Volume 21, Issue 3 (9-2022)
TB 2022, 21(3): 53-65 |
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Dehghan Tezerjani A, Zareei Mahmoodamadi H, Vaziri Yazdi S. Developing and Validating of Stress Management Training Package Based on the Lived Experiences
of Nurses Working in the COVID-19 Ward of Shahid Sadoughi Hospital, Yazd, Iran: A Mixed Method Study. TB 2022; 21 (3) :53-65
URL: http://tbj.ssu.ac.ir/article-1-3324-en.html
URL: http://tbj.ssu.ac.ir/article-1-3324-en.html
Department of psychology and educational sceinces, Yazd University, Yazd, Iran. , zareei_h@yahoo.com
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Received:2022/03/16 Accepted:2022/09/1
Developing and Validating of Stress Management Training Package Based on the Lived Experiences
of Nurses Working in the COVID-19 Ward of Shahid Sadoughi Hospital, Yazd, Iran: A Mixed Method Study
Ashraf Sadat Dehghan Tezerjani (P.hD.)1, Hassan Zareei Mahmoodabadi (P.hD.)2, Saeed Vaziri Yazdi (P.hD.)3
1.PhD Student of Counseling, Department of Counseling and Guidance, Faculty of Humanities, Islamic Azad University, Yazd Branch, Yazd, Iran.
2.Corresponding Author:Associate Professor, Department of psychology and educational sceinces, Yazd University, Yazd, Iran. Email: zareei_h@yahoo.com Tel: 035-31233570
3.Assistant Professor, Department of Educational Sciences, Faculty of Humanities, Islamic Azad University, Yazd Branch, Yazd, Iran.
Abstract
Introduction: Nurses played an effective role in the fight against COVID-19. The difficult physical and mental conditions that the nurses faced increased the stress in their work and family life. This study was conducted with the aim of developing and validating of stress management training package based on the lived experiences of nurses working in the COVID-19 ward in 2020.
Methods: The study was based on an exploratory sequential mixed method design. The first stage was done qualitatively and based on descriptive phenomenological strategy. Based on targeted sampling, 20 nurses were selected from the COVID-19 ward of Shahid Sadoughi Hospital in Yazd. The semi-structured interview was conducted, recorded, and written. In the quantitative stage for the validation of the package, while using the face validity and content validity, a panel of 12 experts was used for evaluation .
Results: After extracting 9 main categories, the training package was developed according to the findings. Content validity index (CVI) and content validity ratio (CVR) were used to validate it. The coefficients in all items for the CVI were higher than 0.79 and for the CVR were higher than 0.56.
Conclusion: Empowering nurses in stress management is one of the effective ways to deal with this disease. Also, the training package has good face and content validity and has the necessary validity for educational and research applications.
Keywords: Stress Management, Lived Experience, Nurses, COVID-19, Mixed Method Study
Conflict of interest: The authors declared that there is no conflict of interest.
Reference
1- Labrague L J, de los Santos J A A, Fronda D C. Factors associated with missed nursing care and nurseassessed quality of care during the COVID-19 pandemic. J Nurs Manag. 2022;30:62–70.
2- Dastyar A. Association of Medication Error Occurrence with General Health and Anxiety Caused by Covid-19 Disease in Nurses of Imam Reza Hospital of Ahvaz in 2020: A Descriptive Study. Journal of Rafsanjan University of Medical Sciences. 2022; 20(10):1129-43. [Persian]
3- Arefneghad M, Fathi Chegeni F, Omidneghad M. The Effect of Coronavirus Stress on Job Burnout in Nurses with the Moderating Role of Psychological Capital. Iran J Ergon. 2021; 9(2):58-68. [Persian]
4- Pinho L, Correia T, Sampaio F, Sequeira C, Teixeira L, Lopes M, et al. The use of mental health promotion strategies by nurses to reduce anxiety, stress, and depression during the COVID-19 outbreak: A prospective cohort study. Environmental research. 2021;195:110828.
