Burnout Reduction Research Articles

The Development and Feasibility of a Novel Group Intervention to Support Helping Professionals in Metabolizing Suffering and Engaging Strengths: The CHRYSALIS Program

ABSTRACT This feasibility study reports on the development and initial evaluation of a novel online intervention for helping professionals (HPs; i.e. mental health professionals, chaplains, clergy) designed to (a) address occupational hazards, such as burnout and vicarious traumatization, and (b) promote well-being and flourishing at work. In contrast with competency and self-care focused models, the CHRYSALIS (Catalyzing Helping Professionals’ Resilience, VitalitY, Spirituality, Authentic Living, and Inner Strength) intervention centers the self of the provider, explores cultural and spiritual contexts, and attends to systemic challenges. As part of a larger randomized controlled trial evaluating two program formats, the group format entails eight online sessions exploring strengths that can promote well-being, including processing, relational, vitalizing, orienting, and agentic capacities. To pilot test this framework and establish proof of concept, this study analyzed data from 41 HPs who had been randomly assigned to the group condition and completed surveys at four time points. Quantitative results indicated significant reductions in vicarious traumatization and burnout as well as increased well-being and meaning in work. Qualitative results suggest the intervention fostered relational support, cultivated new perspectives, and increased engagement with strengths, positively impacting participants’ work and navigation of caregiving systems. Feedback about cohesion and group dynamic challenges in an online format informed further program development. This study provides initial support for the feasibility and efficacy of the group format of the CHRYSALIS intervention as a creative means to address HPs’ risk for occupational hazards and promote holistic formation in a relational context.

Can the Reboot coaching programme support critical care nurses in coping with stressful clinical events? A mixed-methods evaluation assessing resilience, burnout, depression and turnover intentions

BackgroundCritical care nurses (CCNs) are routinely exposed to highly stressful situations, and at high-risk of suffering from work-related stress and developing burnout. Thus, supporting CCN wellbeing is crucial. One approach for delivering this support is by preparing CCNs for situations they may encounter, drawing on evidence-based techniques to strengthen psychological coping strategies. The current study tailored a Resilience-boosting psychological coaching programme [Reboot] to CCNs. Other healthcare staff receiving Reboot have reported improvements in confidence in coping with stressful clinical events and increased psychological resilience. The current study tailored Reboot for online, remote delivery to CCNs (as it had not previously been delivered to nurses, or in remote format), to (1) assess the feasibility of delivering Reboot remotely, and to (2) provide a preliminary assessment of whether Reboot could increase resilience, confidence in coping with adverse events and burnout.MethodsA single-arm mixed-methods (questionnaires, interviews) before-after feasibility study design was used. Feasibility was measured via demand, recruitment, and retention (recruitment goal: 80 CCNs, retention goal: 70% of recruited CCNs). Potential efficacy was measured via questionnaires at five timepoints; measures included confidence in coping with adverse events (Confidence scale), Resilience (Brief Resilience Scale), depression (PHQ-9) and burnout (Oldenburg-Burnout-Inventory). Intention to leave (current role, nursing more generally) was measured post-intervention. Interviews were analysed using Reflexive Thematic Analysis.ResultsResults suggest that delivering Reboot remotely is feasible and acceptable. Seventy-seven nurses were recruited, 81% of whom completed the 8-week intervention. Thus, the retention rate was over 10% higher than the target. Regarding preliminary efficacy, follow-up measures showed significant increases in resilience, confidence in coping with adverse events and reductions in depression, burnout, and intention to leave. Qualitative analysis suggested that CCNs found the psychological techniques helpful and particularly valued practical exercises that could be translated into everyday practice.ConclusionThis study demonstrates the feasibility of remote delivery of Reboot and potential efficacy for CCNs. Results are limited due to the single-arm feasibility design; thus, a larger trial with a control group is needed.

Physician and Advanced Practice Clinician Burnout in Rural and Urban Settings.

