Abstract
AIM: This study aimed to evaluate the efficacy of a nurse-led mindfulness-based intervention (MBI) in reducing psychological distress and improving emotional well-being among hospitalized school-aged children. DESIGN: A mixed-methods quasi-experimental design was used to compare the psychological outcomes of children who participated in a two-week mindfulness program with those who received standard care. METHODS: A total of 60 children aged 6-12 were systematically assigned to either the intervention group (n = 30) or the control group (n = 30). The intervention group received daily 30-minute mindfulness sessions, while the control group received standard care. Pre- and post-intervention assessments were conducted using validated measures, including the Perceived Stress Scale for Children (PSS-C), Screen for Child Anxiety Related Emotional Disorders (SCARED), Short Mood and Feelings Questionnaire (SMFQ), and PROMIS Fatigue Scale. RESULTS: Significant improvements were observed in the intervention group across all measures. Reductions in perceived stress (PSS-C: p < 0.001, d = 1.05), anxiety (SCARED: p = 0.002, d = 0.67), depressive symptoms (SMFQ: p < 0.001, d = 0.88), and fatigue (PROMIS: p < 0.001, d = 0.94) were reported. Qualitative feedback from children, parents, and nurses supported these findings, highlighting enhanced emotional regulation, relaxation, and coping abilities. CONCLUSION: The nurse-led MBI significantly improved psychological well-being, reducing stress, anxiety, and fatigue among hospitalized children. The intervention shows promise for integration into pediatric care, with high satisfaction levels from participants and healthcare providers. IMPLICATIONS FOR THE PROFESSION: This study provides evidence supporting the inclusion of mindfulness-based interventions in pediatric nursing care. Due to their continuous interactions with patients, nurses are well-positioned to lead such interventions, which can enhance the emotional and physical recovery of hospitalized children.