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This study aims to examine the effect of productivity training on nurses' perceived job stress and attitudes toward productivity. It was designed as a randomized controlled experimental study with a pre-test, post-test, and follow-up design. The experimental group will receive a three-week structured productivity training program, while the control group will not receive any intervention during the same period. Data will be collected using the Personal Information Form, the Nurses' Attitudes Toward Productivity Scale, and the Perceived Job Stress Scale. It is hypothesized that nurses who participate in the productivity training will report lower perceived job stress and higher productivity attitudes compared to those in the control group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Productivity Training Program | Experimental | Participants in the experimental group will receive a structured productivity training program lasting three weeks and totaling 20 hours. The training covers topics such as the concept of productivity in nursing, time and stress management, process improvement, teamwork, leadership, the use of digital tools, and coping with job stress. Each week, various teaching methods including lectures, case analyses, simulations, practical exercises, group work, and brainstorming sessions will be used. The program aims to enhance participants' cognitive, affective, and practical competencies related to productivity and stress management in nursing practice. |
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| No Training Control Group | No Intervention | Participants in the control group will not receive any training during the study period. They will complete the same pre-test, post-test, and follow-up assessments as the experimental group. After the completion of data collection, the productivity training materials will be made available to control group participants to ensure ethical fairness. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Productivity Training Program for Nurses | Behavioral | The intervention consists of a structured productivity training program designed for nurses, delivered over three weeks (total 20 hours). The program includes interactive theoretical and practical sessions covering topics such as: The concept and scope of productivity in nursing, Time and stress management, Process improvement and teamwork, Leadership and performance support mechanisms, Coping with job stress and building psychological resilience, Use of digital tools and technology to enhance efficiency. Various teaching methods are employed, including lectures, simulations, case analyses, group discussions, applied exercises, and brainstorming. The program aims to improve nurses' cognitive, affective, and practical skills related to productivity, while reducing perceived job stress. |
| Measure | Description | Time Frame |
|---|---|---|
| Nurses' Attitude Scale Regarding Productivity | Nurses' attitudes toward productivity will be assessed using the Nurses' Attitudes Toward Productivity Scale (NAPTS), developed and validated by Göktepe and Baykal (2012). The scale consists of 39 items and five subscales: professional commitment, working conditions, job demands, teamwork, and rewarding. Items are rated on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). Total and subscale scores are converted to a 0-100 scale, with higher scores indicating a more positive attitude toward productivity, and lower scores indicating a negative attitude toward productivity. Minimum score: 0 Maximum score: 100 | Time Frame: At baseline (before the training), immediately after the 3-week productivity training program, and 3 months after the training. |
| Measure | Description | Time Frame |
|---|---|---|
| Perceived Work Stress Scale (PWSS) | Perceived job stress levels of the participants will be assessed using the Perceived Job Stress Scale (PJSS), originally developed by Cohen and Williamson (1988) and adapted into Turkish by Baltaş (1998). The scale consists of 15 items rated on a 5-point Likert scale. The total score is calculated by taking the mean score of the 15 items. Based on the mean score, stress levels are categorized into six groups: A (3.5-4.0) B (1.0-1.3) C (1.4-1.9) D (2.0-2.5) E (2.6-3.1) F (3.2-3.4) Higher scores indicate higher perceived job stress. Stress levels classified as A, B, E, and F are considered stress levels that may negatively affect work efficiency and threaten health, whereas C represents stress levels suitable for individuals who prefer low challenge, and D represents the optimal stress level for health and productivity. Minimum score: 1.0 Maximum score: 4.0 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Neslihan Erim | Contact | +90 537 344 2913 | neslihanerim24@istanbularel.edu.tr | |
| Seyhan Çerçi, Dr. Öğretim Üyesi | Contact | +90 506 467 98 35 | mseyhancerci@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Seyhan Çerçi, Dr. Öğretim Üyesi | bağlantısız | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul Arel University | Not yet recruiting | Istanbul | Istanbul | 34000 | Turkey (Türkiye) | |
Individual participant data (IPD) will not be shared because the dataset contains sensitive personal and occupational information about nurses. Data will be analyzed and reported in aggregate form only. Access to anonymized data may be considered upon reasonable request and ethics committee approval.
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jun 11, 2025 | Jan 8, 2026 | Prot_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Jun 11, 2025 | Jan 8, 2026 | ICF_001.pdf |
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| ID | Term |
|---|---|
| D000073397 | Occupational Stress |
| ID | Term |
|---|---|
| D009784 | Occupational Diseases |
| D013315 | Stress, Psychological |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D009726 | Nurses |
| ID | Term |
|---|---|
| D006282 | Health Personnel |
| D005159 | Health Care Facilities Workforce and Services |
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Randomized parallel-group design with pre-, post-, and follow-up assessments to evaluate the effects of a three-week productivity training program on nurses' perceived job stress and productivity attitudes.
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This study is open-label. Due to the nature of the intervention (productivity training), neither participants nor researchers were blinded to group allocation. Both the experimental and control groups were aware of their group assignments. Data collection and analysis were conducted objectively according to the predefined proto.
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| Time Frame: At baseline (before the training), immediately after the 3-week productivity training program, and 3 months |
| Istanbul University Istanbul Faculty of Medicine |
| Recruiting |
| Istanbul |
| Turkey (Türkiye) |
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