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

Document Type: Original Quantitative and Qualitative Research Paper


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


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.


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