Effect of a Multistage Educational Skill-Based Program on Nurse’s Stress and Anxiety in the Intensive Care Setting: A Randomized Controlled Trial

Background. Psychological problems such as stress and anxiety are prevalent among working nurses in the intensive care units (ICUs). This study was aimed at investigating the effects of three skill-based educational programs on stress and anxiety among critical care nurses. Methods. Using a randomiz...

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Main Authors: Mohsen Saffari, Farshid Rahimi Bashar, Amir Vahedian-Azimi, Mohamad Amin Pourhoseingholi, Leila Karimi, Morteza Shamsizadeh, Keivan Gohari-moghadam, Amirhossein Sahebkar
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2021/8811347
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author Mohsen Saffari
Farshid Rahimi Bashar
Amir Vahedian-Azimi
Mohamad Amin Pourhoseingholi
Leila Karimi
Morteza Shamsizadeh
Keivan Gohari-moghadam
Amirhossein Sahebkar
author_facet Mohsen Saffari
Farshid Rahimi Bashar
Amir Vahedian-Azimi
Mohamad Amin Pourhoseingholi
Leila Karimi
Morteza Shamsizadeh
Keivan Gohari-moghadam
Amirhossein Sahebkar
author_sort Mohsen Saffari
collection DOAJ
description Background. Psychological problems such as stress and anxiety are prevalent among working nurses in the intensive care units (ICUs). This study was aimed at investigating the effects of three skill-based educational programs on stress and anxiety among critical care nurses. Methods. Using a randomized controlled trial, 160 nurses were assigned to four groups including one control and three intervention groups. A standard skill-based educational program was delivered to three intervention groups using booklet, booklet+oral presentation, and booklet+oral presentation+clinical teaching over a period of one month to reduce different types of stress and anxiety. The control group received routine education only. Perceived stress, state anxiety, trait anxiety, and work-related stress were assessed at baseline and three times after the intervention (15 days, 3 months, and 21 months). Repeated-measure analysis of variance was used for data analysis. Results. There was no significant change in the control group in terms of study variables during follow-up assessments, whereas measures of stress and anxiety were reduced after intervention in the trial groups except trait anxiety. Nurses in the mixed-method group (booklet+oral presentation+clinical teaching) showed less stress and anxiety during follow-ups. Although the stress and anxiety scores decreased in the first and second follow-ups, there was no significant reduction in the third follow-up. Conclusions. To improve the mental health and performance of the intensive care unit nurses, knowledge-based and skill-based training programs seem useful. Continuous training may help to maintain the effectiveness of these programs over time.
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spelling doaj-art-539f320d574b4a1186dc43bff39274402025-02-03T00:58:57ZengWileyBehavioural Neurology0953-41801875-85842021-01-01202110.1155/2021/88113478811347Effect of a Multistage Educational Skill-Based Program on Nurse’s Stress and Anxiety in the Intensive Care Setting: A Randomized Controlled TrialMohsen Saffari0Farshid Rahimi Bashar1Amir Vahedian-Azimi2Mohamad Amin Pourhoseingholi3Leila Karimi4Morteza Shamsizadeh5Keivan Gohari-moghadam6Amirhossein Sahebkar7Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, IranDepartment of Anesthesiology and Critical Care, School of Medicine, Hamadan University of Medical Sciences, Hamadan, IranTrauma Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IranGastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, IranBehavioral Sciences Research Center, Life Style Institute, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IranChronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, IranMedical ICU and Pulmonary Unit, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranApplied Biomedical Research Center, Mashhad University of Medical Sciences, Mashhad, IranBackground. Psychological problems such as stress and anxiety are prevalent among working nurses in the intensive care units (ICUs). This study was aimed at investigating the effects of three skill-based educational programs on stress and anxiety among critical care nurses. Methods. Using a randomized controlled trial, 160 nurses were assigned to four groups including one control and three intervention groups. A standard skill-based educational program was delivered to three intervention groups using booklet, booklet+oral presentation, and booklet+oral presentation+clinical teaching over a period of one month to reduce different types of stress and anxiety. The control group received routine education only. Perceived stress, state anxiety, trait anxiety, and work-related stress were assessed at baseline and three times after the intervention (15 days, 3 months, and 21 months). Repeated-measure analysis of variance was used for data analysis. Results. There was no significant change in the control group in terms of study variables during follow-up assessments, whereas measures of stress and anxiety were reduced after intervention in the trial groups except trait anxiety. Nurses in the mixed-method group (booklet+oral presentation+clinical teaching) showed less stress and anxiety during follow-ups. Although the stress and anxiety scores decreased in the first and second follow-ups, there was no significant reduction in the third follow-up. Conclusions. To improve the mental health and performance of the intensive care unit nurses, knowledge-based and skill-based training programs seem useful. Continuous training may help to maintain the effectiveness of these programs over time.http://dx.doi.org/10.1155/2021/8811347
spellingShingle Mohsen Saffari
Farshid Rahimi Bashar
Amir Vahedian-Azimi
Mohamad Amin Pourhoseingholi
Leila Karimi
Morteza Shamsizadeh
Keivan Gohari-moghadam
Amirhossein Sahebkar
Effect of a Multistage Educational Skill-Based Program on Nurse’s Stress and Anxiety in the Intensive Care Setting: A Randomized Controlled Trial
Behavioural Neurology
title Effect of a Multistage Educational Skill-Based Program on Nurse’s Stress and Anxiety in the Intensive Care Setting: A Randomized Controlled Trial
title_full Effect of a Multistage Educational Skill-Based Program on Nurse’s Stress and Anxiety in the Intensive Care Setting: A Randomized Controlled Trial
title_fullStr Effect of a Multistage Educational Skill-Based Program on Nurse’s Stress and Anxiety in the Intensive Care Setting: A Randomized Controlled Trial
title_full_unstemmed Effect of a Multistage Educational Skill-Based Program on Nurse’s Stress and Anxiety in the Intensive Care Setting: A Randomized Controlled Trial
title_short Effect of a Multistage Educational Skill-Based Program on Nurse’s Stress and Anxiety in the Intensive Care Setting: A Randomized Controlled Trial
title_sort effect of a multistage educational skill based program on nurse s stress and anxiety in the intensive care setting a randomized controlled trial
url http://dx.doi.org/10.1155/2021/8811347
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