scholarly journals The effect of an online individualized program to prevent nurse burnout – a mixed method study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Nina Geuens ◽  
Erik Franck ◽  
Peter Vlerick ◽  
Peter Van Bogaert
Keyword(s):  
Mixed Method ◽  
Intervention Group ◽  
Well Being ◽  
Personal Accomplishment ◽  
Mixed Method Study ◽  
Control Group ◽  
Preventive Program ◽  
Control Group Design ◽  
Content Type ◽  
Nurse Burnout

PurposePreventing burnout and promoting psychological well-being in nurses are of great importance. In this study the effect of an online, stand-alone individualized preventive program for nurse burnout based on cognitive behavioral therapy (CBT) is described and explained.Design/methodology/approachA mixed method study with an explanatory sequential design was applied. Quantitative data were collected from September 2015 to March 2016 during an intervention study with a pretest-posttest wait-list control group design within a population of hospital nurses in the Dutch speaking part of Belgium. Consecutively, 13 nurses from the intervention group who fully completed the program were interviewed.FindingsAll interviewed participants experienced some sort of effect due to working with the program. Emotional exhaustion remained stable in the intervention group and increased in the control group. However, this difference was not significant. Personal accomplishment decreased significantly within the intervention group when compared to the control group. This might be explained by the self-awareness that was created through the program, which confronted participants with their weaknesses and problems.Originality/valueThis study adds to the understanding of online individual burnout prevention. The results suggest the feasibility of an online program to prevent nurse burnout. This could be optimized by complementing it with organizational interventions, introducing refresher courses, reminders and follow-up. Furthermore, additional attention should be devoted to preparing the implementation in order to minimize attrition rates.

scholarly journals Control Group Design in a Complex Intervention Study: Challenges, Dilemmas and Possible Solutions

2020 ◽  
Author(s):  
Margrete Mangset ◽  
Gabriele Kitzmüller ◽  
Anne Evju ◽  
Sanne Angel ◽  
Lena Aadal ◽  
...  
Keyword(s):  
Intervention Group ◽  
Well Being ◽  
Safety Net ◽  
Adjustment Process ◽  
Control Group ◽  
Structured Interviews ◽  
Control Group Design ◽  
Design Assessment ◽  
Stroke Treatment ◽  
Critical Components

Abstract Background The use of a control group is one of the most critical components of an RCT. The control conditions may change over time and include assessment interviews and standard stroke treatment. Therefore, the control group should be monitored and described in as much detail as the intervention group. It is important to find ways to reduce the risk of study-induced influence on the members of the control group. The aim of this study was to explore the possible influence of the assessment interviews on the adjustment of the members of a control group in an RCT exploring psychosocial well-being following stroke. Methods Fifteen participants in the control group of the RCT, six women and nine men, aged 29-88 years, were interviewed in narrative semi-structured interviews. Ricoeur’s interpretation theory guided the analysis. Results The perceived influence of the assessment interviews on the control group varied considerably. Two different themes with subthemes were identified, describing the influence of the assessment interviews in the control group. Theme one described how participants emphasized the perceived influence of the assessment interviews that served as a safety net, enhanced their awareness and understanding, facilitated their adjustment after stroke, encouraged them to seek support, and allowed them to vent their disappointment of having been allocated to the control group. Theme two described participants’ experiences of handling their adjustment process on their own without describing any influence of the assessment interviews on their condition. These participants highlighted mild strokes, spontaneous recovery, setting own goals, support from family and friends and supporting research. Conclusions In view of the design challenges in RCTs, it seems important to explore in depth how to design assessment interviews with control group members without introducing risk of bias, and to uphold rigor and stringency in the trials.

scholarly journals The Effect of Inquiry-Based Stress Reduction on Teacher Burnout: A Controlled Trial

2020 ◽  
Vol 10 (7) ◽  
pp. 468 ◽  
Author(s):  
Lia Schnaider-Levi ◽  
Ariel B. Ganz ◽  
Keren Zafrani ◽  
Zehavit Goldman ◽  
Inbal Mitnik ◽  
...  
Keyword(s):  
Emotional Exhaustion ◽  
Stress Reduction ◽  
Passive Control ◽  
Teacher Burnout ◽  
High Stress ◽  
Intervention Group ◽  
Well Being ◽  
Personal Accomplishment ◽  
Control Group ◽  
Economic Costs

