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Factors influencing mindfulness among clinical nurses in China: An observational cross‐sectional study

Junye Yu, Yuanyuan Song, Hua Dan, Ying Shi, Jingyan Zhao

Journal of Nursing Management February 16, 2022 DOI: 10.1111/jonm.13560 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional survey Peer reviewed
Sample size 358
Population Clinical nurses at Beijing Aerospace Center Hospital in China
Measures Mindful Attention Awareness Scale
Topics Meditation
Citations 15
Key findings Nurses' mindfulness scores averaged 66.82 ± 11.53 on the Mindful Attention Awareness Scale, near the cut-off between medium and high mindfulness. Anxiety, stress perception, emotional exhaustion, and expressive suppression were associated with lower mindfulness, while mental resilience and cognitive reappraisal were associated with higher mindfulness. The authors argue that nursing managers should develop targeted, positive-psychology-based interventions to raise nurses' mindfulness.

Abstract

Aim: The aim of this study was to evaluate factors influencing mindfulness among clinical nurses in China.

Background: Mindfulness has positive effects on nurses' negative emotions and job burnout. However, few studies have explored the antecedent variables of mindfulness.

Methods: A total of 358 clinical nurses in Beijing Aerospace Center Hospital completed a cross-sectional survey between July and September 2020. The study employed self-report questionnaires covering social demographics, mindfulness, anxiety, job burnout, emotion regulation, stress perception, resilience, well-being and loneliness.

Results: The mean Mindful Attention Awareness Scale score was 66.82 ± 11.53, which is near the cut-off score between the high and medium mindfulness categories. Anxiety, stress perception, emotional exhaustion and expressive suppression negatively affected the level of mindfulness, while mental resilience and cognitive reappraisal positively influenced the level of mindfulness (all P < .05).

Conclusion: Hospital nurses have higher-than-normal levels of mindfulness. The mindfulness level of clinical nurses is related to anxiety, stress perception, resilience, cognitive reappraisal, emotional exhaustion and expressive suppression.

Implications: FOR NURSING MANAGEMENT: Nursing managers should consider the role and mechanism of positive psychology and develop targeted intervention measures to improve nurses' mindfulness, in order to further reduce their negative emotions, improve their sense of professional benefit and thus ensure the quality and safety of nursing.

Comparable studies

Other cross-sectional and survey studies on meditation, most cited first.

Study Year Design Participants
Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Experienced meditators and nonmeditating comparison groups 2008 Cross-sectional study
Neural Correlates of Dispositional Mindfulness During Affect Labeling Adult participants 2007 Observational cross-sectional n = 27
Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). School-aged children and adolescents 2011 Cross-sectional validation study n = 1,413
Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators Experienced meditators and demographically matched nonmeditators 2012 Cross-sectional study n = 152
Mechanisms of Action in the Inverse Relationship Between Mindfulness and Psychological Distress Undergraduates 2008 Cross-sectional, correlational

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