Clinical Trial Details
— Status: Enrolling by invitation
Administrative data
| NCT number |
NCT06135428 |
| Other study ID # |
AmasyaTez |
| Secondary ID |
|
| Status |
Enrolling by invitation |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
November 15, 2023 |
| Est. completion date |
February 10, 2024 |
Study information
| Verified date |
November 2023 |
| Source |
Amasya University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Midwives' busy working environments, long working hours, worry of being sued, and
encountering problems that may cause trauma can negatively affect their psychological
resilience by increasing the stress level of midwives (Yalçın D., Bürün Bingöl F., 2023).
Resilience in midwifery is a less researched topic (Sayıner F.D., Çömezoğlu E. et al., 2021).
In studies investigating resilience in midwifery; Midwives' secondary traumatic stress total
score was found to be high, while their resilience scale total score was found to be low. A
negative, highly and statistically significant relationship was detected between the
secondary traumatic stress scale and psychological resilience scale scores (r=-0.752;
p=0.000) (Dağlı E., Topkara F.N., 2023). In another study, the factors affecting midwives'
intention to change jobs or leave the profession were investigated. As a result; It was
determined that almost half of the midwives intended to change jobs and/or quit midwifery
within 5 years, and the most common reasons for the intention to change jobs/leave were
family commitments, working conditions, role dissatisfaction, work-life balance and career
change (Pugh J.D., 2013). So, it is recommended to develop programs to increase their quality
of life and psychological resilience and to demonstrate their effectiveness through
experimental studies (Sevin B., Partlak Gunüşen N., 2021).
Hypotheses:
H0. Training given according to the "midwifery resilience model" does not change midwives'
resilience scale scores.
H1: Training given according to the "midwifery resilience model" increases midwives'
resilience scale scores.
Description:
Study Design The research is of the pre-test post-test randomized controlled experimental
design type.
Details of Working Method 200 midwives working in Amasya public hospitals constitute the
population of the research. The number of samples was calculated using the G.Power 3.1.9.4
analysis program. According to the one-way independent samples t test analysis with 95%
confidence (1-α), 80% test power (1-β) and d = 0.5 effect size, the number of samples to be
taken in each group was determined as 51. Considering that there may be losses in the number
of samples, it is planned to take 10% more than the number of samples and make a total of 112
people, 56 people for each group. People who agree to participate in the research will be
divided into two groups, the training group and the control group, using a computer-based
randomization program (https://www.random.org/).
APPLICATION:
After the training group and control group are created, data collection forms (Appendix
1,2,3) will be applied to both groups.
After the pretests are administered, training will begin for the training group, and no
intervention will be made to the control group. Immediately after the training is completed
and 1 month later, the adult resilience scale and perceived stress scale will be filled in
again in both groups.
Educational Intervention:
Training content was prepared in three stages according to the "resilience model in
midwives". The training will be in the form of 45-minute presentations and sharings, and
individual studies will be carried out in the form of homework according to people's methods
of coping with stress. These homework assignments may occasionally include more or less
individual meetings depending on the person's coping situation. However, at least 3 meetings
will be held. Training and interviews will be conducted by researchers. For this, at least
one of the researchers will receive training including personal awareness and motivational
interviews.
Educational content:
Training Content, Hunter et al. It was prepared according to the midwifery resilience model
he developed. There are 3 stages in this model. These; They are personal awareness, sensitive
strategies and proactive strategies (8).
1. Self-Awareness Developing personal awareness includes knowing oneself, establishing
realistic expectations, and developing a strong professional identity.
Self-Knowing of People; Self-knowledge is the basis of healthy communication and empathy
(Karaca S., 2010). A person who knows himself is aware of both the external world and the
internal world. Thus, a person can easily direct his own life (Cüceloğlu D., 1998).
Self-knowledge begins with the family and is also affected by the culture (Burger JM., 2006).
Self-awareness means knowing one's strengths, weaknesses, aspects that are open to
improvement, and feelings, and using this awareness to guide thoughts and behaviors, and
being able to express oneself clearly (Üstün B., Akgün E., Partlak N., 2005).
Self-knowledge occurs in 4 dimensions;
1. Psychological dimension; It is recognizing a person's emotions, thoughts, situations
that affect them, and their personality.
2. Physical size; It is a person's body image and knowing himself physically.
3. Social dimension; It is the communication that a person establishes with other people.
4. Philosophical dimension; It is recognizing people's life, values and beliefs (Terakye
G., 1995).
