Volume 28, Issue 93 And 94 (April- June 2015)                   IJN 2015, 28(93 And 94): 11-21 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Aliyari N, Fallahi Khoshknab M, Khankeh H, Hoseini M, Yazdani M. The Effectiveness of Cognitive Behavioral Group Intervention on the Stress Levels of New Graduate Nurses. IJN. 2015; 28 (93 and 94) :11-21
URL: http://ijn.iums.ac.ir/article-1-2036-en.html
Associate professor, Nursing group, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran (٭Corresponding author). Tel: 09125097144 Email: msflir@yahoo.com
Abstract:   (2030 Views)

  Abstract

  Background & Aim: New graduate nurses bear high levels of stress which could lead to unpleasant personal and professional outcomes. This study aimed to determine the effectiveness of cognitive behavioral group intervention on the stress levels of new graduate nurses.

  Material & Methods: It was a quasi-experimental pretest -posttest study with control group. A total of 80 new graduate nurses were first recruited by purposeful sampling and then were randomly assigned into two experimental and control groups (n=40). Eight, 90 minutes sessions of cognitive behavioral group intervention was performed for the experimental group two times a week. Control group received no intervention. The data was collected before and after the intervention by “Expanded Nursing Stress Scale” and analyzed by inferential statistics such as chi-square and independent T test using SPSS- PC (v. 20).

  Results: The findings showed that the mean score of stress level has reduced significantly after the intervention (from 44/44 to 29/44) (p<0/001). No significant reduction was found in the stress levels of control group (p=0/276). There was also a significant difference between the mean score of stress levels of the two groups after intervention (p<0/001).

Conclusion: According to the findings cognitive behavioral group intervention can reduce the stress levels of new graduate nurses. Therefore, using this intervention in the beginning of new graduate nurses’ work is suggested.

Full-Text [PDF 1305 kb]   (1428 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2015/01/5 | Accepted: 2015/03/31 | Published: 2015/03/31

