Effects of stress management program on the quality of nursing care and intensive care unit nurses
Abstract
Background: High level of stress in intensive care unit nurses affects the quality of their nursing care. Therefore, this study aimed to determine the effects of a stress management program on the quality of nursing care of intensive care unit nurses.
Materials and Methods: This study is a randomized clinical trial that was conducted on 65 nurses. The samples were selected by stratified sampling of the nurses working in intensive care units 1, 2, 3 in Al‑Zahra Hospital in Isfahan, Iran and were randomly assigned to two groups. The intervention group underwent an intervention, including 10 sessions of stress management that was held twice a week. In the control group, placebo sessions were held simultaneously. Data were gathered by demographic checklist and Quality Patient Care Scale before, immediately after, and 1 month after the intervention in both groups. Then, the data were analyzed by Student’s t‑test, Mann–Whitney, Chi‑square, Fisher’s exact test, and analysis of variance (ANOVA) through SPSS software version 18.
Results: Mean scores of overall and dimensions of quality of care in the intervention group were significantly higher immediately after and 1 month after the intervention, compared to pre‑intervention (P < 0.001). The results showed that the quality of care in the intervention group was significantly higher immediately after and 1 month after the intervention, compared to the control group (P < 0.001).
Conclusions: As stress management is an effective method to improve the quality of care, the staffs are recommended to consider it in improvement of the quality of nursing care.
Keywords
Full Text:
PDFReferences
Hajinezhad MS, Rafii F, Jafarjalal E, Haghani H. Relationship between nurse caring behaviors from patients’ perspectives and their satisfaction. Iran J Nurs 2007;20:73‑83.
Zaeimi M, Zamanzadeh V, Hajizadeh E. The relationship between nurse manager’ leadership styles and staff nurses empowerment. Teb va Tazkieh 2005;55:34‑46.
American Nurses Association. Public Health Nursing Scope and Standards of Practice. Washington, DC: American Nurses Association; 2007. p. 108.
Zagheri Tafreshi M, Atashzade S, Horide F, Pazargadi M, Barbaz A. The concept of nursing care quality from the perspective of nurses, physicians, patients, patients entourage: A qualitative study. UNMF.UMSU 2012;10:648‑65.
Burhans LM, Alligood MR. Quality nursing care in the words of nurses. J Adv Nurs 2010;66:1689‑97.
Marquis BL, CJ Huston. Leadership Roles and Management Functions in Nursing: Theory and Application. 7th ed Philadelphia: Lippincott, Williams and Wilkins; 2012. p. 518.
Rezaeian A. Principles of Management. 14th ed. Tehran: Samt Publisher; 1390. p. 8.
Swansburg RC, Swansburg RJ. Management and leadership for nurse. Sudbury: Jones and Bartlett Publishers; 2009. p. 76‑82.
Ghamari Zare Z, Anoosheh M, Vanaki Z, HagiZadeh E. The effect of peer review evaluation on quality of nurse’s performance and patient’s satisfaction. Iran J Nurs 2010;22:8‑21.
Neishabori M, Raeisdana N, Ghorbani R, Sadeghi T. Nurses’ and patients’ viewpoints regarding quality of nursing care in the teaching hospitals of Semnan University of Medical Sciences. J Semnan Univ Med Sci (Koomesh) 2010;12:134‑43.
Bianchi SM, Milkie MA. Work and family research in the first decade of the 21st century. NCFR 2010;72:705‑25.
Torshizi L, Ahmadi F. Job stressors from clinical nurses’ Perspective. Iran J Nurs 2011;24:49‑60.
Rahmani F, Behshid M, Zamanzadeh V, Rahmani F. Relationship between general health, occupational stress and burnout in critical care nurses of Tabriz teaching hospitals. Iran J Nurs 2010;23:54‑63.
Namayandeh H, Juhari R, Yaacob SN. The effect of job satisfaction and family satisfaction on work‑family conflict (W‑FC) and family‑work conflict (F‑WC) among married female nurses in Shiraz‑Iran. Asian Soc Sci 2011;7:88‑94.
Chiang Y, Changa Y. Stress, depression, and intention to leave among nurses in different medical units: Implications for healthcare management/nursing practice. Sci Verse Science Direct Health Policy 2012;108:149‑57.
Alavi Arjmand N, Kashaninia Z, Hosseini MA, Rezasoltani P. Effect of stress management on job stress and work‑family conflict among nurses. Hayat 2012;18;81‑91.
Yazdani M, Rezaei S, Pahlavanzadeh S. The effectiveness of stress management training program on depression, anxiety and stress of the nursing students. Iran J Nurs Midwifery Res 2010;15:208‑15.
Lim J, Bogossian F, Ahern K. Stress and coping in Singaporean nurses: A literature review. Nurs Health Sci 2010;12:251‑8.
Burke A. Nursing Assistant Education. Stress management‑Manage it before it manages you! Available from: http://www.nursingassistanteducation.com/site/courses/ eng/nae‑sm‑eng.php. 2010. [Last accessed on 2012 Jun 11].
Kravits K, McAllister‑Black R, Grant M, Kirk C. Self‑care strategies for nurses: A psycho‑educational intervention for stress reduction and the prevention of burnout. Appl Nurs Res 2010;23:130‑8.
Raingruber B, Teleten O, Curry H, Vang‑Yang B, Kuzmenko L, Marquez V, et al. Improving nurse‑patient communication and quality of care the transcultural, linguistic care team. J Nurs Adm 2010;40:258‑60.
Pirzadi H, Fathi‑Ashtiani A, Shokoohi‑Yekta M. Effectiveness of group cognitive‑behavioral training onphysiological indicators and communication skills in the hospital staffs. J Nurse Edu 2014;4:60‑71.
Attree M. Toward a conceptual model of “Quality Care”. Int J Nurs Stud 1996;33:13‑28.
Hamid N, Mehrabi Zadeh M, Karimi S. The effectiveness of cognitive‑behavioral stress management training on job burnout of female nurses in some Medical Hospitals of Ahwaz by controlling rotation time. Jundishapur Sci Med J 2013;12:705-714. 10p.
Karimi Moonaghi H, Taheri NG, Behnam Voshani H, Vaghee S, Yavari M. The effect of communication skills training on the quality of nursing care of patients. EBCJ 2012;2:37‑46.
Kim JH. A meta‑analysis of effects of job stress management interventions (SMIs). Taehan Kanho Hakhoe Chi 2007;37:529‑39.
Hosseini B, Moeini S, Hazavehei M, Aghamollai T, Moghimbeigi A. Effect of educational stress management, based on Precede model, on job stress of nurses. HMJ.HUMS 2011;15:200‑8.
Refbacks
- There are currently no refbacks.