The Effects of "Three Good Things" Positive Psychotherapy on Nurses' Burnout
NCT ID: NCT03645798
Last Updated: 2018-08-24
Study Results
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Basic Information
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COMPLETED
NA
73 participants
INTERVENTIONAL
2015-07-01
2016-01-31
Brief Summary
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Detailed Description
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The study sample were nurses recruited from one three-level general hospital in Changsha, Hunan, China. The sample size calculation was conducted via PASS statistical software (NCSS LCC, East Kaysville, UT, USA) . The effect size was 0.67, power was 0.80, and margin of error type Ⅰ was 0.05. Accordingly, the sample size was 64. Stochastic tables' law was used for group division. A total of 193 nurses completed the MBI-GS, and 102 nurses who met the inclusion criteria were randomly selected for the study. However, only 73 completed the study, with 33 in the experimental group and 40 in the control group.
Instruments A socio-demographic questionnaire, the Maslach Burnout Inventory-General Survey (MBI-GS), the turnover intention questionnaire, the Job Performance scale, the Job Satisfaction scale, the General self-efficacy Scale, the CD-RISC and the Trait Coping Style Scale were used to collect the data. The blood cortisol was also collected. The detail instruction of these scales could be found at Outcome Measures section.
Ethical consideration This study was approval by The Institutional Review Board (IRB) of Xiangya Nursing School, Central South University. Participants were informed about the objectives and procedures of the study before they began the survey. All data were held confidential. Only the research team could access the data.
Data analysis Data analysis was performed using SPSS 22.0 (SPSS Inc., Chicago, IL, USA). Descriptive statistics was used to describe demographic data, burnout, turnover intention, job performance, job satisfaction, self-efficacy, resilience, coping style and cortisol. Generalized repeated-measures analysis of variance (ANOVA) was used to demonstrate the effect of intervention and time-intervention interaction.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
SINGLE
Study Groups
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"Three good things" therapy group
The experimental group received a six-month Wechat-based"three good things" positive psychotherapy from August 2015 to January 2016. Participants were directed to record three good things that went well each day. These things could be minor, ordinary, or important. Next to each good things, participants were required to answer the question:" Why did this good thing happen"?
"Three good things" therapy
To maintain an emphasis on the positive experience, participants were directed to record three good things that went well each day. These things could be minor, ordinary, or important. Next to each good thing, participants were required to answer the question: "Why did this good thing happen?"
Normal psychological instruction group
The control group only received normal psychological instruction from the hospital
Normal psychological instruction
Normal psychological instruction is a convenient method set by the hospital. Nurses who have stress or psychological problem could find help through this intervention. It was delivered by psychologists.
Interventions
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"Three good things" therapy
To maintain an emphasis on the positive experience, participants were directed to record three good things that went well each day. These things could be minor, ordinary, or important. Next to each good thing, participants were required to answer the question: "Why did this good thing happen?"
Normal psychological instruction
Normal psychological instruction is a convenient method set by the hospital. Nurses who have stress or psychological problem could find help through this intervention. It was delivered by psychologists.
Eligibility Criteria
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Inclusion Criteria
* who provided direct care to residents
* who's MBI-GS score were no less than 1.5
* who didn't take any hormone therapy
* were Chinese speakers.
Exclusion Criteria
* who suffered from diseases that influence their hormone levels
* who participated similar studies
* who had no interest in this study.
ALL
No
Sponsors
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Central South University
OTHER
Responsible Party
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Yufang Guo
Principal Investigator
Principal Investigators
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Jingping Zhang
Role: STUDY_DIRECTOR
Cental South University
Locations
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Central South University
Changsha, Hunan, China
Countries
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References
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Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003;18(2):76-82. doi: 10.1002/da.10113.
Cameron F, Brownie S. Enhancing resilience in registered aged care nurses. Australas J Ageing. 2010 Jun;29(2):66-71. doi: 10.1111/j.1741-6612.2009.00416.x.
Bobbio A, Manganelli AM. Antecedents of hospital nurses' intention to leave the organization: A cross sectional survey. Int J Nurs Stud. 2015 Jul;52(7):1180-92. doi: 10.1016/j.ijnurstu.2015.03.009. Epub 2015 Mar 18.
Duffield CM, Roche MA, Homer C, Buchan J, Dimitrelis S. A comparative review of nurse turnover rates and costs across countries. J Adv Nurs. 2014 Dec;70(12):2703-12. doi: 10.1111/jan.12483. Epub 2014 Jul 23.
Goh YS, Lopez V. Job satisfaction, work environment and intention to leave among migrant nurses working in a publicly funded tertiary hospital. J Nurs Manag. 2016 Oct;24(7):893-901. doi: 10.1111/jonm.12395. Epub 2016 May 12.
Gringart E, Jones B, Helmes E, Jansz J, Monterosso L, Edwards M. Negative stereotyping of older nurses despite contact and mere exposure: the case of nursing recruiters in Western australia. J Aging Soc Policy. 2012;24(4):400-16. doi: 10.1080/08959420.2012.735170.
Harker R, Pidgeon AM, Klaassen F, King S. Exploring resilience and mindfulness as preventative factors for psychological distress burnout and secondary traumatic stress among human service professionals. Work. 2016 Jun 8;54(3):631-7. doi: 10.3233/WOR-162311.
Havaei F, MacPhee M, Dahinten VS. RNs and LPNs: emotional exhaustion and intention to leave. J Nurs Manag. 2016 Apr;24(3):393-9. doi: 10.1111/jonm.12334. Epub 2015 Sep 8.
Hudgins TA. Resilience, job satisfaction and anticipated turnover in nurse leaders. J Nurs Manag. 2016 Jan;24(1):E62-9. doi: 10.1111/jonm.12289. Epub 2015 Mar 17.
Jordan K, Fenwick J, Slavin V, Sidebotham M, Gamble J. Level of burnout in a small population of Australian midwives. Women Birth. 2013 Jun;26(2):125-32. doi: 10.1016/j.wombi.2013.01.002. Epub 2013 Feb 8.
Lagerlund M, Sharp L, Lindqvist R, Runesdotter S, Tishelman C. Intention to leave the workplace among nurses working with cancer patients in acute care hospitals in Sweden. Eur J Oncol Nurs. 2015 Dec;19(6):629-37. doi: 10.1016/j.ejon.2015.03.011. Epub 2015 Apr 29.
Mcmillan K, Butow P, Turner J, Yates P, White K, Lambert S, Stephens M, Lawsin C. Burnout and the provision of psychosocial care amongst Australian cancer nurses. Eur J Oncol Nurs. 2016 Jun;22:37-45. doi: 10.1016/j.ejon.2016.02.007. Epub 2016 Mar 22.
Perry L, Gallagher R, Duffield C, Sibbritt D, Bichel-Findlay J, Nicholls R. Does nurses' health affect their intention to remain in their current position? J Nurs Manag. 2016 Nov;24(8):1088-1097. doi: 10.1111/jonm.12412. Epub 2016 Jul 14.
Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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20150131
Identifier Type: -
Identifier Source: org_study_id
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