5- Raesi R, Abbasi Z, Saghari S, Bokaie S, Raei M, Hushmandi K. Factors Affecting Job Stress in Nurses Caring for COVID-19 Patients. Journal of Marine Medicine. 2021;3(4):80-8. [Persian]
6- Sarboozi Hosein Abadi T, Askari M, Miri K, Namazi Nia M. Depression, stress and anxiety of nurses in COVID-19 pandemic in Torbat Heydariyeh Hospital, Iran. Journal Mil Med. 2020;22(6):526-33. [Persian]
7- Anderson R M, Heesterbeek H, Klinkenberg D, Hollingsworth T D. How will country-based mitigation measures influence the course of the COVID-19 epidemic? The Lancet.2020;395 (10228):931-4.
8- Zhang WW. The prevalence and influencing factors for anxiety in medical workers fighting COVID-19 in China: A cross-sectional survey. Available at SSRN 3548781. 2020.
9- Labrague LJ, de Los Santos JA A. Fear of Covid‐19, psychological distress, work satisfaction and turnover intention among frontline nurses. Journal of nursing management. 2021;29(3):395-403.
10- Rahmanian M, Mosalanezhad H, Rahmanian E, Kalani N, Hatami N, Rayat Dost E, et al. Anxiety and stress of new coronavirus (COVID-19) in medical personnel. Horizons of Medical Education Development. 2020. [Persian]
11- Asadi N, Salmani F, Pourkhajooyi S, et al. Investigating the Relationship Between Corona Anxiety and Nursing Care Behaviors Working in Corona's Referral Hospitals. IJPCP. 2020; 26 (3) :306-319. [Persian]
12- khaki S, Fallahi Khoshkenab M, arsalani N, et al. Mental Health Status of Nurses During the COVID-19 Pandemic: A Systematic Review. 3. 2021; 2 (2) :36-52 .[Persian]
13- Liu C, Wang H, Zhou L, Xie H, Yang H, Yu Y, et al. Sources and symptoms of stress among nurses in the first Chinese anti-Ebola medical team during the Sierra Leone aid mission: A qualitative study. Int Nurs Sci. 2019;6(2):187-91.
14- Husserl E. The phenomenology of internal time-consciousness: Indiana University Press.2019.
15- Ghasemi Kaleh Masihi J, Golparvar M, Khayatan F, Shahriari M. Enhancing Optimal Experiences and Alleviating Job Stress in Nurses by Affective Capital Enhancement Training. Nursing Management J. 2020; 8 (4): 9-19. [Persian]
16- Kiani J, Abbasi F, Pakizeh A, Gholizadeh B, Darvishi Sh. Effect of stress management and emotional regulation on nurses' job satisfaction. NPWJM.2016; 4(12) :147-57. [Persian]
17- Saeedi Taft T, Keshmiri F, Mirhosseini Deh Abadi S J, Aghaie F, Jambarsang S, Sadeghian HA.The Effect of Educational Intervention on Stress Management in Cardiac Surgery Nurses. Journal of Military Medicine. 2021;22(12):1280-7. [Persian]
18- Shams S. Predicting Coronavirus Anxiety Based on Cognitive Emotion Regulation Strategies, Anxiety Sensitivity, and Psychological Hardiness in Nurses. Nursing Management J. 2021;10 (2): 25-36. [Persian]
19- Sajadi M, Ebrahimabadi M, Khosravi S, Seif K, Rafiei F. The effect of stress management on the anxiety, depression and stress of nursing students in the first clinical experience.2018;7(4):18-24. [Persian]
20- Liu S, Yang L, Zhang C, Xiang Y-T, Liu Z, Hu S, et al. Online mental health services in China during the COVID-19 outbreak. The Lancet Psychiatry. 2020;7(4): 17-8.
