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Effect of Balint Group on Burnout and Self-efficacy of Nurse Leaders in China: A Randomised Controlled Trial

Primary Purpose

Burnout, Self Efficacy

Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Balint group activities
Sponsored by
Peking University People's Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Burnout

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: nurse leaders in clinical departments voluntary participation Exclusion Criteria: a. previous participation in Balint groups

Sites / Locations

  • Shan Qu

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Balint group

non-Balint group

Arm Description

Participants in the Balint group completed Balint training for a period of three months.

Outcomes

Primary Outcome Measures

Maslach Burnout Inventory-Human Services Survey (MBI-HSS) subscale emotional exhaustion (MBI-EE)
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) includes 22 items across three domains: emotional exhaustion (EE; 9 items), depersonalization (DP; 5 items), and personal accomplishment (PA; 8 items). The scoring range for each item is 0 (never felt) to 6 (felt every day). The EE subscale evaluates the feeling of excessive emotional stress and exhaustion due to work, which is characterized by mental, emotional, and physical exhaustion
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) subscale emotional exhaustion (MBI-EE)
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) includes 22 items across three domains: emotional exhaustion (EE; 9 items), depersonalization (DP; 5 items), and personal accomplishment (PA; 8 items). The scoring range for each item is 0 (never felt) to 6 (felt every day). The EE subscale evaluates the feeling of excessive emotional stress and exhaustion due to work, which is characterized by mental, emotional, and physical exhaustion
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) subscale depersonalization (MBI-DP)
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) includes 22 items across three domains: emotional exhaustion (EE; 9 items), depersonalization (DP; 5 items), and personal accomplishment (PA; 8 items). The scoring range for each item is 0 (never felt) to 6 (felt every day). The DP subscale measures unsympathetic and impersonal response to patients, and is regarded as a form of alienation.
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) subscale depersonalization (MBI-DP)
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) includes 22 items across three domains: emotional exhaustion (EE; 9 items), depersonalization (DP; 5 items), and personal accomplishment (PA; 8 items). The scoring range for each item is 0 (never felt) to 6 (felt every day). The DP subscale measures unsympathetic and impersonal response to patients, and is regarded as a form of alienation.
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) subscale personal accomplishment (MBI- PA)
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) includes 22 items across three domains: emotional exhaustion (EE; 9 items), depersonalization (DP; 5 items), and personal accomplishment (PA; 8 items). The scoring range for each item is 0 (never felt) to 6 (felt every day). The PA subscale assesses work-related ability and sense of accomplishment .
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) subscale personal accomplishment (MBI- PA)
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) includes 22 items across three domains: emotional exhaustion (EE; 9 items), depersonalization (DP; 5 items), and personal accomplishment (PA; 8 items). The scoring range for each item is 0 (never felt) to 6 (felt every day). The PA subscale assesses work-related ability and sense of accomplishment .

Secondary Outcome Measures

The General Self-Efficacy Scale (GSES)
The General Self-Efficacy Scale (GSES) is a 10-item scale used to measure individuals' overall self-confidence in dealing with different environmental challenges or unprecedented situations. Participants are asked to rate 10 questions by choosing one of four response options: 1 (completely incorrect), 2 (almost incorrect), 3 (relatively correct), or 4 (completely correct). A higher score indicates a higher level of general self-efficacy.
The General Self-Efficacy Scale (GSES)
The General Self-Efficacy Scale (GSES) is a 10-item scale used to measure individuals' overall self-confidence in dealing with different environmental challenges or unprecedented situations. Participants are asked to rate 10 questions by choosing one of four response options: 1 (completely incorrect), 2 (almost incorrect), 3 (relatively correct), or 4 (completely correct). A higher score indicates a higher level of general self-efficacy.

Full Information

First Posted
January 17, 2023
Last Updated
January 27, 2023
Sponsor
Peking University People's Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT05716828
Brief Title
Effect of Balint Group on Burnout and Self-efficacy of Nurse Leaders in China: A Randomised Controlled Trial
Official Title
Effect of Balint Group on Burnout and Self-efficacy of Nurse Leaders in China: A Randomised Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Completed
Study Start Date
July 1, 2020 (Actual)
Primary Completion Date
January 1, 2022 (Actual)
Study Completion Date
January 1, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Peking University People's Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Background: Burnout is common among nurses and is related to negative outcomes of medical care. This study aimed to explore the effectiveness of Balint group activities in burnout reduction among nurse leaders in a Chinese hospital. Methods: This was a randomised controlled trial with a pre- and post-test. A total of 80 nurse leaders were randomly assigned to either a Balint group (n=40) or a non-Balint group (n=40). Participants in the Balint group completed Balint training for a period of three months. Participants in both groups completed the Maslach Burnout Inventory-Human Services Survey (MBI) and the General Self-Efficacy Scale (GSES) at the beginning and end of the study(three months later ). Balint group members also completed the Group Climate Questionnaire-Short Format the end of the study(three months later ).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Burnout, Self Efficacy

