-week mindfulness and compassion course with details on the appropriate meditation exercises to integrate into daily activities. | Researchers developed a questionnaire for qualitative assessment of outcomes. Data included demographic details, free-text items, and learning objectives. Data were analyzed using descriptive statistics, content analysis, and comparative self-assessment. | Learning gains were high after the course and participants noted about the opportunity for self-care in professional context. Other positive impact areas included changes to attitude and improved knowledge of resilience techniques. | The authors recommended a further study using controlled trial to assess the long-term effects of the program. | The study supports the EBP project by confirming the effectiveness of mindfulness-based exercises in improving nurses’ knowledge of self-care and resilience in high-stress environments. |
References
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Ameli, R., Sinaii, N., West, C. P., Luna, M. J., Panahi, S., Zoosman, M., … & Berger, A. (2020). Effect of a brief mindfulness-based program on stress in health care professionals at a us biomedical research hospital: a randomized clinical trial. JAMA Network Open, 3(8), e2013424-e2013424. doi:10.1001/jamanetworkopen.2020.13424
Brun, C., Akinyemi, A., Houtin, L., Mizzi, C., Cardoso, T., & Isnard Bagnis, C. (2023). Mindfulness and compassion training for health professionals: a qualitative study. Frontiers in Psychology, 13, 8723. https://doi.org/10.3389/fpsyg.2022.1113453
Komariah, M., Ibrahim, K., Pahria, T., Rahayuwati, L., & Somantri, I. (2022). Effect of mindfulness breathing meditation on depression, anxiety, and stress: a randomized controlled trial among university students. Healthcare (Basel, Switzerland), 11(1), 26. https://doi.org/10.3390/healthcare11010026
Lautwein, F., Schallenburger, M., Scherg, A., Schlieper, D., Karger, A., Regel, Y. U., … & Neukirchen, M. (2023). Mindfulness and compassion training on daily work with patients and within the multiprofessional palliative care team: a retrospective self-assessment study. BMC Palliative Care, 22(1), 1-14. https://doi.org/10.1186/s12904-023-01158-9
Lin, L., He, G., Yan, J., Gu, C., & Xie, J. (2019). The effects of a modified mindfulness-based stress reduction program for nurses: a randomized controlled trial. Workplace Health & Safety, 67(3), 111-122. https://doi.org/10.1177/2165079918801633
Luo, L. X., Peng, X., Hou, J., Xie, Y., Dong, H., Peng, S., … & Zhang, J. (2023). Effects of mindfulness decompression therapy on mental health and job burnout among nurses working in the frontline of the novel coronavirus pandemic: a retrospective study. Journal of Occupational Health, 65(1), e12398. https://doi.org/10.1002/1348-9585.12398
Pan, C., Wang, H., Chen, M., Cai, Y., Xiao, C., Tang, Q., & Koniak-Griffin, D. (2019). Mindfulness-based intervention for nurses in AIDS care in China: a pilot study. Neuropsychiatric Disease and Treatment, 15, 3131–3141. https://doi.org/10.2147/NDT.S223036
Pizutti, L. T., Carissimi, A., Valdivia, L. J., Ilgenfritz, C. A. V., Freitas, J. J., Sopezki, D., … & Hidalgo, M. P. (2019). Evaluation of Breathworks’ Mindfulness for Stress 8‐week course: Effects on depressive symptoms, psychiatric symptoms, affects, self‐compassion, and mindfulness facets in Brazilian health professionals. Journal of Clinical Psychology, 75(6), 970-984. https://doi.org/10.1002/jclp.22749
Slatyer, S., Craigie, M., Rees, C., Davis, S., Dolan, T., & Hegney, D. (2018). Nurse experience of participation in a mindfulness-based self-care and resiliency intervention. Mindfulness, 9, 610-617. DOI: 10.1007/s12671-017-0802-2
Yıldırım, D., & Çiriş Yıldız, C. (2022). The effect of mindfulness-based breathing and music therapy practice on nurses’ stress, work-related strain, and psychological well-being during the COVID-19 pandemic: a randomized controlled trial. Holistic Nursing Practice, 36(3), 156–165. https://doi.org/10.1097/HNP.0000000000000511
Healthcare delivery has gradually developed into a technology-driven practice to save costs and improve efficiency. Healthcare professionals’ potential to access and support more individuals and groups has significantly improved via information and communication technologies. The Healthy Way to Grow (HWTG) intervention can significantly improve by integrating appropriate information and communication technologies. According to Ramos et al. (2021), the HWTG program is implemented through physical visits by trained a Child Care Specialist (CCS) to a particular Early Childhood Education (ECE) center. These specialists provide training and technical assistance to directors and staff to prevent obesity through wellness practices and policies. Children and families also benefit from the training to ensure a holistic approach to childhood obesity prevention.
When considering information and communication technologies for improving practice and care delivery for individuals and populations, particular attention should be paid to the process and outcomes. In this case, healthcare providers should embrace technologies that enable them to save time and reach more individuals and groups. As a result, the telehealth approach would effectively improve the HWTG’s outcomes. Perri et al. (2020) recommended telehealth adoption in nursing since it achieves outcomes similar to face-to-face sessions at a lower cost. The implication is that CCS can use computers, tablets, smartphones, and other appropriate devices to educate and assist the beneficiaries in place of physical visits to the ECE centers. For better outcomes, a conference-call format is highly recommended to deliver innovative, cost-effective options for individual telephone interactions (Perri et al., 2020). When integrating telehealth, CCS and other providers should be guided by its benefits and barriers and adapt accordingly. As Gajarawala and Pelkowski (2021) mentioned, telehealth improves efficiency, cost-effectiveness, and access to care. However, data privacy and security should be prioritized to ensure safe and ethical healthcare delivery.