Date of Conferral
Doctor of Nursing Practice (DNP)
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.
Dearholt, Sandra, "Improving Nurse Well-Being Through a Mindfulness-Based Education Strategy" (2019). Walden Dissertations and Doctoral Studies. 7628.