Holistic Nursing in Practice: Mindfulness-Based Yoga as an Intervention to Manage Stress and Burnout

Kelly Hilcove, Catherine Marceau, Prachi Thekdi, Linda Larkey, Melanie A. Brewer, Kerry Jones

Research output: Contribution to journalArticlepeer-review

32 Scopus citations


Purpose: Effects of a mindfulness-based (MB) yoga practice on stress, burnout, and indicators of well-being among nurses and health care professionals (HCPs). Design: A randomized controlled trial, 80 HCPs assigned to either MB yoga intervention or control group. Method: The MB yoga intervention group (n = 41) attended weekly yoga classes and practiced yoga independently. The control group (n = 39) did not receive the yoga intervention. Study participants completed pre- and postintervention questionnaires, instruments included (a) Perceived Stress Scale; (b) Maslach Burnout Inventory; (c) Vitality subscale of the Medical Outcomes Study Short Form–36; (d) Global Sleep Quality item, (e) Mindfulness Awareness Survey, and (f) subscale of the Brief Serenity Scale. Diurnal salivary cortisol and blood pressure were assessed pre and postintervention. Results: Significant improvements (p <.01) noted in MB yoga compared with control for self-reported factors, including stress (Perceived Stress Scale), burnout (Maslach Burnout Inventory), vitality (Medical Outcomes Study Short Form–36), sleep (GSQ), serenity/inner haven (IH), and mindfulness (Mindfulness Awareness Survey). Diurnal cortisol slopes and blood pressure were not significantly improved. Conclusion: The MB yoga intervention had a statistically significant effect on the health and well-being of nurses and HCPs, most specifically for measures of stress; perceived stress, burnout, vitality, sleep quality, serenity, and mindfulness.

Original languageEnglish (US)
Pages (from-to)29-42
Number of pages14
JournalJournal of Holistic Nursing
Issue number1
StatePublished - Mar 2021


  • common themes
  • common themes
  • group/population
  • group/population
  • healing modalities
  • healing modalities
  • healing modalities
  • integrative/holistic
  • meditation/mindfulness
  • nurses (advanced practice)
  • nurses (basic)
  • stress and coping
  • stress management/relaxation
  • theories
  • yoga

ASJC Scopus subject areas

  • Nursing (miscellaneous)


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