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Impact of Heartfulness Meditation on Reducing Stress in Nursing Students: A Prospective Observational Study

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Abstract (2. Language): 
Objective: To study and assess the effectiveness of Heartfulness Meditation in reducing stress levels of nursing students in a learning environment. Methodology: A cross-sectional research designed using a standard Perceived Stress Questionnaire pertaining to the subjective perception of things in the learning and clinical environment leading to emotional stress such as workload, worries, tension, and harassment as well as joyful conditions. Overall 120 students from I, II and IV years of a private nursing college in Chennai, in the state of Tamil Nadu, India participate in 3 hours (1 hour each day on 3 consecutive days) Heartfulness meditation workshop. Results: The predominant themes represented are perceptions of the learning environment and clinical practice, coping, personal issues, balancing college work, and personal life. Mean Baseline stress scores of workload is higher for first and second-year students compared with final year students; Worries and Harassment score is higher in second-year students; Joy score is higher for first-year students; Tension score is higher in final year students. After Heartfulness meditation workshop, the mean decrease in workload, worries, tension and harassment score and mean increase in Joy score is observed in the participants. Conclusion: The investigation on the effectiveness of Heartfulness Meditation as a mental and emotional support tool to deal with and to mitigate stress reveals positive results. Based on these results, it is evident that Heartfulness meditation can be employed as a coping mechanism to deal with stress in a clinical and learning environment. Given the adverse effects of stress on the physiological and psychological well-being of caregivers; Heartfulness Meditation may be considered for inclusion in the standard curriculum of nursing colleges.



