Date of Conferral

2019

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Mattie Burton

Abstract

Abstract

An estimated 33% to 54% of hospital nurses exhibit signs of emotional stress and

decreased well-being, which is associated with a negative impact on nurses’ health, job

performance, patient care outcomes, and healthcare cost. This project sought to improve

nurse well-being by providing nurses with education on mindfulness-based practices.

The practice question addressed whether implementing a mindfulness-based education

strategy for nurses improved nurse well-being. Three models informed this project: the

health promotion model, the andragogical model, and Kirkpatrick’s 4 levels of training

evaluation. Sources of evidence included the Maslach Burnout Inventory (MBI) and a

knowledge assessment administered to 10 registered nurse participants before and after a

6-week education program. An overall evaluation was also given at the end of the

program. Analytical strategies included frequency distributions for demographics and

program evaluation as well as measuring the mean difference between pre- and

postscores using a paired t test for the MBI and the knowledge assessment. The results of

this project demonstrated a significant improvement between pre- and postscores for

basic knowledge of mindfulness practices (p = .004), confidence in performing

mindfulness practices (p = .001), ability to apply mindfulness practices in the work

setting (p = .004), participant’s belief that applying mindfulness practices supports self

care (p = .013), and improvement in emotional exhaustion (p = .025). The implications

are that teaching nurses mindfulness strategies can decrease emotional exhaustion and

stress. Recommendations are to continue this program. The positive impact on social

change included improved nurse well-being leading to better patient outcomes.

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