Effectiveness of Positive Psychological Intervention on Resilience Improvement in Nurses
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Positive Psychology Intervention.
- Who it may be relevant to
- Registry conditions: Nurses, Resilience, Psychological, Positive Psychology. Basic parameters: 18 years — 60 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Indonesia
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effectiveness of Positive Psychological Intervention on Resilience Improvement in Nurses: A Randomised Controlled Trial
Overview
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. evaluate whether a positive psychology intervention, based on evidence-based activities from several positive psychology theories, can improve resilience in nurses, and 2. assess whether this intervention can also enhance stress levels, reduce burnout, and improve job satisfaction among nurses. The hypotheses are: 1. the positive psychology intervention will improve nurses' resilience; 2. the intervention will positively impact stress, burnout, and job satisfaction; and 3. it will be more effective for nurses with low resilience in improving these outcomes.
Interventions
- Behavioral Positive Psychology Intervention
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 gra
Primary outcome measures
- Resilience [Time frame: pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up, 12 month follow-up]
Secondary outcome measures (6)
- Stress [Time frame: pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up, 12 month follow-up]
- Anxiety [Time frame: pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up, 12 month follow-up]
- Depression [Time frame: pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up, 12 month follow-up]
- Burnout [Time frame: pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up, 12 month follow-up]
- Work performance [Time frame: pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up, 12 month follow-up]
- Physical health [Time frame: pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up, 12 month follow-up]
Eligibility criteria
Inclusion criteria
- 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.
Exclusion criteria
- 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.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Supportive care
Study locations
Indonesia · 1 center
- Sultan Agung Islamic Teaching Hospital — Semarang
Publications
- 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
- 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
- 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
- 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
Identifiers
NCT: NCT06572202 · FRESPP2024