[1] Behere, Shashank P., Richa Yadav, and Prakash B. Behere. “A comparative study of stress among students of
medicine, engineering, and nursing.” Indian Journal of Psychological Medicine, Vol. 33, No. 2, 2011, p. 145.
[2] Selye, Hans. The Stress of My Life: A Scientist’s Memoirs. New York; Toronto; Van Nostrand Reinhold, 1979.
[3] Arnold, Elizabeth C., and Kathleen Underman Boggs. Interpersonal Relationships-E-Book: Professional
Communication Skills for Nurses. Elsevier Health Sciences, 2015.
[4] Al-Lamki, Lamk. “Stress in the medical profession and its roots in medical school.” Sultan Qaboos University
Medical Journal, Vol. 10, No. 2, 2010, p. 156.
[5] Deary, Ian J., Roger Watson, and Richard Hogston. “A longitudinal cohort study of burnout and attrition in
nursing students.” Journal of Advanced Nursing, Vol. 43, No. 1, 2003, pp. 71-81.
[6] Jones, Martyn C., and Derek W. Johnston. “Distress, stress and coping in first-year student nurses.” Journal of
Advanced Nursing, Vol. 26, No. 3, 1997, pp. 475-82.
[7] Beck, Deborah L., et al. “Perceived level and sources of stress in university professional schools.” Journal of
Nursing Education, Vol. 36, No. 4, 1997, pp. 180-86.
[8] Lindop, Edward. “A comparative study of stress between pre-and post-Project 2000 students.” Journal of
Advanced Nursing, Vol. 29, No. 4, 1999, pp. 967-73.
[9] Burnard, Philip, et al. “A comparative, longitudinal study of stress in student nurses in five countries: Albania,
Brunei, the Czech Republic, Malta and Wales.” Nurse Education Today, Vol. 28, No. 2, 2008, pp. 134-45.
[10] Timmins, Fiona, and M. Kaliszer. “Aspects of nurse education programmes that frequently cause stress to
nursing students-fact-finding sample survey.” Nurse Education Today, Vol. 22, No. 3, 2002, pp. 203-11.
[11] Brown, Hilary, and Robert Edelmann. “Project 2000: A study of expected and experienced stressors and support
reported by students and qualified nurses.” Journal of Advanced Nursing, Vol. 31, No. 4, 2000, pp. 857-64.
[12] Kleehammer, Kelly, A. Louise Hart, and Juanita Fogel Keck. “Nursing students’ perceptions of anxietyproducing
situations in the clinical setting.” Journal of Nursing Education, Vol. 29, No. 4, 1990, pp. 183-87.
[13] Oermann, Marilyn H., and Angela P. Lukomski. “Experiences of students in pediatric nursing clinical
courses.” Journal for Specialists in Pediatric Nursing, Vol. 6, No. 2, 2001, pp. 65-72.
[14] Lo, Ruth. “A longitudinal study of perceived level of stress, coping and self-esteem of undergraduate nursing
students: an Australian case study.” Journal of Advanced Nursing, Vol. 39, No. 2, 2002, pp. 119-26.
[15] Tully, A. “Stress, sources of stress and ways of coping among psychiatric nursing students.” Journal of Psychiatric
and Mental Health Nursing, Vol. 11, No. 1, 2004, pp. 43-47.
Amarnath, et al. Int J Med Res Health Sci 2018, 7(1): 98-109
[16] Papazisis, G., et al. “Psychological distress, anxiety and depression among nursing students in Greece.” International
Journal of Caring Sciences, Vol. 1, No. 1, 2008, p. 42.
[17] Spielberger, Charles D., and Eric C. Reheiser. “Occupational stress and health.” Research Companion to
Organizational Health Psychology, 2005, p. 441.
[18] Lim, Joanne, Fiona Bogossian, and Kathryn Ahern. “Stress and coping in Australian nurses: a systematic
review.” International Nursing Review, Vol. 57, No. 1, 2010, pp. 22-31.
[19] Demerouti, Evangelia, et al. “A model of burnout and life satisfaction amongst nurses.” Journal of Advanced
Nursing, Vol. 32, No. 2, 2000, pp. 454-64.
[20] Humpel, N., and P. Caputi. “Exploring the relationship between work stress, years of experience and emotional
competency using a sample of Australian mental health nurses.” Journal of Psychiatric and Mental Health
Nursing, Vol. 8, No. 5, 2001, pp. 399-403.
[21] Sawatzky, Jo-Ann V. “Understanding nursing students’ stress: a proposed framework.” Nurse Education
Today, Vol. 18, No. 2, 1998, pp. 108-15.
[22] Pryjmachuk, Steven, and David A. Richards. “Predicting stress in pre-registration nursing students.” British
Journal of Health Psychology, Vol. 12, No. 1, 2007, pp. 125-44.
[23] Seyedfatemi, Naiemeh, Maryam Tafreshi, and Hamid Hagani. “Experienced stressors and coping strategies
among Iranian nursing students.” BMC Nursing, Vol. 6, No. 1, 2007, p. 11.
[24] Thyer, Shirley, and Pat Bazeley. “Stressors to student nurses beginning tertiary education: an Australian
study.” Nurse Education Today, Vol. 13, No. 5, 1993, pp. 336-42.
[25] Basson, C.J., and T. Van der Merwe. “Occupational stress and coping in a sample of student nurses.” Curationis, Vol.
17, No. 4, 1994, pp. 35-43.
[26] McEwen, Bruce S. “Central effects of stress hormones in health and disease: Understanding the protective and
damaging effects of stress and stress mediators.” European Journal of Pharmacology, Vol. 583, No. 2, 2008, pp.
[27] DeLongis, Anita, Susan Folkman, and Richard S. Lazarus. “The impact of daily stress on health and mood:
psychological and social resources as mediators.” Journal of Personality and Social Psychology, Vol. 54, No. 3,
1988, p. 486.
[28] Herbert Benson, M.D., and Miriam Z. Klipper. The Relaxation Response. Harper Collins, New York, 1992.
[29] Davidson, Richard J., et al. “Alterations in brain and immune function produced by mindfulness
meditation.” Psychosomatic Medicine, Vol. 65, No. 4, 2003, pp. 564-70.
[30] Lazar, Sara W., et al. “Meditation experience is associated with increased cortical thickness.” Neuroreport, Vol.
16, No. 17, 2005, p. 1893.
[31] Amarnath Raja G, et al. Efficacy of heartfulness meditation in moderating vital parameters - A comparison study
of experienced and new meditators. International Journal of Medical Research & Health Sciences, Vol. 6, No.
7, 2017, pp. 70-78.
[32] Amarnath, Raja, et al. “Improving sleep quality through heartfulness meditation-technical aspects and benefits.”
International Journal of Health Sciences and Research, Vol.7, No. 5, 2017, pp. 368-81.
[33] Anand, B.K. “Yoga and medical sciences.” Indian Journal of Physiology and Pharmacology, Vol. 35, No. 2,
1991, pp. 84-87.
[34] Levenstein, Susan, et al. “Development of the perceived stress questionnaire: A new tool for psychosomatic
research.” Journal of Psychosomatic Research, Vol. 37, No. 1, 1993, pp. 19-32.
[35] Jimenez, Cristobal, Pilar Martínez Navia-Osorio, and Carmen Vacas Diaz. “Stress and health in novice and
experienced nursing students.” Journal of Advanced Nursing, Vol. 66, No. 2, 2010, pp. 442-55.
[36] Sheu, Sheila, Huey-Shyan Lin, and Shiow-Li Hwang. “Perceived stress and physio-psycho-social status of
nursing students during their initial period of clinical practice: the effect of coping behaviors.” International
Journal of Nursing Studies, Vol. 39, No. 2, 2002, pp. 165-75.
Amarnath, et al. Int J Med Res Health Sci 2018, 7(1): 98-109
[37] Zeidan, Fadel, et al. “Mindfulness meditation improves cognition: Evidence of brief mental training.” Consciousness
and Cognition, Vol. 19, No. 2, 2010, pp. 597-605.
[38] Chrousos, George P. “Stress and disorders of the stress system.” Nature Reviews Endocrinology, Vol. 5, No. 7,
2009, pp. 374-81.
[39] Goldblatt, Hadass. “Caring for abused women: Impact on nurses’ professional and personal life
experiences.” Journal of Advanced Nursing, Vol. 65, No. 8, 2009, pp. 1645-54.

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