The Effects of "Three Good Things" Positive Psychotherapy on Burnout, Turnover Intention, Job Performance, Job Satisfaction, Self-efficacy, Coping Styles, Resilience and Blood Cortisol of Chinese Nurses
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 73
- 试验地点
- 1
- 主要终点
- The Maslach Burnout Inventory-General survey (MBI-GS) was used to assess the change of burnout from baseline to six months later.
研究概览
简要总结
A randomized, controlled trial was conducted for 73 Chineses nurses from The Second Xiangya Hospitcal of Central South University (33 in the experimental group, 40 in the control group). The experimental group received a six-month Wechat-based "three good things" positive psychotherapy from August 2015 to January 2016, while the control group only received normal psychological instruction from the hospital. A socio-demographic sheet, Malsach Burnout Inventory-General Survey, the Turnover Intention Scale, The Job Satisfaction Scale, The Job Performance Scale, General Self-efficacy Scale, The Trait Coping Style Scale (TCSS), The Connor-Davidson Resilience Scale (CD-RISC) were used to collect data prior to and immdediately after the intervention. The blood cortisol was also evaluated prior to and immdediately after the intervention. SPSS 23.0 was used for data analysis. Descriptive statistics, ANOVA, Chi-square test, repeated-measures analysis and T-test were employed to analyse the effect of "three good things" intervention on nurse burnout. We hypothesis that the "three good things" positive psychotherapy could alleviate nurses' burnout, turnover intention, improve their job performance, job satisfaction, self-efficacy, resilience, introduce nurses' to use positive coping strategies to overcome adversities. Moreover, their blood cortisol would be reduced after the intervention.
详细描述
Study design and sample In the present study, we used a randomized, controlled design to assess the effect of "three good things" positive psychotherapy from August 2015 to January 2016. Measures were administered before (T0) and immediately after (T1) the intervention.
The study sample were nurses recruited from one three-level general hospital in Changsha, Hunan, China. The sample size calculation was conducted via PASS statistical software (NCSS LCC, East Kaysville, UT, USA) . The effect size was 0.67, power was 0.80, and margin of error type Ⅰ was 0.05. Accordingly, the sample size was 64. Stochastic tables' law was used for group division. A total of 193 nurses completed the MBI-GS, and 102 nurses who met the inclusion criteria were randomly selected for the study. However, only 73 completed the study, with 33 in the experimental group and 40 in the control group.
Instruments A socio-demographic questionnaire, the Maslach Burnout Inventory-General Survey (MBI-GS), the turnover intention questionnaire, the Job Performance scale, the Job Satisfaction scale, the General self-efficacy Scale, the CD-RISC and the Trait Coping Style Scale were used to collect the data. The blood cortisol was also collected. The detail instruction of these scales could be found at Outcome Measures section.
Ethical consideration This study was approval by The Institutional Review Board (IRB) of Xiangya Nursing School, Central South University. Participants were informed about the objectives and procedures of the study before they began the survey. All data were held confidential. Only the research team could access the data.
Data analysis Data analysis was performed using SPSS 22.0 (SPSS Inc., Chicago, IL, USA). Descriptive statistics was used to describe demographic data, burnout, turnover intention, job performance, job satisfaction, self-efficacy, resilience, coping style and cortisol. Generalized repeated-measures analysis of variance (ANOVA) was used to demonstrate the effect of intervention and time-intervention interaction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Investigator)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •registered nurses or licenced practical nurses
- •who provided direct care to residents
- •who's MBI-GS score were no less than 1.5
- •who didn't take any hormone therapy
- •were Chinese speakers.
排除标准
- •student nurses
- •who suffered from diseases that influence their hormone levels
- •who participated similar studies
- •who had no interest in this study.
研究组 & 干预措施
"Three good things" therapy group
The experimental group received a six-month Wechat-based"three good things" positive psychotherapy from August 2015 to January 2016. Participants were directed to record three good things that went well each day. These things could be minor, ordinary, or important. Next to each good things, participants were required to answer the question:" Why did this good thing happen"?
干预措施: "Three good things" therapy (Behavioral)
Normal psychological instruction group
The control group only received normal psychological instruction from the hospital
干预措施: Normal psychological instruction (Behavioral)
结局指标
主要结局
The Maslach Burnout Inventory-General survey (MBI-GS) was used to assess the change of burnout from baseline to six months later.
时间窗: The MBI-GS was used to assess nurses' burnout prior to and immediately after the intervention.
This scale was developed by Maslach and Jackson (1981) and consists of 16 items over three metrics: emotional exhaustion (EE, five items), cynicism (CY, five items) and reduced professional efficacy (RPE, six items). The items were scored on a Likert scale from 0 (never) to 6 (everyday) (Schaufeli et al. 1996). The higher the scores on the three metrics, the higher level of burnout indicated. The Chinese version of the MBI-GS, developed by Li \& Shi (2003), also has a good validity and reliability. In this study, Cronbach alpha coefficients for EE, CY and RPE were 0.93, 0.83 and 0.82, respectively.
次要结局
- The General Self-efficacy Scale(The General Self-efficacy Scale was used to assess nurses' self-efficacy prior to and immediately after the intervention.)
- The Connor-Davidson Resilience Scale (CD-RISC)(The CD-RISC was used to assess nurses' resilience prior to and immediately after the intervention.)
- The Trait Coping Style Scale (TCSS)(The TCSS was used to assess nurses' coping styles prior to and immediately after the intervention.)
研究者
Yufang Guo
Principal Investigator
Central South University