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Effekten af Latter-yoga på individuelle og organisatoriske resultater for sygeplejerskeledere

18. september 2026 opdateret af: SERPİL SUBAŞI ÇAĞLAR, Zonguldak Bulent Ecevit University

Effekten af Latter-yoga på individuelle og organisatoriske resultater for sygeplejerskeledere: Et longitudinelt studie

The goal of this clinical trial is to learn if laughter yoga can improve both individual and organizational outcomes in nurse managers. The main questions it aims to answer are:

  • Does laughter yoga lower burnout and stress levels in nurse managers?
  • Does laughter yoga improve work-life quality and job performance?
  • Does laughter yoga help nurse managers make better decisions and solve problems more effectively?
  • Does laughter yoga lower compassion fatigue and support positive approaches to workplace conflict? Researchers will compare a laughter yoga group with a control group to see if there are meaningful differences.

Participants will:

  • Join structured laughter yoga sessions for a defined period (weekly sessions).
  • Complete surveys before and after the program about stress, burnout, work-life quality, decision-making, problem solving, job performance, compassion fatigue, and conflict approaches.
  • Continue their usual work while attending sessions.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Nurse managers play a vital role in healthcare systems by ensuring the quality of nursing services, supporting staff, coordinating care, and solving organizational problems. However, the combination of administrative responsibilities, staff shortages, and high expectations often leads to stress, burnout, compassion fatigue, and difficulties in maintaining work-life balance. These conditions not only affect the individual health and well-being of nurse managers but also reduce team motivation, patient care quality, and overall organizational performance.

Laughter yoga is a mind-body practice that combines intentional laughter with breathing exercises. It does not rely on humor or jokes; instead, participants engage in guided group exercises that promote spontaneous and prolonged laughter. Scientific evidence suggests that laughter yoga can lower stress hormones, increase endorphins, improve mood, and strengthen social bonds. Although laughter yoga has been studied in various populations, there is a lack of randomized controlled trials (RCTs) specifically focusing on nurse managers and their professional challenges.

This randomized controlled trial aims to fill this gap by evaluating the individual and organizational outcomes of laughter yoga among nurse managers working in university and state hospitals.

The expected contribution of this study is to provide new evidence on a cost-effective, non-pharmacological intervention that can be easily integrated into hospital settings. If laughter yoga proves effective, it can be adopted as a sustainable strategy to support nurse managers' mental health, enhance their leadership capacity, and indirectly improve patient care and organizational outcomes.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

80

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn
  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Currently working as a nurse manager
  • Having at least six months of managerial experience
  • Continuing to serve as a nurse manager throughout the study period

Exclusion Criteria:

  • Having previously received laughter yoga training
  • Use of medications affecting general health components during the study (e.g., for depression, anxiety)
  • Being pregnant
  • Experiencing an acute stressful life event, such as the death of a close relative
  • Having undergone abdominal surgery within the past 6 months

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Andet
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Experimental: Laughter Yoga

Structured group-based laughter yoga sessions, 2 times per week, 30-45 minutes each, for 8 weeks.

This intervention consists of a structured Laughter Yoga Program designed for nurse managers. Each session includes breathing exercises, warm-up activities, guided and simulated laughter exercises (such as clapping, chanting, role-play laughter), and a short relaxation/meditation phase. Sessions are conducted in small groups by a certified facilitator. The program is delivered twice weekly for 8 weeks, with each session lasting approximately 30-45 minutes. The intervention is intended to reduce burnout, stress, and compassion fatigue, while improving decision-making, problem-solving, job performance, and work-life balance.

Andre navne:
  • Latterterapi;
  • Latterøvelser
Ingen indgriben: Control

Participants continue their routine work duties without any additional intervention.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Perceived Stress (Perceived Stress Scale - PSS)
Tidsramme: Baseline, 8 weeks, 3 months.

Developed by Cohen & Williamson, adapted to Turkish by Eskin in 2013. 14 items, single-factor measure of stress.

Scale Range: 0-56. Interpretation Higher scores = greater perceived stress (worse outcome).

Baseline, 8 weeks, 3 months.
Burnout Levels (Maslach Burnout Inventory - MBI)
Tidsramme: Baseline, immediately post-intervention (8 weeks), and follow-up (3 months after intervention).

Developed by Maslach & Jackson in 1986, adapted to Turkish by Ergin in1992. 22 items, three subscales: Emotional Exhaustion, Depersonalization, and Personal Accomplishment.

Scale Range: Emotional Exhaustion (0-54), Depersonalization (0-30), Personal Accomplishment (0-48).

Interpretation: Higher Emotional Exhaustion and Depersonalization scores = worse outcome; higher Personal Accomplishment scores = better outcome.

Baseline, immediately post-intervention (8 weeks), and follow-up (3 months after intervention).

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Problem Solving Inventory
Tidsramme: Baseline, 8 weeks, 3 months

Problem Solving Inventory, Developed by Heppner & Peterson in1982; adapted to Turkish by Şahin in 1993

Description: 31 items, six subscales: Problem-Solving Confidence, Approach-Avoidance, Personal Control, Planfulness, Impulsivity, Reflective Style.

Scale Range: 31-186. Interpretation: Higher scores = less effective problem solving (worse outcome); lower scores = better problem-solving skills.

Baseline, 8 weeks, 3 months
Work Performance
Tidsramme: Baseline, 8 weeks, 3 months.

Work Performance Job Performance Scale - Goodman and Svyantek in 1999; Turkish adaptation was made in 2014 by Bağcı.

Description: 25 items, two subscales: Task Performance and Contextual Performance.

Scale Range: 25-125. Interpretation: Higher scores = better work performance.

Baseline, 8 weeks, 3 months.
Compassion Fatigue
Tidsramme: Baseline, 8 weeks, 3 months

Developed by Dennis Portnoy and adapted Turkısh by Özdemir and Kutlu in 2022. The form consists of 40 items. The scale, which has no sub-dimensions, is evaluated based on the total number of items. The scale is a 3-point Likert-type scale: 1 = Very true, 2 = Partly true, and 3 = Rarely true. Those who answered "Very true" to 15 or more items in total are considered to have high levels of compassion fatigue.Cronbach alpha is 0,87

Baseline, 8 weeks, 3 months
Decision-Making Styles scale
Tidsramme: Baseline, 8 weeks, 3 months.

Developed by Scott and Bruce in 1995; adapted to Turkish by Yılmaz Kuşaklı in 2023

24 items, five subscales: Rational, Intuitive, Dependent, Avoidant, Spontaneous.

Scale Range: 24-120. Interpretation: Higher scores in each subscale = more frequent use of that decision-making style

Baseline, 8 weeks, 3 months.

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. september 2026

Primær færdiggørelse (Anslået)

17. december 2026

Studieafslutning (Anslået)

17. marts 2027

Datoer for studieregistrering

Først indsendt

19. september 2025

Først indsendt, der opfyldte QC-kriterier

17. november 2025

Først opslået (Faktiske)

19. november 2025

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

21. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

18. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • Laughter Yoga

Plan for individuelle deltagerdata (IPD)

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