21- Shahed hagh ghadam H, Fathi Ashtiani A, Rahnejat AM, Ahmadi Tahour Soltani M, Taghva A, Ebrahimi MR. Psychological Consequences and Interventions during the COVID-19 Pandemic: Narrative Review. Journal of Marine Medicine. 2020;2(1):1-11.[Persian]
22- Eyni S, Ebadi M, Torabi N. Developing a model of corona anxiety in students based on optimism and resilience: The mediating role of the perceived social support. Counseling Culture and Psycotherapy. 2020;11(43):1-32. [Persian]
23-Moradzadeh A, Namdar Joyami E. Corona Nurses' Lived Experience of Moral Distress while Performing Organizational Duties. Nursing Management J. 2020;9 (3): 59-73. [Persian]
24-Niuniu S, Luoqun W, Suling S h, Dandan J, Runluo S, Lili M. A qualitative study on the psychological experience of caregivers of COVID-19 patientsTaggedEn. American Journal of Infection Control. 2020; 28(6): 592-8.
25- Kiamanesh A, Sarai J. Combined Research Methods (Second Edition). Cresswell J, Planclark W (1945). Tehran: Ayizh Publications;(2015): 83-6.
26-Hriri N. Principles and methods of qualitative research, Tehran: Islamic Azad University. Science Research Branch. 2011. [Persian]
27- Merriam S B, Tisdell E J. Qualitative research: A guide to design and implementation: John Wiley & Sons.2015.
28- Lincoln Y S, Guba EG(1985): Naturalism inquiry, Sage, Newbury Park.
29-Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open.2020; 3(3): e203976.
30-Li S, Wang Y, Xue J, Zhao N, Zhu T. The impact of COVID-19 epidemic declaration on psychological consequences: a study on active Weibo users. International journal of environmental research and public health.2020;17(6):2032.
31-Zareei MH, Sedrpooshan N. The The relationship between spiritual intelligence and components of burnout in female teachers.occupational medecine J.2015;6(4);66-74
32-Zareei Mahmoodabadi H, Younesi J. The effectiveness of cognitive techniques on improvement of family function in mal adjusted couples. Journal of Daneshvar Raftar. 2009;29:35-52.
Full-Text: (1715 Views)
Received:2022/03/16 Accepted:2022/09/1
Developing and Validating of Stress Management Training Package Based on the Lived Experiences
of Nurses Working in the COVID-19 Ward of Shahid Sadoughi Hospital, Yazd, Iran: A Mixed Method Study
Ashraf Sadat Dehghan Tezerjani (P.hD.)1, Hassan Zareei Mahmoodabadi (P.hD.)2, Saeed Vaziri Yazdi (P.hD.)3
1.PhD Student of Counseling, Department of Counseling and Guidance, Faculty of Humanities, Islamic Azad University, Yazd Branch, Yazd, Iran.
2.Corresponding Author:Associate Professor, Department of psychology and educational sceinces, Yazd University, Yazd, Iran. Email: zareei_h@yahoo.com Tel: 035-31233570
3.Assistant Professor, Department of Educational Sciences, Faculty of Humanities, Islamic Azad University, Yazd Branch, Yazd, Iran.
Abstract
Introduction: Nurses played an effective role in the fight against COVID-19. The difficult physical and mental conditions that the nurses faced increased the stress in their work and family life. This study was conducted with the aim of developing and validating of stress management training package based on the lived experiences of nurses working in the COVID-19 ward in 2020.
Methods: The study was based on an exploratory sequential mixed method design. The first stage was done qualitatively and based on descriptive phenomenological strategy. Based on targeted sampling, 20 nurses were selected from the COVID-19 ward of Shahid Sadoughi Hospital in Yazd. The semi-structured interview was conducted, recorded, and written. In the quantitative stage for the validation of the package, while using the face validity and content validity, a panel of 12 experts was used for evaluation .
