Naurayogan vaikutus sairaanhoitajien esimiesten henkilökohtaisiin ja organisaation tuloksiin
Naurayoga-ryhmien vaikutus sairaanhoitajapäälliköiden henkilökohtaisiin ja organisaation tuloksiin: Pitkittäistutkimus
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.
Tutkimuksen yleiskatsaus
Tila
Ehdot
Interventio / Hoito
Yksityiskohtainen kuvaus
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.
Opintotyyppi
Ilmoittautuminen (Arvioitu)
Vaihe
- Ei sovellettavissa
Yhteystiedot ja paikat
Opiskeluyhteys
- Nimi: Serpil SUBAŞI ÇAĞLAR, PhDCandidate
- Puhelinnumero: +905321709457
- Sähköposti: serpilkercaglar@hotmail.com
Tutki yhteystietojen varmuuskopiointi
- Nimi: Handan ALAN, Assoc.Prof.
- Puhelinnumero: +905321709457
- Sähköposti: handanalan@yahoo.com
Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Lapsi
- Aikuinen
- Vanhempi Aikuinen
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
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
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Muut
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Kokeellinen: 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.
Muut nimet:
|
|
Ei väliintuloa: Control
Participants continue their routine work duties without any additional intervention. |
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Perceived Stress (Perceived Stress Scale - PSS)
Aikaikkuna: 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)
Aikaikkuna: 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).
|
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Problem Solving Inventory
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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.
|
Yhteistyökumppanit ja tutkijat
Sponsori
Julkaisuja ja hyödyllisiä linkkejä
Hyödyllisiä linkkejä
- <p>Yang, Z., Huang, H., & Li, G. (2024). Status and influencing factors of work stress among nurse managers in western China: a cross-sectional survey study. BMC nursing, 23(1), 68.</p>
- <p>Alici, N. K., & Dönmez, A. A. (2020). A systematic review of the effect of laughter yoga on physical function and psychosocial outcomes in older adults. Complementary therapies in clinical practice, 41, 101252.</p>
- <p>Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of organizational behavior, 2(2), 99-113.</p>
- <p>Ergin, C. (1992). Doktor ve hemsirelerde tukenmislik ve Maslach tukenmislik olceginin uyarlanmasi. VII. Ulusal Psikoloji Kongresi, 22th September 1992 Ankara (Turkey).</p>
- <p>Bağcı, Z. (2014). ÇALIŞANLARIN İŞ DOYUMUNUN GÖREV VE BAĞLAMSAL PERFORMANSLARI ÜZERİNDEKİ ETKİSİ. Yönetim ve Ekonomi Araştırmaları Dergisi, 12(24), 58-72.</p>
- <p>UÇAR ÖZDEMİR, S., & KOCA KUTLU, A. (2022). Şefkat Yorgunluğu Ölçeği'nin Hemşireler Üzerinde Türkçe Geçerlilik ve Güvenilirliği Çalışması: Metodolojik Araştırma. Turkiye Klinikleri Journal of Nursing Sciences, 14(2).</p>
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Arvioitu)
Ensisijainen valmistuminen (Arvioitu)
Opintojen valmistuminen (Arvioitu)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Avainsanat
Muita asiaankuuluvia MeSH-ehtoja
- Työperäinen stressi
- Käyttäytymisoireet
- Ammattitaudit
- Väsymys
- Henkinen väsymys
- Patologiset tilat, merkit ja oireet
- Käyttäytyminen
- Merkit ja oireet
- Burnout, psykologinen
- Myötätunto Väsymys
- Stressi, psykologinen
- Burnout, ammattilainen
- Terapeuttiset lääkkeet
- Mind-kehon hoidot
- Täydentävät hoidot
- Nauruhoito
Muut tutkimustunnusnumerot
- Laughter Yoga
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
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