Burnout is a well-known phenomenon with significant social, biological and economic costs. In particular, teacher burnout is associated with unfavorable mental health outcomes and economic costs due to reduced hours and teacher turnover. This study investigated the effect of an Inquiry-Based Stress Reduction (IBSR) cognitive-reframing program on teacher burnout using a quasi-experimental design. Fifty-three teachers participated in a prospective intervention with a passive control group. The intervention group completed a 12-week IBSR program with 4.5 h of weekly engagement. Relative to control, teachers in the intervention group showed greater improvements in emotional exhaustion (18.8 ± 5.2 to 15.9 ± 5.7 vs. 16.0 ± 4.8 to 17.4 ± 4.8; p = 0.01) and personal accomplishment (21.8 ± 5.0 to 24.6 ± 4.3 vs. 21.9 ± 4.5 to 22.8 ± 4.3; p = 0.04). Significant correlations were found between change in emotional exhaustion and negative affect (positive correlation; r = 0.32; p = 0.034) and between personal accomplishment and perceived stress (negative correlation; r = −0.451; p = 0.002). This study demonstrates the potential of IBSR to improve teacher well-being. Future randomized studies are needed to evaluate the causality of IBSR in reducing burnout among teachers and other high-stress workplaces.

Development and implementation of a multifaceted well-being intervention

2016 ◽  
Vol 3 (4) ◽  
pp. 360-375 ◽  
Author(s):  
Maura J. Mills ◽  
Clive J. Fullagar ◽  
Satoris S. Culbertson
Keyword(s):  
Personal Growth ◽  
Professional Growth ◽  
Intervention Group ◽  
Well Being ◽  
Control Group ◽  
Extension Agents ◽  
Content Type ◽  
Cognitive Reframing ◽  
The One

Purpose The purpose of this paper is to develop and implement an intervention to increase individuals’ hedonic well-being (HWB) and/or eudaimonic well-being (EWB) via cognitive reframing and action-based behaviors. Design/methodology/approach Time 1 and Time 2 data were collected two weeks apart from 76 participants (comprised of city employees, extension agents, and students) in an intervention group (23) and a characteristically similar control group (53). The intervention included an in-person facilitated meeting with a series of follow-up e-mails designed to focus participants on well-being improvement strategies and provide them resources for continued well-being development. Findings Intervention participants evidenced a significant increase in EWB after two weeks, particularly the personal growth dimension. No significant increase resulted for HWB. Research limitations/implications The present intervention indicates the importance of targeting well-being at a facet level, including a focus on multidimensional EWB. The intervention also serves to guide the informed development of future well-being programs. Practical implications These findings have important implications for organizations in light of increased employee desire for personal and professional growth opportunities supported by their employer. Group interventions such as the one reported herein are an important way for organizations to develop and invest in employees. Originality/value This paper traces the development of prior well-being interventions, evaluating their successes and failures and using those to guide the informed development of the present intervention. By utilizing both in-person and follow-up components, and incorporating both hedonic and multidimensional eudaimonic components, the proposed intervention serves as an important step toward a feasible organizational intervention that can benefit many.

Effect of a leadership intervention on subordinate well-being

2014 ◽  
Vol 33 (3) ◽  
pp. 182-195 ◽  
Author(s):  
Anna-Liisa Elo ◽  
Jenni Ervasti ◽  
Eeva Kuosma ◽  
Pauliina Mattila-Holappa
Keyword(s):  
Leadership Development ◽  
Personal Growth ◽  
Repeated Measures ◽  
Intervention Group ◽  
Well Being ◽  
Control Group ◽  
Practical Training ◽  
Content Type ◽  
Quasi Experimental ◽  
Leadership Intervention

Purpose – Leadership behaviours are shown to contribute to subordinate well-being. The purpose of this paper is to investigate the effect of a 7.5-day personal growth-orientated leadership intervention among line supervisors on subordinate well-being at work in a public sector construction organization. Design/methodology/approach – A quasi-experimental design was applied to investigate the effects on the subordinates’ perceptions of the psychosocial work environment, leadership, and well-being. The intervention group comprised the subordinates (n=49) of the leadership intervention units and the control group comprised the subordinates (n=96) of the non-participating units. Data were collected with pre- and post-measurement surveys and analysed with repeated measures ANCOVA. Findings – The intervention improved the flow of information after adjusting for the subordinates’ level of participation in the organizational stress management programme and background variables. The subordinates’ perception of leadership or of their own well-being did not improve compared to the control group. Research limitations/implications – More detailed and proximal outcome indicators are needed. Several measurements and a process evaluation of the implementation are recommended. Practical implications – Line supervisors need to be informed about the goals and methods of a personal growth intervention in order to encourage them to meet their strengths and limitations. The improvement of blue-collar subordinate well-being through leadership development might benefit from more practical training approaches. Originality/value – The personal growth approach to line supervisors’ development is rare. The effect of the development on subordinate well-being has not been investigated.

scholarly journals The Influence of Forest Activities in a University Campus Forest on Student’s Psychological Effects

2021 ◽  
Vol 18 (5) ◽  
pp. 2457
Author(s):  
Jin Gun Kim ◽  
Jinyoung Jeon ◽  
Won Sop Shin
Keyword(s):  
Stress Response ◽  
Mood State ◽  
Intervention Group ◽  
Well Being ◽  
Psychological Effects ◽  
Control Group ◽  
Subjective Well Being ◽  
Control Group Design ◽  
Post Test ◽  
Forest Activities

This study aimed to examine the psychological effects of forest activities in a campus forest. A pre-test and post-test control group design was employed to evaluate the psychological effect of forest activities in a campus forest. A total of 38 participants participated in this study (19 in the forest activities group; 19 in the control group). The Profile of Mood State (POMS) questionnaire, the Concise Measure of Subjective Well-Being (COMOSWB), and the modified form of the Stress Response Inventory (SRI-MF) were administered to each participant to assess psychological effects. This study revealed that participants in the forest activities intervention group had significantly positive increases in their mood, stress response, and subjective well-being, comparing with those of control group participants who did not partake in any forest activities. In conclusion, the implementation of forest activities in a campus forest is an efficient strategy to provide psychological well-being benefits to college students.

Clowns in Paediatric Surgery: Less Anxiety and More Oxytocin? A Pilot Study

2017 ◽  
Vol 229 (05) ◽  
pp. 274-280
Author(s):  
Tabea Scheel ◽  
Dorothea Hoeppner ◽  
Anne Grotevendt ◽  
Winfried Barthlen
Keyword(s):  
Pilot Study ◽  
Positive Impact ◽  
Intervention Group ◽  
Well Being ◽  
Ward Round ◽  
Control Group ◽  
Hospitalized Children ◽  
Paediatric Surgery ◽  
Control Group Design ◽  
Positive Effects

Abstract Background Hospital stays and medical interventions are accompanied by worries and anxiety in children and parents. Recent studies show that hospital clowns may reduce anxiety and enhance well-being. However, so far studies are based solely on subjective measures and clowns are usually not integrated in medical routine. With this pilot study, we aim to provide both psychological and physiological evidence of positive effects of clowns’ interventions in hospitalized children. Patients/Method In a consecutive randomized intervention-control group design with 31 children aged 4 to 13 years, 17 patients were accompanied by a clown prior to surgery or during ward round (intervention group) and 14 were not (control group). Saliva samples for oxytocin measurement were taken from all patients before hospitalization (T1) and prior to surgery or after ward round (T2). Self- and parents-reports were obtained at T1, T2 as well as at time of discharge from hospital (T3) regarding children’s anxiety (STAI), worries and well-being. Clowns evaluated their success in cheering up the child. Health professionals were asked for their acceptance of clowns in hospitals. Results Children in the intervention group had lower anxiety ratings and a higher oxytocin concentration at T2 as compared with T1; the control group showed no changes. Parents rated the well-being of their children higher if their child had clown’s contact and were more willing to recommend the hospital. The staff judged the clowns as helpful for patients. Discussion Consistent psychological and physiological results suggest the positive impact of a clown’s intervention in hospitalized children.

