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The Effect of a Stress Management Program on Occupational Stress and Coping Strategies Among Nurses

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ClinicalTrials.gov Identifier: NCT03833986
Recruitment Status : Completed
First Posted : February 7, 2019
Last Update Posted : March 31, 2020
Sponsor:
Information provided by (Responsible Party):
Jafar Alkhawaldeh, Universiti Putra Malaysia

Brief Summary:

The present study is designed to focus on examining the effectiveness of the stress management program on occupational stress and coping strategies among public health centers nurses in Jordan.

the Specific Objectives that will guide this study are as follow:

  1. To assess the level of occupational stress among Jordanian public health nurses who work in comprehensive health care centers.
  2. To find out the association between nurses' occupational stress scores and their selected demographic variables.
  3. To identify the sources of occupational stress encountered among public health centers nurses in the work setting.
  4. To identify the types of coping strategies utilized by Jordanian nurses working in comprehensive health care centers.
  5. To evaluate the effectiveness of stress management program on occupational stress mean score among experimental and control groups at baseline, post-test and at two months' follow-up assessment.
  6. To evaluate the effectiveness of stress management program on coping strategies mean score among experimental and control groups at baseline, post-test and at two months' follow-up assessment.

This experimental study will examine differential changes in two dependent variables: occupational stress and coping strategies of public health nurses after participation in experiment. Experimental Group will participate in a stress management program and control group will not receive any intervention. The null hypotheses that guide this study are:

  1. Null hypothesis (H0_1): There is no significant difference in occupational stress mean score between experimental and control groups at baseline, post-intervention and at two months' follow-up assessment. (µ1 = µ2).
  2. Null hypothesis (H0_2): There is no significant difference in coping strategies mean score between experimental and control groups at baseline, post-intervention and at two months' follow-up assessment. (µ1 = µ2).

Condition or disease Intervention/treatment Phase
Occupational Stress Coping Skills Other: Stress management program Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 170 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single (Care Provider)
Primary Purpose: Supportive Care
Official Title: Effectiveness of Stress Management Program on Occupational Stress Among Public Health Centers Nurses in Jordan
Actual Study Start Date : May 1, 2019
Actual Primary Completion Date : September 1, 2019
Actual Study Completion Date : December 1, 2019

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Stress management program
The stress program will be delivered to experimental group in a six-sessions for two weeks, each session will take 2 hours (2 hours/six sessions /two weeks).
Other: Stress management program
Nurses stress management program will be an experiential teaching program consisting of six sessions of stress management strategies for public health centers nurses. the workshop will be in a warm quite room with efficient light, temperature, and ventilation. The intervention group will receive handouts copies of the stress management program for each session at the end of the study.

No Intervention: Control
There is no intervention for controlled group during workshop but they are put on a waiting-list to receive the intervention after the active treatment group does.



Primary Outcome Measures :
  1. Occupational stress will be measured by Nursing stress scale (NSS) "change is being assessed" [ Time Frame: Occupational stress will be measured to assess the change between pre-test and up to 2 months post-test ]
    Nursing Stress Scale (NSS) will be used in the study to measure nurses occupational stress. it consists of 34 items distributed in 7 subscales which are: Death and Dying patients (7 items), conflict with Physicians (5 items), inadequate emotional preparation (3 items), lack of support (3 items), conflict with other nurses (5 items), work Load (6 items), and uncertainty concerning treatment (5 items). A 4-point Likert scale used to indicate the frequency of work stressors experienced by nurses from never stressful (1), to occasionally (2), to frequently (3), to very frequently stressful (4). The original scale has been reported to have high reliability as evidenced by Cronbach's coefficient alpha of 0.89 for the total score, Individual subscales reliability ranged from α=0.79 to α=0.89. The NSS total scores ranging from 34 to 136, A higher score indicates a higher frequency of work stressors experienced by the participants.

  2. coping skills will be measured by The Brief Coping Orientations to Problems Experienced (COPE) Scale "change is being assesses" [ Time Frame: Coping strategies will be measured to assess the change between pre-test- and up to 2 months post-test ]
    Coping skills will be assessed by the Brief Coping Orientations to Problems Experienced (COPE) Scale, this instrument contains 28 items and has 14 sub-scales (2 items per subscale) that capture 14 ways of various coping behaviors. Each item of this instrument is endorsed by participants using a 4-point Likert scale, which ranges from 1 (I have not been doing this at all), 2 (I have been doing this a little bit), 3 (I have been doing this a medium amount), 4 (I have been doing this a lot). Total scores for each subscale will be calculated, and higher total subscale scores indicate greater perceived use of a corresponding coping behavior. Carver reported good reliability and validity with Cronbach alpha ranging from 0.50-0.90 for its subscales, demonstrating acceptable internal consistency for this instrument.



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Ages Eligible for Study:   20 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • nurses who have full-time working employment and agreed to participate in the study (by consent form).
  • have more than one year of experience community care .
  • Do not have any psychiatric or physical health problems.
  • Do not work on fixed shift as nurses on the fixed shifts experienced higher levels of stress than the nurses on the rotating shifts (Tajvar et al., 2015)..
  • Nurses had undergone stress management courses.
  • Less than one year of experience in community care.
  • Nurses who work in more than one center.

Exclusion Criteria:

  • Nurses had undergone stress management courses.
  • Less than one year of experience in community care.
  • Nurses who work in more than one center.

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): NCT03833986


Locations
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Jordan
Ministry of Health
Amman, Jordan
Sponsors and Collaborators
Universiti Putra Malaysia
Investigators
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Principal Investigator: Ja'far Alkhawaldeh, PhD student University Putra Malaysia
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Jafar Alkhawaldeh, Principal Investigator, Universiti Putra Malaysia
ClinicalTrials.gov Identifier: NCT03833986    
Other Study ID Numbers: J8754
First Posted: February 7, 2019    Key Record Dates
Last Update Posted: March 31, 2020
Last Verified: March 2020
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
Additional relevant MeSH terms:
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Occupational Stress
Occupational Diseases
Stress, Psychological
Behavioral Symptoms