Date of Award


Degree Name

PhD Nursing

Dissertation Committee

Jane M. Georges, PhD, RN, Chairperson; Linda D. Urden, DNSc, RN, CNS, NE-BC, FAAN, Committee Member; Jill Bormann, PhD, RN, Committee Member


healthcare workers, internet-delivered Stress management course, Mantram repetition, mindfulness, nursing, program to burnout, spiritual well-being, stress of conscience


This study evaluated the effect of the Mantram Repetition Program (MRP), an internet-delivered stress management course on burnout, stress of conscience, spiritual wellbeing, and mindfulness on a self-selected group of healthcare workers (HCWs). A quasi-experimental repeated measures design was used. Participants enrolled in a six-session MRP delivered over three months and completed baseline, post-course, and three-month post-course assessments. Measurement tools included the Maslach Burnout Inventory-General Survey (MBI-GS), the Stress of Conscience Questionnaire (SCQ), the Functional Assessment of Chronic Illness Therapy Spiritual Wellbeing Scale (FACIT-12), and the Mindfulness Awareness Attention Scale (MAAS). Statistically significant effects of the MRP showed a decrease in the MBI-GS exhaustion subscale across the three time-points [F(2,76) = 3.93, p = .039] and a quadratic effect for professional efficacy subscale showing an initial increase followed by a decrease [F(1,38) = 6.54, p<.02]. Stress of Conscience internal demand subscale had a quadratic effect [F(1,34) = 5.23, p<.03] and external demand subscale had a linear effect over time showing improvement post-course [F(1,34) = 4.71, p<.03]. There was a statistically significant effect increasing the total FACIT-SP scores across the three time-points [F(2,37)=11.76, p<001) and a statistically significant effect in the total MAAS scores across the three time-points [F(2,33)=18.19, p<000)]. According to these results, the MRP program was effective in reducing exhaustion and improving professional efficacy, elements of burnout, stress of conscience, spiritual wellbeing, and mindfulness in HCWs. MRP may be of interest to those seeking innovative, portable methods to improve psychological wellbeing among HCWs.

Document Type

Dissertation: Open Access



Included in

Nursing Commons