Clinical trial NCT06454526: Effects of Mindfulness-Based Program on Individual and Organizational Output of Frontline Manager Nurses:
Official title: The Mindfulness Level of Manager Nurses, Leadership Behavior, Job Satisfaction, Job Performance, Burnout, Conflict Approach and Intention to Leave Will be Examined as Independent Variables.
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Nurses
Mindfulness Training
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2024-06-12
Enrollment: 41
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized controlled trial
Primary purpose: BASIC_SCIENCE

Brief summary: The purpose of this randomized controlled study is to examine the effects of a mindfulness program applied to nurse managers on individual and organizational results. In the research, the Mindfulness-Based Program will be examined as the dependent variable, and the conscious awareness level of manager nurses, leadership behavior, job satisfaction, job performance, burnout, conflict approach and intention to leave will be examined as independent variables. The study was planned on the grounds that nurses need to be able to cope better with stress, reduce anxiety and burnout, and provide better job satisfaction in order to maintain a safe working life due to the increasing workload and difficulties of the healthcare system.

Hypotheses of the research are as follows:

H0: Mindfulness-Based Program is not effective on mindfulness, leadership behaviors, job satisfaction, job performance, burnout, conflict approach and intention to leave in manager nurses.

H1: Mindfulness-Based Program is effective on mindfulness, leadership behaviors, job satisfaction, job performance, burnout, conflict approach and intention to leave in manager nurses.

The population of the research will be all the responsible nurses working as low-level managers at Koç University Hospital and Kanuni Sultan Süleyman Training and Research Hospital. Responsible nurses who meet the sampling criteria and volunteer to participate in the study will be included in the study, and the participants will be randomly divided into intervention and control groups.

Detailed description: In Turkey, studies on mindfulness in the nursing sample were carried out mostly descriptively, and nurses mindfulness levels were found to be at a medium level (Aşık and Albayrak, 2021; Özaydın, 2019). Considering the increasing workload and difficulties of the healthcare system, healthcare facility managers need to pay attention to the issue so that nurses can better cope with stress and reduce their anxiety and burnout in order to maintain a safe working life. This is a prerequisite for providing safe service to patients by providing better job satisfaction and performance. It may be possible to improve individual, team and organizational results with programs aimed at increasing the conscious awareness levels of manager nurses.

The purpose of this randomized controlled study is to examine the effects of a mindfulness program applied to nurse managers on individual and organizational results. In the research, the Mindfulness-Based Program will be examined as the dependent variable, and the conscious awareness level of manager nurses, leadership behavior, job satisfaction, job performance, burnout, conflict approach and intention to leave will be examined as independent variables. The study was planned on the grounds that nurses need to be able to cope better with stress, reduce anxiety and burnout, and provide better job satisfaction in order to maintain a safe working life due to the increasing workload and difficulties of the healthcare system.

Hypotheses of the research are as follows:

H0: Mindfulness-Based Program is not effective on mindfulness, leadership behaviors, job satisfaction, job performance, burnout, conflict approach and intention to leave in manager nurses.

H1: Mindfulness-Based Program is effective on mindfulness, leadership behaviors, job satisfaction, job performance, burnout, conflict approach and intention to leave in manager nurses.

The population of the research will be all the responsible nurses working as low-level managers at Koç University Hospital and Kanuni Sultan Süleyman Training and Research Hospital. Responsible nurses who meet the sampling criteria and volunteer to participate in the study will be included in the study, and the participants will be randomly divided into intervention and control groups.

The responsible nurses working at Koç University Hospital and Kanuni Sultan Süleyman Training and Research Hospital will be listed and the eligibility criteria for participation in the study (not having participated in the mindfulness program before) will be questioned. Participants included in the study will be listed and randomly divided into intervention and control groups. Randomization; Control and intervention groups will be assigned to the intervention or control group in the order of arrival, in line with the randomization list prepared in the Excel program using the random numbers method.

Before the implementation of the Mindfulness-Based Program , which will be implemented as an intervention in the research, all participants in the intervention and control groups were asked to use the Introductory Information Form, Conscious Awareness Scale, Minnesota Job Satisfaction Scale, Maslach Burnout Scale, Job Performance (Task/Contextual Performance) Scale, Rahim Organizational Conflict Inventory-2. Data (pretest) will be collected with (ROCI II) and the Intention to Leave Scale.

Conscious Awareness, job satisfaction, burnout, job performance and conflict inventory data will be collected again immediately (posttest) and three months later (follow-up) after the 8-week Mindfulness-Based Program implementation.

Data will be collected on charge nurses evaluations of leadership behaviors and intention to leave the subordinates they work with. For this purpose, the Introductory Information Form, Intention to Leave Scale and Leadership Behavior Scale were collected from the subordinates of the responsible nurses in the intervention and control group, before (pre-test), after (post-test) and three months later (follow-up) the intervention and control group. Data will be collected on a timely basis.

Eligibility criteria: Inclusion Criteria:

* Serving as a frontline nurse manager
* At least six months of managerial experience
* Not having participated in an eight-week Mindfulness-Based Program before

Exclusion Criteria:

* Serving as a lower-level manager for less than six months
* Having previously participated in an eight-week Mindfulness-Based Program

Termination Criteria:

* Participant withdraws from the study voluntarily.
* Participant's task change
* Participant leaving employment

Primary outcomes:
measure: Introductory Information Form
timeFrame: through study completion, an average of three months
measure: Conscious awareness scale (BIPÖ)
timeFrame: through study completion, an average of three months
measure: Leadership Behavior Scale
timeFrame: through study completion, an average of three months
measure: Minnesota Job Satisfaction Scale
timeFrame: through study completion, an average of three months
measure: Maslach Burnout Scale
timeFrame: through study completion, an average of three months
measure: Job Performance (Task/Contextual Performance) Scale
timeFrame: through study completion, an average of three months
measure: Rahim Organizational Conflict Inventory-2 (ROCI II)
timeFrame: through study completion, an average of three months
measure: Intention to Leave Scale
timeFrame: through study completion, an average of three months
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul University-Cerrahpasa Graduate Education Institute
state: Avcılar
Study officials:
affiliation: Istanbul University - Cerrahpasa
name: Nazmiye Koseoglu
role: PRINCIPAL_INVESTIGATOR
References:
citation: Ghawadra SF, Abdullah KL, Choo WY, Phang CK. Mindfulness-based stress reduction for psychological distress among nurses: A systematic review. J Clin Nurs. 2019 Nov;28(21-22):3747-3758. doi: 10.1111/jocn.14987. Epub 2019 Jul 22.
citation: Cummings GG, Tate K, Lee S, Wong CA, Paananen T, Micaroni SPM, Chatterjee GE. Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. Int J Nurs Stud. 2018 Sep;85:19-60. doi: 10.1016/j.ijnurstu.2018.04.016. Epub 2018 May 3.
citation: Janssen M, Heerkens Y, Kuijer W, van der Heijden B, Engels J. Effects of Mindfulness-Based Stress Reduction on employees' mental health: A systematic review. PLoS One. 2018 Jan 24;13(1):e0191332. doi: 10.1371/journal.pone.0191332. eCollection 2018.
citation: Wong CA, Cummings GG, Ducharme L. The relationship between nursing leadership and patient outcomes: a systematic review update. J Nurs Manag. 2013 Jul;21(5):709-24. doi: 10.1111/jonm.12116.