StressNCT07523087
Effect of a Brief Mindfulness-Based Training on First Clinical Day Stress in First-Year Nursing Students
A study testing Brief Mindfulness-Based Training in people with Stress and Psychological, run by Suleyman Demirel University at 1 site in Turkey (Türkiye).
Trial summary
This randomized controlled trial examines the effect of a brief hybrid mindfulness-based training on perceived stress and mindful attention awareness during the first clinical day of first-year nursing students. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Stress, Psychological
- What is being tested?
- Brief Mindfulness-Based Training
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 63 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 12 Feb 2026to 26 Feb 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Inclusion criteria: First-year undergraduate nursing students enrolled in the Fundamentals of Nursing course; no previous clinical placement experience; written informed consent.
Exclusion criteria: Formal mindfulness, meditation, yoga, or relaxation training within the 6 months before enrollment.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Effect of a Brief Mindfulness-Based Training on Reducing First Clinical Day Stress in First-Year Nursing Students: A Randomized Controlled Trial
This randomized controlled trial examines the effect of a brief hybrid mindfulness-based training on perceived stress and mindful attention awareness during the first clinical day of first-year nursing students. The training consists of four sessions (two face-to-face and two synchronous online) delivered over the two weeks before the first clinical day. Perceived stress is measured with the Perceived Stress Scale for Nursing Students on the day before the first clinical day and at the end of that day; mindful attention awareness is measured with the Mindful Attention Awareness Scale before the training and at the end of the first clinical day.
Read the detailed description
Clinical stress negatively affects nursing students' learning processes, self-confidence, and clinical performance. The first clinical experience is particularly associated with increased stress and anxiety levels.
Mindfulness-based interventions help individuals regulate stress responses by promoting non-judgmental awareness of the present moment. While previous studies have demonstrated the effectiveness of mindfulness programs, they have predominantly focused on long-term interventions.
This study aims to evaluate the effectiveness of a short-term mindfulness-based training delivered one day prior to clinical practice. The study uniquely examines both anticipatory stress (before clinical exposure) and experienced stress (after the first clinical day).
The intervention includes breathing awareness, body awareness, and short mindfulness exercises delivered in a four different sessions time before first clinical experince. The results are expected to provide practical and evidence-based contributions to nursing education.
- Conditions
- Stress, Psychological
- Being tested
- Brief Mindfulness-Based Training
- Keywords
- Nursing education, First clinical day, clinical stress, mindfulness, nursing students
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Brief Mindfulness-Based TrainingBehavioural
A brief hybrid mindfulness-based training program based on the Mindfulness-Based Stress Reduction (MBSR) framework and adapted to the stressors that first-year nursing students anticipate before their first clinical day. Students in the experimental group received four sessions over the two weeks before their first clinical day: two face-to-face sessions (90 minutes each) and two synchronous online sessions (60 minutes each). Sessions included mindful breathing, body scan, the STOP technique, mindful movement, self-compassion meditation, the 3-Minute Breathing Space, and role-play of first-day clinical situations, with 10-15 minutes of daily home practice. Both groups completed the Mindful Attention Awareness Scale (MAAS) about two weeks before the first clinical day, before the training began, and the Perceived Stress Scale for Nursing Students (PSS-NS) on the day before the first clinical day. Both scales were completed again at the end of the first clinical day.
| Study group | Role | What they receive |
|---|---|---|
| Brief Mindfulness-Based Training | Experimental | Four-session brief hybrid mindfulness-based training based on the MBSR framework, delivered over two consecutive weeks before the first clinical day: two face-to-face sessions (90 minutes each) and two synchronous online sessions (60 minutes each). Content includes mindful breathing, body scan, the STOP technique, mindful movement, self-compassion meditation, the 3-Minute Breathing Space, and role-play of first-day clinical situations, with 10-15 minutes of daily home practice. Students also receive routine preparation for clinical practice. Receives: Behavioral: Brief Mindfulness-Based Training |
| Control Group | No intervention | Students in the control group received routine clinical preparation training as part of the standard nursing curriculum. No additional interventions or training were provided prior to their first clinical placement. Students in this group followed the standard pre-clinical orientation process and did not receive the mindfulness-based training provided to the intervention group. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Perceived clinical stress level
Perceived clinical stress measured with the Perceived Stress Scale for Nursing Students (PSS-NS), a 29-item scale with 6 subscales rated on a 5-point Likert scale. Total scores range from 0 to 116; higher scores indicate greater perceived stress. The primary comparison is the between-group difference in scores at the end of the first clinical day.
Measured: T1: day before the first clinical day (after completion of the training) T2: end of the first clinical day
Secondary outcomes (1)
Mindfulness level
Mindful attention awareness measured with the Mindful Attention Awareness Scale (MAAS), a 15-item scale rated on a 6-point Likert scale. Total scores range from 15 to 90; higher scores indicate greater mindful attention awareness.
