Stress, Psychological Clinical Trial
Official title:
The Contribution of a Short-term Psychological Group Intervention to Reduce Stress and Burnout Among Cardiac Intensive Care Nurses: A Pilot Study
The study will examine the influence of a Cognitive Behavioral Therapy (CBT) short-term group intervention program on the levels of psychological stress and professional exhaustion experienced by the nursing staff in a cardiac department.
Exhaustion typifies a wide variety of professions, but it is especially evident in the
service and aid professions (e.g., teaching and medicine), and nurses in particular are
reported to be among the most exhausted. Exhaustion is described as nursing's "professional
cancer", and stress is one of the major sources leading to it.
Articles and studies referring to stress among nurses in the years 1980-1996 mapped out six
sources of stress stemming from inner sources related to the employee and those stemming
from hospital organization: stress that stems from work patterns and overload (such as
blurring, lack of clarity, lack of control and coping with death); interpersonal
relationships at work (conflicts with other employees and with the medical staff);
relationships with patients and their families (insufficient preparation for coping with the
emotional needs of patients and their families); work organization and management (for
example, lack of staff support and staff shortages); aspects related to the nursing
profession (concerns regarding the treatment and care received by the patient), as well as
concerns regarding the employee's practical knowledge and skills.
Since stress can lead, among other things, to functional exhaustion and dissatisfaction at
work, and since studies have shown that stress has direct and indirect effects on the
quality of patient care, it is important to find ways to decrease stress and the resulting
exhaustion. Such efforts will increase nurses' efficiency at work and will also improve
their quality of life, not to mention that of the patients. Therefore, the current study
will examine the effectiveness of a short-term group intervention program for the nursing
staff of a hospital's cardiac intensive-care unit.
There are a number of ways to decrease stress which vary both in the theory behind them (
the cognitive approach, for instance, explains the source of stress as stemming from
cognitive and behavioral patterns acquired during one's life whereas the dynamic approach
relates to deep and unconscious layers of the mind), and in their nature (the way in which
they're facilitated). Researchers who have examined the relative efficacy of the different
intervention programs in decreasing stress found that cognitive therapy is the most
effective approach. Cognitive-behavioral therapy (CBT) can be applied both as individual
therapy and as group therapy. According to the researchers, interventions in a group setting
have several advantages over individual CBT: creating open relationships between staff
members, giving participants an opportunity to get to know one another, providing a platform
where employees can express their feelings, developing a sincere support group which proves
crucial during stressful work situations, forging a feeling of belonging, and creative
solving of shared conflicts and financial issues.
The current study will examine the influence of a CBT short-term group intervention program
on the levels of psychological stress and professional exhaustion experienced by the nursing
staff in a cardiac department.
The goal of the study:
The current study will examine the effectiveness of a short-term group intervention program
for the nursing staff of a hospital's cardiac intensive-care unit. The intervention will
include three aspects:
1. Psycho-educational intervention: attending a lecture about stress and exhaustion.
2. Techniques for decreasing stress: experiencing relaxation techniques and guided
imagery.
3. A BALINT style group: analyzing actual work cases and cognitive-behavioral focusing for
reframing thoughts and making them more adaptive, expressing emotions and training for
more appropriate behaviors.
The study, which includes three weekly sessions, assumes that the intervention program will
help to significantly decrease the participants' levels of psychological stress and
professional exhaustion in comparison with their state before participation in the program,
and also in comparison with those who didn't take part in the program (i.e., the control
group).
The hypotheses of the study:
1. Participation in the intervention program will be related to decreased levels of
psychological stress. The nursing staff in the program will demonstrate a lower level
of negative psychological affect after participation. The level of stress will decrease
significantly in comparison with the participants' state in the beginning of the
program, and in comparison with professionals who didn't participate in the program
(the control group).
2. Participation in the program will be related to reduced exhaustion levels: the nursing
staff members who participate in the program will report lower exhaustion levels than
they reported before the program, and in comparison with the control group (members of
the nursing staff who didn't participate in the intervention program).
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Supportive Care
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