Integrated Program to Enhance Professional Identity and Reduce Burnout in Neonatal Nurses

NCT07241000 | Completed

• 1 other identifier: 20260974
• Study Type: interventional
• Target: 172
• Locations: 1 country
• Sites: 1

Brief Summary

This cluster randomized controlled trial evaluates the efficacy of an integrated empowerment and narrative nursing (I-ENP) program compared to usual care for neonatal nurses. The study aims to determine if the 6-month I-ENP, which includes empowerment education and narrative nursing sessions, can enhance professional identity, reduce burnout symptoms, and lower turnover intention among neonatal nurses.

Conditions

Professional Burnout

Outcome Measures

Primary Outcomes (1)

• Change in Professional Identity Score

  Change from baseline in total score on the Professional Identity Scale for Nurses (PISN). The scale ranges from 30 to 150, with higher scores indicating stronger professional identity.

  Baseline, 6 Months

Secondary Outcomes (5)

• Change in Professional Identity Score at Follow-up

  Baseline, 9 Months

• Change in Burnout: Emotional Exhaustion Score

  Baseline, 6 Months, 9 Months

• Change in Burnout: Depersonalization Score

  Baseline, 6 Months, 9 Months

• Change in Burnout: Personal Accomplishment Score

  Baseline, 6 Months, 9 Months

• Nurse Turnover Intention

  6 Months

Study Arms (2)

Integrated Empowerment and Narrative Nursing Program (I-ENP) Group

EXPERIMENTAL

Nurses in this group received a 6-month structured program in addition to usual care. The program included four monthly 2-hour empowerment education workshops and six bi-weekly 1.5-hour narrative nursing sessions, delivered in small groups.

Behavioral: Integrated Empowerment and Narrative Nursing Program (I-ENP)

Control Group

ACTIVE COMPARATOR

Nurses in this group received usual care, which included standard hospital-provided continuing education and access to employee assistance programs, without any additional specific intervention.

Behavioral: Usual Care

Interventions

Integrated Empowerment and Narrative Nursing Program (I-ENP) BEHAVIORAL

A multi-component program combining empowerment education (modules on professional competence, stress management, effective communication, teamwork) and narrative nursing (sessions for story sharing, reflective writing, and peer support) delivered over 6 months.

Integrated Empowerment and Narrative Nursing Program (I-ENP) Group

Usual Care BEHAVIORAL

Standard hospital-provided support, including routine continuing education and access to employee assistance programs.

Control 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 working full-time in the Neonatal Intensive Care Units (NICUs) of the participating hospitals.
• At least 1 year of work experience.

You may not qualify if:

• Nurses on long-term leave (e.g., maternity leave).
• Nurses in managerial positions.
• Nurses planning to leave their position during the study period.

Sponsors & Collaborators

• The Fourth Hospital of Shijiazhuang: lead

Study Sites (1)

Shijiazhuang Fourth Hospital

Shijiazhuang, Hebei, 050000, China

Location

MeSH Terms

Conditions

Burnout, Professional

Condition Hierarchy (Ancestors)

Occupational Stress; Occupational Diseases; Burnout, Psychological; Stress, Psychological; Behavioral Symptoms; Behavior

Study Design

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

Study Record Dates

• First Submitted: November 17, 2025
• First Posted: November 21, 2025
• Study Start: January 1, 2023
• Primary Completion: July 1, 2023
• Study Completion: October 1, 2023
• Last Updated: November 21, 2025

Record last verified: 2025-11

Locations

CN (1)