Recruiting rural-practicing clinicians is a high priority. In this study, we explored burnout and contributing work conditions among rural, urban, and family practice physicians and advanced practice clinicians (APCs) in an Upper Midwestern health care system. The Mini Z burnout reduction measure was administered by anonymous electronic survey in March 2022. We conducted bivariate analyses of study variables, then assessed relationships of study variables to burnout with multivariate binary logistic regression. Of 1118 clinicians (63% response rate), 589 physicians and 496 APCs were included in this study (n = 1085). Most were female (56%), physicians (54%), and White (86%), while 21% were in family practice, 46% reported burnout, and 349 practiced rurally. Rural and urban clinician burnout rates were comparable (45% vs 47%). Part-time work protected against burnout for family practice and rural clinicians, but not urban clinicians. In multivariate models for rural clinicians, stress (OR: 8.53, 95% CI: 4.09 to 17.78, P < .001), lack of workload control (OR: 3.06, 95% CI: 1.47-6.36, P = .003), busy/chaotic environments (OR: 2.53, 95% CI: 1.29-4.99, P = .007), and intent to leave (OR: 2.18, 95% CI: 1.06-4.45, P = .033) increased burnout odds. In family practice clinicians, stress (OR: 13.43 95% CI: 4.90-36.79, P < .001) also significantly increased burnout odds. Burnout was comparable between rural and urban physicians and APCs. Part-time work was associated with decreased burnout in rural and family practice clinicians. Addressing burnout drivers (stress, workload control, chaos) may improve rural work environments, reduce turnover, and aid rural clinician recruitment. Addressing stress may be particularly impactful in family practice.

The Associations among Destructive Leadership, Job Demands and Resources, and Burnout among Nurses: A Cross-Sectional Survey Study

Background. Nurses demonstrate high burnout prevalence. Moreover, destructive leadership, as well as job demands and resources, are associated with burnout. However, these associations, particularly in the context of nursing, warrant further investigation. Objective. To explore the associations of destructive leadership, as well as job demands and resources, with burnout in registered nurses. Design. A cross-sectional survey. Participants. 2115 registered nurses in Finland. Methods. The self-administered questionnaire survey was distributed nationwide to 106,000 members of the Finnish trade union for health and social care professionals via an online newsletter in February 2023. Nurses’ burnout was measured with the Burnout Assessment Tool (BAT). The data were analysed through descriptive statistics and linear regression analysis. Results. Destructive leadership and job demands were positively associated with burnout (β = 0.39 and 0.32, respectively; both p&lt;0.001), whereas job resources and burnout were negatively associated (β = −0.41, p&lt;0.001). The associations of destructive leadership and job demands with burnout became less positive when job resources were added to the regression model (β = 0.21 and 0.14, respectively; both p&lt;0.001). Conclusions. Job resources led to the greatest reduction in burnout among registered nurses. Moreover, job resources reduced burnout by diminishing the negative effects of destructive leadership and job demands. Providing a sufficient amount of job resources might reduce burnout and diminish the negative effects of destructive leadership and job demands among nurses. These relationships warrant examination in other cultural settings.

Comparison of Mindfulness Practices for Effectiveness of Stress and Burnout Reduction in Healthcare Staff.

Purpose: The purpose of this study was to investigate the effectiveness of various mindfulness practices for reducing feelings of stress and burnout among healthcare staff. Study Design: This article contains the quantitative portion of a mixed-methods study. Methods: Healthcare workers (n = 48) were randomly assigned to one of three practices. Data were collected at three-time points (pre-intervention, mid-intervention, and three-weeks-post-intervention). Scores on the Perceived Stress Scale (PSS) and the Maslach Burnout Inventory for Human Services Survey (MBI-HSS) were recorded at each time point. Findings: Scores on the PSS reduced significantly (p < .05) across three time periods. Maslach Burnout Inventory for Human Services Survey EE subscale scores reduced significantly (p < .05) across three time periods. There was no significant difference between the intervention groups on PSS or MBI-HSS scores. Conclusions: All three mindfulness practices were effective in reducing perceived occupational stress and emotional exhaustion. There was no intervention that stood out from the others as the most effective in reducing scores on the PSS and MBI-HSS. This study demonstrated the effectiveness of mindfulness practices that are short in time and simple in implementation for relieving stress and burnout in healthcare staff.

Effectiveness of Resiliency and Recovery Program on Compassion Fatigue among Nursing Officers working in selected Hospitals in India.

