Stress Management Training Program Research Articles

Analysis of Aggressive Behavior Studies in the Workplace in Indonesia: A Systematic Literature Review

Aggressive behavior in the workplace is a crucial issue in Indonesia, potentially having a negative impact on individuals, teams, and organizations. This systematic literature review aims to analyze research on aggressive behavior in the workplace in Indonesia, including the factors that influence it, its impact, and coping strategies. This literature review uses the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method. A literature search was conducted in electronic databases such as Google Scholar, Scopus, and PubMed with the keywords "aggressive behavior", "workplace", and "Indonesia". From 25 relevant studies, the findings show that the factors that influence aggressive behavior in the workplace in Indonesia include work stress, workload, interpersonal conflict, and organizational culture. The impact of aggressive behavior in the workplace can include reduced productivity, employee turnover, and poor mental health. Coping strategies that can be implemented to overcome aggressive behavior in the workplace include stress management training programs, conflict intervention programs, and the formation of a positive organizational culture. Aggressive behavior in the workplace is a complex problem with various factors that influence it. Comprehensive prevention and mitigation efforts are needed to overcome this problem and create a safe and conducive work environment.

Interventions to Reduce Stress and Burnout among Teachers: A Scoping Review.

Background: Teaching is recognized as a highly challenging profession. Experience of chronic stress is a risk factor for poor mental and physical well-being, and burnout. There is limited knowledge regarding optimal interventions to address stress and burnout among teachers. Objective: To undertake a scoping review of the literature in the last five years to determine various psychological interventions to address stress and burnout among teachers. Method: The PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews was followed. Relevant search terms were used to determine different interventions adopted to reduce teachers' stress and burnout. Articles published between 2018 and 2022 were identified using five bibliographic databases. Relevant articles were extracted, reviewed, collated, and thematically analyzed, and findings s were summarized. Results: Forty studies conducted in Asia, North America, Oceania, Europe, and Africa, met the inclusion criteria. Sixteen kinds of burnout and stress-reduction interventions were identified. The most popularly studied intervention were Mindfulness-Based Interventions alone or in combination with yoga or Cognitive Behavioural Therapy (CBT), followed by Rational Emotive Behavioral Therapy (REBT). Mindfulness-Based Interventions led to decreased overall Teacher Stress Inventory (TSI) and emotional exhaustion subscale scores. REBT, primarily used with special education teachers, especially in Africa, has also shown positive results. Other interventions reporting positive outcomes include Inquiry-Based Stress Reduction (IBSR), the Stress Management and Resiliency Training Program (SMART), Cyclic Meditation, Group Sandplay, Progressive Muscle Relaxation, Autogenic Training, Sport-Based Physical Activity, Emotional Intelligence Ability Models and Christian Prayer and Prayer-Reflection. Conclusions: Stress and burnout can have a negative impact on teachers and, very often, on the students they teach. Implementing suitable school-based interventions is necessary to improve teachers' stress-coping ability, reduce the likelihood of burnout and improve general well-being. Policymakers, governments, school boards and administrators should prioritize the implementation of school-based awareness and intervention programs.

Psychosocial Status and Quality of Life among Vitiligo Patients

Vitiligo is a chronic skin disorder that may have negatively affect on patients’ self-esteem, body image, social state and quality of life. Aim: The aim of the present study was to assess the relationship between psychosocial status and quality of life among patients’ vitiligo. Design: A descriptive correlational research design was utilized to achieve the aim of this study. Setting: The study was conducted in laser unit at Benha Dermatology Hospital and in phototherapy unit at Benha University Hospital Governorate. Subject: A convenience sample of 100 patients’ vitiligo was included from the above settings for conduction of this study. Tools: Five tools used for data collection. Tool I - A structured interviewing questionnaire was used to collect data about socio demographic and clinical characteristics of the studied sample. Tool II - Self-esteem Scale. Tool III - Body image scale, Tool IV - Social problems scale, Tool V - Quality of life scale. Results: More than half of studied sample had low level of self-esteem and quality of life. While more than half of studied sample had moderate negative body image. Also, half of studied sample had moderate level of social problems. Conclusion: There was a highly statistically significant positive correlation between total body image, total social problems and quality of life. Recommendation: Stress management and assertiveness training program should be given to patients’ vitiligo to relieve the psychosocial problems and enhance coping patterns.

Outcomes of a Stress Management and Resiliency Training (SMART) Program for Family Caregivers of Individuals With Advanced Head and Neck Cancer.

