MBI in Generation Z Nursing Students During Clinical Practicum (MBI)

April 9, 2026 updated by: Chien Chih-Yin, National Taipei University of Nursing and Health Sciences

The Effectiveness of a Mindfulness-Based Intervention in Mental Health, Anxiety, Depression, Stress and Resilience in Generation Z Nursing Students During Clinical Practicum

This study is a randomized clinical trial design. The research subjects were the internship nursing students in the nursing department of a nursing school in the northern Taiwan.

The experimental group received mindfulness-based stress reduction intervention, while the control group received routine care with weekly line care messages from class instructors. Both groups took the post-test before the internship (T0), during the internship (T1), after the internship (T2), and one month after the internship (T3), a total of 4 times. The contents include psychological well-being scale; anxiety, depression, stress scale and mental scale.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Students need to learn a lot of new medical knowledge and skills during clinical internships, which requires time and effort. However, this kind of learning pressure may put a considerable burden on nursing students, especially anxiety, depression, and stress. Through effective coping strategies, students can improve their confidence in facing clinical situations.

Mindfulness-based stress reduction is a stress-reduction method based on mindfulness meditation. It can relieve the physical and mental stress and anxiety of high-stress people, improve sleep quality, chronic fatigue, and enhance concentration.

The purpose of this study is to explore the effectiveness of mindfulness-based stress reduction intervention on anxiety, depression, and stress in clinical practice of nursing students.

This study adopted a randomized clinical experimental research design. Nursing students from a fifth-level college in the north were selected as the research subjects. A total of 80 people were recruited. Nursing intern students who were willing to participate in the study were randomly assigned and divided into an experimental group of 40 people and a control group. 40 people, the experimental group participated in the mindfulness-based stress reduction course for 8 weeks. The mindfulness-based stress reduction course was led by a certified mindfulness-based stress reduction teacher, once a week, 2 hours each time, for 8 consecutive weeks; the students in the control group received weekly line care messages from the class instructor. Research tools include the General Health Status Scale, Anxiety and Depression Stress Scale, and Mental Resilience Scale. The data were analyzed using SPSS20.0 for Windows.

Study Type

Interventional

Enrollment (Actual)

39

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Taiwan
      • Taipei, Taiwan
        • MacKay Junior College of Medicine, Nursing and Management

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • (1) Nursing students during clinical practicum (2) Clear consciousness.

Exclusion Criteria:

-(1) Students diagnosed with schizophrenia, anxiety, depression or affective psychosis.

(2)Taking anti-anxiety medicine treatment or anti-depressant medicine treatment.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Mindfulness-Based Intervention in Generation Z Nursing Students During Clinical Practicum
The experimental group received mindfulness-based stress reduction intervention for 8 weeks.
Behavioral: Mindfulness-Based Intervention
Mindfulness-based stress reduction interventions include: breathing awareness, loving-kindness meditation, body scan, walking meditation, sitting body awareness, eating meditation, and deep breathing exercises.
Other Names:
  • line care messages
No Intervention: line care messages in Generation Z Nursing Students During Clinical Practicum
The control group received line care messages weekly from instructors during clinical practicum.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Mental Health
Time Frame: Pre-intervention(T0)、Two week after clinical practium begins (T1)、Four week after clinical practium begins(T2)、Two months after clinical practium(T3)
Psychological Well-Being Scale (PWBS-18) : Ryff & Keyes (1995) proposed that happiness is not only a happy psychological experience, but also a perfect and true performance through one's own efforts. The original scale has 6 facets and 25 questions.
Pre-intervention(T0)、Two week after clinical practium begins (T1)、Four week after clinical practium begins(T2)、Two months after clinical practium(T3)
Anxiety, Depression, Stress
Time Frame: Pre-intervention(T0)、Two week after clinical practium begins (T1)、Four week after clinical practium begins(T2)、Two months after clinical practium(T3)
Depression, Anxiety and Stress Scale - 21 Items (DASS-21)：Developed by scholars at the University of New South Wales in Australia in 1995, it is an internationally authoritative psychological stress assessment tool. It uses a short version of 21 questions to assess common depressive emotions such as depression, anxiety, and stress. There are 21 questions in total, which combine subjective The degree of various induced emotional states is used as an evaluation index, using a 4-point scale, where 1 means not consistent, 2 means sometimes consistent, 3 means usually consistent, and 4 means always consistent.
Pre-intervention(T0)、Two week after clinical practium begins (T1)、Four week after clinical practium begins(T2)、Two months after clinical practium(T3)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Resilience
Time Frame: Pre-intervention(T0)、Two week after clinical practium begins (T1)、Four week after clinical practium begins(T2)、Two months after clinical practium(T3)
Resilience Scale (RS)：The Resilience Scale of Wagnild and Young (1993) focuses on measuring the resilience of individuals at the psychological level, using a seven-point Likert scale with a total of 25 questions.
Pre-intervention(T0)、Two week after clinical practium begins (T1)、Four week after clinical practium begins(T2)、Two months after clinical practium(T3)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

National Taipei University of Nursing and Health Sciences

Investigators

  • Study Chair: Chih-yin Chien, master, MacKay Junior College of Medicine, Nursing and Management

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

September 1, 2024

Primary Completion (Actual)

May 12, 2025

Study Completion (Actual)

September 8, 2025

Study Registration Dates

First Submitted

April 23, 2024

First Submitted That Met QC Criteria

April 26, 2024

First Posted (Actual)

April 30, 2024

Study Record Updates

Last Update Posted (Actual)

April 13, 2026

Last Update Submitted That Met QC Criteria

April 9, 2026

Last Verified

April 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • MKC-24MMHIS148e

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

This study is unwilling to share research data because of confidentiality, privacy protection, legal restrictions, or terms of funding. Additionally, the inability to handle shared data requires additional time and resources to process and manage

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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