Internet interventions · 2026
From burnout to resilience: A clinician-codesigned digital mindfulness intervention for nurses and resident physicians.
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Antico Lia, Giannopoulos Angelo, Neves Vinicius Vieira, Mader Daniel, Demerly Sarah, Brewer Judson A
Аннотация
OBJECTIVE: Burnout is a persistent issue among healthcare professionals, impairing both patient care and provider well-being. This pilot feasibility study evaluated the preliminary effects of a brief, mobile app-based mindfulness training (MT) program, developed using a user-centered design approach, in reducing burnout and improving psychological outcomes among registered nurses and resident physicians.
METHODS: Two single-arm pilot trials were conducted. Participants completed the digital MT intervention and online assessments at pre-intervention, post-intervention, and one-month follow-up. Study 1 included 27 registered nurses; Study 2 included 29 resident physicians. While the intervention consisted of seven digital modules, the average completion time was 28 days (SD = 15) for nurses and 30 days (SD = 16) for residents, reflecting a self-paced delivery model. The primary outcome was cynicism, with secondary outcomes including emotional exhaustion, anxiety, depression, intolerance of uncertainty, self-compassion, nonreactivity, non-judgment, worry, sleep disturbances, and emotion regulation difficulties.
RESULTS: Among nurses, significant reductions were associated with participation for cynicism (27%) and emotional exhaustion (28%), with decreased scores maintained at follow-up. Additional post-intervention improvements included reduced anxiety (46%), depression (52%), worry (7%), sleep disturbances (16%), and emotion regulation difficulties (11%). Increases were also found in self-compassion (13%), nonreactivity (8%), and non-judgment (9%). Among residents, significant reductions in cynicism did not persist after correction for multiple comparisons. However, residents showed significant reductions in emotional exhaustion (19%), anxiety (32%), intolerance of uncertainty (14%), emotion regulation difficulties (13%) and sleep disturbances (15%) at follow-up as well as early increases in self-compassion (21%) and nonreactivity (19%) and reduction in worry (13%). Emotional exhaustion and anxiety were consistently correlated across time points in both groups.
CONCLUSIONS: These findings replicate and extend previous evidence among physicians, supporting the feasibility and preliminary benefits of brief and self-paced app-based mindfulness training (MT) in addressing burnout and anxiety among both nurses and residents. These pilot results provide a basis for future randomized controlled trials to further evaluate the intervention's effectiveness.
METHODS: Two single-arm pilot trials were conducted. Participants completed the digital MT intervention and online assessments at pre-intervention, post-intervention, and one-month follow-up. Study 1 included 27 registered nurses; Study 2 included 29 resident physicians. While the intervention consisted of seven digital modules, the average completion time was 28 days (SD = 15) for nurses and 30 days (SD = 16) for residents, reflecting a self-paced delivery model. The primary outcome was cynicism, with secondary outcomes including emotional exhaustion, anxiety, depression, intolerance of uncertainty, self-compassion, nonreactivity, non-judgment, worry, sleep disturbances, and emotion regulation difficulties.
RESULTS: Among nurses, significant reductions were associated with participation for cynicism (27%) and emotional exhaustion (28%), with decreased scores maintained at follow-up. Additional post-intervention improvements included reduced anxiety (46%), depression (52%), worry (7%), sleep disturbances (16%), and emotion regulation difficulties (11%). Increases were also found in self-compassion (13%), nonreactivity (8%), and non-judgment (9%). Among residents, significant reductions in cynicism did not persist after correction for multiple comparisons. However, residents showed significant reductions in emotional exhaustion (19%), anxiety (32%), intolerance of uncertainty (14%), emotion regulation difficulties (13%) and sleep disturbances (15%) at follow-up as well as early increases in self-compassion (21%) and nonreactivity (19%) and reduction in worry (13%). Emotional exhaustion and anxiety were consistently correlated across time points in both groups.
CONCLUSIONS: These findings replicate and extend previous evidence among physicians, supporting the feasibility and preliminary benefits of brief and self-paced app-based mindfulness training (MT) in addressing burnout and anxiety among both nurses and residents. These pilot results provide a basis for future randomized controlled trials to further evaluate the intervention's effectiveness.