The impact of social network-based nursing care training on oncology nurses’ occupational stress and self-efficacy: Non-randomized clinical trial
Background and Aim: Stress is one of the most important issues that nurses face in the workplace that can affect the quality of patient care. Increasing nurses' self-efficacy can reduce their stress. The aim of this study was to investigate the effect of education of nursing care based on mobile social network on job stress and job self efficacy of nurses in oncology wards.
Method: This randomized clinical trial study was performed on 78 nurses working in oncology wards of selected hospitals in Tehran. Nurses were randomly divided into control and intervention groups. Intervention group received nursing care materials in chemotherapy for four weeks via social network. The control group received routine training during this time. The level of stress was assessed through Expanded Nurses Job Stress Questionnaire (ENSS) and job self-efficacy through the Job Self-efficacy Questionnaire (JSEQ) before and one month after the intervention. Data analysis was done by descriptive and inferential tests of SPSS version 25.
Results: The results showed that the mean stress score in the experimental group was significantly decreased compared to the control group (P <0.05). Comparison of stress score changes between the experimental and control groups showed that the mean of stress score changes in the experimental group was significantly higher than before the intervention (P <0.05). The mean score of self-efficacy in the experimental group was significantly increased compared to the control group (P <0.05). Comparison of changes in self-efficacy score between the two experimental and control groups showed that the mean score of self-efficacy in the experimental group was significantly higher than before the intervention (P <0.05).
Conclusion: Educational intervention through social network had a positive effect on oncology nurses' job stress and job self-efficacy. Reducing stress and increasing nurses' job self-efficacy leads to improved clinical performance. This easy, inexpensive and effective teaching method can be used by health managers and educators to improve staff performance.
2. Lin T-C, Cheng S-F, Wu L-M, Ou-Yang M-C. Work stress, occupational burnout and depression levels: a clinical study of paediatric intensive care unit nurses in Taiwan. Journal of Clinical Nursing. 2016;25(7-8):1120-30.
3. Ko W, Kiser-Larson N. Stress Levels of Nurses in Oncology Outpatient Units. Clinical journal of oncology nursing. 2016;20(2):158-64.
4. Abdali Bardeh M, Naji S, Zarea K. The study of Job Stress and Tension Management among Oncology Nurses of Ahvaz Hospitals in 2015 International Journal of Medical Research & Health Sciences. 2016;5(5):189-99.
5. Potter P, Deshields T, Divanbeigi J, Berger J, Cipriano D, Norris L, et al. Compassion fatigue and burnout: prevalence among oncology nurses. Clinical journal of oncology nursing. 2010;14(5):E56-62.
6. Ravanipour M, Ahmadian A, Yazdanpanah A, Soltanian AR. Assessing the relationship between self-efficacy and clinical decision-making in hospital nurse. Scientific Journal of Hamadan Nursing & Midwifery Faculty. 2015;23(4):77-86.
7. Hezaveh MS, Rafii F, Seyedfatemi N. The experience of stress among new clinical nurses. Nursing Practice Today. 2014;1(4):199-206.
8. Bandura A. Self-efficacy: The exercise of control. New York, NY, US: W H Freeman/Times Books/ Henry Holt & Co; 1997. ix, 604-ix, p.
9. Pisanti R, van der Doef M, Maes S, Lombardo C, Lazzari D, Violani C. Occupational coping self-efficacy explains distress and well-being in nurses beyond psychosocial job characteristics. Frontiers in Psychology. 2015 Aug 6;6:1143.
10. Rostampour M, Kalroozi F, Pishgooie A, Aliyari S. The Importance of Self-efficacy in nurses. Annals of military and health sciences research. 2015;2:15-21.(Persian)
11. Fathi Ashtiani A, Pirzadi H, Shokoohi-Yekta M, Tavallai SA. The influence of teaching program of stress management and communication skills on improvement of mental health of nurses and hospital staff: an experimental study. Iran Journal of Nursing. 2014 Oct;27(90):1-3.
12. Hazavehei SMM, Kharghani Moghadam SM, Bagheri Kholenjani F, Ebrahimi H. The influence of educational interventions to reduce occupational stress: A systematic review. Journal of Health and Safety at Work. 2017;7(4):363-74.
