Mental Health, Occupational Stress
Conditions
Keywords
Mandala Therapy, Nurses, Psychological Well-Being, Organizational Cynicism
Brief summary
This study aimed to examine the effect of mandala therapy on psychological well-being and organizational cynicism levels among nurses. The study was conducted with nurses working in a public training and research hospital using an experimental intervention design. Participants were allocated to an intervention group receiving mandala therapy and a control group receiving routine working conditions. Psychological well-being and organizational cynicism were assessed before and after the intervention using validated measurement tools.
Detailed description
Nursing is a profession characterized by high emotional labor, intensive workload, and continuous occupational stress, which may negatively affect psychological well-being and contribute to negative organizational attitudes such as organizational cynicism. Supporting nurses' psychological well-being is therefore essential for sustaining professional functioning and quality of care. Mandala therapy is an art-based behavioral intervention that provides individuals with a space for free expression through unstructured drawing and coloring activities. Unstructured mandala practices allow participants to express their inner experiences without predetermined guidance, supporting emotional awareness and self-regulation. This experimental study was conducted to evaluate the effect of unstructured mandala therapy on nurses' psychological well-being and organizational cynicism levels. The study was carried out with nurses working in a public training and research hospital. Participants were allocated to an intervention group receiving unstructured mandala therapy and a control group receiving routine working conditions. Mandala therapy sessions were conducted in small groups over a defined period, based on a free-expression approach. Psychological well-being and organizational cynicism levels were assessed at baseline and after the intervention using standardized and validated measurement tools. Ethical approval was obtained prior to data collection, and written informed consent was obtained from all participants. The study was retrospectively registered.
Interventions
BEHAVIORALUnstructured Mandala Therapy
Unstructured mandala drawing and coloring activities were conducted as a behavioral intervention, allowing participants to freely express their emotions without predefined guidelines or themes.
Sponsors
Karadeniz Technical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
Participants were assigned to one of two parallel groups. The intervention group received unstructured mandala therapy sessions, while the control group continued routine working conditions without any intervention. Both groups were followed concurrently, and outcome measures were assessed before and after the intervention period.
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Having at least 6 months of professional nursing experience at the hospital where the study is conducted * Willingness to participate voluntarily in the study
Exclusion criteria
* Being on leave or on medical report during the data collection period * Participation in individual psychotherapy or group-based intervention programs * Receiving psychiatric medication treatment * Having visual impairments or visual disorders * Having prior experience with meditation practices
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Psychological Well-Being | Baseline, 4 weeks after intervention initiation, and 8 weeks post-intervention | Psychological well-being will be assessed using the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), a validated 14-item scale ranging from 14 to 70, with higher scores indicating better psychological well-being. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Organizational Cynicism | Baseline, 4 weeks after intervention initiation, and 8 weeks after intervention initiation | Organizational cynicism was assessed using the Organizational Cynicism Scale, a 13-item instrument rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 13 to 65, with higher scores indicating higher levels of organizational cynicism. |
Countries
Turkey (Türkiye)
Outcome results
None listed