References
1. McLean J. Forgotten Faculty: Stress and Job Satisfaction Among Distance Educators 2008; Available from: http://www.westga.edu/~distance/ojdla/summer92/mclean92. .
2. Bashir U, Ismail Ramay M. Impact Of Stress On Employees Job Performance A Study On Banking Sector Of Pakistan International Journal of Marketing Studies. 2010;2(1):122-6.
3. Shahid MN, Latif K, Sohail N, Ashraf MA. Work stress and employee performance in banking sector evidence from district Faisalabad, Pakistan. Asian Journal of Business and Management Sciences. 2011;1(7):38-47
4. Yaghobi M, Karimi S, Javadi M, Hasanzadeh A. [The relationship between job stress and three dimensions organizational commitment of nursing managers]. Journal of Hamedan University of Medical Sciences. 2011;18(1):5-10.
5. Magnago TSBdS, Lisboa MTL, Griep RH, Kirchhof ALC, Guido LdA. Psychosocial aspects of work and musculoskeletal disorders in nursing workers. Rev Lat Am Enfermagem. 2010;18(3):429-35. [DOI:10.1590/S0104-11692010000300019]
6. Mahmoudi H, Ebrahimian A, Solymani M, Ebadi A, Hafezi S, Fayzi F, et al. [The study of job motivation factors in critical care nurses]. J Behav Sci. 2007;1(2):171-8.
7. Benner P. Novice to expert: Excellence and power in clinical nursing practice. 7th ed. London: Prentice Hall; 1984.
8. Smith M, Segal R, Segal J. Understanding stress: symptoms, signs, causes, and effects. 2012. Available from: http://www.helpguide.org/mental/stress_sig
9. Yeh MC, Yu S. Job stress and intention to quit in newly‐graduated nurses during the first three months of work in Taiwan. J Clin Nurs. 2009;18(24):3450-60. [DOI:10.1111/j.1365-2702.2009.02941.x] [PMID]
10. Wu T-Y, Fox DP, Stokes C, Adam C. Work-related stress and intention to quit in newly graduated nurses. Nurse Educ Today. 2012;32(6):669-74. [DOI:10.1016/j.nedt.2011.09.002] [PMID]
11. O'Shea M, Kelly B. The lived experiences of newly qualified nurses on clinical placement during the first six months following registration in the Republic of Ireland. J Clin Nurs. 2007;16(8):1534-42. [DOI:10.1111/j.1365-2702.2006.01794.x] [PMID]
12. Price SL. Becoming a nurse: a meta‐study of early professional socialization and career choice in nursing. J Adv Nurs. 2009;65(1):11-9. [DOI:10.1111/j.1365-2648.2008.04839.x] [PMID]
13. Berkow S, Virkstis K, Stewart J, Conway L. Assessing new graduate nurse performance. Nurse educator. 2009;34(1):17-22. [DOI:10.1097/01.NNE.0000343405.90362.15] [PMID]
14. Fink R, Krugman M, Casey K, Goode C. The graduate nurse experience: Qualitative residency program outcomes. J Nurs Adm. 2008;38(7/8):341-8. [DOI:10.1097/01.NNA.0000323943.82016.48] [PMID]
15. Bisholt BK. The learning process of recently graduated nurses in professional situations—experiences of an introduction program. Nurse Educ Today. 2012;32(3):289-93. https://doi.org/10.1016/j.nedt.2011.04.008 [DOI:10.1016/j.nedt.2011.04.001] [PMID]
16. Kelly J, Ahern K. Preparing nurses for practice: a phenomenological study of the new graduate in Australia. J Clin Nurs. 2009;18(6):910-8. [PMID]
17. Khosravi Sh, Hazave Sajadi M. [Determining novice nurses` experiences in professional preparation: A content analysis]. Journal of nursing education. 2014; 3(2): 1-11.
18. Rudman A, Gustavsson JP. Early-career burnout among new graduate nurses: a prospective observational study of intra-individual change trajectories. Int J Nurs Stud. 2011;48(3):292-306. [DOI:10.1016/j.ijnurstu.2010.07.012] [PMID]
19. Ellis A. Reason and emotion in psychotherapy. 3, editor. Oxford, England: Lyle Stuart Reason and emotion in psychotherapy. (1962). 442.
20. Hoseini SA, Zahrakar K, Amini N. [Reviews of the effectiveness of the training on stress reduction insemination test anxiety of high school girl students in Zarand]. Bulletin of Educational. 2010;5(20): 49-77.
21. Ho W-H, Chang CS, Shih Y-L, Liang R-D. Effects of job rotation and role stress among nurses on job satisfaction and organizational commitment. BMC Health Services Research. 2009;9(1):8. [DOI:10.1186/1472-6963-9-8] [PMID] [PMCID]
22. Mimura C, Griffiths P. The effectiveness of current approaches to workplace stress management in the nursing profession: an evidence based literature review. Occupational and environmental medicine. 2003;60(1):10-5. [DOI:10.1136/oem.60.1.10] [PMID] [PMCID]
23. Michael HA, Ironson G, Schneiderman N. Cognitive-Behavioral Stress Management: Isfahan University; 2010.