The study objective was to evaluate the effectiveness of Resiliency and Recovery Program on Compassion Fatigue level of Nursing Officer from selected hospitals of Pune City (India). The study used a quasi-experimental approach involving single group pre-test and post-test design. 100 nursing officers, working in selected hospitals of Pune city, who were willing to participate were selected using non probability convenience sampling. The data was collected using The Professional Quality of Life Scale: Compassion Satisfaction and Fatigue (ProQoL) Version 5 of Stamm. The study included pre-test, resiliency and recovery program and post-test. Resiliency and Recovery Program is an intervention aiming to develop five resiliency skills or antibodies including (a) self-regulation, (b) perceptual maturation, (c) intentionality, (d) self-care and (e) connection and support. Statistically significant difference was revealed between the pre-test and post-test score means: Compassion Satisfaction (pre-test = 28.50 to post-test = 31.0; t-18.6671, p<0.001), Burn-out (pre-test = 35.2 to post-test = 31.7; t-15.00, p<0.001), and Secondary Traumatic Stress (pre-test = 37.4 to post-test = 33.07; t-14.8996, p<0.001). Resiliency and Recovery Program had a significant impact on Compassion Fatigue, leading to an increase in Compassion Satisfaction, and a reduction in Burnout and Secondary Traumatic Stress. Inculcating Resiliency skills in nursing officers can help them in reducing compassion fatigue and thus aids in health promotion.

DETERMINANTS AND CONSEQUENCES OF WORK-LIFE BALANCE

The work-life balance has become an important issue in the fast-paced and demanding work environment today. This study aims to analyze the determinants and consequences of work-life balance by examining the influence of working hours and job burnout on employee well-being, with the work-life balance as a mediating variable. It involved 100 active employees from the Local Government-Owned Water Utility of Pontianak City, chosen through a purposive sampling method. The data was collected using a questionnaire and analyzed using Structural Equation Modeling – Partial Least Square (SEM - PLS). The results reveal that the job burnout has a significant effect on both the work-life balance and employee well-being. However, the working hours does not have a significant effect on both the work-life balance and employee well-being. Additionally, the work-life balance has a significant effect on the employee well-being. Furthermore, this study confirms that the work-life balance is able to mediate the effect of job burnout on the employee well-being, but it is not able to mediate the effect of working hours on the employee well-being. These results provide managers and HR practitioners with insights into how to improve the employee well-being through effective working hours plans, job burnout reduction, and work-life balance programs.JEL:  I31, I39.

Exploring burnout among preschool teachers in rural China: a job demands-resources model perspective.

Rural preschool teachers are increasingly experiencing job burnout, which could lead to their intention to leave and negatively impact education quality. This research explored the prevalence of job burnout among preschool teachers in rural China. It further investigated the potential influence of job-related characteristics on their levels of burnout. This study surveyed 10,581 preschool teachers across 34 counties in 18 provinces in China, utilizing multilevel structural equation models to analyze the situation and factors influencing job burnout. The findings indicate that the situation regarding job burnout among preschool teachers is not encouraging, particularly in the western areas and independent public kindergartens. Job resources were found to be associated with a reduction in burnout, while job demands had the opposite effect. The findings also revealed that job demands served as a mediating variable between job resources and job burnout. Moreover, the results also showed that reduced job burnout among preschool teachers was related to teacher cooperation, decision making, kindergarten resources and salary. On the other hand, role commitments, business issues, and classroom management were associated with increased burnout among preschool teachers. Furthermore, the impact of demands and resources on burnout was found to be intensified by kindergarten variables. To address the issue of burnout, it is essential to recognize the diversity and heterogeneity of kindergartens and take specific measures to reduce work demands while providing adequate and specific resources. Attention should be given to diversity and integration to ensure a positive work environment that can effectively prevent job burnout among preschool teachers.

Team Mindfulness for Healthcare Burnout Reduction

Team Mindfulness for Healthcare Burnout Reduction

Artificial Intelligence in Healthcare: Perception and Reality.

Artificial intelligence (AI) has birthed the new "big thing" in modern medicine. It promises to bring about safer and improved care that will be beneficial to patientsand become a helpful tool in the hands of a skilled physician. Despite its anticipation, however, the implementation and usage of AI are still in their elementary phases, particularly due to legal and ethical considerations that border on "data."These challenges should not be brushed aside but rather be recognized and resolved to enable acceptance by all relevant stakeholders without prejudice. Once these challenges can be overcome, AI will truly revolutionize the field of medicine with improved diagnostic accuracy, a reduction in physician burnout, and an enhanced treatment modality. It is therefore paramount that AI be embraced by physicians and integrated into medical education in order to be well-prepared for our role in the future of medicine.

