The Effect of Mindfulness Meditation on Nursing Students’ Stress and Anxiety Levels
Abstract
Nursing students often face significant stress and anxiety, impacting their cognitive function, academic performance, and clinical skills. Effective interventions to support their mental health are needed. This study investigates the effect of an eight-week mindfulness meditation course on stress and anxiety levels of nursing students during clinical placements. Conducted from February to May 2024 at nursing schools in Surakarta, Indonesia, the quasi-experimental study included 35 students who attended weekly 50-minute mindfulness sessions. The Five Facet Mindfulness Questionnaire (FFMQ), Zung Self-Rating Anxiety Scale (Zung-SARS), and Beck Depression Inventory (BDI) were administered at baseline (T0), post-intervention (T1), and four weeks post-intervention (T2). Results showed significant improvements in mindfulness, with FFMQ scores increasing by 11.43 from T0 to T1 (p < 0.001) and by 10.86 from T0 to T2 (p < 0.001). Anxiety and depression levels significantly decreased, with Zung-SARS scores dropping by -6.89 from T0 to T1 (p < 0.001) and -7.08 from T0 to T2 (p < 0.001), and BDI scores decreasing by -5.89 from T0 to T1 (p < 0.001) and -5.86 from T0 to T2 (p < 0.001). The study suggests mindfulness meditation can significantly enhance mental health among nursing students.
References
Ariani, T. A., Anna, A., Rahayu, H. T., Aini, N., Windarwati, H. D., Hernawaty, T., Mudiyanselage, S. P. K., & Lin, M.-F. (2023). Psychometric testing of the indonesian version of beck depression inventory-ii among Indonesian floods survivors. Jurnal Ners, 18(3), 264–273. https://doi.org/10.20473/jn.v18i3.47313
Boman, L. E., Stark, Å. J., Georg, C., & Silén, C. (2022). The extraordinary makes the ordinary visible - nursing students’ experiences of their learning in clinical practice during COVID-19: A qualitative study. BMC Medical Education, 22(1), 735. https://doi.org/10.1186/s12909-022-03796-8
Bsharat, F. (2023). Stress and Resilience of Nursing Students in Clinical Training During the COVID-19 Pandemic: Palestinian Perspective. SAGE Open Nursing, 9, 23779608231201051. https://doi.org/10.1177/23779608231201051
Chen, X., Zhang, B., Jin, S.-X., Quan, Y.-X., Zhang, X.-W., & Cui, X.-S. (2021). The effects of mindfulness-based interventions on nursing students: A meta-analysis. Nurse Education Today, 98, 104718. https://doi.org/10.1016/j.nedt.2020.104718
Conversano, C., Orrù, G., Pozza, A., Miccoli, M., Ciacchini, R., Marchi, L., & Gemignani, A. (2021). Is Mindfulness-Based Stress Reduction Effective for People with Hypertension? A Systematic Review and Meta-Analysis of 30 Years of Evidence. International Journal of Environmental Research and Public Health, 18(6), 2882. https://doi.org/10.3390/ijerph18062882
Coster, S., Gould, R. L., Coulson, M., & Norman, I. J. (2020). An online mindfulness intervention to enhance compassion in nursing practice: A feasibility and acceptability study with nursing students. International Journal of Nursing Studies Advances, 2, 100004. https://doi.org/10.1016/j.ijnsa.2020.100004
Fourianalistyawati, E., Listiyandini, R. A., Sahidah, T., & Grasiaswaty, N. (2023). Measuring mindfulness in one minute or less: A 10-item short version of the Five Facet Mindfulness Questionnaire (FFMQ) for Indonesian population. 11.
Galletta, M., Portoghese, I., Gonzales, C. I. A., Melis, P., Marcias, G., Campagna, M., Minerba, L., & Sardu, C. (2017). Lack of respect, role uncertainty and satisfaction with clinical practice among nursing students: The moderating role of supportive staff.