24. Malekzadeh M, Shah AS, Kharamin SA, Hoseini A, Firouzi MR, al e. [Determination of the Effect of Cognitive Behavioral Therapy on Stress among Nurses at Yasuj Shahid Beheshti Hospital in 2009]. Armaghan-Danesh Magazine. 2010;14(4):58-64.
25. Orly S, Rivka B, Rivka E, Dorit S-E. Are cognitive–behavioral interventions effective in reducing occupational stress among nurses? Appl Nurs Res. 2012;25(3):152-7. [DOI:10.1016/j.apnr.2011.01.004] [PMID]
26. Konnert C, Dobson K, Stelmach L. The prevention of depression in nursing home residents: A randomized clinical trial of cognitive–behavioral therapy. Aging and Mental Health. 2009;13(2):288-99. [DOI:10.1080/13607860802380672] [PMID]
27. Canadian Nurses Association. Tested solutions for eliminating Canada's registered nursing shortage. 2007; Available from: http://www.cna-nurses.ca/ cna/documents/pdf/publications/ RN_Highlights_e.pdf.
28. Cho J, Laschinger HS, Wong C. Workplace empowerment, work engagement and organizational commitment of new graduate nurses. Nurs Leadersh Academy Of Canadian Executive Nurses. 2006;19(3):43.–60.
29. Bureau of Labor Statistics, U.S. Department of Labor.Occupational Outlook Handbook, Registered Nurses. 2008; Available from: http://www.bls.gov/ oco/ocos083.
30. U.S. General Accounting Office. Nursing workforce: HHS needs methodology to identify facilities with a critical shortage of nurse. [cited 2009 March 25]; Available from: http://www. gao.gov/new.items/d07492.
31. Poghosyan L, Clarke SP, Finlayson M, Aiken LH. Nurse burnout and quality of care: cross-national investigation in six countries. Research in Nursing Health. 2010;33(4):288-98. [DOI:10.1002/nur.20383] [PMID] [PMCID]
32. Mehrabi T, Parvin N, Yazdani M. [The Study of the job highly stressful factors in nurses]. Nursing and Midwifery Research. 2006;27:41-7
33. Kashaninia Z, Arjmand NA, Hoseini MA, Soltani PR. [The effect of stress management on work-life conflict and work stress in nurses]. Hayat. 2013;18(4):81-91.
34. Hashemi H, Jabari Z, Haghayegh SA. [Survey on Effectiveness of Cognitive Behavioral Stress Management on the Stress, Anxiety, and Depression of Pregnant Women]. Journal of Research in Health System. 2013;8(7):1341-7.
35. Ghasemzadeh S, Peyvastegar M, Hoseinian S, Moutabi F, Banihashem S. [The effectiveness of cognitive-behavioral intervention on mental health, quality of life and symptoms of depression, anxiety and stress for women]. Journal of Psychological Science. 2011; (10(37: 93-114.
36. Rahmanian Z, Mirzaeian B, Hasanzadeh R. [Effectiveness of cognitive-behavioral group therapy on social anxiety of female students]. Daneshvar Journal of Shahed University. 2012;19(96):1-13.
37. Lak Z, Moazedian A, Hoseini SA, Sedaghat M, Ameri S. [The effectiveness of cognitive behavioral stress management training on decreasing the anxiety addicts with Diffuse Anxiety Disorder]. Etiad Pajouhi Quarterly. 2013;24(6):69-83.
38. Weems CF, Scheeringa MS. Maternal depression and treatment gains following a cognitive behavioral intervention for posttraumatic stress in preschool children. J Anxiety Disord. 2013;27(1):140-6. [DOI:10.1016/j.janxdis.2012.11.003] [PMID] [PMCID]
39. Bamber M. CBT for occupational stress in health professionals. Introducing a schema-based approach. 57th ed. New York: Routledge; 2007.
40. Peyman Pak F, Mansour L, Sadeghi M, Taghipour A. [The Relationship of Job Stress with Marital Satisfaction and Mental Health in Nurses of Tehran Hospitals]. Quarterly Journal of Career & Organi- zational Counseling. 2012; 4(13): 27-54.
41. Parvin N, Nourian K, Mehrabi T. [Evaluation of the relationship between occupational stress and general health condition in nurses working in Isfahan university hospitals 2005]. Quarterly Faculty of nursing and midwifery and paramedical students in Rafsanjan. 2010; 5(1,2): 46-52.
42. Tabak N, Orit K. Relationship between how nurses resolve their conflicts with doctors, their stress and job satisfaction. J Nurs Manag. 2007;15(3):321-31. [DOI:10.1111/j.1365-2834.2007.00665.x] [PMID]
43. Rostami H, Rahmani A, Ghahramanian A. [Effectiveness of cognitive-behavioral group therapy on social anxiety of female students].IJN 2010; 62(22): 22-32.

Add your comments about this article : Your username or Email:
Write the security code in the box

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb