Влияние йоги смеха на индивидуальные и организационные результаты у старших медицинских сестёр
Влияние йоги смеха на индивидуальные и организационные результаты у менеджеров-медсестер: продольное исследование
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.
Обзор исследования
Статус
Условия
Вмешательство/лечение
Подробное описание
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.
Тип исследования
Регистрация (Оцененный)
Фаза
- Непригодный
Контакты и местонахождение
Контакты исследования
- Имя: Serpil SUBAŞI ÇAĞLAR, PhDCandidate
- Номер телефона: +905321709457
- Электронная почта: serpilkercaglar@hotmail.com
Учебное резервное копирование контактов
- Имя: Handan ALAN, Assoc.Prof.
- Номер телефона: +905321709457
- Электронная почта: handanalan@yahoo.com
Критерии участия
Критерии приемлемости
Возраст, подходящий для обучения
- Ребенок
- Взрослый
- Пожилой взрослый
Принимает здоровых добровольцев
Полы, имеющие право на обучение
Описание
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
Учебный план
Как устроено исследование?
Детали дизайна
- Основная цель: Другой
- Распределение: Рандомизированный
- Интервенционная модель: Параллельное назначение
- Маскировка: Нет (открытая этикетка)
Оружие и интервенции
Группа участников / Армия |
Вмешательство/лечение |
|---|---|
|
Экспериментальный: 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.
Другие имена:
|
|
Без вмешательства: Control
Participants continue their routine work duties without any additional intervention. |
Что измеряет исследование?
Первичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
Perceived Stress (Perceived Stress Scale - PSS)
Временное ограничение: 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)
Временное ограничение: 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).
|
Вторичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
Problem Solving Inventory
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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.
|
Соавторы и исследователи
Публикации и полезные ссылки
Полезные ссылки
- <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>
Даты записи исследования
Изучение основных дат
Начало исследования (Оцененный)
Первичное завершение (Оцененный)
Завершение исследования (Оцененный)
Даты регистрации исследования
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Действительный)
Обновления учебных записей
Последнее опубликованное обновление (Действительный)
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Ключевые слова
Дополнительные соответствующие термины MeSH
- Профессиональный стресс
- Поведенческие симптомы
- Профессиональные заболевания
- Усталость
- Умственная усталость
- Патологические состояния, признаки и симптомы
- Поведение
- Признаки и симптомы
- Выгорание, Психологическое
- Сострадание Усталость
- Стресс, Психологический
- Выгорание, Профессионал
- Терапия
- Терапия разума и тела
- Дополнительная терапия
- Терапия смеха
Другие идентификационные номера исследования
- Laughter Yoga
Планирование данных отдельных участников (IPD)
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Информация о лекарствах и устройствах, исследовательские документы
Изучает лекарственный продукт, регулируемый FDA США.
Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.
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