Protocol summary

Study aim
Comparing the effect of written expression and meditation application on the quality of work life, satisfaction and job stress of nurses working in the CCU ward
Design
Participants will be divided into four groups based on the sampling method: A (using the written expression method), B (using the Aramaic meditation application), C (using a combination of written expression and the Aramaic meditation application), and D (control). The sample size will be 120 people. The sampling method will be continuous and the method of assigning samples to groups will be random block (four-person)
Settings and conduct
The research setting will be the Shahid Rajaee Heart Institute located in Tehran, which has multiple CCU departments.
Participants/Inclusion and exclusion criteria
Minimum educational degree, Bachelor of Nursing Nurse, CCU ward, Rajaee Hospital, Tehran Complete informed consent form after explanations Exclusion criteria All nurses who did not complete the questionnaire completion process correctly. All nurses who did not complete the intervention process correctly according to the divided group.
Intervention groups
Participants in Group A are asked to write down the challenges, problems, and stress from their job and workplace in a quiet and private environment for 7 consecutive days before or after their shifts. Participants in Group B are first asked to install the Aramaya Meditation app on their mobile phones. Then, they go to the "Stress Management in 7 Days" section and listen to the audio file for that day in a quiet and private environment for 7 consecutive days before or after their shifts. Participants in Group C are asked to use both the written expression method and the Aramaya Meditation app during the 7 days of the intervention. Participants in Group D are also given a pamphlet on job stress management.
Main outcome variables
Quality of work life; Job satisfaction; Job stress

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20240221061075N2
Registration date: 2025-02-14, 1403/11/26
Registration timing: registered_while_recruiting

Last update: 2025-02-14, 1403/11/26
Update count: 0
Registration date
2025-02-14, 1403/11/26
Registrant information
Name
Mohammad Sadegh Aghili nasab
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 61 5326 5361
Email address
msa.aghili@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2025-01-27, 1403/11/08
Expected recruitment end date
2025-04-19, 1404/01/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
A comparative study of the effect of written expression and meditation application on the quality of work life, job satisfaction and stress of nurses working in the CCU department: An Interventional study
Public title
Comparative study of the effect of written expression method and meditation application on quality of work life, satisfaction and job stress of nurses
Purpose
Education/Guidance
Inclusion/Exclusion criteria
Inclusion criteria:
NurseMinimum educational degree Bachelor of NursingNurse of CCU ward, Rajai Hospital Tehran Complete informed consent form after explanation
Exclusion criteria:
All nurses who did not complete the questionnaire correctly. All nurses who did not complete the intervention process correctly according to the divided group.
Age
From 18 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 120
Randomization (investigator's opinion)
Randomized
Randomization description
The sampling method will be continuous and the method of assigning samples to groups will be random block (four). Block random allocation means that the belonging of the studied individual to the desired groups is unpredictable, so that the blocks will be selected daily and this method will continue until the required number of samples is complete (i.e. 30 people in each group). For this purpose, 6 blocks of 4 will be used to randomly assign participants to three intervention groups and one control group. Thus, the letter A will be considered for the first intervention group, the letter B for the second intervention group, the letter C for the third intervention group, and the letter D for the control group. Based on the order of the letters of the blocks, participants will be assigned to intervention groups A, B, C, or control D. First, we write the following blocks on pieces of paper, put them in an envelope, and randomly draw them with dice. Based on the order of the letters of the blocks, participants will be assigned to intervention or control groups. Then the next blocks are selected with the same dice, and after these blocks are selected, the dice are rolled again and the participants in the next blocks are selected. It should be noted that all steps related to random assignment and placing people in groups are carried out by someone unaware of the study objectives.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Abadan University of Medical Sciences
Street address
Abadan Medical Sciences Educational Office, opposite Abadan Airport
City
Abadan
Province
Khouzestan
Postal code
6471835813
Approval date
2024-08-22, 1403/06/01
Ethics committee reference number
IR.ABADANUMS.REC.1403.061

Health conditions studied

1

Description of health condition studied
It is not a disease.
ICD-10 code
0
ICD-10 code description
0

Primary outcomes

1

Description
Quality of Work Life
Timepoint
Participants will complete the questionnaires in three rounds. In the first round, they will complete the questionnaires before any intervention. The second round will be completed immediately after the end of the interventions. The questionnaires will be completed again by the participants in the third round, one month after the end of the interventions.
Method of measurement
The Brooks Nurses' Quality of Work Life Questionnaire and the Nurses' Work Productivity Questionnaire are used. The Brooks Questionnaire includes 4 dimensions of quality of work life and has 42 questions. The Nurses' Work Productivity Questionnaire consists of 25 items. This questionnaire is rated on a five-point Likert scale from strongly disagree (1) to strongly agree (5).

