The Effects of "Three Good Things" Positive Psychotherapy on Nurses' Burnout

NCT03645798 | Completed

• 1 other identifier: 20150131
• Study Type: interventional
• Target: 73
• Locations: 1 country
• Sites: 1

Brief Summary

A randomized, controlled trial was conducted for 73 Chineses nurses from The Second Xiangya Hospitcal of Central South University (33 in the experimental group, 40 in the control group). The experimental group received a six-month Wechat-based "three good things" positive psychotherapy from August 2015 to January 2016, while the control group only received normal psychological instruction from the hospital. A socio-demographic sheet, Malsach Burnout Inventory-General Survey, the Turnover Intention Scale, The Job Satisfaction Scale, The Job Performance Scale, General Self-efficacy Scale, The Trait Coping Style Scale (TCSS), The Connor-Davidson Resilience Scale (CD-RISC) were used to collect data prior to and immdediately after the intervention. The blood cortisol was also evaluated prior to and immdediately after the intervention. SPSS 23.0 was used for data analysis. Descriptive statistics, ANOVA, Chi-square test, repeated-measures analysis and T-test were employed to analyse the effect of "three good things" intervention on nurse burnout. We hypothesis that the "three good things" positive psychotherapy could alleviate nurses' burnout, turnover intention, improve their job performance, job satisfaction, self-efficacy, resilience, introduce nurses' to use positive coping strategies to overcome adversities. Moreover, their blood cortisol would be reduced after the intervention.

Conditions

Burnout Syndrome; Nurse's Role

Keywords

burnout; turnover intention; job performance; job satisfaction; resilience; self-efficacy; coping style; cortisol; nurse

Outcome Measures

Primary Outcomes (1)

• The Maslach Burnout Inventory-General survey (MBI-GS) was used to assess the change of burnout from baseline to six months later.

  This scale was developed by Maslach and Jackson (1981) and consists of 16 items over three metrics: emotional exhaustion (EE, five items), cynicism (CY, five items) and reduced professional efficacy (RPE, six items). The items were scored on a Likert scale from 0 (never) to 6 (everyday) (Schaufeli et al. 1996). The higher the scores on the three metrics, the higher level of burnout indicated. The Chinese version of the MBI-GS, developed by Li \& Shi (2003), also has a good validity and reliability. In this study, Cronbach alpha coefficients for EE, CY and RPE were 0.93, 0.83 and 0.82, respectively.

  The MBI-GS was used to assess nurses' burnout prior to and immediately after the intervention.

Secondary Outcomes (3)

• The Connor-Davidson Resilience Scale (CD-RISC)

  The CD-RISC was used to assess nurses' resilience prior to and immediately after the intervention.

• The General Self-efficacy Scale

  The General Self-efficacy Scale was used to assess nurses' self-efficacy prior to and immediately after the intervention.

• The Trait Coping Style Scale (TCSS)

  The TCSS was used to assess nurses' coping styles prior to and immediately after the intervention.

Other Outcomes (4)

• The Turnover Intention Scale

  The Turnover Intention Scale was used to assess nurses' turnover intention prior to and immediately after the intervention.

• The Job Satisfaction Scale

  The Job Satisfaction Scale was used to assess nurses' job satisfaction prior to and immediately after the intervention.

• The Job Performance Scale

  The Job Performance Scale was used to assess nurses' job performance prior to and immediately after the intervention.

Study Arms (2)

"Three good things" therapy group

EXPERIMENTAL

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"?

Behavioral: "Three good things" therapy

Normal psychological instruction group

OTHER

The control group only received normal psychological instruction from the hospital

Behavioral: Normal psychological instruction

Interventions

"Three good things" therapy BEHAVIORAL

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?"

"Three good things" therapy group

Normal psychological instruction BEHAVIORAL

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.

Normal psychological instruction group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• registered nurses or licenced practical nurses
• 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.

You may not qualify if:

• student nurses
• who suffered from diseases that influence their hormone levels
• who participated similar studies
• who had no interest in this study.

Sponsors & Collaborators

• Central South University: lead

Study Sites (1)

Central South University

Changsha, Hunan, 410013, China

Location

Related Publications (13)

• 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.

  PMID: 12964174 BACKGROUND

• 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.

  PMID: 20553536 BACKGROUND

• 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.

  PMID: 25863657 BACKGROUND

• 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.

  PMID: 25052582 BACKGROUND

• 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.

  PMID: 27169747 BACKGROUND

• 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.

  PMID: 23216348 BACKGROUND

• 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.

  PMID: 27286075 BACKGROUND

• 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.

  PMID: 26347211 BACKGROUND

• 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.

  PMID: 25782613 BACKGROUND

• 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.

  PMID: 23395361 BACKGROUND

• 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.

  PMID: 25935682 BACKGROUND

• 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.

  PMID: 27179891 BACKGROUND

• 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.

  PMID: 27411513 BACKGROUND

MeSH Terms

Conditions

Burnout, Psychological

Condition Hierarchy (Ancestors)

Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Jingping Zhang

  Cental South University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: A randomized, controlled trial was conducted for 73 nurses from The Second Xiangya Hospitcal of Central South University (33 in the experimental group, 40 in the control group). The experimental group received a Wechat-based six-month "three good things" positive psychotherapy from August 2015 to January 2016, while the control group only received normal psychological instruction from the hospital.

Study Record Dates

• First Submitted: August 16, 2018
• First Posted: August 24, 2018
• Study Start: July 1, 2015
• Primary Completion: January 31, 2016
• Study Completion: January 31, 2016
• Last Updated: August 24, 2018

Record last verified: 2018-08

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)