{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:00:48Z","timestamp":1790373648440,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Nursing Review"],"published-print":{"date-parts":[[2026,9]]},"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n To evaluate the effectiveness of mindfulness\u2010based interventions among nurses.<\/jats:p>\n <\/jats:sec>\n \n Background<\/jats:title>\n The demanding workload and high emotional investment inherent in nursing practice render nurses vulnerable to compassion fatigue, job burnout, and traumatic stress.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A systematic literature search was conducted across major English and Chinese electronic databases. Eligibility criteria were restricted to randomized controlled trials examining the effects of mindfulness\u2010based interventions on compassion fatigue, job burnout, or traumatic stress among nurses. The search covered all literature from database inception to August 20, 2025. After reassessment of study eligibility, seven randomized controlled trials involving 578 nurses were included in the final review and meta\u2010analysis. Random\u2010effects models were used for the quantitative syntheses to account for anticipated clinical and methodological heterogeneity across studies.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Mindfulness\u2010based interventions were associated with significant reductions in compassion fatigue, job burnout, and traumatic stress among nurses. For compassion fatigue, four studies involving 296 nurses contributed to the pooled analysis, with mindfulness\u2010based interventions associated with significantly lower compassion fatigue scores (standardized mean differences (SMD) = \u22121.11, 95% confidence intervals (CI) \u22121.94 to \u22120.28,\n p<\/jats:italic>\n = 0.009;\n I<\/jats:italic>\n 2<\/jats:sup>\n = 91%). For job burnout, six studies involving 518 nurses showed a significant reduction in burnout scores (SMD = \u22120.89, 95% CI \u22121.27 to \u22120.51,\n p<\/jats:italic>\n < 0.00001;\n I<\/jats:italic>\n 2<\/jats:sup>\n = 76%). For traumatic stress, three studies involving 222 nurses showed a significant reduction in traumatic stress scores (SMD = \u22120.99, 95% CI \u22121.27 to \u22120.71,\n p<\/jats:italic>\n < 0.00001;\n I<\/jats:italic>\n 2<\/jats:sup>\n = 0%). Because fewer than ten studies contributed to each pooled analysis, publication bias could not be reliably assessed.\n <\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Mindfulness\u2010based interventions appear to alleviate compassion fatigue, job burnout, and traumatic stress among nurses. However, these findings should be interpreted cautiously because of the limited number of available trials, methodological concerns, and variability in intervention protocols and outcome measures.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Mindfulness\u2010based interventions may represent a promising supportive approach for improving nurses\u2019 psychological well\u2010being. Nevertheless, current evidence remains insufficient to support routine implementation as an independent workforce intervention, and further high\u2010quality multicenter randomized controlled trials are required.<\/jats:p>\n <\/jats:sec>\n \n Implications for Nursing<\/jats:title>\n Mindfulness\u2010based interventions may be considered as an optional component of broader occupational well\u2010being strategies, with implementation adapted to local clinical contexts and combined with organizational approaches addressing workload, staffing, workplace conditions, and access to psychological support.<\/jats:p>\n <\/jats:sec>\n \n Implications for Nursing Policy<\/jats:title>\n Healthcare administrators and nursing policy\u2010makers may consider supporting evidence\u2010based psychological interventions, including mindfulness\u2010based approaches, as part of comprehensive workforce well\u2010being programs. Such strategies should complement, rather than replace, system\u2010level interventions addressing structural contributors to occupational stress.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/inr.70245","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T14:26:12Z","timestamp":1789482372000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mindfulness\u2010Based Interventions for Nurses: A Meta\u2010Analysis of Effects on Compassion Fatigue, Job Burnout, and Traumatic Stress"],"prefix":"10.1111","volume":"73","author":[{"given":"Chao","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Neurosurgery The First Affiliated Hospital of Soochow University Suzhou Jiangsu Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9882-9485","authenticated-orcid":false,"given":"Lan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing The First Affiliated Hospital, Zhejiang University School of Medicine Hangzhou Zhejiang Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaowei","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Nursing The First Affiliated Hospital, Zhejiang University School of Medicine Hangzhou Zhejiang Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,15]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010025\u201003507\u2010w"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.70002"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/ebnurs\u20102024\u2010104123"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2025260"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/NAQ.0000000000000636"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2024.0244"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3928\/02793695\u201020250506\u201002"},{"issue":"29","key":"e_1_2_10_9_1","first-page":"157","article-title":"Effect of Mindfulness Decompression Therapy on Professional Identity of Psychiatric Nurses","volume":"31","author":"Feng S.","year":"2024","journal-title":"Chinese Contemporary Medicine"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/08980101231186033"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnc.2025.01.002"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/10783903251341548"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.70111"},{"issue":"10","key":"e_1_2_10_14_1","first-page":"190","article-title":"Effect of Mindfulness Decompression Therapy on Life Satisfaction of Operating Room Nurses","volume":"22","author":"He Y.","year":"2022","journal-title":"Nursing of Integrated Traditional Chinese and Western Medicine"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16725"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/NSG.0000000000000239"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.3934\/publichealth.2025007"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNA.0000000000001463"},{"issue":"7","key":"e_1_2_10_19_1","first-page":"19","article-title":"Clinical Intervention of Mindfulness Cognitive Therapy on Psychological Stress in Nurses","volume":"19","author":"Liu R.","year":"2024","journal-title":"Psychological Monthly"},{"issue":"23","key":"e_1_2_10_20_1","first-page":"4","article-title":"Effect of Mindfulness Decompression Therapy on Empathy Fatigue in Psychiatric Nurses","volume":"24","author":"Luo J.","year":"2018","journal-title":"Qilu Nursing Journal"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1155\/jonm\/3793927"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/15271544251317506"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191811441"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16265"},{"issue":"9","key":"e_1_2_10_26_1","first-page":"534","article-title":"Evaluating the Effectiveness of a Brief Mindful Self\u2010Care and Resiliency (MSCR) Intervention for Nurses: A Controlled Trial","volume":"31","author":"Slatyer S.","year":"2017","journal-title":"Mindfulness"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2024.05.034"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2024.06.026"},{"issue":"9","key":"e_1_2_10_29_1","first-page":"1231","article-title":"Intervention Study of Mindfulness Decompression Therapy Combined With Magnetic Care on Nurses in Intensive Care Unit","volume":"32","author":"Wang R.","year":"2021","journal-title":"Jiangsu Health Management"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCC.0000000000000692"},{"issue":"1","key":"e_1_2_10_31_1","first-page":"4","article-title":"Effect of Mindfulness Therapy on Empathy Fatigue Among Oncology Nurses","volume":"36","author":"Zhao C.","year":"2020","journal-title":"Journal of Changchun University of Traditional Chinese Medicine"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0329270"}],"container-title":["International Nursing Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/inr.70245","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/inr.70245","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/inr.70245","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T21:23:28Z","timestamp":1790371408000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/inr.70245"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":31,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/inr.70245"],"URL":"https:\/\/doi.org\/10.1111\/inr.70245","archive":["Portico"],"relation":{},"ISSN":["0020-8132","1466-7657"],"issn-type":[{"value":"0020-8132","type":"print"},{"value":"1466-7657","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2025-09-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-31","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70245"}}