scholarly journals EFEK RELAKSASI AUTOGENIC TRAINING TERHADAP KEBERHASILAN MASA AWAL LAKTASI PADA IBU POSTPARTUM

2021 ◽  
Vol 5 (2) ◽  
pp. 48
Author(s):  
Iis Sri Hardiati
Keyword(s):  
Relaxation Training ◽  
Assessment Tool ◽  
Intervention Group ◽  
Self Care ◽  
Well Being ◽  
T Test ◽  
Autogenic Training ◽  
Control Group ◽  
Control Group Design ◽  
Group Design

Salah satu penyebab kegagalan menyusui pada ibu antara lain kurangnya kepercayaan diri pada ibu. Relaksasi autogenic training (RAT) merupakan metode untuk meningkatkan rasa percaya diri dan membangun pikiran positif ibu.  Hal ini sesuai dengan teori keperawatan self-care dari Orem yang bertujuan membantu ibu mencapai kemandirian untuk mempertahankan hidup, kesehatan, perkembangan, dan kesejahteraan. Tujuan penelitian: Penelitian ini bertujuan untuk mengetahui efek RAT terhadap keberhasilan menyusui pada ibu postpartum.  Metode: Desain penelitian ini menggunakan quasi experiment dengan rancangan nonequivalent control group design.  Sampel terdiri dari masing-masing 15 responden untuk kelompok intervensi dan kelompok kontrol.  RAT diberikan melalui media audio voice selama 10-15 menit sebanyak 2-3 kali sehari selama 7 hari.  Posttest dilakukan dengan cara observasi melalui kunjungan pada hari ketujuh. Instrumen Via Christi Breastfeeding Assessment Tool yang telah valid dan reliabel digunakan untuk menilai keberhasilan menyusui. Analisis data menggunakan t-test. Hasil: ibu yang melakukan RAT bisa menyusui lebih efektif dibanding kelompok kontrol (p=0,000). Diskusi: RAT memberikan ketenangan dan kemudahan kepada responden dalam membantu meningkatkan keberhasilan menyusui karena memiliki efek relaksasi. Kesimpulan: RAT efektif terhadap keberhasilan menyusui. Oleh karena itu RAT dapat digunakan oleh perawat sebagai sebuah asuhan keperawatan dalam program dukungan ibu menyusui di rumah sakit atau fasilitas kesehatan.Kata Kunci: autogenic training, menyusui, relaksasi Relaxation Effects of Autogenic Training on Lactation Success in Post Partum Mothers ABSTRACTOne of the causes of failure to breastfeed, among others, is a lack of confidence in mothers. Autogenic relaxation training (RAT) is a method to increase self-confidence and build positive thoughts for mothers. This is in accordance with Orem's self-care nursing theory, which aims to help mothers achieve independence to maintain life, health, development, and well-being. Objective: This research aims to reveal the effect of RAT on breastfeeding success in postpartum mothers. Methods: This research employed a quasi-experimental design with a nonequivalent control group design. The samples consisted of an intervention group and a control group, with 15 respondents for each. RAT was given through audio voice media for 10-15 minutes 2-3 times a day for 7 days. The posttest was conducted using observation through visits on the seventh day. A valid and reliable instrument of the Via Christi Breastfeeding Assessment Tool was used to assess breastfeeding success. Data were analyzed using a t-test. Results: Mothers who did RAT could breastfeed more effectively than the control group (p=0.000). Discussion: RAT provides comfort and convenience to respondents in helping to increase breastfeeding success because it has a relaxing effect. Conclusion: RAT is effective for breastfeeding success. Therefore, nurses can use RAT as nursing care in breastfeeding mother support programs in hospitals or health facilities.Keywords: autogenic training, breastfeeding, relaxation

A Pilot Study on the Efficacy of Volunteer Mentorship for Young Adults With Self-Harm Behaviors Using a Quasi-Experimental Design

