Communication, Social, Compassion Fatigue, Satisfaction
Conditions
Brief summary
Aim and objectives: The aim of this study is to examine the effect of motivational notifications applied to emergency nurses on job satisfaction, compassion fatigue and communication skills during the COVID-19 pandemic. Background: Emergency room nurses working on the front lines during the COVID-19 pandemic; many factors such as excessive workload, prolonged working hours, threat of infection, death of the patients they care for have caused them to experience physical, social and psychological problems. Design: It is a randomized controlled, open-label study. Methods: This study was carried out with a total of 60 nurses working in the emergency units of two training and research hospitals in Istanbul. Participants were divided into motivational group and control group. Motivational notifications were sent via Short Message Service (SMS) to the mobile phones of the participants in the motivational group (n=30) for 21 days. No motivational notification was sent to the control group (n=30) during this process. Data were obtained with the Individual Introduction Form, Job Satisfaction, Compassion Fatigue and Communication Skills Scale.
Interventions
OTHERMotivation
Motivational notifications were sent via SMS message to the nurses in the motivation group (n=30) at 07.00, 12.00 and 16.00 for 21 days.
Sponsors
Istanbul Saglik Bilimleri University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
The nurses working in the emergency room, working only in the day shift on weekdays, using mobile phones and volunteering to participate in the study were included in the study. \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Job Satisfaction-Short Scale | Baseline and after 3 weeks | Job satisfaction scale is in a 5-point Likert type and is graded as (1- Absolutely disagree and 5-Absolutely agree). Scoring of the scale is calculated as a minimum of 1 and a maximum of 5 points, and the average of 5 related items is taken. The lowest score that can be obtained from the scale is 5 and the highest score is 25. Accordingly, the decrease in the average score of the participants indicates that job satisfaction decreases; an increase in the average score indicates an increase in job satisfaction. |
| Compassion Fatigue-Short Scale | Baseline and after 3 weeks | The scale aims to measure secondary trauma and occupational burnout. Items are rated on a 10-point Likert-type scale ranging from rarely/never (1) to very often (10). The total possible score ranges from 13 to 130, with higher scores representing a higher level of compassion fatigue. |
| Communication Skills Scale | Baseline and after 3 weeks | This scale was developed to determine how people evaluate their own communication skills. It consists of 25 items on a 5-point Likert-type scale ranging from always (1) to never (5). The scale yields a score ranging from 25 to 125. High scores reflect a positive perception of the person's communication skills. |
Countries
Turkey (Türkiye)
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Motivation Motivational notifications were sent to the nurses in the motivational group (n=30) via SMS messages to their mobile phones at 07.00, 12.00 and 16.00 for 21 days. Like a good morning message that allows you to start the day with a beautiful energy (Example: Thank you for the hard and selfless work you do every day. We love and appreciate angels like you and you. Good morning). Motivational notifications sent to the participants were prepared each day to be different from the previous day. Data were obtained with the Individual Introduction Form, Job Satisfaction, Compassion Fatigue and Communication Skills Scale.
