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The Effectiveness of Acceptance and Commitment Therapy on Occupational Burnout, Couple Burnout, and Family Resilience Among Nurses

Document Type : Original Article

Authors

1 PhD Student of Counseling, Faculty of Psychology and Educational Sciences, Kharazmi University, Tehran, Iran

2 Professor, PhD in Counseling, Faculty of Psychology and Educational Sciences, Kharazmi University, Tehran, Iran

3 Associate Professor, PhD in Counseling, Faculty of Psychology and Educational Sciences, Kharazmi University, Tehran, Iran

4 Associate Professor, Department of Obstetrics and Gynecology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Introduction: Considering the importance of the nursing profession, which serves as the link between the country’s health and treatment organization and patients, most recent research has aimed to investigate nurses’ career and family problems. However, fewer studies have addressed intervention and treatment approaches in this regard. This research was conducted to investigate the effectiveness of group therapy, based on acceptance and commitment, on occupational burnout, couple burnout, and family resilience among married nurses.
Methods: The research method was experimental, utilizing a pre-test-post-test design with follow-up phases at one month and three months. The statistical population comprised all the nurses from one of the hospitals in Tehran during the 2020-2022 Coronavirus outbreak. The sample consisted of 24 nurses, 12 in the experimental and 12 in the control group, selected via simple random sampling. The questionnaires used in this research were Meslash’s Burnout Inventory (1981), Pines’s Couple Burnout Measure (1996), and Sixbey’s Family Resilience Assessment Scale (2006). The data were analyzed using a one-way repeated measures Analysis of Variance.
Results: The results demonstrated that therapy based on acceptance and commitment significantly reduced occupational and couple burnout and increased family resilience among married nurses (P<0.01). Furthermore, the effects of treatment based on acceptance and commitment were maintained in the follow-up stages (P<0.01).
Conclusion: One of the key implications of this study’s findings is that emphasizing acceptance processes and mental focus can help mitigate occupational and couple burnout among nurses. Consequently, it is recommended that policymakers in the healthcare sector consider this therapeutic approach in their decision-making processes.

