A Creative Approach to Enhancing Nurses’ Mental Health: Art Therapy

Mehtap Ağaç; Sultan Ayaz Alkaya

doi:10.59124/guhes.1691384

A Creative Approach to Enhancing Nurses’ Mental Health: Art Therapy

Abstract

The nursing profession carries significant mental health risks due to its high levels of stress and intense emotional demands. Factors such as the pandemic and staff shortages have increased nurses’ workloads, leading to a rise in mental health issues such as burnout, anxiety, and depression. These mental health challenges negatively affect both individual well-being and the quality of patient care. In addition to traditional interventions, art therapy has emerged as a promising method to support nurses' psychological well-being. By utilizing creative processes such as painting, music, dance, and drama, art therapy helps individuals express their emotions, reduce stress, and enhance psychological resilience. Research shows that art therapy alleviates nurses' emotional burden, fosters self-awareness, and promotes psychological healing. This review discusses the mental health issues faced by nurses, the impacts of these issues, and the positive effects of art therapy on nurses' mental health based on scientific findings.

Keywords

art therapy, mental health, nursing.

Supporting Institution

This study did not receive any financial support.

Ethical Statement

Ethics committee approval was deemed unnecessary for this study, as open access sources were utilized; however, the study was conducted in accordance with ethical principles.

References

Abbing, A., Ponstein, A., van Hooren, S., de Sonneville, L., Swaab, H., & Baars, E. (2018). The effectiveness of art therapy for anxiety in adults: A systematic review of randomised and non-randomised controlled trials. PLOS ONE, 13(12), e0208716. https://doi.org/10.1371/journal.pone.0208716
Ağaç, M., Düzgün, N., & Demir, S. (2024). Yoğun bakım hemşirelerinde intermodel dışavurumcu sanat terapisinin merhamet yorgunluğu ve öz şefkat düzeylerine etkisi: Pilot bir çalışma. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 13(2), 743–750.
American Art Therapy Association. (2023). What is art therapy? https://arttherapy.org/what-is-art-therapy/
Berlin, G., Burns, F., Hanley, A., Herbig, B., Judge, K., & Murphy, M. (2023). Understanding and prioritizing nurses’ mental health and well-being. American Nurses Foundation.
Cohen, C., Pignata, S., Bezak, E., Tie, M., & Childs, J. (2023). Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: A systematic review. BMJ Open, 13(6), e071203. https://doi.org/10.1136/bmjopen-2023-071203
Çelikbaş, E. Ö. (2019). Dışavurumcu sanat terapisi. Safran Kültür ve Turizm Araştırmaları Dergisi, 2(1), 20–37.
Hu, J., Zhang, J., Hu, L., Yu, H., & Xu, J. (2021). Art therapy: A complementary treatment for mental disorders. Frontiers in Psychology, 12, 686005. https://doi.org/10.3389/fpsyg.2021.686005
Huet V, & Holttum S. Art therapy-based groups for work-related stress with staff in health and social care: An exploratory study. The Arts in Psychotherapy. 2016;50:46–57. https://doi.org/10.1016/j.aip.2016.06.003
Jiang, X. H., Chen, X. J., Xie, Q. Q., Feng, Y. S., Chen, S., & Peng, J. S. (2020). Effects of art therapy in cancer care: A systematic review and meta‐analysis. European Journal of Cancer Care, 29(5), e13277. https://doi.org/10.1111/ecc.13277
Kai, H. X., Li, Y. J., & Cao, L. (2020). The impact of painting therapy on a trainee nurse with anxiety in isolation period. Journal of Anhui Medical College, 19(6), 137–138.