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Balint group
Arm Type
Experimental
Arm Description
Participants in the Balint group completed Balint training for a period of three months.
Arm Title
non-Balint group
Arm Type
No Intervention
Intervention Type
Other
Intervention Name(s)
Balint group activities
Intervention Description
A Balint group is a working form that focuses on the professional doctor-patient relationship. Participants in the Balint group completed Balint training for a period of at least three months, which included two lectures and 10 small group discussion sessions held once a month for one hour at a time (on Thursdays from 12 to 1 PM). Balint group is a closed group including one to two group leaders and six to twelve participants, with sessions lasting 60 to 90 minutes.
Primary Outcome Measure Information:
Title
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) subscale emotional exhaustion (MBI-EE)
Description
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) includes 22 items across three domains: emotional exhaustion (EE; 9 items), depersonalization (DP; 5 items), and personal accomplishment (PA; 8 items). The scoring range for each item is 0 (never felt) to 6 (felt every day). The EE subscale evaluates the feeling of excessive emotional stress and exhaustion due to work, which is characterized by mental, emotional, and physical exhaustion
Time Frame
The first time for participants in both groups was assessed the MBI-EE questionnaire at baseline.
Title
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) subscale emotional exhaustion (MBI-EE)
Description
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) includes 22 items across three domains: emotional exhaustion (EE; 9 items), depersonalization (DP; 5 items), and personal accomplishment (PA; 8 items). The scoring range for each item is 0 (never felt) to 6 (felt every day). The EE subscale evaluates the feeling of excessive emotional stress and exhaustion due to work, which is characterized by mental, emotional, and physical exhaustion
Time Frame
The second time for participants in both groups was assessed the MBI-EE questionnaire through Balint group activities completion, 3 months later
Title
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) subscale depersonalization (MBI-DP)
Description
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) includes 22 items across three domains: emotional exhaustion (EE; 9 items), depersonalization (DP; 5 items), and personal accomplishment (PA; 8 items). The scoring range for each item is 0 (never felt) to 6 (felt every day). The DP subscale measures unsympathetic and impersonal response to patients, and is regarded as a form of alienation.
Time Frame
The first time for participants in both groups was assessed the MBI-DP questionnaire at baseline.
Title
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) subscale depersonalization (MBI-DP)
Description
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) includes 22 items across three domains: emotional exhaustion (EE; 9 items), depersonalization (DP; 5 items), and personal accomplishment (PA; 8 items). The scoring range for each item is 0 (never felt) to 6 (felt every day). The DP subscale measures unsympathetic and impersonal response to patients, and is regarded as a form of alienation.
Time Frame
The second time for participants in both groups was assessed the MBI-DP questionnaire through Balint group activities completion, 3 months later
Title
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) subscale personal accomplishment (MBI- PA)
Description
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) includes 22 items across three domains: emotional exhaustion (EE; 9 items), depersonalization (DP; 5 items), and personal accomplishment (PA; 8 items). The scoring range for each item is 0 (never felt) to 6 (felt every day). The PA subscale assesses work-related ability and sense of accomplishment .
Time Frame
The first time for participants in both groups was assessed the MBI-PA questionnaire at baseline.
Title
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) subscale personal accomplishment (MBI- PA)
Description
Maslach Burnout Inventory-Human Services Survey (MBI-HSS) includes 22 items across three domains: emotional exhaustion (EE; 9 items), depersonalization (DP; 5 items), and personal accomplishment (PA; 8 items). The scoring range for each item is 0 (never felt) to 6 (felt every day). The PA subscale assesses work-related ability and sense of accomplishment .
Time Frame
The second time for participants in both groups was assessed the MBI-PA questionnaire through Balint group activities completion, 3 months later
Secondary Outcome Measure Information:
Title
The General Self-Efficacy Scale (GSES)
Description
The General Self-Efficacy Scale (GSES) is a 10-item scale used to measure individuals' overall self-confidence in dealing with different environmental challenges or unprecedented situations. Participants are asked to rate 10 questions by choosing one of four response options: 1 (completely incorrect), 2 (almost incorrect), 3 (relatively correct), or 4 (completely correct). A higher score indicates a higher level of general self-efficacy.
Time Frame
The first time for participants in both groups was assessed the GSES questionnaire at baseline.
Title
The General Self-Efficacy Scale (GSES)
Description
The General Self-Efficacy Scale (GSES) is a 10-item scale used to measure individuals' overall self-confidence in dealing with different environmental challenges or unprecedented situations. Participants are asked to rate 10 questions by choosing one of four response options: 1 (completely incorrect), 2 (almost incorrect), 3 (relatively correct), or 4 (completely correct). A higher score indicates a higher level of general self-efficacy.
Time Frame
The second time for participants in both groups was assessed the GSES questionnaire through Balint group activities completion, 3 months later

10. Eligibility

Sex
All
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: nurse leaders in clinical departments voluntary participation Exclusion Criteria: a. previous participation in Balint groups
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shan Qu, Qu
Organizational Affiliation
Peking University People's Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Shan Qu
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100044
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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Effect of Balint Group on Burnout and Self-efficacy of Nurse Leaders in China: A Randomised Controlled Trial

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