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NCT Number: NCT06642727

The Effect of Laughter Yoga on Nurses' Burnout Level and Stress

The purpose of this clinical trial is to determine the effect of laughter yoga on the burnout levels and stress of nurses. The main questions of the study are as follows:

1. What is the burnout level of nurses in the control and intervention groups? 2. What is the stress level of nurses in the control and intervention groups? 3. Has there been a change in the burnout levels of nurses practicing laughter yoga? 4. Has there been a change in the stress levels of nurses practicing laughter yoga? To compare whether laughter yoga affects burnout and stress levels, participants will be divided into control and experimental groups. The experimental group will undergo laughter yoga sessions twice a week for one month.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Bursa Mustafakemalpaşa Public Hospital

Bursa, Mustafakemalpaşa, 16500, Turkey (Türkiye)

Location contact

ayşe karataş

PRINCIPAL_INVESTIGATOR

bursa mustafakemalpaşa public hospital bursa mustafakemalpaşa public hospital

CONTACT

[email protected]

+90 224 613 18 60 ext. +90 224 613 18

About this study

The study examines the stress and burnout levels of nurses and their causes. Stress in nurses arises from factors such as working conditions, compatibility with colleagues, and insufficient equipment, among others. When this stress becomes chronic, it is referred to as burnout. The Maslach Burnout Inventory will be used to assess burnout levels, while the Nurse Stress Scale will be used to assess stress levels. Laughter yoga will be employed as a coping method.

Laughter serves the function of engaging and relaxing effective muscles, improves respiratory functions, regulates blood circulation, reduces stress hormones, boosts the immune system's defenses, raises pain thresholds and tolerance, and enhances mental function. Many studies have observed that the positive effects of laughter yoga on human psychology are beneficial for burnout syndrome. This research will investigate how laughter yoga affects burnout and stress levels.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Being a nurse working day and night shifts
  • Not having participated in laughter yoga sessions before
  • Being willing to participate in the study

Exclusion criteria

  • Having a physical condition that prevents participation in laughter yoga sessions (hernia, hemorrhoids, vertigo, respiratory disorders, urinary incontinence, epilepsy)
  • Not being a nurse
  • Working continuously day or continuously night shifts

Treatment and study plan

Laughter Yoga

Behavioral

Laughter yoga reduces stress levels through sessions lasting approximately 40 minutes without any invasive or pharmacological interventions. It regulates breathing, relaxes muscles, stimulates circulation, increases pain thresholds, strengthens immunity, lightens the mind, enhances social relationships, promotes mental balance, and boosts self-esteem, hope, energy, and quality of life. The content of a session includes deep breathing exercises, warm-up exercises, childlike games, and laughter exercises.

Primary outcomes

  1. Maslach burnout ineventory

    Time frame: 1 month

    The scale consists of 22 items in a 5-point Likert format (0: Never, 1: Very Rarely, 2: Sometimes, 3: Often, 4: Always). It has three dimensions: Emotional Exhaustion (EE, 9 items), Depersonalization (D, 5 items), and Personal Accomplishment Deficiency (PAD, 8 items). EE refers to the emotional overload an individual feels due to their work and is the most significant predictor of burnout. D represents attitudes and behaviors exhibited by the individual without regard to the fact that the people they serve are unique individuals, displaying a lack of emotion. PAD is defined as the inability to cope with problems successfully and feeling insufficient.

    Individuals experiencing burnout are expected to have high scores in EE (0-36), D (0-20), and PAD (0-32). The Cronbach Alpha coefficients for the three subdimensions of the scale are 0.83 for emotional exhaustion, 0.65 for depersonalization, and 0.72 for personal accomplishment deficiency.

  2. Nurse Stress Scale

    Time frame: 1 month

    The original "Nurse Job Stress Scale," developed by Gray-Toft and Anderson, consists of 34 items and seven factors. These factors include: Uncertainty Related to Treatment (8 items = 1,2,3,4,5,6,7,8), Workload (6 items = 9,10,11,12,13,14), Patient Death (5 items = 15,16,17,18,19), Conflict with Physicians (5 items = 20,21,22,23,24), Conflict with Other Nurses (5 items = 25,26,27,28,29), Inadequate Support (3 items = 30,31,32), and Suffering Patient (2 items = 33,34). It is rated using a 4-point Likert system, where (1 point) means never, (2 points) sometimes, (3 points) often, and (4 points) very often. The Cronbach α reliability coefficient of the original scale has been found to be between α = .89 and α = .65 for the subfactors. A high total score indicates that the nurse experiences more frequent periods of stress related to individual stress issues in the physical, psychological, and environmental contexts.

Study contacts

Contact information is provided by the study sponsor or research team.

Ayşe KARATAŞ

CONTACT

[email protected]

+905455694332 ext. +905455694332

Sponsors and collaborators

Lead sponsor

Çanakkale Onsekiz Mart University

Other

Registry information

Official study title

The Effect of Laughter Yoga on Nurses' Burnout Level and Stress: Randomized Controlled Study

Important dates

Study start
2024
Primary completion
2024
Study completion
2027
First posted
Oct 15, 2024
Registry last updated
Oct 15, 2024

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.

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