Keywords

References
  1. Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX, et al. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinicalMedicine. 2020;24:100424.
  2. Itzhaki M, Peles-Bortz A, Kostistky H, Barnoy D, Filshtinsky V, Bluvstein I. Exposure of mental health nurses to violence associated with job stress, life satisfaction, staff resilience, and post-traumatic growth. Int J Ment Health Nurs. 2015;24(5):403-12.
  3. Hsieh HF, Chang SC, Wang HH. The relationships among personality, social support, and resilience of abused nurses at emergency rooms and psychiatric wards in Taiwan. Women Health. 2017;57(1):40-51.
  4. Benincasa V, Passannante M, Perrini F, Carpinelli L, Moccia G, Marinaci T, et al. Burnout and Psychological Vulnerability in First Responders: Monitoring Depersonalization and Phobic Anxiety during the COVID-19 Pandemic. Int J Environ Res Public Health. 2022;19(5).
  5. Bakker AB, Killmer CH, Siegrist J, Schaufeli WB. Effort-reward imbalance and burnout among nurses. J Adv Nurs. 2000;31(4):884-91.
  6. Ondriová I. The incidence of burnout in nursing practice. Pielegniarstwo XXI wieku/Nursing in the 21st Century. 2017;16(1):15-9.
  7. Gichara RW. Burnout in Nurses at a Referral Hospital in Western Kenya. International Journal of Academic Research in Business and Social Sciences. 2017;7(11):704-15.
  8. Makkai K. Evaluating the level of burnout among healthcare professionals. Acta Universitatis Sapientiae, Social Analysis. 2018(8):23-39.
  9. Bahmani N, Etamadi O, Ahmadi SA, Fatehizadeh M. The Factors Affecting the Marriage Disaffection among Iranian Couples in Iran: A Qualitative Study. Journal of Research in Behavioural Sciences. 2017;15(4):467-73. [In Persian].
  10. Pines AM, Nunes R. The relationship between career and couple burnout: Implications for career and couple counseling. Journal of employment counseling. 2003;40(2):50-64.
  11. Zonker VJ. Career counseling. 2009. Transelated by Nazari AM, Mohsen zadeh F, Bustanipour AR. Tehran: Publishing of Educational Sciences of Samt. 2011. [In Persian].
  12. O’Brien WH, Singh RS, Horan K, Moeller MT, Wasson R, Jex SM. Group-Based Acceptance and Commitment Therapy for Nurses and Nurse Aides Working in Long-Term Care Residential Settings. J Altern Complement Med. 2019;25(7):753-61.
  13. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52:397-422.
  14. Ksiazek I, Stefaniak TJ, Stadnyk M, Ksiazek J. Burnout syndrome in surgical oncology and general surgery nurses: a cross-sectional study. Eur J Oncol Nurs. 2011;15(4):347-50.
  15. Johnson J, Hall LH, Berzins K, Baker J, Melling K, Thompson C. Mental healthcare staff well-being and burnout: A narrative review of trends, causes, implications, and recommendations for future interventions. Int J Ment Health Nurs. 2018;27(1):20-32.
  16. Davey MM, Cummings G, Newburn-Cook CV, Lo EA. Predictors of nurse absenteeism in hospitals: a systematic review. J Nurs Manag. 2009;17(3):312-30.
  17. Maslach C, Jackson SE. The measurement of experienced burnout. Journal of organizational behavior. 1981;2(2):99-113.
  18. Maghsudi M, Mohamadi S. A study on the relationship between job burnout and couple burnout of female g ynecologists (case study: Tehran). Women in Development and Politics (Women’s Research). 2010;8(3):57-71. [In Persian].
  19. Brindley PG, Olusanya S, Wong A, Crowe L, Hawryluck L. Psychological ‘burnout’ in healthcare professionals: Updating our understanding, and not making it worse. J Intensive Care Soc. 2019;20(4):358-62.
  20. Pines AM, Neal MB, Hammer LB, Icekson T. Job burnout and couple burnout in dual-earner couples in the sandwiched generation. Social Psychology Quarterly. 2011;74(4):361-86.
  21. Niazpour J. Investigating the relationship between job burnout and marital burnout in nurses. Master’s thesis. Family counseling group. Faculty of Psychology and Educational Sciences. Tarbiat Moalem University. 2010 [In Persian].
  22. Sofiani Y, Kamil AR, Muhdiana D, Aji PT, Kurniati D, Sudrajat DA. Determinant of stress and burnout among nurses at the second wave of the Indonesian COVID-19 pandemic: A national web-based survey. Open Access Macedonian Journal of Medical Sciences. 2021;9(E):1127-32.
  23. Joseph S, Alex Linley P, Harris GJ. Understanding positive change following trauma and adversity: Structural clarification. Journal of loss and trauma. 2004;10(1):83-96.
  24. Hartmann S, Backmann J, Newman A, Brykman KM, Pidduck RJ. Psychological resilience of entrepreneurs: A review and agenda for future research. Journal of small business management. 2022;60(5):1041-79.
  25. McAllister M, McKinnon J. The importance of teaching and learning resilience in the health disciplines: a critical review of the literature. Nurse Educ Today. 2009;29(4):371-9.
  26. Baskin RG, Bartlett R. Healthcare worker resilience during the COVID-19 pandemic: An integrative review. J Nurs Manag. 2021;29(8):2329-42.
  27. Zahrakar K, Karami K, Bozorgmanesh K. Evaluate the psychometric properties of the Sixbey. Quarterly of Educational Measurement. 2014;5(18):133-56. [In Persian].
  28. Hawley DR, DeHaan L. Toward a definition of family resilience: integrating life-span and family perspectives. Fam Process. 1996;35(3):283-98.
  29. Yang G, Liu J, Liu L, Wu X, Ding S, Xie J. Burnout and Resilience Among Transplant Nurses in 22 Hospitals in China. Transplant Proc. 2018;50(10):2905-10.
  30. Kaviani Z, Hamid N, Enayati M. The Effect of Religiousâ Based Cognitive Behavioral Therapy on Resiliency in Couples. Knowledge & Research in Applied Psychology. 2017;15(57):26-35. [In Persian].
  31. Arianfar N, Rasouli R. The comparison of solution-focused couple therapy with acceptance and commitment couple therapy on marital burnout of couples. Knowledge & Research in Applied Psychology. 2019;20(1):47-60. [In Persian].
  32. Hosseinaei A, Ahadi H, Fata L, Heidarei A, Mazaheri MM. Effects of group acceptance and commitment therapy (ACT)-based training on job stress and burnout. Iranian Journal of Psychiatry and Clinical Psychology. 2013;19(2):120-32. [In Persian].
  33. Bahrainian A, Khanjani S, Masjedi AA. The efficacy of group acceptance and commitment therapy (ACT)-based training on burnout in nurses. Police Medicine. 2016;5(2):143-52. [In Persian].
  34. Khanjani S, Donyavi V, Asmari Y, Rajabi M. The effectiveness of group training Acceptance and Commitment therapy on Moral Distress and Resiliency in Nurses. Nurse and Physician within War. 2018;5(16):50-8. [In Persian].
  35. Hayes SC, Smith S. Only in one moment of the act (step-by-step self-study of therapy based on acceptance and commitment. 2011; Translated by Mojtaba Rabbani. Tehran: Jangal Publications; 2017. [In Persian].
  36. Dahl J, Stewart I, Martell CR, Kaplan JS. ACT and RFT in relationships: Helping clients deepen intimacy and maintain healthy commitments using acceptance and commitment therapy and relational frame theory: New Harbinger Publications; 2014. Translated by Navabinejad S, Saadati N, Rostami M. Tehran: Jungle Publications; 2015. [In Persian].
  37. Wardley M, Flaxman PE, Willig C, Gillanders D. ‘Feel the Feeling’: Psychological practitioners’ experience of acceptance and commitment therapy well-being training in the workplace. J Health Psychol. 2016;21(8):1536-47.
  38. Arntz A, Jacob GA, Lee CW, Brand-de Wilde OM, Fassbinder E, Harper RP, et al. Effectiveness of Predominantly Group Schema Therapy and Combined Individual and Group Schema Therapy for Borderline Personality Disorder: A Randomized Clinical Trial. JAMA Psychiatry. 2022;79(4):287-99.
  39. Rastjoo S, Zandvanian A. Predicting of job burnout of female nurses based on effort–reward imbalance and components of positive psychology. Occupational Medicine Quarterly Journal. 2021;13(2):29-39. [In Persian].
  40. Navidi F. Investigating and comparing the relationship between marital burnout and organizational climate factors in employees of education departments and nurses in Tehran hospitals. 2005. Master’s thesis of Faculty of Educational Sciences and Psychology. Tehran: Shahid Beheshti University; [In Persian].
  41. Asadpour E, Veisi S. The effectiveness of acceptance and commitment therapy on marital satisfaction, sexual self-esteem and burnout martial among women with type 2 diabetes. Journal of Arak University of Medical Sciences. 2019;21(7):8-17. [In Persian].
  42. Hemmati M, Maddahi ME. Comparison the effectiveness of couple therapy based on schema therapy with couples therapy based on acceptance and commitment therapy on family resiliency of couples. Journal of Woman and Family Studies. 2018;6(2):145-63.
Sadra Medical Journal
Volume 12, Issue 2
April 2024
Pages 175-192
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