Mindfulness and narrative interventions show short-term promise for nurse leader well-being
A randomized trial of 157 US nurse leaders tested mindfulness, narrative, and combined interventions over 2 weeks. Well-being improved across all groups, but resilience gains faded by week 2.
Nurse leaders experience distinct occupational stressors that can erode both resilience and well-being. This randomized controlled trial enrolled 157 US nurse leaders and assigned them to three groups: mindfulness training, narrative intervention, or a combined approach.
All participants were measured at baseline, 1 week, and 2 weeks. Well-being scores improved significantly and consistently across all three intervention groups from baseline through the 2-week endpoint. Resilience scores, however, showed a different pattern: they rose from baseline to the 1-week assessment but then declined by week 2, returning toward baseline levels. The authors note that these are low-resource, feasible interventions—suggesting they could be delivered with minimal cost or time burden in busy healthcare settings. The main limitation is the short follow-up window; the study did not track whether gains persisted beyond 2 weeks or whether longer, reinforced interventions might sustain resilience improvements. The researchers conclude that while well-being signals appear robust over this short term, resilience benefits require longer or more intensive follow-up before organizations should adopt these approaches broadly.
The well-being improvements held across all three intervention types—mindfulness alone, narrative alone, and combined—suggesting that the benefit wasn't driven by one specific mechanism. This is encouraging because it hints that nurse leaders may respond to multiple pathways for stress recovery. The resilience decline by week 2, despite improved well-being, raises an intriguing question: resilience and well-being may operate on different timescales, or the interventions may build emotional resources first before shoring up adaptive coping. The researchers explicitly flagged this as a limitation requiring longer-term studies (4 weeks, 8 weeks, or beyond). One practical implication is that these low-friction interventions appear safe and feasible to roll out—no special equipment, no extensive training—but they may work best as part of an ongoing practice rather than a one-time dose.
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Open in Cadence →References
- Enhancing Resilience and Well-Being Among Nurse Leaders: A Randomized Controlled Trial of Mindfulness and Narrative Interventions. — The Journal of nursing administration (Read the original)
- Gianella E, Owens RA, Quinn Griffin MT, Fitzpatrick JJ. A mindfulness-based intervention: effects on psychiatric nurses’ well-being and burnout. J Amer Psych Nurses Assoc. 2025;31. doi:10.1177/1078390