Stress management training program for stress reduction and coping improvement in public health nurses: A randomized controlled trial

J Adv Nurs. 2020 Nov;76(11):3123-3135. doi: 10.1111/jan.14506. Epub 2020 Aug 28.


Aims: This study aimed to evaluate the effect of the stress management interventional program in reducing occupational stress and improving coping strategies among public health nurses.

Design: A double-blind, cluster-randomized approach was used as a randomization method for this study to evaluate the stress management interventional program.

Methods: A cluster-randomized controlled trial was carried out in eight comprehensive healthcare centres in Amman city, Jordan; four centres were randomly assigned to each experimental and control group. One hundred and seventy nurses were selected randomly from March 2019 - August 2019 and data were collected by using the Nursing Stress Scale & brief COPE over three data collection times. Both descriptive and inferential statistics (repeated measure ANOVA, Independent t test, and chi-squared) were used to answer the research questions of this study.

Results: The results showed that both the levels of occupational stress and coping strategies were significantly different between the two study groups over the three data collection points (p < 0.05).

Conclusion: Based on the findings of this study, the stress management program is an effective non-invasive method that can be used to reduce stress levels and improve coping strategies for public health nurses. The implementation of stress management interventions in health care is likely to help nurses manage occupational stress in practice.

Impact: Nurses suffer from a high level of occupational stress. In particular, approximately74% of nurses experience severe occupational stress, which can lead to many mental and physical disorders. However, nurses were less able to utilize the correct stress preventive strategies due to gaps in knowledge, skills, and awareness. This study contributed to the provision of empirical evidence of the effectiveness of the stress management program in reducing occupational stress and improving coping strategies among public health nurses. A stress management intervention program is a valuable non-invasive method that can be used by healthcare organizations to reduce stress levels and improve coping strategies for nurses in practice.

Clinical trial registration number: NCT03833986.

目标: 本研究旨在探讨压力管理干预计划对降低公共卫生护士职业压力及优化应对策略的效果。 设计: 本研究采用双盲、集群随机方法,对压力管理干预方案进行评估。 方法: 在约旦安曼市的8个综合医疗中心进行了一项集群随机对照试验;每个实验组和对照组随机分配4个中心。从2019年3月至2019年8月,随机抽取170名护士,采用护理压力量表和简明应对量表进行三次数据收集。采用描述性和推断统计学(重复测量方差分析、独立t检验和卡方检验)来回答本研究中所研究的问题。 结果: 结果表明,在三个数据采集点上,两个研究组的职业压力水平和应对策略均存在显著差异(p<0.05)。 结论: 基于本研究结果,压力管理计划是一种有效的非侵入性方法,可用于降低公共卫生护士的压力水平及优化应对策略。在卫生保健中实施压力管理干预措施可能有助于护士在实践中管理其职业压力。 影响: 护士面临职业的高压力。具体来说,约74%的护士承受着严重的职业压力,可能导致许多精神和身体疾病。然而,由于知识、技能和意识上的差距,护士不太能运用正确的压力预防策略。本研究有助于提供实验性证据,证明压力管理计划在降低公共卫生护士职业压力及优化应付策略方面的效果。压力管理干预计划是一种有价值的非侵入性方法,可被医疗机构用于降低压力水平和优化护士的应对策略。临床试验注册号:NCT03833986。.

Keywords: coping skills; coping strategies; job stress; nursing; occupational stress; stress interventions program.

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