The Effect of Productivity Training on Perceived Job Stress and Productivity Attitudes Among Nurses: A Randomized Controlled Experimental Study
Phase: NA
Conditions: Occupational Stress, Productivity
Sponsor: Istanbul Arel University

 
 
 
 
 
 
 
 
 
 
Study Title: The Effect of Productivity Training on Perceived Job Stress and Productivity 
Attitudes in Nurses: A Randomized Controlled Experimental Study 
 
ClinicalTrials.gov Identifier: Not yet assigned 
 
Document Type: Study Protocol 
 
Date: 11 June 2025 
 
 
 
 
 
 
 
 
 
 
 

Study Objectives 
The primary objective of this study is to determine the effect of productivity training provided 
to nurses on their perceived job stress levels and productivity-related attitudes.  
The specific objectives of the study are: 
- To evaluate whether productivity training leads to a significant change in nurses’ 
productivity attitudes and perceived job stress levels, 
- To compare productivity attitudes and job stress levels before and after the training, 
- To scientifically demonstrate the effectiveness of productivity training programs aimed at 
improving productivity and coping with job stress in nursing practice. 
-This study aims to contribute to the limited number of experimental studies examining the 
relationship between job stress and productivity in nursing and to provide guidance for 
planning structured training programs that support nurses’ professional development. 
Study Design   
This study is a randomized controlled experimental study with a pre-test and post-test design. 
Participants will be randomly assigned to experimental and control groups using a computer-
generated randomization program (http://www.randomizer.org). 
Study Setting and Period   
The study will be conducted at Istanbul University Istanbul Faculty of Medicine Hospital 
following approval from the institutional ethics committee. 
Study Populatıon And Sample 
The study population consists of nurses working at a public university hospital located in 
Istanbul (N = 1080). 
The sample size was calculated using G*Power version 3.1.9.4. Based on a standardized 
effect size of 0.80 (Cohen’s d) and a power of 0.95, the required sample size was determined 
as 70 nurses, with 35 participants in the experimental group and 35 in the control group. 
Experimental Group 
Participants in the experimental group will receive a structured productivity training program 
lasting three weeks, with a total duration of 20 hours. 
The training program includes topics such as productivity concepts in nursing, time and stress 
management, process improvement, teamwork, leadership, use of digital tools, and coping 
with job stress.  
The training will be delivered using various teaching methods including lectures, case 
analyses, simulations, practical exercises, group work, and brainstorming sessions. The 
program aims to enhance nurses’ cognitive, affective, and practical competencies related to 
productivity and stress management. 

Control Group 
Participants in the control group will not receive any training during the study period. They 
will complete the same pre-test, post-test, and follow-up assessments as the experimental 
group.  
After the completion of data collection, productivity training materials will be provided to the 
control group to ensure ethical fairness. 
Outcome Measures 
Primary Outcome Measure  
Productivity Attitude Score: 
Nurses’ productivity attitudes will be assessed using the Productivity Attitude Scale. The total 
score obtained from the scale will be analyzed as the primary outcome measure. 
Time Frame:  
At baseline (before the training), immediately after completion of the three-week productivity 
training program, and three months after the training. 
Secondary Outcome Measure 
Perceived Job Stress Score: 
Nurses’ perceived job stress levels will be assessed using the Perceived Work Stress Scale 
(PWSS). The total score obtained from the scale will be analyzed as the secondary outcome 
measure. 
Time Frame: 
At baseline (before the training), immediately after completion of the three-week productivity 
training program, and three months after the training. 
Data Collection Procedure 
Data will be collected using the Personal Information Form, the Productivity Attitude Scale, 
and the Perceived Work Stress Scale. Data collection will be conducted face-to-face by the 
researchers after obtaining informed consent from the participants. 
Ethical Considerations 
Ethical approval will be obtained prior to the study. Institutional permission will be secured 
from the hospital administration. Participation will be voluntary, and written informed consent 
will be obtained from all participants. Confidentiality and anonymity will be ensured 
throughout the study.