Being present: Examining the efficacy of an Internet Mantram Program on RN-delivered patient-centered care

Nurs Outlook. 2021 Mar-Apr;69(2):136-146. doi: 10.1016/j.outlook.2021.01.001. Epub 2021 Feb 8.


Background: The COVID-19 pandemic highlighted nurses' compassionate presence during stressful conditions. Strategies to reduce workplace stress are needed.

Purpose: The purpose of this study was to evaluate a stress reduction strategy, an Internet-based Mantram Repetition Program (MRP), for nurses caring for hospitalized Veterans.

Methods: A one group pre-/post-test design was used to assess change in nurses' perceived outcomes after participating in the MRP. A post-test-only design was used to assess hospitalized Veterans' perceptions of nursing presence and satisfaction with care. Qualitative interviews were used to supplement quantitative data.

Findings: Patients perceived high levels of presence and satisfaction with care. Post MRP, nurses perceived increased mindfulness, compassion satisfaction, spiritual well-being, and nursing presence. Increased mindfulness was associated with greater compassion satisfaction and less burnout.

Discussion: For nurses working on the front lines of patient care, the potential for experiencing stress and burnout is a reality. Participating in a MRP could lessen these effects and facilitate nursing presence.

Keywords: Burnout; Job satisfaction; Mantram Repetition Program; Nursing presence; Patient-centered care; Veterans health.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Burnout, Professional / prevention & control
  • COVID-19
  • Empathy
  • Female
  • Humans
  • Internet-Based Intervention*
  • Job Satisfaction
  • Male
  • Middle Aged
  • Mindfulness
  • Nurse-Patient Relations*
  • Nursing Evaluation Research
  • Nursing Staff, Hospital / psychology*
  • Nursing Staff, Hospital / statistics & numerical data
  • Occupational Stress / prevention & control*
  • Patient Satisfaction / statistics & numerical data
  • Patient-Centered Care / organization & administration*
  • Qualitative Research
  • Spiritual Therapies*
  • Veterans / psychology
  • Young Adult