Secondary outcomes

1

Description
Job satisfaction and stress
Timepoint
Participants will complete the shortened version of the Nurses' Job Stress Questionnaire and the Walton Quality of Life Questionnaire in three rounds. In the first round, they will complete the questionnaires before any intervention. The second round of questionnaires will be completed immediately after the end of the interventions. The questionnaires will be completed again by the participants in the third round, one month after the end of the interventions.
Method of measurement
Condensed NOSS: This questionnaire was designed by Chen in 2020 to assess the level of occupational stress among nurses in the workplace and was introduced with 21 items and 9 subscales (job demands, work-family conflicts, inadequate support from colleagues or patient caregivers, violence and bullying at work, organizational issues, job hazards, problems taking leave, disability, and unmet basic physiological needs). NOSS items are scored on a 4-point Likert scale (from 1 to 4 indicating completely disagree to completely agree). The total score of the questionnaire is between 20 and 80, with a higher score indicating a higher frequency of stressors in the workplace. The overall test-retest reliability is 0.84 and the overall Cronbach's alpha is 0.89. In Iran, this questionnaire was translated and psychometrically validated by Safari et al. (1400). Cronbach's alpha and McDonald's omega coefficients for the entire scale (α=0.94 and ω=0.95) are within acceptable limits. Based on the results obtained, the remaining 20 items were placed in two factors: environmental-organizational stress and high workload stress. The environmental-organizational stress factor includes items 5, 6, 7, 8, 9, 10, 11, 12, 19, and 20, and the high workload stress factor includes items 1, 2, 3, 4, 13, 14, 15, 16, 17, and 18. Each subscale contains 10 items, each of which is scored between 10 and 40 (Khalasi et al., 2022, Safari Shirazi et al., 2021).

Intervention groups

1

Description
Intervention group: Participants in Group A are asked to write down the challenges, problems, and stresses of their job and workplace in a quiet and private environment for 15 to 20 minutes before or after their shifts for 7 consecutive days.
Category
Lifestyle

2

Description
Intervention group: Participants in Group B are first asked to install the Aramaya Meditation app on their mobile phones. Then, they go to the "7-Day Stress Management" section and listen to the audio file for that day in a quiet and private environment for 7 consecutive days before or after their shifts and carefully perform the exercises they are asked to do. The duration of each session is between 10 and 15 minutes.
Category
Lifestyle

3

Description
Intervention group: Participants in Group C are asked to use both the written expression method and the Aramaya meditation app during the 7 days of the intervention. In this way, at the beginning of the day, they use one of the intervention methods, for example, written expression, in a quiet and secluded environment without noise, and focus on the challenges, problems, and stresses arising from their job and workplace. At the end of the day and before going to bed, they go to the Aramaya meditation app and enter the "Stress Management in 7 Days" section to listen to the audio file related to that day and carefully perform the exercises that they are asked to do.
Category
Lifestyle

4

Description
Control group: Participants in Group D are also given a pamphlet regarding job stress management.
Category
Lifestyle

Recruitment centers

1

Recruitment center
Name of recruitment center
Shahid Rajaee Heart Hospital
Full name of responsible person
Mohammad Sadegh Aghili
Street address
Tehran - Vali Asr Street (Aj) - Next to Mellat Park - Corner of Niayesh Shahid Rajaee Cardiovascular Educational, Research and Treatment Center
City
Tehran
Province
Tehran
Postal code
1995614331
Phone
+98 21 23921
Email
msa.aghili@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Abadan University of Medical Sciences
Full name of responsible person
Mohammad sadegh aghili
Street address
Abadan Medical Sciences Educational Office, opposite Abadan Airport
City
Abadan
Province
Khouzestan
Postal code
6471835813
Phone
+98 61 4282 1035
Email
msa.aghili@gmail.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Abadan University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Abadan University of Medical Sciences
Full name of responsible person
Mohammad sadegh aghili
Position
Nursing faculty member
Latest degree
Master
Other areas of specialty/work
Nursery
Street address
Abadan Medical Sciences Educational Office, opposite Abadan Airport
City
Abadan
Province
Khouzestan
Postal code
6471835813
Phone
+98 61 4282 1035
Email
msa.aghili@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Abadan University of Medical Sciences
Full name of responsible person
Mohammad sadegh aghili
Position
Nursing Department Faculty
Latest degree
Master
Other areas of specialty/work
Nursery
Street address
Abadan Medical Sciences Educational Office, opposite Abadan Airport
City
Abadan
Province
Khouzestan
Postal code
6471835813
Phone
+98 61 4282 1035
Email
msa.aghili@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Abadan University of Medical Sciences
Full name of responsible person
Mohammad sadegh aghili
Position
Nursing Department Faculty
Latest degree
Master
Other areas of specialty/work
Nursery
Street address
Abadan Medical Sciences Educational Office, opposite Abadan Airport
City
Abadan
Province
Khouzestan
Postal code
6471835813
Phone
+98 61 4282 1035
Email
msa.aghili@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Not applicable
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Not applicable
Data Dictionary
Not applicable
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