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Completed

NCT Number: NCT07105774

The Effects of Stress Inoculation Training Program on Occupational Stress Level, Coping Style, and Sleep Quality in New Psychiatric Nurses.

The aim of this clinical trial is to find out whether a stress inoculation program can reduce occupational stress in new psychiatric nurses. The main question it aimed to answer was:

Does a stress inoculation training program improve participants' occupational stress, coping styles, and sleep quality? The researchers compared the stress inoculation training to a conventional training control to see if the stress inoculation training reduced occupational stress.

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Key information

Conditions

Nurse Psychiatric Stress Inoculation Training

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Huzhou University

Huzhou, Zhejiang, 313000, China

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • obtained nurse practitioner's license;
  • nurses who were newly employed within the last three years and have been in their position for one month or longer;
  • directly interacting with patients with mental illnesses in daily work;
  • obtained informed consent to participate voluntarily in this study.

Exclusion criteria

  • non-fresh graduates;
  • these taking vacations, refresher courses during the study period;
  • were breastfeeding or pregnant;
  • had attended a similar stress intervention training (e.g., Positive Thinking Stress Reduction training, etc.) within the past year;
  • new major non-work stressors (e.g., death of a close family member, divorce, exposure to a major natural disaster, etc.) within the last six months.

Treatment and study plan

stress inoculation training program

Behavioral

The intervention group received the SIT program for 12 weeks. From 1st-2nd weeks, participants were admitted to an online training group set up via DingTalk, attending an offline stress reduction workshop were grouped into groups of 5-6, with games and small activities to promote group bonding. Psychiatric-psychological nurse specialist introduced the participants to the concept of SIT, the curriculum, and asked them to describe their initial knowledge and understanding of SIT. In addition, through cognitive restructuring training, the participants were made to review their work experience, understand the work stress and psychological pain they faced, and correctly recognize the role of cognition and emotion in causing and maintaining stress. From 3rd-6th weeks, participants were portrayed and discussed through videos and images, exploring personal, organizational and environmental stressors for new psychiatric nurses. Psychiatrists led relaxation exercises (e.g. positive thinking, med

Other names: stress inoculation training

Routine training

Behavioral

The control group received training in accordance with the "New Entry Nurse Training Syllabus (Trial)", which included routine theoretical knowledge training and clinical practice training.

Primary outcomes

  1. Job stress scale for newly-graduated nurses (JSSNGN)

    Time frame: From enrollment to the end of treatment at 12 weeks

    Job stress scale for newly-graduated nurses (JSSNGN) is used to measure the level of occupational stress among new nurses. The scale consists of 4 dimensions and 24 items, including tasks in general care (9 items), tasks in critical care (4 items), interpersonal relationships (5 items), and leadership and management (6 items), and is based on a Likert's 5-point scale, ranging from "not stressful at all" to "extremely stressful", with Cronbach's α=0.93. JSSNGN was used to measure the level of occupational stress of new psychiatric nurses in this study. The scale has a total score range of 24 to 120, with higher scores representing greater occupational stress.

Secondary outcomes

  1. Simplified Coping Style Questionnaire (SCSQ)

    Time frame: From enrollment to the end of treatment at 12 weeks

    Simplified coping style questionnaire (SCSQ) is designed to measure an individual's coping style in the face of a stressful event. Two subscales are active coping (problem-focused, SCSQ-A) and passive coping (emotion-focused, SCSQ-P) with items 1to12 for active coping strategies (problem-focused, SCSQ-A) and items 13 to 20 for passive coping strategies (emotion-focused, SCSQ-P). Each item uses a 4-point Likert's scale ranging from 0 to 3, from "not used" to "use frequently", with Cronbach's α=0.80 and correlations of test-retest reliability of 0.89. SCSQ was used to measure the coping styles (SCSQ-A and SCSQ-P respectively) of new psychiatric nurses when faced with occupational stress in this study, with higher scores indicating more frequent use of the coping style.

  2. Pittsburgh sleep quality index (PSQI)

    Time frame: From enrollment to the end of treatment at 12 weeks

    Pittsburgh sleep quality index (PSQI) is used to measure the quality of an individual's sleep in the last 1 month. The scale consists of 19 self-assessed and 5 other-assessed items, of which the 19th self-assessed and 5 other-assessed items are not involved in scoring. The 18 self-assessed entries involved in scoring can be categorized into 7 dimensions: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction, each of which is scored on a 4-point scale from 0 to 3, and the cumulative score for each dimension is the total PSQI score, with a Cronbach's α = 0.85. PSQI was used to measure the sleep quality of the new psychiatric nurses in this study, with a total score of 0 to 21 points, with higher scores representing poorer sleep quality.

Sponsors and collaborators

Lead sponsor

Huzhou University

Other

Registry information

Official study title

The Effects of Stress Inoculation Training Program on Occupational Stress Level, Coping Style, and Sleep Quality in New Psychiatric Nurses：A Randomized Controlled Trial.

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Aug 6, 2025
Registry last updated
Aug 6, 2025

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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