NCT05158504

Brief Summary

Aim and objectives: The aim of this study is to examine the effect of motivational notifications applied to emergency nurses on job satisfaction, compassion fatigue and communication skills during the COVID-19 pandemic. Background: Emergency room nurses working on the front lines during the COVID-19 pandemic; many factors such as excessive workload, prolonged working hours, threat of infection, death of the patients they care for have caused them to experience physical, social and psychological problems. Design: It is a randomized controlled, open-label study. Methods: This study was carried out with a total of 60 nurses working in the emergency units of two training and research hospitals in Istanbul. Participants were divided into motivational group and control group. Motivational notifications were sent via Short Message Service (SMS) to the mobile phones of the participants in the motivational group (n=30) for 21 days. No motivational notification was sent to the control group (n=30) during this process. Data were obtained with the Individual Introduction Form, Job Satisfaction, Compassion Fatigue and Communication Skills Scale.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
65

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Aug 2021

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 2, 2021

Completed
28 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 30, 2021

Completed
1 day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2021

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

November 15, 2021

Completed
1 month until next milestone

First Posted

Study publicly available on registry

December 15, 2021

Completed
3.1 years until next milestone

Results Posted

Study results publicly available

February 4, 2025

Completed
Last Updated

February 4, 2025

Status Verified

February 1, 2025

Enrollment Period

28 days

First QC Date

November 15, 2021

Results QC Date

March 10, 2022

Last Update Submit

February 1, 2025

Conditions

Outcome Measures

Primary Outcomes (3)

  • Job Satisfaction-Short Scale

    Job satisfaction scale is in a 5-point Likert type and is graded as (1- Absolutely disagree and 5-Absolutely agree). Scoring of the scale is calculated as a minimum of 1 and a maximum of 5 points, and the average of 5 related items is taken. The lowest score that can be obtained from the scale is 5 and the highest score is 25. Accordingly, the decrease in the average score of the participants indicates that job satisfaction decreases; an increase in the average score indicates an increase in job satisfaction.

    Baseline and after 3 weeks

  • Compassion Fatigue-Short Scale

    The scale aims to measure secondary trauma and occupational burnout. Items are rated on a 10-point Likert-type scale ranging from rarely/never (1) to very often (10). The total possible score ranges from 13 to 130, with higher scores representing a higher level of compassion fatigue.

    Baseline and after 3 weeks

  • Communication Skills Scale

    This scale was developed to determine how people evaluate their own communication skills. It consists of 25 items on a 5-point Likert-type scale ranging from always (1) to never (5). The scale yields a score ranging from 25 to 125. High scores reflect a positive perception of the person's communication skills.

    Baseline and after 3 weeks

Study Arms (2)

Motivation

EXPERIMENTAL

Motivational notifications were sent to the nurses in the motivational group (n=30) via SMS messages to their mobile phones at 07.00, 12.00 and 16.00 for 21 days. Like a good morning message that allows you to start the day with a beautiful energy (Example: Thank you for the hard and selfless work you do every day. We love and appreciate angels like you and you. Good morning). Motivational notifications sent to the participants were prepared each day to be different from the previous day. Data were obtained with the Individual Introduction Form, Job Satisfaction, Compassion Fatigue and Communication Skills Scale.

Other: Motivation

Control

NO INTERVENTION

Motivational notifications were not sent to the nurses in the control group (n=30) and they continued their routine work in the emergency room. only pretest and posttest were applied. Data were obtained with the Individual Introduction Form, Job Satisfaction, Compassion Fatigue and Communication Skills Scale.

Interventions

Motivational notifications were sent via SMS message to the nurses in the motivation group (n=30) at 07.00, 12.00 and 16.00 for 21 days.

Motivation

Eligibility Criteria

Age18 Years - 50 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hilal KARTAL

Istanbul, Beylikdüzü, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Personal SatisfactionCompassion FatigueCommunication

Interventions

Information Motivation Behavioral Skills Model

Condition Hierarchy (Ancestors)

BehaviorMental FatigueFatigueSigns and SymptomsPathological Conditions, Signs and SymptomsBehavioral SymptomsOccupational StressStress, Psychological

Intervention Hierarchy (Ancestors)

Models, PsychologicalModels, TheoreticalInvestigative Techniques

Limitations and Caveats

Our results are limited to the participants in this study, and cannot be generalized to all nurses working in emergency units during the COVID-19 pandemic. The study spanned a relatively brief period, and messages have a short-term effect. Therefore, long-term studies with larger sample groups are needed to determine the long-term effectiveness of motivational messages. The participants could not be blinded due to the study design, and demoralization could limit the validity of the results

Results Point of Contact

Title
HKARTAL
Organization
IstanbulSBU

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
PhD student

Study Record Dates

First Submitted

November 15, 2021

First Posted

December 15, 2021

Study Start

August 2, 2021

Primary Completion

August 30, 2021

Study Completion

August 31, 2021

Last Updated

February 4, 2025

Results First Posted

February 4, 2025

Record last verified: 2025-02

Data Sharing

IPD Sharing
Will not share

Locations