The Effect of a Stress Management Program on Occupational Stress and Coping Strategies Among Nurses

NCT03833986 | Completed

• 1 other identifier: J8754
• Study Type: interventional
• Target: 170
• Locations: 1 country
• Sites: 1

Brief Summary

The present study is designed to focus on examining the effectiveness of the stress management program on occupational stress and coping strategies among public health centers nurses in Jordan. the Specific Objectives that will guide this study are as follow:

1. 1.To assess the level of occupational stress among Jordanian public health nurses who work in comprehensive health care centers.
2. 2.To find out the association between nurses' occupational stress scores and their selected demographic variables.
3. 3.To identify the sources of occupational stress encountered among public health centers nurses in the work setting.
4. 4.To identify the types of coping strategies utilized by Jordanian nurses working in comprehensive health care centers.
5. 5.To evaluate the effectiveness of stress management program on occupational stress mean score among experimental and control groups at baseline, post-test and at two months' follow-up assessment.
6. 6.To evaluate the effectiveness of stress management program on coping strategies mean score among experimental and control groups at baseline, post-test and at two months' follow-up assessment.
7. 7.Null hypothesis (H0\_1): There is no significant difference in occupational stress mean score between experimental and control groups at baseline, post-intervention and at two months' follow-up assessment. (µ1 = µ2).
8. 8.Null hypothesis (H0\_2): There is no significant difference in coping strategies mean score between experimental and control groups at baseline, post-intervention and at two months' follow-up assessment. (µ1 = µ2).

Conditions

Occupational Stress; Coping Skills

Outcome Measures

Primary Outcomes (2)

• Occupational stress will be measured by Nursing stress scale (NSS) "change is being assessed"

  Nursing Stress Scale (NSS) will be used in the study to measure nurses occupational stress. it consists of 34 items distributed in 7 subscales which are: Death and Dying patients (7 items), conflict with Physicians (5 items), inadequate emotional preparation (3 items), lack of support (3 items), conflict with other nurses (5 items), work Load (6 items), and uncertainty concerning treatment (5 items). A 4-point Likert scale used to indicate the frequency of work stressors experienced by nurses from never stressful (1), to occasionally (2), to frequently (3), to very frequently stressful (4). The original scale has been reported to have high reliability as evidenced by Cronbach's coefficient alpha of 0.89 for the total score, Individual subscales reliability ranged from α=0.79 to α=0.89. The NSS total scores ranging from 34 to 136, A higher score indicates a higher frequency of work stressors experienced by the participants.

  Occupational stress will be measured to assess the change between pre-test and up to 2 months post-test

• coping skills will be measured by The Brief Coping Orientations to Problems Experienced (COPE) Scale "change is being assesses"

  Coping skills will be assessed by the Brief Coping Orientations to Problems Experienced (COPE) Scale, this instrument contains 28 items and has 14 sub-scales (2 items per subscale) that capture 14 ways of various coping behaviors. Each item of this instrument is endorsed by participants using a 4-point Likert scale, which ranges from 1 (I have not been doing this at all), 2 (I have been doing this a little bit), 3 (I have been doing this a medium amount), 4 (I have been doing this a lot). Total scores for each subscale will be calculated, and higher total subscale scores indicate greater perceived use of a corresponding coping behavior. Carver reported good reliability and validity with Cronbach alpha ranging from 0.50-0.90 for its subscales, demonstrating acceptable internal consistency for this instrument.

  Coping strategies will be measured to assess the change between pre-test- and up to 2 months post-test

Study Arms (2)

Stress management program

EXPERIMENTAL

The stress program will be delivered to experimental group in a six-sessions for two weeks, each session will take 2 hours (2 hours/six sessions /two weeks).

Other: Stress management program

Control

NO INTERVENTION

There is no intervention for controlled group during workshop but they are put on a waiting-list to receive the intervention after the active treatment group does.

Interventions

Stress management program OTHER

Nurses stress management program will be an experiential teaching program consisting of six sessions of stress management strategies for public health centers nurses. the workshop will be in a warm quite room with efficient light, temperature, and ventilation. The intervention group will receive handouts copies of the stress management program for each session at the end of the study.

Stress management program

Eligibility Criteria

• Age: 20 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• nurses who have full-time working employment and agreed to participate in the study (by consent form).
• have more than one year of experience community care .
• Do not have any psychiatric or physical health problems.
• Do not work on fixed shift as nurses on the fixed shifts experienced higher levels of stress than the nurses on the rotating shifts (Tajvar et al., 2015)..
• Nurses had undergone stress management courses.
• Less than one year of experience in community care.
• Nurses who work in more than one center.

You may not qualify if:

• Nurses had undergone stress management courses.
• Less than one year of experience in community care.
• Nurses who work in more than one center.

Sponsors & Collaborators

• Universiti Putra Malaysia: lead

Study Sites (1)

Ministry of Health

Amman, Jordan

Location

Related Publications (1)

• Alkhawaldeh JM, Soh KL, Mukhtar F, Peng OC, Alkhawaldeh HM, Al-Amer R, Anshasi HA. Stress management training program for stress reduction and coping improvement in public health nurses: A randomized controlled trial. J Adv Nurs. 2020 Nov;76(11):3123-3135. doi: 10.1111/jan.14506. Epub 2020 Aug 28.

  PMID: 32856353 DERIVED

MeSH Terms

Conditions

Occupational Stress

Condition Hierarchy (Ancestors)

Occupational Diseases; Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Ja'far Alkhawaldeh, PhD student

  University Putra Malaysia

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: February 3, 2019
• First Posted: February 7, 2019
• Study Start: May 1, 2019
• Primary Completion: September 1, 2019
• Study Completion: December 1, 2019
• Last Updated: March 31, 2020

Record last verified: 2020-03

Data Sharing

• IPD Sharing: Will not share

Locations

JO (1)