Results: After extracting 9 main categories, the training package was developed according to the findings. Content validity index (CVI) and content validity ratio (CVR) were used to validate it. The coefficients in all items for the CVI were higher than 0.79 and for the CVR were higher than 0.56.
Conclusion: Empowering nurses in stress management is one of the effective ways to deal with this disease. Also, the training package has good face and content validity and has the necessary validity for educational and research applications.
Keywords: Stress Management, Lived Experience, Nurses, COVID-19, Mixed Method Study
Conflict of interest: The authors declared that there is no conflict of interest.
Reference
1- Labrague L J, de los Santos J A A, Fronda D C. Factors associated with missed nursing care and nurseassessed quality of care during the COVID-19 pandemic. J Nurs Manag. 2022;30:62–70.
2- Dastyar A. Association of Medication Error Occurrence with General Health and Anxiety Caused by Covid-19 Disease in Nurses of Imam Reza Hospital of Ahvaz in 2020: A Descriptive Study. Journal of Rafsanjan University of Medical Sciences. 2022; 20(10):1129-43. [Persian]
3- Arefneghad M, Fathi Chegeni F, Omidneghad M. The Effect of Coronavirus Stress on Job Burnout in Nurses with the Moderating Role of Psychological Capital. Iran J Ergon. 2021; 9(2):58-68. [Persian]
4- Pinho L, Correia T, Sampaio F, Sequeira C, Teixeira L, Lopes M, et al. The use of mental health promotion strategies by nurses to reduce anxiety, stress, and depression during the COVID-19 outbreak: A prospective cohort study. Environmental research. 2021;195:110828.
5- Raesi R, Abbasi Z, Saghari S, Bokaie S, Raei M, Hushmandi K. Factors Affecting Job Stress in Nurses Caring for COVID-19 Patients. Journal of Marine Medicine. 2021;3(4):80-8. [Persian]
6- Sarboozi Hosein Abadi T, Askari M, Miri K, Namazi Nia M. Depression, stress and anxiety of nurses in COVID-19 pandemic in Torbat Heydariyeh Hospital, Iran. Journal Mil Med. 2020;22(6):526-33. [Persian]
7- Anderson R M, Heesterbeek H, Klinkenberg D, Hollingsworth T D. How will country-based mitigation measures influence the course of the COVID-19 epidemic? The Lancet.2020;395 (10228):931-4.
8- Zhang WW. The prevalence and influencing factors for anxiety in medical workers fighting COVID-19 in China: A cross-sectional survey. Available at SSRN 3548781. 2020.
9- Labrague LJ, de Los Santos JA A. Fear of Covid‐19, psychological distress, work satisfaction and turnover intention among frontline nurses. Journal of nursing management. 2021;29(3):395-403.
10- Rahmanian M, Mosalanezhad H, Rahmanian E, Kalani N, Hatami N, Rayat Dost E, et al. Anxiety and stress of new coronavirus (COVID-19) in medical personnel. Horizons of Medical Education Development. 2020. [Persian]
11- Asadi N, Salmani F, Pourkhajooyi S, et al. Investigating the Relationship Between Corona Anxiety and Nursing Care Behaviors Working in Corona's Referral Hospitals. IJPCP. 2020; 26 (3) :306-319. [Persian]
12- khaki S, Fallahi Khoshkenab M, arsalani N, et al. Mental Health Status of Nurses During the COVID-19 Pandemic: A Systematic Review. 3. 2021; 2 (2) :36-52 .[Persian]
13- Liu C, Wang H, Zhou L, Xie H, Yang H, Yu Y, et al. Sources and symptoms of stress among nurses in the first Chinese anti-Ebola medical team during the Sierra Leone aid mission: A qualitative study. Int Nurs Sci. 2019;6(2):187-91.
14- Husserl E. The phenomenology of internal time-consciousness: Indiana University Press.2019.