Crisis ◽  
2016 ◽  
Vol 37 (6) ◽  
pp. 415-426 ◽  
Author(s):  
Yik-Wa Law ◽  
Paul S. F. Yip ◽  
Carmen C. S. Lai ◽  
Chi Leung Kwok ◽  
Paul W. C. Wong ◽  
...  
Keyword(s):  
Experimental Design ◽  
Suicide Ideation ◽  
Intervention Group ◽  
Well Being ◽  
Control Group ◽  
Treatment As Usual ◽  
Prevention Services ◽  
Quasi Experimental ◽  
Self Harm ◽  
Volunteer Support

Abstract. Background: Studies have shown that postdischarge care for self-harm patients is effective in reducing repeated suicidal behaviors. Little is known about whether volunteer support can help reduce self-harm repetition and improve psychosocial well-being. Aim: This study investigated the efficacy of volunteer support in preventing repetition of self-harm. Method: This study used a quasi-experimental design by assigning self-harm patients admitted to the emergency departments to an intervention group with volunteer support and treatment as usual (TAU) for 9 months and to a control group of TAU. Outcome measures include repetition of self-harm, suicidal ideation, hopelessness, and level of depressive and anxiety symptoms. Results: A total of 74 cases were recruited (38 participants; 36 controls). There were no significant differences in age, gender, and clinical condition between the two groups at the baseline. The intervention group showed significant improvements in hopelessness and depressive symptoms. However, the number of cases of suicide ideation and of repetition of self-harm episodes was similar for both groups at the postintervention period. Conclusion: Postdischarge care provided by volunteers showed significant improvement in hopelessness and depression. Volunteers have been commonly involved in suicide prevention services. Further research using rigorous methods is recommended for improving service quality in the long term.

SUPPORTIVE EDUCATIVE SYSTEM DALAM MENINGKATKAN KEMANDIRIAN MERAWAT KAKI PADA PASIEN DIABETES MELLITUS TIPE II

2019 ◽  
Vol 9 (2) ◽  
pp. 63-72
Author(s):  
Nova Nurwinda Sari ◽  
Herlina Herlina
Keyword(s):  
Diabetes Mellitus ◽  
Health Center ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Type Ii ◽  
Foot Care ◽  
Control Group Design ◽  
Patients With Diabetes

Diabetes mellitus dapat menyebabkan cukup banyak komplikasi seperti kelainan mata, kelainan ginjal, kelainan pembuluh darah dan kelainan pada kaki. Penderita diabetes mellitus yang mengalami komplikasi kronis perlu diberikan upaya preventif untuk mencegah komplikasi, salah satunya adalah kemampuan perawatan kaki. Penelitian ini dilakukan untuk menguji efektivitas supportive educative system dalam meningkatkan kemandirian perawatan kaki pada pasien dengan diabetes mellitus Tipe II di Puskesmas Permata Sukarame, Bandar Lampung. Penelitian ini menggunakan metode quasy eksperimen dengan desain pretest-posttest with control group dengan total masing-masing kelompok sebanyak 18 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner kepada responden yang memenuhi kriteria inklusi penelitian. Penelitian ini diuji menggunakan analisis univariat, bivariat dan uji T-test. Hasil penelitian menunjukkan bahwa terdapat perbedaan rata-rata dalam kemandirian perawatan kaki pada kelompok intervensi dan kelompok kontrol dengan p-value 0,000. Pendidikan dan praktik perawatan kaki harus diberikan sejak dini sebagai upaya pencegahan untuk komplikasi.   Kata kunci : Supportive educative system, kemandirian perawatan kaki   SUPPORTIVE EDUCATIVE SYSTEM IN IMPROVING INDEPENDENCE OF FOOT CARE IN PATIENTS WITH DIABETES MELLITUS TYPE II   ABSTRACT Diabetes mellitus can cause quite a lot of complications such as eye disorders, kidney disorders, vascular disorders and abnormalities in the legs. Patients with diabetes mellitus who have chronic complications need to be given a preventive effort to prevent complications, one of which is foot care ability. This research was conducted to examine the effectiveness of supportive educative systems in increasing the independence of foot care in patients with Type II diabetes mellitus in the Permata Sukarame Health Center Bandar Lampung Working Area. This study used a quasi-experimental method with pretest-posttest with control group design with a total of 18 respondents each. Data collection is done by distributing questionnaires to respondents who meet the research inclusion criteria. This study was tested using univariate, bivariate, T-Test analysis. The results showed that the mean differences in the independence of foot care in the intervention group and the control group in the Permata Sukarame Community Health Center work area with a p-value of 0,000. Education and practice of foot care should be given early as a preventative effort for complications.   Keywords: Supportive educative system, independence of foot care

