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Intervention Effects of the MINDBODYSTRONG Cognitive Behavioral Skills Building Program on Newly Licensed Registered Nurses' Mental Health, Healthy Lifestyle Behaviors, and Job Satisfaction

Sampson, Marlene PhD, MSN-Ed, RN; Melnyk, Bernadette M. PhD, RN, FAANP, FNAP, FAAN; Hoying, Jacqueline PhD, RN

JONA: The Journal of Nursing Administration: October 2019 - Volume 49 - Issue 10 - p 487–495
doi: 10.1097/NNA.0000000000000792

OBJECTIVE The purpose of this study was to evaluate the effects of the MINDBODYSTRONG for Healthcare Professionals Program on stress, anxiety, depressive symptoms, healthy lifestyle behaviors, and job satisfaction on newly licensed RNs (NLRNs) participating in a nurse residency program.

BACKGROUND The constellation of burnout, depression, and suicide in clinicians is a public health epidemic that affects the quality and safety of healthcare. The National Academy of Medicine's Action Collaborative on Clinician Well-being and Resilience has called for an increase in evidence-based interventions to combat this alarming problem. The MINDBODYSTRONG Program is a novel adaptation of an evidence-based cognitive behavioral skills–building intervention that provides a theory-based approach to improve the mental health, healthy lifestyle beliefs and behaviors, and job satisfaction of NLRNs.

METHODS A 2-group, cluster randomized controlled trial was used with 89 new nurses participating in a new-graduate nurse residency program. The experimental intervention, MINDBODYSTRONG, consisted of 8 manualized weekly 45-minute sessions. Data were collected at baseline, immediately following, and 3 months after intervention that measured stress, depressive symptoms, anxiety, healthy lifestyle beliefs and behaviors, and job satisfaction. Repeated-measures analysis of variance was used for data analysis.

RESULTS The intervention group scored significantly better with moderate to large positive effects on the mental health variables as well as healthy lifestyle beliefs and healthy lifestyle behaviors at both follow-up time points compared with the attention control group. Moderate to large positive effects also were found for job satisfaction.

CONCLUSIONS The MINDBODYSTRONG Program has excellent potential as an evidence-based intervention for improving the mental health, healthy lifestyle beliefs and behaviors, and job satisfaction, in NLRNs.

Author Affiliations: Associate Director, Nursing Education, and Director, Buckeye Nurse Residency Program (Dr Sampson), The Ohio State University Wexner Medical Center; Vice President for Health Promotion, The Ohio State University Chief Wellness Officer, Dean and Professor, The Ohio State University College of Nursing, Professor of Pediatrics and Psychiatry, The Ohio State College of Medicine, Executive Director, the Helene Fuld Health Trust National Institute for EBP (Dr Melnyk); Assistant Professor of Clinical Practice Director, MINDSTRONG Program, Director Consumer Core Helene Fuld Health Institute for Evidence Based Practice (Dr Hoying), The Ohio State University College of Nursing, Columbus.

The authors declare no conflicts of interest.

Correspondence: Dr Sampson, The Ohio State University Wexner Medical Center, 600 Ackerman Rd, Suite 2017E, Columbus, OH 43202 (

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