The Effect of a Digital Board Game-Based Psychological Empowerment Program on Nurses' Psychological Empowerment Levels, Job Satisfaction, and Innovative Behaviors

NCT07239882 | Not Yet Recruiting DMC

• 1 other identifier: 1225794
• Study Type: interventional
• Target: 50
• Locations: 0 countries
• Sites: N/A

Brief Summary

Psychological empowerment is defined as nurses' perceptions of their professional roles as meaningful, their ability to effectively perform their duties, their level of participation in organizational decision-making processes, and their perceptions of their professional productivity. In occupational groups with high stress levels, such as nursing, psychological empowerment plays a crucial role in maintaining individual and organizational well-being. Research indicates that nurses' levels of psychological empowerment are moderate and that there is a need for enhancing interventions. The purpose of this study is to evaluate the effects of a digital board game-based psychological empowerment program on nurses' psychological empowerment levels, job satisfaction, and innovative behaviors. The research was designed with a pretest-posttest randomized controlled experimental design. The study sample will consist of nurses working in a university hospital. Participants will be selected according to specified inclusion and exclusion criteria, and data will be collected using a Personal Information Form, the Psychological Empowerment Scale, the Job Satisfaction Scale, and the Innovative Behavior Scale. The "digital board game-based psychological empowerment program" will be structured based on Kanter and Spreitzer's empowerment theories. The Ministry of Health's 2021 "Guide to Core Competencies in Nursing," the Psychological Empowerment Scale sub-dimensions, and studies on psychological empowerment in nursing in the literature will be considered in the preparation of the training content. The final version of the program will be completed following expert opinions. The program will consist of 6-week sessions. Each session is planned as two parts: (1) online empowerment training and (2) online group workshops. The group workshops will include topic-specific question-and-answer activities, group discussions, and digital board game applications appropriate to the session theme. Re-measurements (post-tests) will be conducted in the first and third months following the intervention. The control group will not receive any active intervention and will be subjected to the same assessment at the same time intervals as the intervention group. The control group will receive a booklet containing the training content at the end of the study. The data obtained will be analyzed using an independent samples t-test. The study results indicate a significant increase in nurses' psychological empowerment levels and an improvement in their job satisfaction and innovative behaviors in the intervention group. While numerous studies on the psychological empowerment of nurses exist in the literature, structured, long-term psychological empowerment programs and intervention studies are limited. The unique aspect of this study is the development and implementation of an innovative game-based intervention program to contribute to the psychological empowerment of nurses.

Conditions

Digital Board Games; Intervention; Psychological Empowerment Program

Keywords

Nursing; Psychological Empowerment; Job Satisfaction; Digital Board Games; Innovative Behavior; intervention

Outcome Measures

Primary Outcomes (1)

• Psychological Empowerment Level

  Nurses' psychological empowerment levels will be assessed using the Psychological Empowerment Scale developed by Spreitzer. The scale's validity and reliability in Turkish were conducted by Üner \& Turan. The scale consists of 12 items and uses a 7-point Likert-type scale (1 = strongly disagree, 7 = strongly agree). The minimum score is 12, and the maximum score is 84. Higher scores indicate higher levels of psychological empowerment.

  Pre-intervention (baseline), post-intervention (week 6), 1-month follow-up, 3-month follow-up.

Secondary Outcomes (2)

• Job Satisfaction Level

  Pre-intervention (baseline), post-intervention (week 6), 1-month follow-up, 3-month follow-up.

• Innovative Behavior Level

  Pre-intervention (baseline), post-intervention (week 6), 1-month follow-up, 3-month follow-up.

Other Outcomes (1)

• Program Evaluation

  Immediately after the intervention is completed (week 6).

Study Arms (2)

Digital Board Game-Based Psychological Empowerment Program

EXPERIMENTAL

Nurses in the intervention group will participate in a 2-hour online psychological empowerment program, once a week for 6 weeks. The program will consist of online educational presentations, group discussions, digital board game activities (via the Board Game Arena platform), and session evaluations conducted using the Kahoot application. The program aims to increase nurses' psychological empowerment, improve their job satisfaction, and support their innovative behaviors. Sustainability assessments will be repeated 1 month and 3 months after the intervention.

Behavioral: Digital Board Game-Based Psychological Empowerment Program

Control Group - Standard Application

NO INTERVENTION

Nurses in the control group will not receive any active intervention. However, they will be provided with a booklet version of the psychological empowerment program training content after the study is completed. Pretests, posttests, and follow-up measurements (months 1 and 3) will also be administered at the same time as the intervention group.

Interventions

Digital Board Game-Based Psychological Empowerment Program BEHAVIORAL

This intervention is a 6-week online program aimed at increasing nurses' psychological empowerment, job satisfaction, and innovative behavior. Each session will last 2 hours and will be conducted via Zoom. The program will consist of: Online educational presentations on psychological empowerment, Group discussions and experience sharing, Digital board games via the Board Game Arena (BGA) platform, Session evaluations using the Kahoot app (increasing motivation by offering small prizes to the first 3 participants). The intervention group will receive a pretest, posttest, and sustainability measurements (1- and 3-month follow-ups).

Digital Board Game-Based Psychological Empowerment Program

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Being between the ages of 18 and 45 (although there are differing opinions in the literature on the age limit, the 45-year-old age limit encompasses a period when the effects of aging are more pronounced),
• Voluntarily participating in the study and having given written consent,
• Working a mix of day and night shifts (arrangements such as working only during the day, only at night, or with maternity leave will be excluded),
• Not receiving any other psychological training or therapy during the study dates,
• Not holding any additional job,
• Not participating in any additional program,
• Having at least one year of work experience,
• Not having a physical or mental illness that would prevent participation in the program,
• Having a bachelor's degree,
• Working as a nurse in the relevant institution during the study dates,
• Possessing and being able to use a computer, mobile phone, etc., to play digital games and participate in online group workshops and online training presentations.

You may not qualify if:

• Failure to attend 2 or more sessions (attending less than 70% of the sessions),
• Withdrawal from the study voluntarily,
• Developing health problems that prevent participation after starting the program,
• Failure to complete all six sessions for various reasons (illness, moving, etc.).

Sponsors & Collaborators

• Akdeniz University: lead

Study Officials

• Filiz KANTEK, Prof. Dr.

  Akdeniz University

  STUDY DIRECTOR

Central Study Contacts

merve OZLU

CONTACT

+905387331364; merveozlu.962@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: "Randomization will be performed by an independent researcher. Group allocation will not be revealed to the data analyst during statistical evaluation."
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctoral student

Model Details: "The intervention group will participate in 6 weekly sessions, each consisting of a 1-hour online educational presentation and a 1-hour online group workshop using digital board games. The program is designed to last 6 weeks, and follow-up assessments will be conducted 1 and 3 months after completion to evaluate sustainability of effects. The control group will not receive active intervention during the study but will be provided with the educational booklet at the end. Both groups will be assessed at the same time intervals."

Study Record Dates

• First Submitted: July 31, 2025
• First Posted: November 20, 2025
• Study Start: December 15, 2025
• Primary Completion: March 15, 2026
• Study Completion (Estimated): October 15, 2026
• Last Updated: November 20, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: September 2025 until October 2026
• Access Criteria: They can access the study protocol and study purpose/description through this platform.