The Effect of an Empowerment Program Based on the Silver Model on Newly Graduated Nurses

The Effect of Empowerment Program Based on the Silver Model on Transition Experience, Turnover Rate, and Psychological Problems in Newly Graduated Nurses: A Randomized Controlled Trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20130731014229N14

Enrollment

Registered

2025-02-22

Start date

2025-04-04

Completion date

Unknown

Last updated

2025-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Condition 1: Stress. Condition 2: Anxiety. Condition 3: Depression. Condition 4: Transition Experience. Condition 5: Turnover Rate. Condition 6: Burnout. Problems related to stress at work adjustment disorder with anxiety (caused by workplace stress). Adjustment disorder with depressed mood (linked to workplace challenges). Burnout (if turnover is due to emotional exhaustion or occupational fatigue).

Interventions

Intervention 1: Intervention group: In the intervention group, an empowerment program based on the seven-stage development model by Silver and colleagues is implemented. This model is designed to deve

Eligibility

Sex/Gender

All

Age

18 Years to 40 Years

Inclusion criteria

Inclusion criteria: Newly graduated nurses at the beginning of their professional careers Employment in medical and surgical departments Willingness to participate in the study and completion of a written informed consent form

Exclusion criteria

Exclusion criteria: Participation in similar empowerment programs within the past 6 months Presence of severe psychological issues diagnosed based on self-report

Design outcomes

Primary

Measure	Time frame
Depression. Timepoint: Before the intervention and one month after the completion of the intervention. Method of measurement: Depression, Anxiety, and Stress Scale (DASS21).;Anxiety. Timepoint: Before the intervention and one month after the completion of the intervention. Method of measurement: Depression, Anxiety, and Stress Scale (DASS21).;Stress. Timepoint: Before the intervention and one month after the completion of the intervention. Method of measurement: Depression, Anxiety, and Stress Scale (DASS21).;Turnover Rate. Timepoint: Before the intervention and one month after the completion of the intervention. Method of measurement: Turnover Intention Scale (TIS).;Nurse Practitioner Role Transition. Timepoint: Before the intervention and one month after the completion of the intervention. Method of measurement: Nurse Practitioner Role Transition Scale (NPRTS).	—

Measure

Time frame

Depression. Timepoint: Before the intervention and one month after the completion of the intervention. Method of measurement: Depression, Anxiety, and Stress Scale (DASS21).;Anxiety. Timepoint: Before the intervention and one month after the completion of the intervention. Method of measurement: Depression, Anxiety, and Stress Scale (DASS21).;Stress. Timepoint: Before the intervention and one month after the completion of the intervention. Method of measurement: Depression, Anxiety, and Stress Scale (DASS21).;Turnover Rate. Timepoint: Before the intervention and one month after the completion of the intervention. Method of measurement: Turnover Intention Scale (TIS).;Nurse Practitioner Role Transition. Timepoint: Before the intervention and one month after the completion of the intervention. Method of measurement: Nurse Practitioner Role Transition Scale (NPRTS).

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Secondary

Measure	Time frame
Burnout. Timepoint: Before the intervention and one month after the completion of the intervention. Method of measurement: Maslach Burnout Inventory for Health and Human Services (MBI-HSS).	—

Countries

Iran (Islamic Republic of)

Contacts

Public ContactHadi Jafarimanesh

Tehran University of Medical Sciences

nurse_science@yahoo.com+98 21 6692 7171

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026