13. Villani D, Grassi A, Cognetta C, Toniolo D, Cipresso P, Riva G. Self-help stress management training through mobile phones: An experience with oncology nurses. Psychological Services. 2013;10(3):315-22.
14. Singh I, Morgan K, Belludi G, Verma A, Aithal S. Does nurses' education reduce their work-related stress in the care of older people? Journal of Clinical Gerontology and Geriatrics. 2015;6(1):34-7.
15. McDonough K, Crimlisk J, Nicholas P, Cabral H, Quinn EK, Jalisi S. Standardizing nurse training strategies to improve knowledge and self-efficacy with tracheostomy and laryngectomy care. Applied Nursing Research. 2016;32:212-6.
16. nasiri m, nasiri m, adarvishi s, hadigol T. Anatomy education through mobile learning compering to lecture is more effective on medicine students’ knowledge retention. Journal of Medical Education Development. 2014;7(14):94-103.
17. Taghdir M, Sepandi M. Sample Size Calculation in Medical Studies; a Brief Report. Health Research Journal. 2019;5(1):49-53.
18. French SE, Lenton R, Walters V, Eyles J. An empirical evaluation of an expanded Nursing Stress Scale. Journal of nursing measurement. 2000;8(2):161-78.
19. Ghanei Gheshlagh r, Valiei S, Rezaei M, Rezaei K. The relationship between personality characteristics and Nursing occupational stress. Journal of Nursing Education. 2013;1(3):27-34.
20. Riggs ML, Knight PA. The impact of perceived group success-failure on motivational beliefs and attitudes: a causal model. The Journal of applied psychology. 1994;79(5):755-66.
21. Sauter SL, Murphy LR, Hurrell JJ. Prevention of work-related psychological disorders: A national strategy proposed by the National Institute for Occupational Safety and Health (NIOSH). American Psychologist. 1990;45(10):1146.
22. Nowrouzi B, Lightfoot N, Larivière M, Carter L, Rukholm E, Schinke R, et al. Occupational stress management and burnout interventions in nursing and their implications for healthy work environments: A literature review. Workplace health & safety. 2015;63(7):308-15.
23. Abdali Bardeh M, Naji S, Zarea K. The study of job stress and tension management among oncology nurses of Ahvaz Hospitals in 2015. Health Sciences. 2016;5(5):189-99(Persian).
24. Niks I, de Jonge J, Gevers J, Houtman I. Work Stress Interventions in Hospital Care: Effectiveness of the DISCovery Method. International journal of environmental research and public health. 2018;15(2):332.
25. Villani D, Grassi A, Cognetta C, Toniolo D, Cipresso P, Riva G. Self-help stress management training through mobile phones: An experience with oncology nurses. Psychological Services. 2013;10(3):315.
26. Jafari, Fatemeh Zahra, Rashid S, Jafari F. Self-efficacy Dimensions as Predictors of Job Burnout among Red Crescent staff of Fars province. 2. 2017;8(3):92-101.
27. Parchebafieh S, Safavi M, Mashouf S, Salehi S, Esmaeilpour Zanjani S, Bakhshandeh H. Effect of using Peer Assisted Learning approach on clinical self-efficacy of nursing students in Islamic Azad University of Tehran Medical Sciences branch. 2 Journal of Nursing Education. 2018;6(6):8-15.
28. Chiu Y-L, Tsai C-C. The roles of social factor and internet self-efficacy in nurses' web-based continuing learning. Nurse education today. 2014;34(3):446-50.
29. Poddar KH, Hosig KW, Anderson ES, Nickols-Richardson SM, Duncan SE. Web-based nutrition education intervention improves self-efficacy and self-regulation related to increased dairy intake in college students. Journal of the American Dietetic Association. 2010;110(11):1723-7.
30. Brannagan KB, Dellinger A, Thomas J, Mitchell D, Lewis-Trabeaux S, Dupre S. Impact of peer teaching on nursing students: perceptions of learning environment, self-efficacy, and knowledge. Nurse Education Today. 2013;33(11):1440-7.
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