The Effect of Online Stress Management Program on Nurses' Individual Workload Perception, and Stress

September 30, 2025 updated by: Gozde Yıldız Daş Geçim, Amasya University

The Effect of an Online Stres Management Program on the Individual Workload Perception and Stress of Nurses: A Non-randomized Quasi-experimental Design Study

Negative workload perception and stress are very important issues in occupational health. The aim of this study is to evaluate the effect of Online Stress Management (OSM) program on nurses' individual workload perception, and stress. The study included 90 nurses who met the inclusion criteria and signed the informed consent form. In the study, 45 nurses were allocated to the experimental group and 45 nurses were allocated to the control group. Due to the intensive working conditions of the nurses, staff shortages, workload, and restrictions such as shift work, participants could not be randomly assigned to the groups. Nurses who agreed to participate in the OSM program were voluntarily assigned to the experimental group, and those who did not want to participate were assigned to the control group.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Introduction: The feeling of stress and individual workload perception are an uncomfortable situation for individuals, are important factors that affect the physical and mental health and quality of life of health professional. Perception of workload and stress, which are basic elements in the field of occupational health, are important factors in coping with problems arising from working conditions and increasing the efficiency of work. Increased individual workload perception and stress are quite common, especially in nurses with intense working conditions.

Aim: The aim of the study was to investigate the effect of stress management training on nurses' individual workload perception and stress using a non-randomized, waiting list comparison design.

Methods: The analyses included a total of 86 nurses (experimental group n = 42 and control group n = 44). A total of six-sessions of OSM program were applied to the experimental group, consisting of 40-50 minutes and one sessions per week. Data were collected using the 'Participant Information Form', 'Nurse Stress Scale' (NSS) and 'Individual Workload Perception Scale' (IWPS). Time and group changes in stress, and individual workload perception were computed using a repeated measures analysis of variance (ANOVA) model was used to test the between-group differences from baseline to six weeks.

Study Type

Interventional

Enrollment (Actual)

42

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey (Türkiye)
      • Amasya, Turkey (Türkiye)
        • Amasya University Faculty of Health Sciences

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • being a nurse
  • were working in the institution at the time of the study;
  • not have visual or hearing disorders;
  • not have any diagnosed chronic disease that potentially
  • prevented participation in the study; did not have a mental health problem;
  • agreed to participate in the study.

Exclusion Criteria:

  • have a known physical or neurological disease
  • not working in the institution at the time of the study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: control group
not intervention
Experimental: Experimental group
A total of six-sessions of Online Stress Management program were applied to the experimental group, consisting of 40-50 minutes and one sessions per week.
Behavioral: online stress management program

-Nurses should have an idea about stress management program Awareness develops about the importance of attending sessions regularly. Nurses have information about the training program. Joint session dates are determined. The educator makes statements about himself and education. The benefits of education for nurses are explained. Nurses are informed about the general rules of education. The importance of regular attendance at sessions is emphasized. Privacy rules and limits are determined. The necessity of completing homework is explained. Nurses are enabled to share their feelings and thoughts. Ensuring that nurses are able to recognize stress and reactions to stress and identify sources of stress in individual and business life.

Being informed about the effects of stress and negative workload perception Being able to recognize the tension created by stress in the body Learning breathing and deep relaxation techniques to reduce or eliminate symptoms of stress

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Nurse Stress Scale
Time Frame: at the end of the 1 months
The NSS total scores range from 34-136. The total score measures the frequency of stress experienced by a nurse and can be calculated by adding the participant's responses to all items. The high overall score indicates that the nurse experiences more frequent stress periods about individual stress problems in the physical, psychological, and physical environment. A lower score indicates that the nurse experiences less stress for the same situations
at the end of the 1 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Individual Workload Perception Scale
Time Frame: at the end of the 1 months
The lowest total score that can be obtained from the scale is 31 and the highest is 155. As the score obtained from the scale increases, the individual workload perception is evaluated positively.
at the end of the 1 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Amasya University

Investigators

  • Study Chair: nihan yalciner durgu, PhD, Manisa Celal Bayar University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 14, 2024

Primary Completion (Actual)

May 14, 2024

Study Completion (Actual)

June 27, 2025

Study Registration Dates

First Submitted

May 6, 2024

First Submitted That Met QC Criteria

May 6, 2024

First Posted (Actual)

May 9, 2024

Study Record Updates

Last Update Posted (Estimated)

October 1, 2025

Last Update Submitted That Met QC Criteria

September 30, 2025

Last Verified

September 1, 2025

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • AmasyaU28

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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