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Het effect van Lach Yoga op individuele en organisatorische resultaten bij verpleegkundig leidinggevenden

18 september 2026 bijgewerkt door: SERPİL SUBAŞI ÇAĞLAR, Zonguldak Bulent Ecevit University

Het effect van Lach Yoga op individuele en organisatorische uitkomsten bij verpleegkundig leidinggevenden: Een longitudinale 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.

Studie Overzicht

Toestand

Nog niet aan het werven

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

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.

Studietype

Ingrijpend

Inschrijving (Geschat)

80

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

Studie Contact Back-up

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Kind
  • Volwassen
  • Oudere volwassene

Accepteert gezonde vrijwilligers

Ja

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

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

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Ander
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Experimental: Laughter Yoga

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

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.

Andere namen:
  • Lachtherapie;
  • Lach Oefeningen
Geen tussenkomst: Control

Participants continue their routine work duties without any additional intervention.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Perceived Stress (Perceived Stress Scale - PSS)
Tijdsspanne: 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)
Tijdsspanne: 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).

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Problem Solving Inventory
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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.

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Zonguldak Bulent Ecevit University

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Nuttige links

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Geschat)

1 september 2026

Primaire voltooiing (Geschat)

17 december 2026

Studie voltooiing (Geschat)

17 maart 2027

Studieregistratiedata

Eerst ingediend

19 september 2025

Eerst ingediend dat voldeed aan de QC-criteria

17 november 2025

Eerst geplaatst (Werkelijk)

19 november 2025

Updates van studierecords

Laatste update geplaatst (Werkelijk)

21 september 2026

Laatste update ingediend die voldeed aan QC-criteria

18 september 2026

Laatst geverifieerd

1 september 2026

Meer informatie

Termen gerelateerd aan deze studie

Trefwoorden

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • Laughter Yoga

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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