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Sampson_Dissertation_Final4.17.19.pdf (2.73 MB)

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Intervention Effects of a Cognitive Behavioral Skills Building Program on Newly Licensed Registered Nurses

Sampson, Marlene J
http://rave.ohiolink.edu/etdc/view?acc_num=osu1555516147835511

Abstract Details

2019, Doctor of Philosophy, Ohio State University, Nursing.
Background: The well-being of healthcare clinicians is considered a national crisis. Healthcare clinicians, including nurses, have higher rates of substance abuse, depression and suicide than the national average. Depression and poor health in nurses are linked to medical errors and patient dissatisfaction. Ninety-one percent of NLRNs report high stress levels resulting in stress-related illness, absenteeism and burnout. In 2017, the National Academy of Medicine launched the Action Collaborative on Clinician Well-being to develop evidence-based solutions to reduce this public health epidemic. The purpose of this study was to examine the effects of a Cognitive Behavioral Therapy (CBT) based skills building program entitled MINDBODYSTRONG for Healthcare Providers on perceived stress, anxiety, depressive symptoms, healthy lifestyle beliefs, healthy lifestyle behaviors, job satisfaction and work absences in NLRNs participating in a nurse residency program. Methods: A two-group, cluster randomization interventional pilot study was conducted using the MINDBODYSTRONG program. The attention control group received the usual nurse residency curriculum while the intervention group received the usual nurse residency curriculum in addition to 8-weekly sessions of the MINDBODYSTRONG program. A pre/posttest with a 3-month post-intervention follow up was used to evaluate the effects of the intervention on perceived stress, anxiety, depression, healthy lifestyle beliefs, healthy lifestyle behaviors, job satisfaction and absenteeism in NLRNs. Ninety-three NLRNs participating in the nurse residency program were recruited. Repeated measures ANOVA was used to analyze the data at three time points. Paired t-tests were used for comparing data from baseline to immediate post-test, immediate post-test to 3-month post-test, and baseline to 3-month post-test. Cohen’s d was used to determine effect sizes, and Pierson’s r was used to determine correlations among the variables. Results: Eighty-nine NLRNs, 42 in the control group and 47 in the intervention group, completed measures for all time points. The intervention group had significant improvement and moderate to large positive effects for stress, anxiety, depression and healthy lifestyle behaviors for all time points compared to the control group. The intervention group scored better and had a moderate to large positive effect for job satisfaction. There was a floor effect with work absence with too few NLRNs reporting calling off shifts to see a significant result or effect size. Conclusion: The MINDBODYSTRONG for Healthcare Providers Program was effective in improving the mental health and healthy lifestyle behaviors for this group of NLRNs. It also shows promise for improving job satisfaction and absenteeism in this population. A larger scale clinical trial that is fully powered is now needed to determine if the positive short-term effects of MINDBODYSTRONG can be sustained over a longer period of time.
Bernadette Melnyk, PhD, RN (Advisor)
David Hrabe, PhD, RN (Committee Member)
Sharon Tucker, PhD, RN (Committee Member)
Megan Amaya, PhD (Committee Member)
127 p.
Health; Nursing; Psychological Tests
Newly Licensed Registered Nurses; Mental Health; Healthy Lifestyle Behaviors; Stress; Anxiety; Depression; Job Satisfaction; Absenteeism; Cognitive Behavioral Therapy; Cognitive Behavioral skills-building

Recommended Citations

Citations

  • Sampson, M. J. (2019). Intervention Effects of a Cognitive Behavioral Skills Building Program on Newly Licensed Registered Nurses [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1555516147835511

    APA Style (7th edition)

  • Sampson, Marlene. Intervention Effects of a Cognitive Behavioral Skills Building Program on Newly Licensed Registered Nurses . 2019. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1555516147835511.

    MLA Style (8th edition)

  • Sampson, Marlene. "Intervention Effects of a Cognitive Behavioral Skills Building Program on Newly Licensed Registered Nurses ." Doctoral dissertation, Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1555516147835511

    Chicago Manual of Style (17th edition)

osu1555516147835511
839
© 2019, some rights reserved.Creative Commons License Intervention Effects of a Cognitive Behavioral Skills Building Program on Newly Licensed Registered Nurses by Marlene J Sampson is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. Based on a work at etd.ohiolink.edu.
This open access ETD is published by The Ohio State University and OhioLINK.