The Effects of "Workplace Health Promotion Program" on Pain, Fatigue, Stress in Nurses

Pain, fatigue, and stress lead to decrease on their work performance with biopsychosocial functioning disorders on nurses. This study was conducted to examine the effects of the "Workplace Health Promotion Program" (WHPP) on pain, fatigue, stress, professional quality of life (Pro-QoL) and coping skills for nurses.

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Key information

Conditions

Nurses Fatigue Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms Work-Related Stress Disorder

Age range

18 year–65 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

About this study

The investigators conducted a randomized control trail in 30 nurses admitted to their Hospital. Progressive relaxation training, posture and breath exercises and ergonomic suggestion as a WHPP was applied to the intervention group (n=15) during the five weeks. Visual Analogue Scale (VAS) was used to determine the pain, fatigue and stress levels of the nurses. Brief COPE and the Professional Quality of Life Scale, Version 4 (Pro-QoL) were used to evaluate the coping skills and quality of life. The evaluations were performed three times on all the participants as; before and after training and the one-year follow-up.

Inclusion criteria

of this study were working actively and at least 40 hours working in a week. Participants who have psychiatric illnesses with or without medication, prior training or current use of relaxation therapy and participants without consent were excluded.

Eighty nurses aged between 18 and 65, working in a hospital have been informed about the study. Forty-three nurses who met the criteria and signed consent forms were included in this study. WHPP was PMR training, posture and breath exercises, and ergonomic suggestions.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

Working actively and at least 40 hours working in a week,
Working as a nurse.

Exclusion criteria

Have psychiatric illnesses with or without medication,
Have prior training or current use of relaxation therapy and participants without consent.

Treatment and study plan

WORKPLACE HEALTH PROMOTION PROGRAM

Other

WHPP was PMR training, posture and breath exercises, and ergonomic suggestions.

Primary outcomes

The Professional Quality of Life Scale, Version 4 (ProQoL):

Time frame: Change from Baseline to after 5 weeks and at a year

ProQoL (has 30 items) measures the positive and negative effects experienced by those who choose to help people with pain and trauma (Stamm, 2009). It is made up of three subscales: Compassion Satisfaction (CS), Burnout, Secondary Traumatic Stress (STS). The ProQOL prompts participants to rate the frequency of the experience of certain feelings in their workplace with the clients in the last 30 days. Items are rated on a 6-point scale (from 0: never to 5:very often).
Coping Orientation to Problems Experienced (Brief COPE):

Time frame: Change from Baseline to after 5 weeks and at a year

Brief COPE (has 28 items) measures 14 different coping strategies and they targets three categories: problem-focused (active coping, planning, use of instrumental support), emotion-focused (use of emotional support, positive reframing, acceptance, religion, humor), and dysfunctional coping (venting, denial, substance use, behavioral disengagement, self-distraction, self-blame. Each statement is graded on a four-point Likert scale: 1 = very seldom, 2 = fairly seldom, 3

= fairly often, 4 = very often.
Visual Analog Scale (VAS)

Time frame: Change from Baseline to after 5 weeks and at a year

VAS is a tool developed by Price et al., aims to measure subjective experience such as pain (Hasson & Arnetz, 2005). Also, in the literature, VAS was reported to have a better response(i.e., ability to detect clinically significant change) compared to the Likert scale and might also be more reliable and valid (Vickers, 1999). The scale was applied by marking a point on the vertical or horizontal line that corresponds to the severity of the pain/fatigue/stress felt by the person, with a length of 10 cm and two different names (0 = no pain, 10 = most severe pain). The distance between the marking point and the lowest tip of the line was measured in centimeters, and the numerical value found was indicative of the pain/fatigue/stress intensity of the person

Sponsors and collaborators

Lead sponsor

Hacettepe University

Other

Registry information

Official study title

The Effects of "Workplace Health Promotion Program" on Pain, Fatigue, Stress in Nurses: A Randomize Controlled Trail and One-Year Follow-up

Important dates

Study start: 2015
Primary completion: 2018
Study completion: 2018
First posted: Apr 9, 2019
Registry last updated: Apr 16, 2019

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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Completed