PENGARUH PELATIHAN PENGENDALIAN VEKTOR DEMAM BERDARAH TERHADAP MAYA INDEX PADA SISWA SEKOLAH DASAR DI MAJALENGKA

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Wawan Kurniawan
Keyword(s):  
Vector Control ◽  
Dengue Fever ◽  
Dengue Hemorrhagic Fever ◽  
Intervention Group ◽  
Hemorrhagic Fever ◽  
Control Group ◽  
Control Group Design ◽  
Group Design ◽  
Quasi Experimental ◽  
Dengue Vector Control

ABSTRAK  Latar belakang: Demam Berdarah Dengue (DBD) disebabkan oleh virus Dengue dapat menyebabkan kematian. Pencegahan DBD yang dianggap paling tepat adalah Pemberantasan Sarang Nyamuk (PSN). Penelitian ini bertujuan untuk mengetahui pengaruh pelatihan pengendalian vektor Demam Berdarah pada siswa sekolah dasar terhadap Maya Index di Majalengka. Metode: Penelitian ini menggunakan desain quasi experiment (pretest-posttest control group design). Sebanyak 4 sekolah terpilih sebagai kelompok intervensi dan 4 sekolah lainnya sebagai kontrol. Subyek penelitian adalah siswa kelas IV-VI yang terdiri dari 171 siswa pada kelompok intervensi dan 163 pada kelompok kontrol. Instrumen yang digunakan adalah formulir pemantauan jentik berkala. Hasil: Jumlah rumah dengan kategori Maya Index tinggi berkurang dari 27,5% menjadi 9,4%. Terjadi penurunan angka BRI kategori tinggi pada kelompok intervensi dari 20,5% menjadi 1,8%. Pada kelompok kontrol tidak terjadi penurunan angka BRI kategori tinggi (22,1%), sebaliknya terjadi penurunan kategori rendah dari 34,4% menjadi 3,7%. Tidak terjadi penurunan angka HRI pada kelompok intervensi maupun kontrol. Kesimpulan: Pelatihan pengendalian vektor Demam Berdarah dapat menurunkan nilai BRI dan Maya Index, tetapi tidak berpengaruh terhadap nilai HRI. Tidak adanya perubahan nilai HRI menunjukkan bahwa kebersihan dan sanitasi lingkungan merupakan faktor yang berpengaruh terhadap probabilitas kejadian demam berdarah. Kata Kunci : Demam Berdarah, Maya Index, pelatihan, pengendalian vektor   ABSTRACT Background: Dengue Hemorrhagic Fever (DHF) caused by Dengue virus could cause death. The most appropriate prevention of Dengue is eradication of mosquito nests (PSN). This study aims to determine the effect of Dengue vector control training on elementary students towards Maya Index in Majalengka. Method: This study used quasi-experimental design (pretest-posttest control group design). A total of 4 schools were selected as intervention groups and 4 other schools as controls. The subjects were students in grades IV-VI consisting of 171 students in the intervention group and 163 in the control group. The instrument used was periodic larva monitoring form. Results: The number of houses with a high Maya Index category in the intervention group decreased from 27.5% to 9.4%. There was a decrease in the high BRI category in the intervention group from 20.5% to 1.8%. In the control group, there was no decrease in the high BRI category (22.1%), on the contrary, there was a decrease in the low category from 34.4% to 3.7%. There was no decrease in HRI rates both of intervention or control groups. Conclusion: Dengue Fever vector control training could decrease the value of BRI and Maya Index, but does not affect the value of HRI. The absence of changes in HRI  indicate that environmental hygiene and sanitation are factors that influence the probability of dengue fever occurrence. Keywords: Dengue Hemorrhagic Fever, Maya Index, training, vector control

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