Skip to main content
OpenTrials
Completed

NCT Number: NCT07416071

Mandala Therapy in Nurses: Effects on Psychological Well-Being and Organizational Cynicism

This study aimed to examine the effect of mandala therapy on psychological well-being and organizational cynicism levels among nurses. The study was conducted with nurses working in a public training and research hospital using an experimental intervention design. Participants were allocated to an intervention group receiving mandala therapy and a control group receiving routine working conditions. Psychological well-being and organizational cynicism were assessed before and after the intervention using validated measurement tools.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Mental Health Behavior Behavioral Symptoms Occupational Diseases Occupational Stress Personal Satisfaction Psychological Well-Being Stress, Psychological

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Public Training and Research Hospital

Rize, Turkey (Türkiye)

About this study

Nursing is a profession characterized by high emotional labor, intensive workload, and continuous occupational stress, which may negatively affect psychological well-being and contribute to negative organizational attitudes such as organizational cynicism. Supporting nurses' psychological well-being is therefore essential for sustaining professional functioning and quality of care.

Mandala therapy is an art-based behavioral intervention that provides individuals with a space for free expression through unstructured drawing and coloring activities. Unstructured mandala practices allow participants to express their inner experiences without predetermined guidance, supporting emotional awareness and self-regulation.

This experimental study was conducted to evaluate the effect of unstructured mandala therapy on nurses' psychological well-being and organizational cynicism levels. The study was carried out with nurses working in a public training and research hospital. Participants were allocated to an intervention group receiving unstructured mandala therapy and a control group receiving routine working conditions.

Mandala therapy sessions were conducted in small groups over a defined period, based on a free-expression approach. Psychological well-being and organizational cynicism levels were assessed at baseline and after the intervention using standardized and validated measurement tools. Ethical approval was obtained prior to data collection, and written informed consent was obtained from all participants. The study was retrospectively registered.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Having at least 6 months of professional nursing experience at the hospital where the study is conducted
  • Willingness to participate voluntarily in the study

Exclusion criteria

  • Being on leave or on medical report during the data collection period
  • Participation in individual psychotherapy or group-based intervention programs
  • Receiving psychiatric medication treatment
  • Having visual impairments or visual disorders
  • Having prior experience with meditation practices

Treatment and study plan

Unstructured Mandala Therapy

Behavioral

Unstructured mandala drawing and coloring activities were conducted as a behavioral intervention, allowing participants to freely express their emotions without predefined guidelines or themes.

Primary outcomes

  1. Psychological Well-Being

    Time frame: Baseline, 4 weeks after intervention initiation, and 8 weeks post-intervention

    Psychological well-being will be assessed using the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), a validated 14-item scale ranging from 14 to 70, with higher scores indicating better psychological well-being.

Secondary outcomes

  1. Organizational Cynicism

    Time frame: Baseline, 4 weeks after intervention initiation, and 8 weeks after intervention initiation

    Organizational cynicism was assessed using the Organizational Cynicism Scale, a 13-item instrument rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 13 to 65, with higher scores indicating higher levels of organizational cynicism.

Other outcomes

  1. Stress Level

    Time frame: Baseline, 4 weeks after intervention initiation, and 8 weeks after intervention initiation

    Stress level was assessed using a self-reported numerical rating scale (NRS) ranging from 1 (no stress) to 10 (maximum stress). Higher scores indicate higher perceived stress levels.

Sponsors and collaborators

Lead sponsor

Karadeniz Technical University

Other

Registry information

Official study title

Evaluation of the Effect of Mandala Therapy on Nurses' Psychological Well-Being and Organizational Cynicism Level

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Feb 17, 2026
Registry last updated
Feb 17, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.