Effectiveness of Positive Psychological Intervention on Resilience Improvement in Nurses

NCT06572202 | Not Yet Recruiting

• 1 other identifier: FRESPP2024
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

The nursing profession, comprising over 27.9 million individuals and representing 59% of the health sector, plays a critical role in frontline healthcare globally. However, nurses face significant workplace stress due to factors like high mortality rates and ethical dilemmas, which can negatively impact their mental health. Resilience has emerged as a crucial concept in mitigating workplace stress and protecting nurses' psychological well-being. Studies show a negative correlation between stress and resilience, with higher resilience linked to better psychological outcomes and lower rates of burnout. Resilience, a dynamic process of positive adaptation to stress, can be enhanced through interventions like positive psychology, which focuses on developing traits such as perseverance, interpersonal skills, and emotional stability. These interventions have been shown to reduce burnout, improve job satisfaction, and potentially enhance patient care, making them vital in addressing the unique challenges nurses face. Gap of Knowledge: Although existing research has demonstrated the effectiveness of positive psychology interventions in reducing depression, anxiety, burnout, and stress among healthcare workers, including nurses, there is a need for more targeted randomized controlled trials (RCTs) that specifically address the unique stressors and work environments of nurses. Furthermore, the long-term effects of these interventions on nurses' resilience, stress, burnout, and job satisfaction require further exploration through well-designed RCTs. Research Aims and Hypothesis: The present study aims to

1. 1.evaluate whether a positive psychology intervention, based on evidence-based activities from several positive psychology theories, can improve resilience in nurses, and
2. 2.assess whether this intervention can also enhance stress levels, reduce burnout, and improve job satisfaction among nurses.
3. 3.the positive psychology intervention will improve nurses' resilience;
4. 4.the intervention will positively impact stress, burnout, and job satisfaction; and
5. 5.it will be more effective for nurses with low resilience in improving these outcomes.

Conditions

Nurses; Resilience, Psychological; Positive Psychology

Outcome Measures

Primary Outcomes (1)

• Resilience

  Resilience will be measure with the Connor Davidson Resilience Scale (CD-RISC). The CD-RISC was developed in the United States to measure individuals' ability to cope effectively when faced with adversity (Connor \& Davidson, 2003). The revised scale includes 25 items and three dimensions (tenacity, strength, and optimism). Each item is rated on a Likert-type scale ranging from 0 (not at all) to 4 (almost always). The Cronbach's alpha value for the CDRISC 25 has been reported to be 0.91 in a study on a sample of nurses (Arias González et al., 2015).

  pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up, 12 month follow-up

Secondary Outcomes (6)

• Stress

  pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up, 12 month follow-up

• Anxiety

  pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up, 12 month follow-up

• Depression

  pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up, 12 month follow-up

• Burnout

  pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up, 12 month follow-up

• Work performance

  pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up, 12 month follow-up

Study Arms (2)

Positive Psychology Intervention

EXPERIMENTAL

The experimental group will receive multicomponent of positive psychology intervention with the specific domain related to resilience enhancement in nurses Ciarrochi et al. (2022). The program consists of five resilience domains/ six positive psychology virtues in fourteen sessions. Each session will take 60 minutes, two sessions per week. The program will last for six weeks, followed by posttest immediately after intervention, 3-months, 6-months, and one year follow up.

Behavioral: Positive Psychology Intervention

Control group

NO INTERVENTION

The control group will not receive intervention

Interventions

Positive Psychology Intervention BEHAVIORAL

The 14-session intervention program is designed to enhance various internal resiliency factors. It begins with an orientation to positive psychology and setting group guidelines. Cognitive resilience is developed through identifying personal and signature strengths, reappraising memories, and learning savoring techniques. Emotional resilience is strengthened by focusing on forgiveness, managing decision fatigue, and fostering positive communication. Spiritual resilience is cultivated through gratitude practices and exploring hope and optimism. Behavioral resilience is addressed by recognizing strengths in others and engaging in altruism. The final session integrates all these elements to promote lasting positive changes in engagement, relationships, meaning, and accomplishments. Mid-session feedback ensures the program's effectiveness and responsiveness to participants' needs.

Positive Psychology Intervention

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• registered nurses working in clinical settings
• minimum of one year of work experience as a nurse
• availability to participate in the intervention and follow-up assessments.

You may not qualify if:

• Recent exposure to severe illness, trauma, or major life events in the past three months,
• having suffered a major traumatic event in the past 6 months,
• currently undergoing other forms of psychological treatment or counseling.

Sponsors & Collaborators

• Fitria Endah Janitra: lead

Study Sites (1)

Sultan Agung Islamic Teaching Hospital

Semarang, Central Java, Indonesia

Location

Related Publications (4)

• Silva Ddos S, Tavares NV, Alexandre AR, Freitas DA, Breda MZ, Albuquerque MC, Melo VL. [Depression and suicide risk among nursing professionals: an integrative review]. Rev Esc Enferm USP. 2015 Dec;49(6):1027-36. doi: 10.1590/S0080-623420150000600020. Portuguese.

  PMID: 27419688 RESULT

• Aqtam I, Ayed A, Toqan D, Salameh B, Abd Elhay ES, Zaben K, Mohammad Shouli M. The Relationship Between Stress and Resilience of Nurses in Intensive Care Units During the COVID-19 Pandemic. Inquiry. 2023 Jan-Dec;60:469580231179876. doi: 10.1177/00469580231179876.

  PMID: 37278278 RESULT

• Mealer M, Jones J, Newman J, McFann KK, Rothbaum B, Moss M. The presence of resilience is associated with a healthier psychological profile in intensive care unit (ICU) nurses: results of a national survey. Int J Nurs Stud. 2012 Mar;49(3):292-9. doi: 10.1016/j.ijnurstu.2011.09.015. Epub 2011 Oct 5.

  PMID: 21974793 RESULT

• Janitra FE, Jen HJ, Chu H, Chen R, Pien LC, Liu D, Lai YJ, Banda KJ, Lee TY, Lin HC, Chang CY, Chou KR. Global prevalence of low resilience among the general population and health professionals during the COVID-19 pandemic: A meta-analysis. J Affect Disord. 2023 Jul 1;332:29-46. doi: 10.1016/j.jad.2023.03.077. Epub 2023 Mar 31.

  PMID: 37004902 RESULT

Study Officials

• Fitria Endah Janitra

  Universitas Islam Sultan Agung

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Fitria Janitra, Master

CONTACT

085772344676; fitria.janitra@unissula.ac.id

Study Design

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

Study Record Dates

• First Submitted: August 22, 2024
• First Posted: August 27, 2024
• Study Start: September 9, 2024
• Primary Completion: March 9, 2025
• Study Completion: June 9, 2025
• Last Updated: August 27, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

ID (1)