The effect of Stress Inoculation Program (SIP) on nurses’ Perceived stress in psychiatric wards

Document Type: Original Quantitative and Qualitative Research Paper

Authors

1 PhD condidation, Faculty member, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

2 MSc in Psychiatric Nursing, Faculty member, School of Nursing and Midwifery, zahedan University of Medical Sciences, zahedan, Iran

3 MSc in Psychiatric Nursing, Faculty member, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

4 PhD in Clinical Psychology, Faculty member, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

5 MSc in Clinical Psychology

6 MSc in Psychiatric Nursing

Abstract

Background: Psychiatric Nurses tolerate high levels of occupational stress. So stress management programs should be developed to prevent those effects on nurses.
Aim: to determine the effect of SIP on nurses’ perceived stress in psychiatric wards.
Method: In this randomized clinical trial 60 nurses and healthcare workers, working in Ebne-Sina Psychiatric Hospital were enrolled. They were randomly assigned between two groups based on work shift and job status. Intervention consisted of two 8-hour workshop sessions with one week interval, including SIP training. Kohn Perceived Stress Scale was used as data gathering scale, at the beginning of the study, after 2nd session and 1 month thereafter, in which the higher score indicated the lower level of stress. Data were analyzed using statistical tests including student t test, Chi-square and AVOVA with SPSS version 11.5.
Results: The results showed that perceived stress was increased one week and one month after intervention (32/2 ± 7/4 at the beginning of the study vs. 36/4 ±7/9 one week and 40/1 ±4/9 one month after the intervention) (P<0/005). However, the average perceived stress score decreased in the control group one week and one month after the intervention compared with the beginning of the study (P=0/0000).
Conclusion: Since S.I.P is an affordable, effective and safe manner to improve the nurses’ perceived stress, it is proposed for reduction of job stress and as a consequence improving the quality of nursing care.

Keywords


1. Wu S, Zhu W, Wang Z, Wang M, Lan Y. Relationship between burnout and occupational stress among nurses in
China. J Adv Nurs. 2007:59(3):233-9
2. Lundberg U. stress hormones in health ann illness. The role of work and gende. Psychoneuoendocrinology.
2005;30(10):1017-21
3. Lee I,Wong H. Occupational stress and related factor in public health nurses.J Nurs Res. 2002;10(4):253-60
4. Raiger J. Applying a cultural lens to the concept of burnout. Journal Transcultural Nursing. 2005;16(1):71-6
5. Attar A. stress factors in emergency ward nurses. Journal of fundamentals of Mental Health. 2000;1(2):80-5 (Persian)
6. Chang EM, Hancock KM, Johnson A, Daly J, Jackson D. Role stress in nurses: Review of related factors and
strategies for moving forward. Nurs Health Sci 2005;7(1):57-65
7. Ross SE. sources of stress among nurses. J Nurs Res. 1999;26:83-90
8. Cleary M. realities of mental health nursing in acute inpatient enviroments. International journal of mental health
nursing. 2004;13:53-60
9. Rufer M, Albrecht R, Schmidt O, Zaum J, Schnyder U, Hand I, Mueller CP. Changes in quality of life following
cognitive-behavioral group therapy for panic disorder. European Psychiatry 2010;25(1):8–14
10. Linden W. Stress management: from basic science to better practice. Philadelphia: SAGE Publications;2005:83-5
11. Davis C, Cooke M, Holzhauser K, Jones M, Finucane J. The effect of aromatherapy massage with music on the
stress and anxiety levels of emergency nurses. Australasian Emergency Nursing Journal. 2005;8:43-50
12. meichenbam D. stress inoculatin training: a preventitive and treatment approach. 3rd edi. guilford press, 2007
13. Ogden J. Health Psychology. Spain: McGraw-Hill; 2004:70
14. Kiani R, Sodani M, Seidian M, Shafi Abady A. The effectiveness of stress inoculation group training on Somatization
and Anxiety of the coronary heart disease patients. Sci Med J. 2010;9(5):495-506 (Persian)
15. Spencer M. stress inoculation training for single mothers. phD thesis, University of Hartford, 2010
16. Sheehy R, Horan J. Effects of Stress Inoculation training for first year law students. international journal of
stress management. 2004;11:41-55
17. Rahgooy A, Fallahi Khshknab M, Karimloo M, Gaeeni M. The effect of application method of stress inoculation
on Stress of Nurses. Journal of Rehabilitation. 2004;7(2):61-5 (Persian)
18. Kawaharada M, Yoshioka E, Saijo Y, Fukui T, Ueno T, Kishi R. The Effects of a Stress Inoculation Training
Program for Civil Servants in Japan: a Pilot Study of a Non-randomized Controlled Trial. Industrial Health.
2009;47:173–82
19. Bastani F, Rahmatnejad L, Jesmi F, Haghani H. Breastfeeding Self Efficacy and Perceived Stress. Iranian Journal
of Nursing. 2008;21(54):9-22 (Persian)
20. Mohammadi Yeganeh L, Bastani F, Feizi Z, Agilar Vafaie M. the Effect of stress management training on mood
and perceived stress in women consuming contraceptive pills. Iranian Journal of Nursing. 2009;21(53):2-12 (Persian)
21. Michalsen A, Grossman P, Lehmann N, Knoblauch NTM, Paul A, Moebus S et al. Psychological and Qualityof-
Life Outcomes from a Comprehensive Stress Reduction and Lifestyle Program in Patients with Coronary Artery
Disease: Results of a Randomized Trial. Psychother Psychosom. 2005;74:344–52
22. Lopez C, Antoni M, Penedo F, Weiss D, Cruess S, Segotas MC et al. A pilot study of cognitive behavioral stress
management effects on stress, quality of life, and symptoms in persons with chronic fatigue syndrome. Journal of
Psychosomatic Research. 2011;70:328–34
23. Sarid O, Berger R, Segal-Engelchin D.The impact of cognitive behavioral interventions on SOC, perceived
stress and mood states of nurses. Procedia Social and Behavioral Sciences 2010;2:928–32
24. ShahAbadi SH, Kharamin SHA, Firozi MR, HoosiniMotlagh SA, Malekzadeh MDetermination of the Effect of
Cognitive Behavioral Therapy on Stress among Nurses at Yasuj Shahid Beheshti Hospital in 2009. Journal of Armaghane
Danesh. 2010;4(56):392-403 (Persian)
25. Hains AA. A stress inoculation training program for adolescents in a high school setting: a multiple baseline approach.
Journal of Adolescence 1992; 15:163-75
26. Eetemadi Th. Comparison and relationship job stress with aspects of job satisfaction at nurses who work in
CCU and other units of heart hospitals of Tehran and iran medical sciences university. MSD Thesis Tehran: Alzahra
University; 2004
27. Glasberg AL, Eriksson S, Norberg A. Burnout and stress of conscience among healthcare personnel. Journal of
Advanced Nursing. 2007;57(4):392–403