{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T08:49:23Z","timestamp":1790239763806,"version":"4.1.0"},"reference-count":46,"publisher":"AACN Publishing","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Patients hospitalized with life-threatening conditions experience psychological stressors that can lead to anxiety and poor patient outcomes. Mindfulness stress reduction interventions have been shown to decrease stress and anxiety with sustained effect.<\/jats:p><\/jats:sec><jats:sec><jats:title>Local Problem<\/jats:title><jats:p>In a single center\u2019s cardiac care units, only pharmacological stress reduction options were embedded in the daily care plan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This project evaluated the feasibility and effect of a brief mindfulness intervention on stress, anxiety, and resilience in 20 hospitalized patients with advanced heart failure awaiting transplant. A 1-group, pretest-posttest design over a 4-week period was used. The intervention included a one-on-one mindfulness education session and a 12-minute audio-guided tablet computer app for daily self-practice. Outcome variables measured at baseline and 2 and 4 weeks after implementation included stress (10-item Perceived Stress Scale), anxiety (7-item Generalized Anxiety Disorder instrument), and resilience (10-item Connor-Davidson Resilience Scale). Statistical analysis included descriptive statistics and repeated-measures analysis of variance with Friedman tests, Bonferroni post hoc tests, and Wilcoxon matched-pairs tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant reductions in stress and anxiety and increase in resilience occurred from baseline to 2 weeks and 4 weeks after intervention (all P = .001). Feasibility and acceptability were evident from patient experience survey data and focused interview responses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A brief mindfulness intervention holds promise for improving stress, anxiety, and resilience for patients with advanced heart failure awaiting transplant. Nurse-led stress reduction interventions are imperative for best patient outcomes. An evidence-based intervention of mindfulness practice embedded into daily usual patient care may be a feasible option.<\/jats:p><\/jats:sec>","DOI":"10.4037\/ccn2023411","type":"journal-article","created":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:06:40Z","timestamp":1680307600000},"page":"15-25","source":"Crossref","is-referenced-by-count":8,"title":["App-Based Mindfulness Intervention to Improve Psychological Outcomes in Pretransplant Patients With Heart Failure"],"prefix":"10.4037","volume":"43","author":[{"given":"Elizabeth","family":"Vandenbogaart","sequence":"first","affiliation":[{"name":"Elizabeth Vandenbogaart is an acute care nurse practitioner on the University of California, Los Angeles (UCLA) Advanced Heart Failure Transplant Team and a guest lecturer and clinical preceptor at the UCLA, School of Nursing, Los Angeles, California."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Gawlinski","sequence":"additional","affiliation":[{"name":"Anna Gawlinski is a professor emerita at the UCLA School of Nursing."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen A.","family":"Grimley","sequence":"additional","affiliation":[{"name":"Karen A. Grimley is Assistant Dean for the UCLA School of Nursing."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Ann","family":"Lewis","sequence":"additional","affiliation":[{"name":"Mary Ann Lewis is a professor emerita at the UCLA School of Nursing."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Pavlish","sequence":"additional","affiliation":[{"name":"Carol Pavlish is a professor emerita at the UCLA School of Nursing."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2471","reference":[{"key":"2023040100063647800_","unstructured":"Fudim\u2008M . The future of the adult heart allocation system in the United States. American College of Cardiology. February\u20089, 2017. 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