Garmaise-Yee, J. S., & LeBlanc, R. G. (2022). Reducing Stress and Increasing Mindfulness in Nursing Students: An Online Mindfulness Intervention Study. Nursing Education Perspectives, 43(6), 375–377. https://doi.org/10.1097/01.NEP.0000000000000887
González-García, M., Lana, A., Zurrón-Madera, P., Valcárcel-Álvarez, Y., & Fernández-Feito, A. (2020). Nursing Students’ Experiences of Clinical Practices in Emergency and Intensive Care Units. International Journal of Environmental Research and Public Health, 17(16), 5686. https://doi.org/10.3390/ijerph17165686
Irawan Am, A., Janmabhumi, A., Wulandari, Z. A., Putri, A. P., & Santoso, A. P. A. (2023). Effect Of Mindfulness Based Cognitive Therapy (MBCT) on Anxiety and Blood Pressure for Hypertension: A scoping review. Citra Delima Scientific Journal of Citra Internasional Institute, 7(2), 120–127. https://doi.org/10.33862/citradelima.v7i2.379
Irawan AM, A., Janmabhumi, A., Wulandari, Z. A., Santoso, A. P. A., & Putri, A. P. (2023). A Delphi Consensus of Mindfulness-Based Cognitive Therapy for managing anxiety and blood pressure in hypertensive patient. 6(5).
Karo, M. Br., Ance Siallagan, & Bina Borta Pandiangan. (2022). The Mindfulness Meditation Effect on Anxiety in nursing Students level II of nursing study Program STIKes Santa Elisabeth Medan 2022. Science Midwifery, 10(3), 2017–2021. https://doi.org/10.35335/midwifery.v10i3.602
Labrague, L. J. (2024). Umbrella Review: Stress Levels, Sources of Stress, and Coping Mechanisms among Student Nurses. Nursing Reports, 14(1), 362–375. https://doi.org/10.3390/nursrep14010028
Li, J., Cai, Z., Li, X., Du, R., Shi, Z., Hua, Q., Zhang, M., Zhu, C., Zhang, L., & Zhan, X. (2021). Mindfulness-based therapy versus cognitive behavioral therapy for people with anxiety symptoms: A systematic review and meta-analysis of random controlled trials. Annals of Palliative Medicine, 10(7), 7596–7612. https://doi.org/10.21037/apm-21-1212
Liu, Y.-L., Lee, C.-H., & Wu, L.-M. (2024). A mindfulness-based intervention improves perceived stress and mindfulness in university nursing students: A quasi-experimental study. Scientific Reports, 14(1), 13220. https://doi.org/10.1038/s41598-024-64183-5
Mahaswari, N. P. M. T. B. G., Jayanti, K. A. M., Syachran, P. A. A., & Sulistiowati, N. M. D. (2023). Mental Health Status of Undergraduate Nursing Students in Facing Professional Nursing Practices. Caring: Indonesian Journal of Nursing Science, 5(2), 133–139. https://doi.org/10.32734/ijns.v5i2.14305
McVeigh, C., Ace, L., Ski, C. F., Carswell, C., Burton, S., Rej, S., & Noble, H. (2021). Mindfulness-Based Interventions for Undergraduate Nursing Students in a University Setting: A Narrative Review. Healthcare, 9(11), 1493. https://doi.org/10.3390/healthcare9111493
Pearce, R., Topping, A., & Willis, C. (2022). Enhancing healthcare students’ clinical placement experiences. Nursing Standard, 37(5), 29–34. https://doi.org/10.7748/ns.2022.e11887
Rantung, J., & Tambunan, E. H. (2023). A PHENOMENOLOGICAL STUDY OF NURSING STUDENTS’ EXPERIENCE IN CLINICAL PRACTICE WHEN THE POST COVID-19 ERA.
Rowland, E., & Trueman, H. (2024). Improving healthcare student experience of clinical placements. BMJ Open Quality, 13(1), e002504. https://doi.org/10.1136/bmjoq-2023-002504
Setyowati, A., Chung, M.-H., & Yusuf, Ah. (2019). Development of self-report assessment tool for anxiety among adolescents: Indonesian version of the Zung self-rating anxiety scale. Journal of Public Health in Africa. https://doi.org/10.4081/jphia.2019.1172
Zhang, D., Lee, E. K. P., Mak, E. C. W., Ho, C. Y., & Wong, S. Y. S. (2021). Mindfulness-based interventions: An overall review. British Medical Bulletin, 138(1), 41–57. https://doi.org/10.1093/bmb/ldab005
Zheng, Y., Jiao, J.-R., & Hao, W.-N. (2022). Prevalence of stress among nursing students: A protocol for systematic review and meta-analysis. Medicine, 101(31), e29293. https://doi.org/10.1097/MD.0000000000029293
Zulu, B. M., Du Plessis, E., & Koen, M. P. (2021). Experiences of nursing students regarding clinical placement and support in primary healthcare clinics: Strengthening resilience. Health SA Gesondheid, 26. https://doi.org/10.4102/hsag.v26i0.1615
Copyright (c) 2025 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.