Clinical trial NCT03645798: The Effects of "Three Good Things" Positive Psychotherapy on Nurses' Burnout
Official title: 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
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Burnout Syndrome
Nurse's Role
Keywords: burnout
turnover intention
job performance
job satisfaction
resilience
self-efficacy
coping style
cortisol
nurse
Lead sponsor: Central South University
Sponsor class: OTHER
First posted: 2018-08-24
Enrollment: 73
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: A randomized, controlled trial was conducted for 73 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 Wechat-based six-month "three good things" positive psychotherapy from August 2015 to January 2016, while the control group only received normal psychological instruction from the hospital.
Primary purpose: PREVENTION

Brief summary: 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.

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* 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.

Exclusion Criteria:

* student nurses
* who suffered from diseases that influence their hormone levels
* who participated similar studies
* who had no interest in this study.

Primary outcomes:
measure: The Maslach Burnout Inventory-General survey (MBI-GS) was used to assess the change of burnout from baseline to six months later.
timeFrame: The MBI-GS was used to assess nurses' burnout prior to and immediately after the intervention.
Secondary outcomes:
measure: The Connor-Davidson Resilience Scale (CD-RISC)
timeFrame: The CD-RISC was used to assess nurses' resilience prior to and immediately after the intervention.
measure: The General Self-efficacy Scale
timeFrame: The General Self-efficacy Scale was used to assess nurses' self-efficacy prior to and immediately after the intervention.
measure: The Trait Coping Style Scale (TCSS)
timeFrame: The TCSS was used to assess nurses' coping styles prior to and immediately after the intervention.
Other outcomes:
measure: The Turnover Intention Scale
timeFrame: The Turnover Intention Scale was used to assess nurses' turnover intention prior to and immediately after the intervention.
measure: The Job Satisfaction Scale
timeFrame: The Job Satisfaction Scale was used to assess nurses' job satisfaction prior to and immediately after the intervention.
measure: The Job Performance Scale
timeFrame: The Job Performance Scale was used to assess nurses' job performance prior to and immediately after the intervention.
measure: The blood cortisol
timeFrame: The blood was used to assess nurses' cortisol level prior to and immediately after the intervention.
Locations:
city: Changsha
country: China
facility: Central South University
state: Hunan
Study officials:
affiliation: Cental South University
name: Jingping Zhang
role: STUDY_DIRECTOR
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