Unraveling the Interplay of Learning Agility, Burnout, and Executive Function in Fostering Agile Leadership among Millennial Leaders

In the rapidly evolving business landscape, agile leadership, especially among millennial leaders, has become pivotal. However, a comprehensive understanding of how Learning Agility, Burnout, and Executive Function interact to shape this leadership style is still limited, with burnout potentially impeding agile leadership development. This study aimed to elucidate the interplay between Learning Agility, Burnout, Executive Function, and their collective contribution to Agile Leadership among millennial leaders. We selected 121 millennial leaders from five different companies for this purposeful study. Utilizing Model 8 in Process Macro Hayes, we tested four hypotheses to evaluate the relationships between Learning Agility (LA) and Agile Leadership (AL), the mediating role of Executive Function (EF), the moderating effect of Burnout, and the conditional indirect impact of EF at various burnout levels. The results revealed a significant positive correlation between Learning Agility and Agile Leadership when Burnout was extremely low (p &lt; 0.01). Still, this relationship was not significant at neutral and high burnout levels. While executive function emerged as a crucial mediator, it did not significantly mediate the Learning Agility-Agile Leadership relationship. Burnout was found to moderate this relationship, accounting for an additional 4.96% of the variability in Agile Leadership (p &lt; 0.01), I would write p&lt;.01). The overall model explained 17.18 (17.2) % of Agile Leadership variability (F = (6.0150 =) 6.02, (p = 0.0002), p&lt;.001). However, the conditional indirect effects of Learning Agility on Agile Leadership were not statistically significant at different burnout levels. It can be concluded that Burnout is a significant moderator variable between Learning Agility and Agile Leadership among millennial leaders, emphasizing the need for Burnout reduction strategies to optimize the influence of Learning Agility on Agile Leadership. Future research is required to fully understand the mediating role of Executive Function in this relationship.

Factors underlying burnout among rural village physicians in Southwestern China

AbstractBackgroundPrimary healthcare doctors in China often experience problems with occupational burnout, a condition known to relate to high job stress and low wages. In China, many medical alliances have recently been established in rural areas, where village physicians work as healthcare gatekeepers. However, burnout in village physicians in the context of medical alliances remains underresearched.MethodsThis cross‐sectional survey was conducted among 100 village physicians practicing at village clinics in Qiandongnan prefecture, Guizhou province, China. An online questionnaire was distributed to assess physicians' demographic characteristics and work situations. Burnout was measured using the Oldenburg Burnout Inventory (validated Chinese version). A multivariate linear model with stepwise procedure was used to estimate the effects of factors of interest on burnout, focusing particularly on actions within the medical alliance that involved respondents' clinics, such as training and support for village physicians provided by higher‐level facilities.ResultsThe overall response rate was 79%. The mean burnout score was 38.09 (standard deviation, 4.55; range, 25–47). The multivariate analysis showed that fewer working years and too much farming work were significantly related to exacerbation of burnout. Greater medical services in the total workload and greater support from higher‐level facilities were associated with burnout alleviation.ConclusionClose connections and interactions across medical alliance member facilities could facilitate reduction in burnout for village physicians practicing as primary care gatekeepers.

Nurses’ Perspectives on Nursing Management Performance in the COVID-19 Pandemic in Iran: A Cross-sectional Study

Background: One of the necessary features to confront the COVID-19 pandemic is performance and resilience which causes nursing managers to have a wider perspective based on preventing preparation and reaction to the disaster. This study aims to evaluate the nursing perspectives on nursing management during the COVID-19 Pandemic. Materials and Methods: One hundred eighty-nine Iranian nurses working in a Corona Center hospital took part in this cross-sectional study. This hospital is the main center for curing COVID-19 patients in Guilan province, Iran. The data were collected using a questionnaire consisting of demographic features and disaster-managing surveys based on seven engineering approaches in hospitals by enumeration sampling from June to October 2021. Results: Findings showed the Mean±SD score of the nursing managers’ functions was 141.77±26.12 based on resilience approaches during the COVID-19 pandemic, and 73.2% of the participants believed that the managers’ performance during the pandemic was at a medium level. The Mean±SD scores of resilience principles in the nursing managers’ performance with detachment consisted of the commitment of the senior management at 29.34±5.90, the culture of fallibility at 18.34±3.84, the culture of learning at 11.81±2.77, awareness 6.62±1.61, preparation 9.56±4.03, flexibility 48.42±10.31, and transparency 17.35±4.03. There was a great statistical difference between the nursing managers’ performance and the employment type. Conclusion: The nursing managers’ performance level was at a medium level based on the resilience principles during the COVID-19 pandemic. The desirable performance of the nursing managers caused a reduction in burnout, increased job satisfaction, and ultimately reduced the nurses’ taking leaves. Therefore, designing and performing effective interventions to improve the nursing managers’ performance in a disaster is necessary. The trauma caused by COVID-19 has increased the nursing managers’ responsibility to create safe environments and perform the nurses’ protection policy. These activities and strategies can be performed at different levels.

