The effect of mindfulness-based mandala activity on anxiety and spiritual well-being levels of senior nursing students: A randomized controlled study


PERSPECTIVES IN PSYCHIATRIC CARE, 2022 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2022
  • Doi Number: 10.1111/ppc.13138
  • Journal Indexes: Science Citation Index Expanded, Social Sciences Citation Index, Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE, Psycinfo
  • Keywords: anxiety, art therapy, mindfulness, nursing student, spirituality, MEDITATION, SYMPTOMS


Purpose This study aimed to determine the effectiveness of mindfulness-based mandala activity on the anxiety levels and spiritual well-being of nursing students who started clinical practice after distance education during COVID-19 period. Design and Methods This study is a randomized controlled study employing a pre-/posttest design with a single-blind, parallel group. The study was completed with a total of 170 participants (n = 84, intervention group; n = 86, control group). Data were collected using the Descriptive Characteristics Form, State-trait Anxiety Inventory, Spirituality Well-Being Scale, and Scale of Positive and Negative Experience. The intervention group participated in three mindfulness-based mandala sessions. This study was registered with as NCT05053178. Findings In three sessions, there was a significant decrease in the intervention group compared with the control group regarding the mean values of pretest and posttest anxiety levels. Evaluation of the mean scores Spiritual Well-Being Scale before and after the intervention showed a significant decrease in the scores between groups (p < 0.05). Practice Implications With mindfulness-based mandala activity, the well-being of nursing students can be increased.