Are cognitive–behavioral interventions effective in reducing occupational stress among nurses?
Abstract
Despite the growing evidence regarding the effectiveness of cognitive-behavioral interventions in reducing occupational stress, very few studies have examined its effectiveness among nurses. This study investigated the impact of a cognitive-behavioral (CB) course on the nurses' well-being. The study compared the sense of coherence (SOC), perceived stress (PSS), and mood states of 20 nurses who had participated in the CB course to that of 16 control participants using a pre-post test design. At baseline (t1), no significant differences were found between the two groups in SOC, PSS, and mood states. The effects within each group controlling for t1 were examined by analysis of covariance. At t2, a significant increase in SOC and the mood state of vigor and a significant decrease in PSS and fatigue were found only among participants in the CB course. The results are discussed in relation to the conceptual framework of stress and coping theory.
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Burnout among healthcare professionals is significantly associated with suicidal ideation, decreased job satisfaction, increased turnover intention, loss of healthcare professionals, and deterioration in quality of care, patient safety, and health status.
“Burnout among HPs is significantly associated with suicidal ideation [7], decreased job satisfaction [8], and increased turnover intention, ultimately resulting in a loss of HPs and deterioration in the quality of care, which is also negatively affected, as is patient safety and health status [9,10,11].”
From Effects of Third-Wave Cognitive Behavioral Therapy for Healthcare Professionals’ Burnout: A Systematic Review and Meta-Analysis (2025) · cites this paper as [7]
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A brief mindfulness-based stress reduction intervention for nurses and nurse aides
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Cognitive behaviour therapy of acute stress disorder: a four-year follow-up
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Preventing occupational stress in healthcare workers
Marine, A., Ruotsalainen, J. H., Serra, C., & Verbeek, J. H. (2006) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002892.pub2 · Cited by 499 · see citing works
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Effectiveness of lifestyle health promotion interventions for nurses: a systematic review
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- Authors
- Orly, S., Rivka, B., Rivka, E., & Dorit, S.-E.
- Affiliations
- Soroka Medical Center (IL)
- Venue
- Applied Nursing Research
- Publisher
- Elsevier BV
- Published
- 2012-08
- Volume
- 25
- Issue
- 3
- Pages
- 152-157
- ISSN
- 0897-1897 (ISSN-L)
- OpenAlex
- W2102969220
- Cited by
- 67
- References
- 2
- Citations by year
- 2026: 1 · 2023: 4 · 2022: 8 · 2021: 10 · 2020: 4 · 2019: 7 · 2018: 2 · 2017: 1 · 2016: 10 · 2015: 10 · 2014: 5 · 2013: 3 · 2012: 1
- FWCI
- 3.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Applied Nursing Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Keywords
- cognitive-behavioral intervention, occupational stress, nurses, sense of coherence, perceived stress, mood states, vigor, fatigue, stress and coping theory, nurse well-being
- MeSH terms
- Adaptation, Psychological, Adult, Affect, Burnout, Professional, Female, Humans, Male, Middle Aged, Nursing Staff, Hospital, Staff Development, Program Evaluation, Cognitive Behavioral Therapy, Occupational Exposure, Nurse's Role
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