Mindfulness-Based Interventions in Pediatric Surgical Nursing: A Review of Evidence and Practice

Pediatric surgical nursing is characterized by high clinical acuity, emotional intensity, and significant occupational stressors that contribute to burnout, compassion fatigue, and workforce challenges. Mindfulness-based interventions (MBIs), including Mindfulness-Based Stress Reduction, Mindfulness-Based Cognitive Therapy, and Acceptance and Commitment Therapy, have demonstrated effectiveness in reducing stress, anxiety, depression, and burnout across healthcare settings. Grounded in Lazarus and Folkman's Transactional Model of Stress and Coping and aligned with Jean Watson's Theory of Human Caring, mindfulness supports resilience, emotional regulation, and holistic, person-centered care. Evidence synthesized in this literature review indicates that MBIs improve psychological well-being among nurses, enhancing coping and resilience, and may reduce secondary traumatic stress. Additionally, mindfulness interventions have demonstrated benefits for pediatric patients and family members, including reductions in anxiety and pain. Although the research specific to pediatric settings is limited, the implementation of abbreviated MBIs shows promise for feasibility in inpatient environments. Future research should evaluate long-term outcomes and organizational impact. Expanding implementation of MBIs within pediatric surgical nursing may support clinician well-being, family-centered care, and improved healthcare outcomes.