Prevalence of Burnout in Administrative and Industrial Sectors

Burnout is one of the most common psychological conditions that modern society is increasingly facing with, as it influences health status and can mediate the relationship between workload and mental disorders. The aim of this study was to investigate the prevalence of burnout with its dimensions among the specified groups of workers. A self-administered questionnaire was completed by a sample of three groups of workers to assess burnout with its three dimensions (Maslach Burnout Inventory–General Survey). Pearson correlation coefficient and Spearman rank correlation coefficient were used to determine the relationship between numerical variables with normal/not normal frequency distribution. The total burnout score was 2.55 ± 1.08, which corresponded to a moderate degree of this dimension. Of the total sample 18.1% were with a severe degree of burnout while 68.9% were with moderate. Significantly the worst was the situation in the industrial respondents, 25% were severely and 69.3% were moderately burned out, followed by the private and public groups. Our study indicated a high prevalence of burnout, especially in the industrial sectors. The use of accurate results could prove vital in the early detection and management of affected individuals, especially in high-risk professions. Burnout prevention and burnout reduction interventions should be made to highlight the increasing need for the development and deployment of mental health institutions and professionals around the country, in the efforts to pay more attention to mental health. 

The impact of global health outreach experiences on medical student burnout

BackgroundStudent burnout during medical education is a prevalent and critical problem. Burnout has reaching consequences, including negative health outcomes for students, financial loss for schools, and worsened patient care as students transition to practice. Global Health Outreach Experiences (GHOEs), known to enhance cultural awareness and clinical knowledge among medical students, are offered in most programs. Prior studies document that GHOEs benefit physicians suffering from burnout, with effects demonstrating improvement over 6 months. No study, to our knowledge, has assessed the influence GHOEs may have on medical student burnout with a comparable control group. This study examines whether participation in a GHOE, compared to a standard break from school, has a positive effect on burnout.MethodsA case control study utilizing the Copenhagen Burnout Inventory was conducted on medical students. 41 students participated in a one-week, spring break GHOE and 252 were randomly selected as non-participating students in a control group. Assessments were gathered 1 week prior, 1 week after, and 10 weeks after spring break. Response across the surveys in chronological order included 22, 20, 19 GHOE and 70, 66, 50 control participants.ResultsA significant reduction in personal burnout (PB) (P = 0.0161), studies related burnout (SRB) (P = 0.0056), and colleagues related burnout (CRB) (P = 0.0357) was found among GHOE attendees compared to control participants at 10-weeks after spring break. When modeled with potential confounders, CRB and SRB reductions remained significant.ConclusionGHOEs may be a potential tool for institutions to combat burnout rates in their students. The benefits of GHOEs appear to enhance over time.

Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review

There is a growing need for interventions to improve well-being in healthcare workers, particularly since the onset of COVID-19.ObjectivesTo synthesise evidence since 2015 on the impact of interventions designed to...

The Impact of Psychological Interventions with Elements of Mindfulness on Burnout and Well-Being in Healthcare Professionals: A Systematic Review.