Realistic expectations; Be aware of your own needs and abilities. Avoid unrealistic
expectations of both yourself and others (Sayıner F.D., Çömezoğlu E. et al., 2021).
Develop a strong professional identity; Having a strong professional identity and love for
your profession can strengthen you in difficult times. Remember the importance of yourself
and the people you care for in such difficult times (Sayıner F.D., Çömezoğlu E. et al.,
2021).
2. Responsive strategies It includes developing ways to create positive moods, such as
accessing social support, music and exercise, and trying to maintain work-life balance.
Access to social support; Social support is the foundation of resilience. Get support from
your close friends and colleagues and chat with them (Sayıner F.D., Çömezoğlu E. et al.,
2021). If you have a knowledgeable, experienced and supportive person who can give you
perspective and support, especially in difficult situations, you can also get help from them.
Apart from this, the support of family members is also important (Hunter B., Warren L.,
2013).
Positive mood creation, such as music and exercise; You can do various activities to improve
your mood. These; Going out, walking, exercising, or pursuing a hobby if you have one. At the
same time, listening to music and taking a shower will relax you (Sayıner F.D., Çömezoğlu E.
et al., 2021). You can talk about other topics, and you can reassure yourself in difficult or
stressful situations by thinking that it will end (Hunter B., Warren L., 2013).
Developing ways to try to maintain work-life balance; Try to keep work and home life
separate. Something that is good for you outside of work.
Data will be collected through face-to-face interviews with midwives who agreed to
participate in the study. In the study, data will be collected from midwives using the
Personal Information Form (Appendix-1), Psychological Resilience Scale for Adults
(Appendix-2) and Perceived Stress Scale (Appendix-3).
1. Personal Information Form:
The personal information form consists of a total of 23 questions, which include
information about sociodemographic (age, marital status, education level, number of
children), midwifery profession, and problems related to working conditions, after
examining the literature by the researchers.
2. Psychological Resilience Scale for Adults:
The Psychological Resilience Scale for Adults, consisting of 33 items, was developed by
Friborg et al. (2003) and includes the dimensions of 'personal strength', 'structural style',
social competence', 'family harmony' and 'social resources'. A later study showed that the
scale better explains the psychological resilience model with its six-dimensional structure.
The Turkish validity and reliability study of the scale was conducted by Basım and Çetin
(2011). Cronbach's alpha value was found to be 0.74. It has been reported that the
Psychological Resilience Scale for Adults, adapted into Turkish, is reliable and valid at
psychometrically acceptable levels (Basım H.N, Çetin F., 2011). 3.Perceived Stress Scale:
Perceived Stress Scale (PSS) was developed by Cohen, Kamarck and Mermelstein (1983). ASQ,
consisting of a total of 14 items, is designed to measure how stressful some situations in a
person's life are perceived. Participants evaluate each item on a 5-point Likert-type scale
ranging from "Never (0)" to "Very often (4)". 7 of the items containing positive statements
are reverse scored. In addition to the fourteen-item long form, ASQ has two other forms: 10
and 4-item. In this study, the reliability and validity of all three forms are tested. ASQ
items (reverse scored items and items forming the 10- and 4-item form are also marked) are
given in ANNEX-3. While the scores of ASÖ-14 vary between 0 and 56, the scores of ASÖ-10 vary
between 0 and 40, and the scores of ASÖ-4 vary between 0 and 16. A high score indicates a
person's perception of stress is high. The adaptation of this scale into Turkish and its
reliability and validity analysis were conducted by Eskin M. et al. in 2013. Cronbach's alpha
value was found to be 0.84. The findings obtained from this study show that the ASQ items
have sufficient internal consistency and test-retest reliability. Additionally, the findings
reveal that the PSS consists of two factors, self-efficacy and stress perception, and is a
measurement tool with a high level of concurrent validity. Considering the findings of the
study, the long and short forms of the Turkish ASQ can be used as a valid and reliable
measurement tool to measure people's perceptions of stress in their lives (Eskin M. et al.,
2013).
- Inclusion Criteria
- Midwives who agreed to participate in the study.
- Statistical Methods
- Stastical Package for Social Science for Windows SPSS package program will be used to
analyze the data. In data analysis, ordinal variables will be evaluated as arithmetic
mean and standard deviation, minimum and maximum. As statistical analysis methods,
Student's t test and one-way variance (One Way ANOVA), the relationship will be examined
with Pearson Product Moment Correlation Coefficient and Mann-Whitney U test, and the
significance level will be evaluated as p < 0.05.
