"Productivity Training and Job Stress Among Nurses"

The Effect of Productivity Training on Perceived Job Stress and Productivity Attitudes Among Nurses: A Randomized Controlled Experimental Study

This study aims to examine the effect of productivity training on nurses' perceived job stress and attitudes toward productivity. It was designed as a randomized controlled experimental study with a pre-test, post-test, and follow-up design. The experimental group will receive a three-week structured productivity training program, while the control group will not receive any intervention during the same period. Data will be collected using the Personal Information Form, the Nurses' Attitudes Toward Productivity Scale, and the Perceived Job Stress Scale. It is hypothesized that nurses who participate in the productivity training will report lower perceived job stress and higher productivity attitudes compared to those in the control group.

Study Overview

• Status: Recruiting
• Conditions: Occupational Stress; Productivity
• Intervention / Treatment: Behavioral: Productivity Training Program for Nurses

• Study Type: Interventional
• Enrollment (Estimated): 70
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Neslihan Erim; Phone Number: +90 537 344 2913; Email: neslihanerim24@istanbularel.edu.tr
• Study Contact Backup: Name: Seyhan Çerçi, Dr. Öğretim Üyesi; Phone Number: +90 506 467 98 35; Email: mseyhancerci@gmail.com

Study Locations

• Turkey (Türkiye)
  • Istanbul, Turkey (Türkiye)
    • Recruiting
    • Istanbul University Istanbul Faculty of Medicine
    • Contact: Neslihan E Master's Degree, Student; Phone Number: 05373442913; Email: neslihankurtt.1994@gmail.com
  • Istanbul
    • Istanbul, Istanbul, Turkey (Türkiye), 34000
      • Not yet recruiting
      • Istanbul Arel University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Being a nurse
• Being over 18 years old
• Working in the institution for at least 3 months
• Volunteering to participate in the study

Exclusion Criteria:

• Not being a nurse
• Being over 65 years old
• Not volunteering to participate in the study

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Productivity Training Program; Participants in the experimental group will receive a structured productivity training program lasting three weeks and totaling 20 hours. The training covers topics such as the concept of productivity in nursing, time and stress management, process improvement, teamwork, leadership, the use of digital tools, and coping with job stress. Each week, various teaching methods including lectures, case analyses, simulations, practical exercises, group work, and brainstorming sessions will be used. The program aims to enhance participants' cognitive, affective, and practical competencies related to productivity and stress management in nursing practice.	Behavioral: Productivity Training Program for Nurses; The intervention consists of a structured productivity training program designed for nurses, delivered over three weeks (total 20 hours). The program includes interactive theoretical and practical sessions covering topics such as: The concept and scope of productivity in nursing, Time and stress management, Process improvement and teamwork, Leadership and performance support mechanisms, Coping with job stress and building psychological resilience, Use of digital tools and technology to enhance efficiency. Various teaching methods are employed, including lectures, simulations, case analyses, group discussions, applied exercises, and brainstorming. The program aims to improve nurses' cognitive, affective, and practical skills related to productivity, while reducing perceived job stress.
No Intervention: No Training Control Group; Participants in the control group will not receive any training during the study period. They will complete the same pre-test, post-test, and follow-up assessments as the experimental group. After the completion of data collection, the productivity training materials will be made available to control group participants to ensure ethical fairness.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Nurses' Attitude Scale Regarding Productivity	Nurses' attitudes toward productivity will be assessed using the Nurses' Attitudes Toward Productivity Scale (NAPTS), developed and validated by Göktepe and Baykal (2012). The scale consists of 39 items and five subscales: professional commitment, working conditions, job demands, teamwork, and rewarding. Items are rated on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). Total and subscale scores are converted to a 0-100 scale, with higher scores indicating a more positive attitude toward productivity, and lower scores indicating a negative attitude toward productivity. Minimum score: 0 Maximum score: 100	Time Frame: At baseline (before the training), immediately after the 3-week productivity training program, and 3 months after the training.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Perceived Work Stress Scale (PWSS)	Perceived job stress levels of the participants will be assessed using the Perceived Job Stress Scale (PJSS), originally developed by Cohen and Williamson (1988) and adapted into Turkish by Baltaş (1998). The scale consists of 15 items rated on a 5-point Likert scale. The total score is calculated by taking the mean score of the 15 items. Based on the mean score, stress levels are categorized into six groups: A (3.5-4.0) B (1.0-1.3) C (1.4-1.9) D (2.0-2.5) E (2.6-3.1) F (3.2-3.4) Higher scores indicate higher perceived job stress. Stress levels classified as A, B, E, and F are considered stress levels that may negatively affect work efficiency and threaten health, whereas C represents stress levels suitable for individuals who prefer low challenge, and D represents the optimal stress level for health and productivity. Minimum score: 1.0 Maximum score: 4.0	Time Frame: At baseline (before the training), immediately after the 3-week productivity training program, and 3 months

Collaborators and Investigators

• Sponsor: Istanbul Arel University
• Investigators: Principal Investigator: Seyhan Çerçi, Dr. Öğretim Üyesi, Bağlantısız

Study record dates

Study Major Dates

• Study Start (Actual): November 18, 2025
• Primary Completion (Estimated): April 18, 2026
• Study Completion (Estimated): July 18, 2026

Study Registration Dates

• First Submitted: December 12, 2025
• First Submitted That Met QC Criteria: February 3, 2026
• First Posted (Actual): February 11, 2026

Study Record Updates

• Last Update Posted (Actual): February 11, 2026
• Last Update Submitted That Met QC Criteria: February 3, 2026
• Last Verified: February 1, 2026

More Information

Terms related to this study

• Keywords: Randomized Controlled Trial; Nursing; job stress; Productivity
• Additional Relevant MeSH Terms: Behavioral Symptoms; Stress, Psychological; Occupational Diseases; Behavior; Occupational Stress; Health Care Facilities Workforce and Services; Health Personnel; Nurses
• Other Study ID Numbers: 2025/16

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Individual participant data (IPD) will not be shared because the dataset contains sensitive personal and occupational information about nurses. Data will be analyzed and reported in aggregate form only. Access to anonymized data may be considered upon reasonable request and ethics committee approval.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No