A comparative study of well-being, resilience, mindfulness, negative emotions, stress, and burnout among nurses after an online mind–body based intervention during the first COVID-19 pandemic crisis

Ana Carla Cepeda-Lopez*, Leticia Solís Domínguez, Sofía Villarreal Zambrano, Iris Y. Garza-Rodriguez, Alejandra Cortes del Valle, Angélica Quiroga-Garza

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Background: To mitigate against the possible adverse effects of stress among nurses due to the COVID-19 outbreak, we designed a 12-week mind–body based online intervention program to promote well-being and prevent stress-related disorders such as burnout. Our study aimed to compare the impact of the intervention on perception of stress, negative emotions, burnout, mindfulness, resilience, and well-being at pretest and 6 months post-intervention and to compare the effect among nurses working at two different hospitals. Methods: We conducted an uncontrolled trial using a convenience sample of nurses working at two hospitals in Mexico: one designated to treat confirmed COVID-19 patients (COVID-hospital) and the other whose patients had a negative COVID-19 test on admission (Non COVID-hospital). The 12 week online intervention consisted of 36 mind–body based micropractices, with subjective well-being as the primary outcome. Secondary outcomes were health perception, resilience, mindfulness, negative emotions, stress, and burnout. Results: A pretest survey was completed by 643 nurses. Of the remaining valid responses, 82% were women, with a mean age of 34.8 (SD = 8.95) years old. For the analysis two groups of nurses were sampled by cluster: a COVID-hospital group of 429 (67%) nurses, and a non-COVID Hospital group of 214 (33%) nurses. The proportion lost to follow-up was 71% at postest (n = 188) and 42% at 6 months follow-up (n = 371). At pretest, non-COVID hospital nurses had lower subjective well-being and higher burnout than their COVID hospital counterparts. At postest, non-COVID hospital nurses displayed more negative emotions than their COVID hospital peers. At 6 months post-intervention, nurses experienced improved mindfulness, reduced negative emotions and stress, but a decrease in subjective well-being and resilience. Nurses working at the non-COVID hospital had significantly higher mean scores for burnout than those working at the COVID hospital. Conclusion: The results of our study suggest that our online mind–body interventions can help to reduce stress and negative emotions, yet the effects on subjective well-being and resilience are uncertain. Further research is needed to gain a better understanding of their potential mechanisms and the associated efforts of such online interventions. Clinical Trial Registration: ClinicalTrials.gov, NCT05515172.

Original languageEnglish
Article number848637
Pages (from-to)848637
JournalFrontiers in Psychology
Publication statusPublished - 2023

Bibliographical note

Funding Information:
We thank all the study participants for taking the time to answer the questionnaires and participating in the online mind–body based intervention; the nurse department for their support in coordinating the study and the expert volunteers in mind–body techniques: Patricia Montemayor, Claudia Treviño, Graciela Maldonado, Inés Andina, Melva Vela, Rossana De La Garza, and Silvia Fernández for their time in the design and implementation of the intervention. Finally, we thank TecSalud for allowing us to carry out the intervention and collect data at the three time points.

Publisher Copyright:
Copyright © 2023 Cepeda-Lopez, Solís Domínguez, Villarreal Zambrano, Garza-Rodriguez, del Valle and Quiroga-Garza.

All Science Journal Classification (ASJC) codes

  • General Psychology


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