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Randomized Controlled Trial
. 2021 Apr 26:2021:8811347.
doi: 10.1155/2021/8811347. eCollection 2021.

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

Mohsen Saffari  1   2 , Farshid Rahimi Bashar  3 , Amir Vahedian-Azimi  4 , Mohamad Amin Pourhoseingholi  5 , Leila Karimi  6 , Morteza Shamsizadeh  7 , Keivan Gohari-Moghadam  8 , Amirhossein Sahebkar  9   10   11
Affiliations
Randomized Controlled Trial

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

Mohsen Saffari et al. Behav Neurol. .

Abstract

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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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Flow diagram of nurse's enrollment.
Figure 2
Figure 2
The trend of perceived stress from baseline up to 21-month follow-up.
Figure 3
Figure 3
The trend of state anxiety from baseline up to 21-month follow-up.
Figure 4
Figure 4
The trend of trait anxiety from baseline up to 21-month follow-up.
Figure 5
Figure 5
The trend of ICU working stress from baseline up to 21-month follow-up.
See this image and copyright information in PMC

References

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