笑いヨガが看護管理者の個人および組織成果に与える影響
「笑いヨガが看護師長の個人および組織成果に与える影響：縦断的研究」
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.
調査の概要
状態
介入・治療
詳細な説明
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.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Serpil SUBAŞI ÇAĞLAR, PhDCandidate
- 電話番号：+905321709457
- メール：serpilkercaglar@hotmail.com
研究連絡先のバックアップ
- 名前：Handan ALAN, Assoc.Prof.
- 電話番号：+905321709457
- メール：handanalan@yahoo.com
参加基準
適格基準
就学可能な年齢
- 子
- 大人
- 高齢者
健康ボランティアの受け入れ
受講資格のある性別
説明
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
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：他の
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：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.
他の名前：
|
|
介入なし：Control
Participants continue their routine work duties without any additional intervention. |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Perceived Stress (Perceived Stress Scale - PSS)
時間枠：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)
時間枠：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).
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Problem Solving Inventory
時間枠：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
時間枠：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
時間枠：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
時間枠：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.
|
協力者と研究者
出版物と役立つリンク
便利なリンク
- <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>
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- Laughter Yoga
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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