Measured: T0: before the training (approximately 2 weeks before the first clinical day) T2: end of the first clinical day
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Apr 2026
- Study start12 Feb 2026
- Primary completion26 Feb 2026
- Study completion26 Feb 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for StressStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 63 participants (actual)
Sponsor and investigators
- Lead sponsor
- Suleyman Demirel University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Gamze Bolattürk, Suleyman Demirel University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07523087
- Sponsor's protocol ID
- MINDFUL-NURS-2026
- Status last verified
- Apr 2026
- First submitted
- 4 Apr 2026
- Last updated
- 2 Nov 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of a Brief Mindfulness-Based Training on Reducing First Clinical Day Stress in First-Year Nursing Students: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07523087
- Acronym / sponsor ID
- MINDFUL-NURS-2026
- Conditions
- Stress, Psychological
- Keywords
- Nursing education, First clinical day, clinical stress, mindfulness, nursing students
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 63 participants (actual)
- Lead sponsor
- Suleyman Demirel UniversityUniversity, hospital or other
- Study start
- 12 Feb 2026 (actual)
- Primary completion
- 26 Feb 2026 (actual)
- Study completion
- 26 Feb 2026 (actual)
- First posted
- 13 Apr 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized controlled trial examines the effect of a brief hybrid mindfulness-based training on perceived stress and mindful attention awareness during the first clinical day of first-year nursing students. The training consists of four sessions (two face-to-face and two synchronous online) delivered over the two weeks before the first clinical day. Perceived stress is measured with the Perceived Stress Scale for Nursing Students on the day before the first clinical day and at the end of that day; mindful attention awareness is measured with the Mindful Attention Awareness Scale before the training and at the end of the first clinical day.
Detailed description
Clinical stress negatively affects nursing students' learning processes, self-confidence, and clinical performance. The first clinical experience is particularly associated with increased stress and anxiety levels.
Mindfulness-based interventions help individuals regulate stress responses by promoting non-judgmental awareness of the present moment. While previous studies have demonstrated the effectiveness of mindfulness programs, they have predominantly focused on long-term interventions.
This study aims to evaluate the effectiveness of a short-term mindfulness-based training delivered one day prior to clinical practice. The study uniquely examines both anticipatory stress (before clinical exposure) and experienced stress (after the first clinical day).
The intervention includes breathing awareness, body awareness, and short mindfulness exercises delivered in a four different sessions time before first clinical experince. The results are expected to provide practical and evidence-based contributions to nursing education.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Brief Mindfulness-Based Training | Experimental | Behavioral: Brief Mindfulness-Based TrainingFour-session brief hybrid mindfulness-based training based on the MBSR framework, delivered over two consecutive weeks before the first clinical day: two face-to-face sessions (90 minutes each) and two synchronous online sessions (60 minutes each). Content includes mindful breathing, body scan, the STOP technique, mindful movement, self-compassion meditation, the 3-Minute Breathing Space, and role-play of first-day clinical situations, with 10-15 minutes of daily home practice. Students also receive routine preparation for clinical practice. |
| Control Group | No intervention | –Students in the control group received routine clinical preparation training as part of the standard nursing curriculum. No additional interventions or training were provided prior to their first clinical placement. Students in this group followed the standard pre-clinical orientation process and did not receive the mindfulness-based training provided to the intervention group. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Brief Mindfulness-Based TrainingA brief hybrid mindfulness-based training program based on the Mindfulness-Based Stress Reduction (MBSR) framework and adapted to the stressors that first-year nursing students anticipate before their first clinical day. Students in the experimental group received four sessions over the two weeks before their first clinical day: two face-to-face sessions (90 minutes each) and two synchronous online sessions (60 minutes each). Sessions included mindful breathing, body scan, the STOP technique, mindful movement, self-compassion meditation, the 3-Minute Breathing Space, and role-play of first-day clinical situations, with 10-15 minutes of daily home practice. Both groups completed the Mindful Attention Awareness Scale (MAAS) about two weeks before the first clinical day, before the training began, and the Perceived Stress Scale for Nursing Students (PSS-NS) on the day before the first clinical day. Both scales were completed again at the end of the first clinical day. | Behavioural | Brief Mindfulness-Based Training |
Primary outcome
Perceived clinical stress level
Time frame: T1: day before the first clinical day (after completion of the training) T2: end of the first clinical day
Perceived clinical stress measured with the Perceived Stress Scale for Nursing Students (PSS-NS), a 29-item scale with 6 subscales rated on a 5-point Likert scale. Total scores range from 0 to 116; higher scores indicate greater perceived stress. The primary comparison is the between-group difference in scores at the end of the first clinical day.
1 secondary outcome
Mindfulness level
Time frame: T0: before the training (approximately 2 weeks before the first clinical day) T2: end of the first clinical day
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Nov 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Brief Mindfulness-Based Training in people with Stress and Psychological, run by Suleyman Demirel University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Perceived clinical stress level (time frame: T1: day before the first clinical day (after completion of the training) T2: end of the first clinical day). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Nov 2026.