Clinical trial NCT06392100: MBI in Generation Z Nursing Students During Clinical Practicum
Official title: The Effectiveness of a Mindfulness-Based Intervention in Mental Health, Anxiety, Depression, Stress and Resilience in Generation Z Nursing Students During Clinical Practicum
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Mental Health
Anxiety
Depression
Resilience
Keywords: Mindfulness-Based Stress Reduction
Generation Z Nursing Students
Lead sponsor: National Taipei University of Nursing and Health Sciences
Sponsor class: OTHER
First posted: 2024-04-30
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Maximum age (years): 25
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The experimental group received mindfulness-based stress reduction intervention, while the control group received weekly line care messages from class instructors. Both groups took the post-test before the internship (T0), during the internship (T1), after the internship (T2), and one month after the internship (T3), a total of 4 times. The contents include psychological well-being scale; anxiety, depression, stress scale and mental toughness scale.
Primary purpose: PREVENTION

Brief summary: This study is a randomized clinical trial design. The research subjects were the internship nursing students in the nursing department of a nursing school in the northern Taiwan.

The experimental group received mindfulness-based stress reduction intervention, while the control group received routine care with weekly line care messages from class instructors. Both groups took the post-test before the internship (T0), during the internship (T1), after the internship (T2), and one month after the internship (T3), a total of 4 times. The contents include psychological well-being scale; anxiety, depression, stress scale and mental scale.

Detailed description: Students need to learn a lot of new medical knowledge and skills during clinical internships, which requires time and effort. However, this kind of learning pressure may put a considerable burden on nursing students, especially anxiety, depression, and stress. Through effective coping strategies, students can improve their confidence in facing clinical situations.

Mindfulness-based stress reduction is a stress-reduction method based on mindfulness meditation. It can relieve the physical and mental stress and anxiety of high-stress people, improve sleep quality, chronic fatigue, and enhance concentration.

The purpose of this study is to explore the effectiveness of mindfulness-based stress reduction intervention on anxiety, depression, and stress in clinical practice of nursing students.

This study adopted a randomized clinical experimental research design. Nursing students from a fifth-level college in the north were selected as the research subjects. A total of 80 people were recruited. Nursing intern students who were willing to participate in the study were randomly assigned and divided into an experimental group of 40 people and a control group. 40 people, the experimental group participated in the mindfulness-based stress reduction course for 8 weeks. The mindfulness-based stress reduction course was led by a certified mindfulness-based stress reduction teacher, once a week, 2 hours each time, for 8 consecutive weeks; the students in the control group received weekly line care messages from the class instructor. Research tools include the General Health Status Scale, Anxiety and Depression Stress Scale, and Mental Resilience Scale. The data were analyzed using SPSS20.0 for Windows.

Eligibility criteria: Inclusion Criteria:

* (1) Nursing students during clinical practicum (2) Clear consciousness.

Exclusion Criteria:

-(1) Students diagnosed with schizophrenia, anxiety, depression or affective psychosis.

(2)Taking anti-anxiety medicine treatment or anti-depressant medicine treatment.

Primary outcomes:
measure: Mental Health
timeFrame: Pre-intervention(T0)、Two week after clinical practium begins (T1)、Four week after clinical practium begins(T2)、Two months after clinical practium(T3)
measure: Anxiety, Depression, Stress
timeFrame: Pre-intervention(T0)、Two week after clinical practium begins (T1)、Four week after clinical practium begins(T2)、Two months after clinical practium(T3)
Secondary outcomes:
measure: Resilience
timeFrame: Pre-intervention(T0)、Two week after clinical practium begins (T1)、Four week after clinical practium begins(T2)、Two months after clinical practium(T3)
Other outcomes:
Locations:
city: Taipei
country: Taiwan
facility: MacKay Junior College of Medicine, Nursing and Management
Study officials:
affiliation: MacKay Junior College of Medicine, Nursing and Management
name: Chih-yin Chien, master
role: STUDY_CHAIR
References:
citation: Dong C, Xia L, Zhao C, Zhang X, He J, Zhang G, Zhang J. Prospective association between perceived stress and anxiety among nursing college students: the moderating roles of career adaptability and professional commitment. BMC Psychiatry. 2023 Jun 1;23(1):388. doi: 10.1186/s12888-023-04887-6.
citation: Gurdil Yilmaz S, Yildiz Karadeniz E, dem Lafci D. Clinical-practice stress levels and factors affecting these on first-year nursing students. Perspect Psychiatr Care. 2022 Oct;58(4):3009-3015. doi: 10.1111/ppc.13070. Epub 2022 Mar 22.
citation: O'Driscoll M, Byrne S, Mc Gillicuddy A, Lambert S, Sahm LJ. The effects of mindfulness-based interventions for health and social care undergraduate students - a systematic review of the literature. Psychol Health Med. 2017 Aug;22(7):851-865. doi: 10.1080/13548506.2017.1280178. Epub 2017 Jan 19.
citation: Uysal N, Caliskan BB. The effects of mindfulness-based stress reduction on mindfulness and stress levels of nursing students during first clinical experience. Perspect Psychiatr Care. 2022 Oct;58(4):2639-2645. doi: 10.1111/ppc.13104. Epub 2022 Apr 30.