Kaimal, G., Ray, K., & Muniz, J. (2016). Reduction of cortisol levels and participants' responses following art making. Art Therapy, 33(2), 74–80. https://doi.org/10.1080/07421656.2016.1166832
Labrague, L. J., de los Santos, J. A. A., & Fronda, D. C. (2021). Factors associated with missed nursing care and nurse-assessed quality of care during the COVID-19 pandemic. Journal of Nursing Management, 30(1), 62–70. https://doi.org/10.1111/jonm.13334
Liebmann, M. (2004). Art therapy for groups: A handbook of themes and exercises (2nd ed.). Routledge.
Liu, Q., Wang, F., Tan, L., Liu, L., Cheng, H., & Hu, X. (2023). Comparative efficacy of various art therapies for patients with dementia: A network meta-analysis of randomized controlled trials. Frontiers in Psychiatry, 14, 1072066. https://doi.org/10.3389/fpsyt.2023.1072066
Malchiodi, C. A. (2013). Introduction to art therapy in health care settings. In C. A. Malchiodi (Ed.), Art therapy and health care (pp. 1–12). Guilford Press.
Moss, M., Edelblute, A., Sinn, H., Torres, K., Forster, J., Adams, T., et al. (2022). The effect of creative arts therapy on psychological distress in health care professionals. American Journal of Medicine, 135, 1255. https://doi.org/10.1016/j.amjmed.2022.04.010
Newland, P., & Bettencourt, B. A. (2020). Effectiveness of mindfulness-based art therapy for symptoms of anxiety, depression, and fatigue: A systematic review and meta-analysis. Complementary Therapies in Clinical Practice, 41, 101246. https://doi.org/10.1016/j.ctcp.2020.101246
Phillips, C. S., & Becker, H. (2019). Systematic review: Expressive arts interventions to address psychosocial stress in healthcare workers. Journal of Advanced Nursing, 75(11), 2285–2298. https://doi.org/10.1111/jan.14057
Rafiei, S., Souri, S., Nejatifar, Z., & Amerzadeh, M. (2024). The moderating role of self-efficacy in the relationship between occupational stress and mental health issues among nurses. Scientific Reports, 14(1), 15913. https://doi.org/10.1038/s41598-024-47386-0
Reed, K., Cochran, K. L., Edelblute, A., Manzanares, D., Sinn, H., Henry, M., et al. (2020). Creative arts therapy as a potential intervention to prevent burnout and build resilience in health care professionals. AACN Advanced Critical Care, 31(2), 179–190. https://doi.org/10.4037/aacnacc2020402
Smriti, D., Ambulkar, S., Meng, Q., Kaimal, G., Ramotar, K., Park, S. Y., et al. (2022). Creative arts therapies for the mental health of emerging adults: A systematic review. The Arts in Psychotherapy, 77, 101861. https://doi.org/10.1016/j.aip.2022.101861
Squires, A., Dutton, H. J., Casales‐Hernandez, M. G., Rodriguez López, J. I., Jimenez‐Sanchez, J., Saldarriaga‐Dixon, P., et al. (2025). A descriptive analysis of nurses’ self‐reported mental health symptoms during the COVID‐19 pandemic: An international study. International Nursing Review, 72(1), e1309. https://doi.org/10.1111/inr.13009
Torres KA, Glaros C, Henry M, Reed K, Moss M & Tietbohl C. (2023).Creative arts intervention to reduce burnout and decrease psychological distress in healthcare professionals: a qualitative analysis. The Arts in Psychotherapy, 83: 102021.
Townsley, A. P., Li-Wang, J., Katta, R., Townsley, A., & Li-Wang, J. (2023). Healthcare workers' well-being: A systematic review of positive psychology interventions. Cureus, 15(1), e34267. https://doi.org/10.7759/cureus.34267
Vaartio-Rajalin, H., Santamäki-Fischer, R., Jokisalo, P., & Fagerström, L. (2021). Art making and expressive art therapy in adult health and nursing care: A scoping review. International Journal of Nursing Sciences, 8(1), 102–119. https://doi.org/10.1016/j.ijnss.2020.11.003
Van Lith, T., & Spooner, H. (2018). Art therapy and arts in health: Identifying shared values but different goals using a framework analysis. Art Therapy, 35(2), 88–93. https://doi.org/10.1080/07421656.2018.1459103
Van Lith, T., & Ettenberger, M. (2023). Arts-based therapies, practices, and interventions in health. BMC Complementary Medicine and Therapies, 23(1), 351. https://doi.org/10.1186/s12906-023-04200-4
von Vogelsang, A. C., Göransson, K. E., Falk, A. C., & Nymark, C. (2021). Missed nursing care during the COVID-19 pandemic: A comparative observational study. Journal of Nursing Management, 29, 2343–2352. https://doi.org/10.1111/jonm.13328
Yang, J., Chen, Y., Tian, Y., Li, X., Yu, Q., Huang, C., et al. (2024). Risk factors and consequences of mental health problems in nurses: A scoping review of cohort studies. International Journal of Mental Health Nursing, 33(5), 1197–1211. https://doi.org/10.1111/inm.13251
Yilmazer, Y. Ç., Buldukoglu, K., Tuna, T., & Güney, S. S. (2020). Dance and movement therapy methods for compassion satisfaction, burnout, and compassion fatigue in nurses: A pilot study. Journal of Psychosocial Nursing and Mental Health Services, 58(4), 43–51. https://doi.org/10.3928/02793695-20200324-04
Zamanifar, S., Bagheri-Saveh, M. I., Nezakati, A., Mohammadi, R., & Seidi, J. (2020). The effect of music therapy and aromatherapy with chamomile-lavender essential oil on the anxiety of clinical nurses: A randomized and double-blind clinical trial. Journal of Medicine and Life, 13(1), 87–93. https://doi.org/10.25122/jml-2019-0105
Zhang, B., Wang, J., & Abdullah, A. B. (2024b). The effects of art therapy interventions on anxiety in children and adolescents: A meta-analysis. Clinics, 79, 100404. https://doi.org/10.6061/clinics/2024/e100404
Zhang, H., & Dator, W. L. (2025). Toward a comprehensive understanding of nurses' compassion fatigue: A meta‐integrative qualitative synthesis. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16045
Zhang, N., Chen, S., Li, Q., He, Z., & Jiang, W. (2024a). Efficacy of art therapy in enhancing mental health of clinical nurses: A meta‐analysis. Journal of Psychiatric and Mental Health Nursing, 31(5), 729–741. https://doi.org/10.1111/jpm.1296

