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Effect of Nurse-Led Intervention Programme Professional Quality of Life and Psychological Distress in Nurses

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03914898
Recruitment Status : Completed
First Posted : April 16, 2019
Last Update Posted : April 16, 2019
Sponsor:
Information provided by (Responsible Party):
Neslihan Partlak Günüşen, Dokuz Eylul University

Brief Summary:

Nurses often experience occupational stress, burnout and secondary trauma in their workplaces. Nurses face many stressful situations such as the death of patients, violence, acute conditions, the suffering of patients, which they are usually unable to control. Moreover, these situations are considered to be the daily routine of nurses. An essential aspect of reducing occupational stress is the individual empowerment of nurses. There are several interventional studies aimed at empowering nurses in the workplace that use different methods. The studies in the literature mostly consist of programs focused on mindfulness, resilience, and self-care. However, it can be seen in these studies that sample selections were not randomized, there was no control group, and no follow-up was performed . Besides, in almost all of the studies, it can be observed that all nurses who accepted to participate in the study were included in the study and no risk groups were determined. Therefore, it is not clear whether these interventional studies are primary prevention or secondary prevention studies. Building on these needs, a randomized controlled trial to empower nurses may make a significant contribution to the literature.

There is a need for randomized and controlled studies with high levels of evidence to explore the interventions that are expected to reduce occupational stress and empower employees.

The aim of this study was to evaluate the effects of nurse-led intervention programme on compassion fatigue, burnout, compassion satisfaction and psychological distress in nurses.


Condition or disease Intervention/treatment Phase
Compassion Fatigue Other: Nurse led intervention group Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 48 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Effect of Nurse-Led Intervention Programme on Compassion Fatigue, Burnout, Compassion
Actual Study Start Date : February 1, 2017
Actual Primary Completion Date : April 30, 2017
Actual Study Completion Date : September 30, 2017

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Fatigue

Arm Intervention/treatment
Experimental: Nurse led intervention group
The nurse-led intervention is a programme to help nurses to improve professional quality of life and reduce psychological distress. The nurse-led intervention programme comprised four sessions; which lasted approximately 1.5-2 h. The Intervention group was divided into two smaller groups of 12 people. TIntervention were applied in a quiet and comfortable room in an uncrowded part of the hospital. The nurses were served food and beverage, and an intimate atmosphere was created. Interventions were applied by first author, the first author had previously managed nurse support groups, patient groups with breast cancer. The first author who was a psychiatric nurse has also been an active educator in the psychiatric and mental health nursing and coping with stress education classes offered at an urban university and was trained in cognitive behavioural therapy. The content and structure of the group sessions were based on the principles of cognitive restructuring techniques.
Other: Nurse led intervention group
This program is based on cognitive restructuring tecniques.

No Intervention: Control Group
No intervention was applied to the nurses in the control group during the study. After the research process was completed, the same program was applied to the control group nurses who were willing to participate in the program.



Primary Outcome Measures :
  1. Change from baseline compassion fatigue at 1 and 6 months assessed by compassion fatigue subscale of Professional quality of life scale [ Time Frame: Data collected before the program starts (pretest) and one months after the end of the program and six months ]
    The compassion fatigue subscale of ProQOL-IV includes 10-items. Completion of the compassion fatigue subscale involves selecting response choices on a 0 (never) to 5 (very often) likert scale. 0-50 points can be taken from the compassion fatigue subscale. There is no cut-point. A number of items required reverse coding so that high scores on all items indicate high compassion fatigue.

  2. Change from baseline burnout at 1 and 6 months assessed by burnout subscale of Professional quality of life scale [ Time Frame: Data collected before the program starts (pretest) and one months after the end of the program and six months ]
    The burnout subscale of ProQOL-IV includes 10-items. Completion of the burnout subscale involves selecting response choices on a 0 (never) to 5 (very often) likert scale. 0-50 points can be taken from the burnout subscale. There is no cut-point. A number of items required reverse coding so that high scores on all items indicate high burnout.

  3. Change from baseline compassion satisfaction at 1 and 6 months assessed by compassion satisfaction subscale of Professional quality of life scale [ Time Frame: Data collected before the program starts (pretest) and one months after the end of the program and six months ]
    The compassion satisfaction subscale of ProQOL-IV includes 10-items. Completion of the compassion satisfaction subscale involves selecting response choices on a 0 (never) to 5 (very often) likert scale. 0-50 points can be taken from the compassion satisfaction subscale. There is no cut-point. A number of items required reverse coding so that high scores on all items indicate high compassion satisfaction.


Secondary Outcome Measures :
  1. Change from baseline psychological distress at 1 and 6 months assessed by general health questionnaire [ Time Frame: Data collected before the program starts (pretest) and one months after the end of the program and six months ]
    The GHQ-12 is a scale surveying psychiatric symptoms observed within the last few weeks. The items were evaluated on a 4-point likert-type scale. Scoring was as follows (a) and (b), 0 points; (c) and (d), 1 point; and the total possible score ranged between 0 and 12 points. The General Health Questionnaire-12 (GHQ-12) states that the nurses who score 2 and above risky.



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Nurses who responded to the questionnaires received a score on compassion fatigue higher than the mean score (20 points)
  • Nurses who worked at clinics and had at least six months of experience

Exclusion Criteria:

  • Nurses who responded to the questionnaires received a score on compassion fatigue lower than the mean score (20 points)
  • head nurses

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03914898


Locations
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Turkey
Neslihan Günüşen
İzmir, Turkey, 35340
Sponsors and Collaborators
Dokuz Eylul University
Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Neslihan Partlak Günüşen, Associate professor, Dokuz Eylul University
ClinicalTrials.gov Identifier: NCT03914898    
Other Study ID Numbers: 3109-GOA
First Posted: April 16, 2019    Key Record Dates
Last Update Posted: April 16, 2019
Last Verified: April 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Neslihan Partlak Günüşen, Dokuz Eylul University:
burnout
compassion fatigue
nursing
psychological distress
Additional relevant MeSH terms:
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Fatigue
Compassion Fatigue
Mental Fatigue
Behavioral Symptoms
Occupational Stress
Stress, Psychological