15- Ghasemi Kaleh Masihi J, Golparvar M, Khayatan F, Shahriari M. Enhancing Optimal Experiences and Alleviating Job Stress in Nurses by Affective Capital Enhancement Training. Nursing Management J. 2020; 8 (4): 9-19. [Persian]
16- Kiani J, Abbasi F, Pakizeh A, Gholizadeh B, Darvishi Sh. Effect of stress management and emotional regulation on nurses' job satisfaction. NPWJM.2016; 4(12) :147-57. [Persian]
17- Saeedi Taft T, Keshmiri F, Mirhosseini Deh Abadi S J, Aghaie F, Jambarsang S, Sadeghian HA.The Effect of Educational Intervention on Stress Management in Cardiac Surgery Nurses. Journal of Military Medicine. 2021;22(12):1280-7. [Persian]
18- Shams S. Predicting Coronavirus Anxiety Based on Cognitive Emotion Regulation Strategies, Anxiety Sensitivity, and Psychological Hardiness in Nurses. Nursing Management J. 2021;10 (2): 25-36. [Persian]
19- Sajadi M, Ebrahimabadi M, Khosravi S, Seif K, Rafiei F. The effect of stress management on the anxiety, depression and stress of nursing students in the first clinical experience.2018;7(4):18-24. [Persian]
20- Liu S, Yang L, Zhang C, Xiang Y-T, Liu Z, Hu S, et al. Online mental health services in China during the COVID-19 outbreak. The Lancet Psychiatry. 2020;7(4): 17-8.
21- Shahed hagh ghadam H, Fathi Ashtiani A, Rahnejat AM, Ahmadi Tahour Soltani M, Taghva A, Ebrahimi MR. Psychological Consequences and Interventions during the COVID-19 Pandemic: Narrative Review. Journal of Marine Medicine. 2020;2(1):1-11.[Persian]
22- Eyni S, Ebadi M, Torabi N. Developing a model of corona anxiety in students based on optimism and resilience: The mediating role of the perceived social support. Counseling Culture and Psycotherapy. 2020;11(43):1-32. [Persian]
23-Moradzadeh A, Namdar Joyami E. Corona Nurses' Lived Experience of Moral Distress while Performing Organizational Duties. Nursing Management J. 2020;9 (3): 59-73. [Persian]
24-Niuniu S, Luoqun W, Suling S h, Dandan J, Runluo S, Lili M. A qualitative study on the psychological experience of caregivers of COVID-19 patientsTaggedEn. American Journal of Infection Control. 2020; 28(6): 592-8.
25- Kiamanesh A, Sarai J. Combined Research Methods (Second Edition). Cresswell J, Planclark W (1945). Tehran: Ayizh Publications;(2015): 83-6.
26-Hriri N. Principles and methods of qualitative research, Tehran: Islamic Azad University. Science Research Branch. 2011. [Persian]
27- Merriam S B, Tisdell E J. Qualitative research: A guide to design and implementation: John Wiley & Sons.2015.
28- Lincoln Y S, Guba EG(1985): Naturalism inquiry, Sage, Newbury Park.
29-Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open.2020; 3(3): e203976.
30-Li S, Wang Y, Xue J, Zhao N, Zhu T. The impact of COVID-19 epidemic declaration on psychological consequences: a study on active Weibo users. International journal of environmental research and public health.2020;17(6):2032.
31-Zareei MH, Sedrpooshan N. The The relationship between spiritual intelligence and components of burnout in female teachers.occupational medecine J.2015;6(4);66-74
32-Zareei Mahmoodabadi H, Younesi J. The effectiveness of cognitive techniques on improvement of family function in mal adjusted couples. Journal of Daneshvar Raftar. 2009;29:35-52.
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Received: 2022/03/16 | Accepted: 2022/09/1 | Published: 2022/09/1
Received: 2022/03/16 | Accepted: 2022/09/1 | Published: 2022/09/1
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