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Dr. Gihan Mohamed Mohamed Salem :: Publications:

Title:
Reflective mindfulness and emotional regulation training to enhance nursing students’ self-awareness, understanding, and regulation: a mixed method randomized controlled trial
Authors: Gihan Mohamed Mohamed Salem, Wilf Hashimi & Ayman Mohamed El-Ashry
Year: 2025
Keywords: Mindfulness, Emotional regulation, Nursing students, Nursing education, Self-awareness, Mixed method, Randomized controlled trial
Journal: BMC nursing
Volume: 24
Issue: 478
Pages: Not Available
Publisher: Springer Nature
Local/International: International
Paper Link:
Full paper Not Available
Supplementary materials Not Available
Abstract:

Background Nursing students encounter significant academic and psychological challenges that can impede their transition from theoretical knowledge to practical application, affecting their well-being and professional development. Objective This study aimed to evaluate the effectiveness of Reflective Mindfulness and Emotional Regulation Training (RMERT) in improving nursing students’ self-awareness, understanding, and emotional regulation. Design and methods This study employed a convergent parallel mixed-method randomized controlled trial design. Forty fourth-year undergraduate nursing students were randomly assigned using simple randomization (computer-generated random numbers) into either an intervention group (n = 20) or a control group (n = 20). The intervention group participated in a six-week RMERT program designed to enhance self-awareness, understanding, and emotional regulation. The control group continued with standard course activities. Quantitative data were collected pre- and post-intervention using the Emotion Regulation Questionnaire (ERQ) and the Mindful Attention Awareness Scale (MAAS), and analyzed using SPSS. Qualitative data, gathered exclusively from the intervention group through recorded reflective group sessions, were analyzed using thematic analysis. Results The intervention group exhibited significantly improved self-awareness, understanding, and emotional regulation compared to the control group. Additionally, students displayed an increased capacity for mindfulness, a decreased tendency to suppress emotions, and greater comfort in reflecting on positive and negative emotions. Conclusion Integrating RMERT into nursing curricula may enhance nursing students’ well-being and professional growth, mainly when counseling resources are limited. The program can improve self-awareness, understanding, and regulation skills necessary for effective nursing practice. Implication for nursing practice Integrating RMERT into nursing curricula enhances self-awareness, emotional regulation, and reflective practice. This approach equips students with essential skills for managing clinical stress and building therapeutic relationships. As future nurses, they develop resilience, clinical reasoning, and empathetic patient care, ultimately elevating care quality and professional growth in diverse healthcare settings.

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