Job Satisfaction, Job Stress, Work Performance
Conditions
Keywords
Mindfulness, mindfulness-based intervention, job stress, job satisfaction, job performance, nurses, randomized controlled trial
Brief summary
Nurses often work in busy and stressful hospital environments, which can affect their well-being, job satisfaction, and work performance. Mindfulness is a set of practices that help individuals focus on the present moment and cope better with stress. Mindfulness-based programs have been shown to reduce stress and improve emotional well-being in healthcare workers, but their effects on nurses' job satisfaction and work performance are not yet well understood. This study aims to examine whether a mindfulness-based psychoeducation program can reduce job stress and improve job satisfaction and job performance among nurses. The study will include nurses working in a public hospital in Isparta, Turkey. Participants will be randomly assigned to either an intervention group that receives the mindfulness program or a control group. All participants will complete assessments before the program, after the program, and again three months later. The findings of this study are expected to provide useful information on whether mindfulness training can improve nurse's important work-related outcomes.
Detailed description
Mindfulness has long been an important area of research in clinical psychology, and its use has expanded into organizational settings as evidence grows regarding its positive effects on employees' well-being and work-related outcomes. Nurses, who often work under heavy workload, emotional demands, and stressful conditions in hospital environments, are among the occupational groups that may benefit most from such interventions. High levels of work stress among nurses can negatively influence their psychological, physiological, and social well-being, and can reduce job satisfaction and work performance. Although previous studies have examined the impact of mindfulness-based programs on outcomes such as stress, burnout, empathy, depressive symptoms, and quality of work life among nurses, the evidence regarding their effects on job satisfaction is limited and inconsistent. Moreover, mindfulness-based interventions have rarely been evaluated in relation to the multidimensional nature of nurses' job performance. There remains a need for well-designed studies that examine how mindfulness training may influence nurses' job-related outcomes more comprehensively. This study aims to address this gap by evaluating the effects of a mindfulness-based psychoeducation program on job stress, job satisfaction, and job performance among nurses working in a major public hospital in Isparta, Turkey. The study will employ a randomized controlled design with baseline, post-intervention, and three-month follow-up assessments. Nurses will be randomly allocated to an intervention group, which will participate in the mindfulness-based psychoeducation program, or to a control group that will not receive any intervention during the study period. The intervention includes structured psychoeducational content and mindfulness practices tailored for healthcare professionals, focusing on developing present-moment awareness, improving coping skills, and enhancing emotional balance in demanding clinical environments. By assessing changes across multiple time points, the study aims to provide a more complete understanding of the program's short-term and sustained effects. The findings are expected to contribute to the literature by offering clearer evidence on whether mindfulness-based programs can improve nurses' job stress and key job-related outcomes, particularly job satisfaction and multidimensional job performance, which have been insufficiently explored in previous research.
Interventions
The mindfulness-based psychoeducation program, developed by an Associate Professor in psychiatric nursing, consists of four weekly 90-minute sessions tailored to nurses' working conditions. It includes selected exercises from Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy programs, along with homework to practice skills between sessions. The program's content and objectives were validated by ten mindfulness experts using the Lawshe method and Content Validity Ratios.
Sponsors
Study design
Masking description
Randomization, intervention delivery, and outcome assessment will be conducted by three different researchers to maintain role separation. The researcher responsible for randomization will generate and assign the allocation sequence but will not be involved in intervention delivery or data assessment. The researcher delivering the mindfulness-based intervention will know group assignments but will not participate in data collection or analysis. The outcomes assessor, who is responsible for data collection and statistical analysis, will remain blinded to group assignments throughout the study and will not have access to the randomization list or any information that could reveal participant allocation.
Intervention model description
Participants will be randomly assigned to either the intervention group, which will receive the mindfulness-based psychoeducation program, or the control group, which will receive no intervention during the study period. Both groups will be assessed at baseline, post-intervention, and at 3-month follow-up.
Eligibility
Inclusion criteria
* Currently employed as a staff nurse in the hospital's clinical units. * Willing to voluntarily participate in the study.
Exclusion criteria
* Previous participation in any mindfulness-based program. * Presence of a major psychiatric disorder or currently receiving psychiatric medication or psychotherapy. * Active medical condition that prevents participation in the program (e.g., malignancy). * Currently experiencing bereavement. * Holding managerial or head nurse positions, due to different roles and responsibilities.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Job stress | Baseline, Week 4, Week 16 | Job stress will be measured using the General Work Stress Scale (GİSÖ), adapted into Turkish by Teleş (2021). The scale consists of 9 items rated on a 5-point Likert scale (1 = Never, 5 = Always) and evaluates general work-related stress among nurses. |
| Job Satisfaction | Baseline, Week 4, Week 16 | Job satisfaction will be assessed using the Short Form Minnesota Satisfaction Questionnaire (SFMSQ), Turkish version by Baycan (1985). The scale includes 20 items rated on a 5-point Likert scale (1 = Very dissatisfied, 5 = Very satisfied) and measures overall job satisfaction, intrinsic satisfaction, and extrinsic satisfaction. |
| Individual Job Performance | Baseline, Week 4, Week 16 | Individual job performance will be measured using the Individual Job Performance Scale, Turkish adaptation (Köroğlu Kaba \& Öztürk, 2021). The 14-item scale assesses three domains: task performance (items 1-5), contextual performance (items 6-11), and counterproductive work behavior (items 12-14), rated on a 5-point Likert scale (1 = Rarely, 5 = Always). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mindfulness Level | Baseline, Week 4, Week 16 | Mindfulness will be measured using the Mindful Attention Awareness Scale (MAAS) (Brown \& Ryan, 2003). The scale contains 15 items and provides a single total score reflecting the general tendency to be attentive and aware of present-moment experiences in daily life. |
| Demographic Information | Baseline | Demographic characteristics including age, gender, education, marital status, work experience, and department will be collected using a researcher-developed questionnaire. |
Contacts
Süleyman Demirel University, Faculty of Health Sciences, Department of Nursing