Healthcare professionals are highly likely to experience various causes of work-related stress, which often leads to burnout. This became even more obvious during the Covid-19 pandemic. This systematic review aimed to analyze articles where psychological interventions with elements of mindfulness (PIM) were used to support healthcare professionals to foster well-being and reduce burnout levels. Compared to other recently published reviews, it is unique, due to its focus on a wide group of healthcare professionals, a broader selection of psychological interventions, and the evaluation of any sustained effects. Systematic searches were carried out in February 2021 with different combinations of Boolean operators within six electronic databases: PubMed, EBSCOhost, MEDLINE, PsycArticles, Cochrane Library, JSTOR and Cobiss. We included articles that had been published in the last ten years (2011 to 2021) and which reported on original research focused on evaluating the influence of PIM on healthcare professionals. MERSQI was used to assess the quality of the included studies. Of 1315 identified studies, 15 were included in this systematic review. Regardless of the specific type, duration and setting (individual vs group) of PIM applied, the results demonstrated a positive impact on well-being and burnout in participating healthcare professionals. The most studied interventions involved MBSR (mindfulness-based stress reduction) and other mindfulness training programmes, in online as well as in-person versions. Given the new reality with the presence of the SARS-Cov-2 virus, it is of the utmost importance to offer feasible, effective interventions for burnout reduction to vulnerable groups of healthcare professionals. By focusing on their needs, several key aspects of burnout and mindfulness could be efficiently improved; this review demonstrates that short, online interventions could be as effective as longer, in-person ones.

A Resident-Preceptor Collaboration to Encourage Wellness and Reduce Burnout Amongst Pharmacy Residents

Pharmacy residents are especially vulnerable to burnout given the professional and personal stressors associated with postgraduate training. Residency programs need to prioritize burnout reduction strategies to support resident health and well-being. This commentary describes a resident-preceptor collaborative approach to encourage wellness and reduce burnout within a large residency program at an academic medical center. Strategies that have been utilized include (1) fostering collaboration among residents and preceptors; (2) assessing resident interests and needs to ensure alignment; (3) leveraging available institutional and community resources; and (4) integrating initiatives within the existing residency program structure. This commentary aims to provide suggestions that can be implemented to address resident burnout for other residency programs, regardless of resource availability.

Stakeholder perspectives of adaptations of a burnout intervention for special education teachers

AbstractThe high attrition and turnover rates of qualified special education teachers (SETs) is a significant concern exacerbated by COVID‐19. Unfortunately, there are limited studies available on research‐based interventions to decrease burnout. The purpose of this study was to describe our processes and results for adaptations and modifications of BREATHE, a burnout intervention originally developed for community mental health workers, into Burnout Reduction: Enhanced Awareness, Tools, Handouts, and Education: Evidence‐based Activities for Stress for Educators (BREATHE‐EASE) for special educators with guidance from the Framework for Reporting Adaptation and Modifications to Evidence‐Based Interventions (FRAME). We applied the FRAME within a hybrid Type 1 trial for characterizing our approach. Four focus groups (N = 30; 83% female) were conducted separately according to job title (SETs; school administrators), with semi‐structured questions tailored to each group. Emergent thematic analysis was used to identify core themes related to adaptations, and results were presented to a subset of focus group members. Modifications involved content, context, and implementation changes for the adapted intervention, with most changes identified for content. FRAME was helpful for providing a systematic approach to integrate stakeholder‐informed adaptations of a burnout intervention, addressing significant concerns of SET stress, burnout, and attrition.

Comparison of two brief mindfulness interventions for anxiety, stress and burnout in mental health professionals: a randomised crossover trial.

Anxiety, stress and burnout are a growing reality among mental health professionals, impacting negatively on them and their clients. Mindfulness-based interventions (MBIs) have demonstrated effectiveness in mitigating these sufferings. Nevertheless, there is a lack of knowledge on the impact of MBIs in Cuba. To compare the effectiveness of two brief mindfulness-based interventions for reducing anxiety, work stress and burnout. A total of 104 mental health professionals from Havana (Cuba) participated in a randomised crossover trial. Group A received first an intervention involving body-centred practices (body scan and Hatha yoga) and a second intervention involving mind-centred practices (focused attention and open monitoring meditation). Group B received the same interventions but in reverse order. Four measures (anxiety, stress, burnout syndrome, and antecedents of burnout) were measured at baseline, posttest1, posttest2, and 6-months follow-up. After the first intervention, there was a between-group difference for burnout syndrome, but the ES was similar for both groups. After the second intervention (implementing both practises), groups showed the largest effect sizes, and there was a between-group difference for antecedents of burnout. Results were partially maintained at 6-month follow-up. These results suggest that mind-centred practises can be as effective as body-centred practises for stress, anxiety and burnout reduction. The combination of both types of practises could be the most effective way of teaching mindfulness. About the sequence of implementation, teaching mind-centred practises first and then body-centred practises could be most effective for reducing antecedents of burnout.Clinical Trial Registration: www.clinicaltrials.gov NCT03296254.