Pilot study on the effect of a Meditation-Mindfulness-Positive Psychology Training program on perceived stress and mental well-being in Korean nursing students: A mixed methods analysis.
Young Im Cho, Hyo Jin Kim, Dong Hee Kim
PloS one January 1, 2026 DOI: 10.1371/journal.pone.0345139 via PubMed
Summary
AI-generated from the abstractAn adapted online Meditation-Mindfulness-Positive Psychology Training (MMPT) program, shortened to six sessions and tailored for nursing students in Korea, was tested for feasibility and preliminary effectiveness. In a mixed-methods pilot study, the experimental group showed significant improvements in gratitude disposition, self-compassion, and perceived stress, but not in mindfulness or overall mental health. Qualitative interviews revealed perceived gains in calmness, self-kindness, positivity, and coping, with students valuing gratitude journaling, compassion exercises, and peer support. The program appears feasible for reducing stress and boosting positive psychological resources, though larger and longer studies are needed.
Study at a glance
| Characteristics | Mixed-methods pilot study Longitudinal Qualitative Peer reviewed |
|---|---|
| Population | Junior and senior nursing students in Korea |
| Interventions | Meditation Mindfulness Gratitude journaling Self-compassion practice |
| Duration | Six-session online program |
| Key finding | The adapted online MMPT program significantly improved gratitude disposition, self-compassion, and perceived stress among nursing students, but did not significantly improve mindfulness or overall mental health. |
Abstract
Nursing students experience stress that negatively affects their mental well-being and academic performance. Conventional mindfulness-based interventions are too long to fit the students' demanding schedules. This study aimed to examine the feasibility and preliminary effectiveness of an adapted Meditation-Mindfulness-Positive Psychology Training (MMPT) program tailored to nursing students' needs. The program was designed as to be shorter, to be conducted online, and to be tailored to the needs of nursing students. A mixed-methods pilot study was conducted among junior and senior nursing students in Korea. The experimental group participated in a six-session online MMPT program into which meditation, mindfulness, gratitude journaling, and self-compassion practice were incorporated. Quantitative outcomes were assessed before and after intervention. Qualitative data were collected through in-depth interviews and analyzed through inductive content analysis. The quantitative results showed significant improvements in gratitude disposition, self-compassion, and perceived stress, but not in mindfulness or overall mental health. Qualitative findings complemented these results by revealing perceived improvements across all target domains, with participants reporting enhanced calmness, greater self-kindness, increased positivity, and stronger coping strategies. Students highlighted the value of gratitude journaling, compassion-based exercises, and supportive peer interactions, which reinforced their engagement and sense of belonging. The MMPT program adapted for this study demonstrated feasibility and preliminary effectiveness in reducing stress and enhancing positive psychological resources among nursing students. By integrating mindfulness and positive psychology into a brief and accessible format, this study underscores the theoretical and practical value of needs-based interventions for supporting nursing students' well-being. Further large-scale and longitudinal studies are warranted to validate and extend these findings.