Details

Primary Language

English

Subjects

Health Services and Systems (Other)

Journal Section

Review Article

Authors

Mehtap Ağaç
0000-0001-7853-2443
Türkiye

Sultan Ayaz Alkaya ^*
0000-0003-4745-5478
Türkiye

Publication Date

September 29, 2025

Submission Date

May 4, 2025

Acceptance Date

May 21, 2025

Published in Issue

Year 2025 Volume: 7 Number: 2

DOI

https://doi.org/10.59124/guhes.1691384

IZ

https://izlik.org/JA29DA73GY

APA

Ağaç, M., & Ayaz Alkaya, S. (2025). A Creative Approach to Enhancing Nurses’ Mental Health: Art Therapy. Journal of Gazi University Health Sciences Institute, 7(2), 69-77. https://doi.org/10.59124/guhes.1691384

AMA

1.Ağaç M, Ayaz Alkaya S. A Creative Approach to Enhancing Nurses’ Mental Health: Art Therapy. GUHES. 2025;7(2):69-77. doi:10.59124/guhes.1691384

Chicago

Ağaç, Mehtap, and Sultan Ayaz Alkaya. 2025. “A Creative Approach to Enhancing Nurses’ Mental Health: Art Therapy”. Journal of Gazi University Health Sciences Institute 7 (2): 69-77. https://doi.org/10.59124/guhes.1691384.

EndNote

Ağaç M, Ayaz Alkaya S (September 1, 2025) A Creative Approach to Enhancing Nurses’ Mental Health: Art Therapy. Journal of Gazi University Health Sciences Institute 7 2 69–77.

IEEE

[1]M. Ağaç and S. Ayaz Alkaya, “A Creative Approach to Enhancing Nurses’ Mental Health: Art Therapy”, GUHES, vol. 7, no. 2, pp. 69–77, Sept. 2025, doi: 10.59124/guhes.1691384.

ISNAD

Ağaç, Mehtap - Ayaz Alkaya, Sultan. “A Creative Approach to Enhancing Nurses’ Mental Health: Art Therapy”. Journal of Gazi University Health Sciences Institute 7/2 (September 1, 2025): 69-77. https://doi.org/10.59124/guhes.1691384.

JAMA

1.Ağaç M, Ayaz Alkaya S. A Creative Approach to Enhancing Nurses’ Mental Health: Art Therapy. GUHES. 2025;7:69–77.

MLA

Ağaç, Mehtap, and Sultan Ayaz Alkaya. “A Creative Approach to Enhancing Nurses’ Mental Health: Art Therapy”. Journal of Gazi University Health Sciences Institute, vol. 7, no. 2, Sept. 2025, pp. 69-77, doi:10.59124/guhes.1691384.

Vancouver

1.Mehtap Ağaç, Sultan Ayaz Alkaya. A Creative Approach to Enhancing Nurses’ Mental Health: Art Therapy. GUHES. 2025 Sep. 1;7(2):69-77. doi:10.59124/guhes.1691384

A Creative Approach to Enhancing Nurses’ Mental Health: Art Therapy

Abstract

Keywords

Supporting Institution

Ethical Statement

References

Details

Primary Language

Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

Cite