Motivation: Motivational notifications were sent via SMS message to the nurses in the motivation group (n=30) at 07.00, 12.00 and 16.00 for 21 days. | 30 |
| Control Motivational notifications were not sent to the nurses in the control group (n=30) and they continued their routine work in the emergency room. only pretest and posttest were applied. Data were obtained with the Individual Introduction Form, Job Satisfaction, Compassion Fatigue and Communication Skills Scale. | 30 |
| Total | 60 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lost to Follow-up | 2 | 3 |
Baseline characteristics
| Characteristic | Control | Total | Motivation |
|---|---|---|---|
| Age, Continuous | 28.70 years STANDARD_DEVIATION 6.95 | 28.78 years STANDARD_DEVIATION 7.25 | 29.86 years STANDARD_DEVIATION 7.56 |
| Education Level;High school,Associate degree,Undergraduate,Postgraduate Associate degree | 4 Participants | 9 Participants | 5 Participants |
| Education Level;High school,Associate degree,Undergraduate,Postgraduate High school | 4 Participants | 10 Participants | 6 Participants |
| Education Level;High school,Associate degree,Undergraduate,Postgraduate Postgraduate | 4 Participants | 13 Participants | 9 Participants |
| Education Level;High school,Associate degree,Undergraduate,Postgraduate Undergraduate | 18 Participants | 28 Participants | 10 Participants |
| Feels the profession suits them none | 10 Participants | 18 Participants | 8 Participants |
| Feels the profession suits them yes | 20 Participants | 42 Participants | 22 Participants |
| Intends to continue working NONE | 14 Participants | 34 Participants | 20 Participants |
| Intends to continue working YES | 16 Participants | 26 Participants | 10 Participants |
| Professional Experience ≥10 | 6 Participants | 17 Participants | 11 Participants |
| Professional Experience 1-5 years | 7 Participants | 15 Participants | 8 Participants |
| Professional Experience <1 year | 7 Participants | 9 Participants | 2 Participants |
| Professional Experience 6-10 | 10 Participants | 19 Participants | 9 Participants |
| Race and Ethnicity Not Collected | — | 0 Participants | — |
| Sex: Female, Male Female | 13 Participants | 29 Participants | 16 Participants |
| Sex: Female, Male Male | 17 Participants | 31 Participants | 14 Participants |
| Time Working in Current Unit ≥10 | 2 Participants | 6 Participants | 4 Participants |
| Time Working in Current Unit 1-5 years | 13 Participants | 25 Participants | 12 Participants |
| Time Working in Current Unit <1 year | 8 Participants | 11 Participants | 3 Participants |
| Time Working in Current Unit 5-10 years | 7 Participants | 18 Participants | 11 Participants |
| Weekly Working Hours <40 hours | 2 Participants | 7 Participants | 5 Participants |
| Weekly Working Hours >40 hours | 28 Participants | 53 Participants | 25 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 30 | 0 / 30 |
| other Total, other adverse events | 0 / 30 | 0 / 30 |
| serious Total, serious adverse events | 0 / 30 | 0 / 30 |
Outcome results
Primary
Communication Skills Scale
This scale was developed to determine how people evaluate their own communication skills. It consists of 25 items on a 5-point Likert-type scale ranging from always (1) to never (5). The scale yields a score ranging from 25 to 125. High scores reflect a positive perception of the person's communication skills.
Time frame: Baseline and after 3 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Motivation | Communication Skills Scale | 88.36 score on a scale | Standard Deviation 15.37 |
| Control | Communication Skills Scale | 100.93 score on a scale | Standard Deviation 9.31 |
Primary
Compassion Fatigue-Short Scale
The scale aims to measure secondary trauma and occupational burnout. Items are rated on a 10-point Likert-type scale ranging from rarely/never (1) to very often (10). The total possible score ranges from 13 to 130, with higher scores representing a higher level of compassion fatigue.
Time frame: Baseline and after 3 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Motivation | Compassion Fatigue-Short Scale | 54.53 score on a scale | Standard Deviation 21.78 |
| Control | Compassion Fatigue-Short Scale | 36.73 score on a scale | Standard Deviation 12.43 |
Primary
Job Satisfaction-Short Scale
Job satisfaction scale is in a 5-point Likert type and is graded as (1- Absolutely disagree and 5-Absolutely agree). Scoring of the scale is calculated as a minimum of 1 and a maximum of 5 points, and the average of 5 related items is taken. The lowest score that can be obtained from the scale is 5 and the highest score is 25. Accordingly, the decrease in the average score of the participants indicates that job satisfaction decreases; an increase in the average score indicates an increase in job satisfaction.
Time frame: Baseline and after 3 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Motivation | Job Satisfaction-Short Scale | 17.70 score on a scale | Standard Deviation 3.26 |
| Control | Job Satisfaction-Short Scale | 14.10 score on a scale | Standard Deviation 3.77 |