Clinical Trial Details
— Status: Active, not recruiting
Administrative data
NCT number |
NCT05506345 |
Other study ID # |
FirstHJiaxing |
Secondary ID |
|
Status |
Active, not recruiting |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
August 20, 2022 |
Est. completion date |
December 31, 2024 |
Study information
Verified date |
April 2023 |
Source |
Affiliated Hospital of Jiaxing University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
Background: Nursing interns are the backup force for the development of the nursing career
and the main force of the future nursing team. Different pressures will arise due to changes
in the environment, schedule and interpersonal relationships. Stress will negatively affect
nursing students, leading to anxiety, depression and even despair, which will accelerate the
brain drain and shortage in the nursing industry, and is extremely detrimental to the healthy
development of the nursing workforce.
Objective: To explore the effect of creative drama workshop on the stress level and stress
coping behavior of nursing students.
Methods: The intern nursing students who met the standards were randomly divided into an
intervention group and a control group. Both groups received routine nursing training, and
the intervention group participated in creative drama workshops on this basis. The stress
levels and stress coping styles of the two groups of nursing students were evaluated before
and after the intervention and once a month during the intervention using the Nursing Student
Stressor Scale and the Simple Coping Style Scale.
Description:
At present, the research on nursing student stress at home and abroad mainly focuses on the
source of stress and the adverse consequences of excessive stress on nursing students. At
first,stressors mainly come from a negative social environment; poor psychological
resilience; heavy work tasks and caring for patients suffering from physical and mental
illness; low interest in clinical practice; employment pressure; adverse nursing events;
hospital violence. In addition, studies have shown that the degree of death anxiety among
trainee nursing students is higher than that of general medical students, and they have
different degrees of death anxiety and psychological fluctuations when the patient dies. Then
the impact of stress on nursing students: Stress has a negative impact on nursing students'
professional identity; academic and internship performance, sleep and quality of life, and
physical and mental health, and may even affect their future careers in the nursing industry.
Research by Zeng Xiaofeng and Alshawush has shown Excessive stress can increase nursing
students' willingness to leave. With the growing age of baby boomers and the growing demand
for medical care, the nursing industry is already facing a shortage of human resources. It is
very unfavorable to the construction of the nursing team and the healthy development of the
industry.
The stress management for nursing students has been explored and practiced at home and
abroad. Domestic researches are basically limited to the psychological decompression of
nursing students in specific specialized disciplines or in specific situations. Some studies
have used situational simulation teaching to reduce the occurrence of negative psychological
states and work adjustment disorders of nursing students, and help students prepare
psychologically for work pressure. Although some studies are aimed at the whole group of
nursing students during the internship period, the intervention time is short and is not
combined with stressors. For example, Yan Yuzhu's team discussed the effect of peer support
groups on relieving the pressure of intern nursing students, and it played a certain role in
relieving the pressure of intern nursing students, but the intervention time was only 3
months, and the intervention period was relatively short. However, changing established
behaviors is a complex process, and the impact of interventions on internship nursing
students should be a continuous process, and any stress management intervention should
reflect the continuity of the process. Relatively speaking, there are many foreign
intervention studies on the stress of interns. For example, Noh GO and others study the
effect of SBAR (situation, background, assessment and recommendation) and the combination of
SBAR and self-confidence training, reducing clinical practice stress by improving
communication skills; Yuksel A's team and Lu J F's team used mindfulness interventions to
reduce nursing students' stress levels; in addition, progressive muscle relaxation training
was shown to improve the psychosocial responses to nursing student stress and burnout, but
these were all aimed at reducing stress, Interventional research on reducing the stress level
of nursing students has not focused on how to improve the self-stress management ability and
stress coping behavior of nursing students.
Forum theatre, as a teaching form of applied drama, uses it to manage the conflict situations
encountered by nursing students in clinical practice, and has received good feedback from
nursing students. Through forum games, the conflict situations encountered by trainee nursing
students during clinical practice can be narrated and explored in a powerful way, providing a
good opportunity to further improve the quality of nursing education . Forum theatre has been
successfully applied internationally in educational subjects in different fields, with good
results in healthcare education for nursing, midwifery and medical students . In conclusion,
drama is a powerful educational tool with unique advantages, and the application of its
science to stress management in nursing interns is worth exploring.
This study intends to construct a creative drama workshop program based on social interaction
theory, and to explore its role in improving the stress coping ability of nursing students
and reducing the stress level of nursing students through the implementation of the program.
This method is used to explore its effect on the stress management of clinical practice
nursing students, so as to reduce their stress level, improve their stress coping style, and
improve their management level of stress, so that they can obtain a positive work experience
and prevent the stress of nursing students in a targeted manner. High stress that negatively
affects occupational mood and work ability, and preventing other adverse effects caused by
excessive stress, is of great significance to the development of nursing students and the
nursing profession.