Investigating the effect of inquiry-based stress reduction on mortality awareness and interpersonal problems among intensive care unit nurses
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Introduction: Caring for dying patients is one of the job stressors. Nurses in intensive care units are among the medical staff who have a close interaction with dying patients. Studies have shown that psychological interventions are very helpful in improving thinking about death and its problems. Therefore, this study was conducted to investigate the effect of Inquiry-Based Stress Reduction on mortality awareness and interpersonal problems among intensive care unit nurses in southeastern Iran. Materials and methods: This was a Quasi-experimental study with a pretest-posttest design in southeast of Iran in 2021. Nurses were selected using the convenience sampling method and divided into intervention ( n = 32) and control ( n = 35) groups using the block randomization method. The intervention group received a two-hour Inquiry-Based Stress Reduction counseling session every week for 6 weeks. Data were gathered using Multidimensional Mortality Awareness Measure and Inventory of Interpersonal Problems before, immediately after, and 6 weeks after the intervention. IBM SPSS Statistics software version 25 was used for data analysis. Results: In the intervention group, the mean scores of Mortality Awareness before, immediately after, and 6 weeks after the intervention were 130.41 ± 5.91, 164.47 ± 8.66, and 163.91 ± 9.29, respectively. Therefore, in the intervention group, the increase of Mortality Awareness mean score was statistically significant ( P < 0.001). In the control group, the mean scores of Mortality Awareness before, immediately after, and 6 weeks after intervention were 129.63 ± 5.59, 135.26 ± 11.14, and 132.66 ± 5.62, respectively. Difference between the two groups was significant ( P < 0.001). The results also showed that in the intervention group the mean scores of Interpersonal Problems immediately after and 6 weeks after the intervention were lower than before the intervention ( P < 0.001). In the control group, Interpersonal Problems increased over time ( P < 0.001). Accordingly, the difference between the two groups in terms of Interpersonal Problems during the study was statistically significant ( P < 0.001). Conclusion: The study results suggest that the Inquiry-Based Stress Reduction is an appropriate intervention method to improve mortality awareness and reduce interpersonal problems in intensive care unit nurses.
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Nurses, especially those working in intensive care units and caring for dying patients, face considerable job-related stress.
“Nurses, especially those working in intensive care units and caring for dying patients, face considerable job-related stress.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [127]
Psychiatric nurses report even higher work stress and lower mental health levels compared to their peers in other nursing specialties.
“Psychiatric nurses report even higher work stress and lower mental health levels compared to their peers in other nursing specialties.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [127]
The intense emotional demands and constant exposure to patient suffering contribute to chronic stress and burnout.
“The intense emotional demands and constant exposure to patient suffering contribute to chronic stress and burnout, emphasizing the need for effective stress management strategies [126,127].”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [127]
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- Authors
- Tajnia, S., Iranmanesh, S., Asadi, N., & McDermott, M.
- Affiliations
- Kerman University of Medical Sciences (IR)
- University of East London (GB)
- Corresponding author
- Asadi, Neda
- Venue
- BMC Psychiatry
- Published
- 2022-02-10
- Volume
- 22
- Issue
- 1
- Pages
- 106-106
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC8831030
- OpenAlex
- W4211210918
- Cited by
- 16
- References
- 24
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 6 · 2023: 4 · 2022: 2
- FWCI
- 3.19
- Type
- journal article
- Language
- en
- Update notices
- correction (2022-04-13)
- Open access
- gold
- doi.org
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UEL Research Repository (University of East London) (submittedVersion, cc-by)
- Funders
- Kerman University of Medical Sciences
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- death awareness, interpersonal problems, intensive care unit nurses, nurse stress, psychological intervention, death and dying
- MeSH terms
- Counseling, Humans, Intensive Care Units, Iran, Surveys and Questionnaires
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