To conduct a single-arm prospective pilot study examining the feasibility, acceptability, and preliminary effectiveness of a Stress Management and Resiliency Training (SMART) intervention among family caregivers (FCGs) of individuals with head and neck cancer (HNC). This study was conducted with 26 FCGs of individuals with HNC receiving chemotherapy in the medical oncology clinic at the Mayo Clinic Comprehensive Cancer Center. The SMART intervention consisted of in-person and online components. Measurements included feasibility, acceptability, self-compassion, resilience, perceived stress, anxiety, and mindfulness. Results support acceptability of the SMART program and provide recommendations to improve feasibility. Data indicate significant improvements in self-compassion (p = 0.03) and anxiety (p = 0.02), with positive trends for resilience, stress, and mindfulness. This study warrants further research with larger, more diverse samples testing the efficacy of the program, its mechanism of action, and potential synergistic effects among individuals receiving oncology care, FCGs, and nurses.

Evaluation of the effectiveness of stress management training on hardiness and anxiety of nurses of Noor Didehgan clinic in Karaj

Today, work and personal life are intertwined. It has created many problems. Nurses' jobs expose them to various stresses. The aim of this study was to investigate the effect of stress management training on the hardiness of nurses in Karaj. Method: The present study is a quasi-experimental study. The study population consisted of 30 nurses and was divided into two groups of 15 experimental and control using the available sampling method. The stress management training program based on cognitive-behavioral theory was performed on the experimental group for 16 hours. Research data using the scale of Kubasa (1). Hardiness Questionnaire. Also Beck Anxiety Questionnaire (2). Before and after the educational intervention, individuals from both groups were tested and collected. Findings: Data analysis was performed using descriptive statistical methods and analysis of covariance in SPSS software version 23. The results showed that the stress management training program and communication skills significantly reduced the mean score of anxiety (p <0.05) and increased the score of hardiness (p <0.05) in the experimental group compared to the control group. Conclusion: A stress management training program, based on cognitive-behavioral theory, can improve nurses' health by reducing anxiety symptoms and increasing the hardiness level.

Effectiveness of Stress Management and Relaxation Training in Reducing Negative Affect and Improving Quality of Life of Women with Breast Cancer

Background: At 2005, stomach, gullet, breast and prostate cancer were diagnosed as the leading causes of cancer among Iranian population. The purpose of this pilot study with follow-up and control groups was to investigate the effectiveness of stress management and relaxation training for Women with Breast Cancer (B-SMART) in reducing the negative affect and improving quality of Life of women with breast cancer.
 Methods: The population of the study were all the women with breast cancer who referred to Mostafa Khomeyni Hospital and 18 patients based on inclusion and exclusion criteria were randomly allocated to experimental group (9 patients) and control group (9 patients). The stress management and relaxation training program for women with breast cancer was performed on the experimental group during 10 weekly sessions. PANAS questionnaire for Negative Affect and QLQ -C30, QLQ-Br23 questionnaires for quality of life, were completed by both groups before, after and 2 months after program.
 Results: The data analyzed using Variance for repeated measures (tests of within Subjects effects and between Subjects effects) revealed that B-SMART led to a significant decrease in negative affect and improvement in some subscales of quality of life in experimental group after training and 2 months later in comparison with the control group.
 Conclusion: Stress management and relaxation programs for women with breast cancer will increase their quality of life and psychological status.

The Effectiveness of Stress Management Training through Spiritual Therapy Content on Sports Anxiety: a Quasi-Experimental Study

Background. Due to the periodic nature and rapid activities of badminton, in addition to paying attention to technical and tactical skills, special attention should also be given to psychological skills, which play a significant role in the performance of badminton players. In this regard, the present study was conducted to determine the effectiveness of stress management training through the content of spiritual therapy on sports anxiety of the females from Mazandaran who were invited to the selection camp of the country's adult badminton championship. Methods. This quasi-experimental research was conducted in three phases of pretest, posttest and follow-up. Considering the purpose of the study, 10 people were selected from the statistical population, and then they were randomly and equally assigned to control and experimental groups. The experimental group participated in a stress management training program which was implemented through 8 group sessions held once a week. Both groups completed the anxiety questionnaire in in three stages: baseline, after training and follow-up. Both descriptive and inferential statistics were used to analyze the data. Results. The results of covariance analysis showed that the stress management training program with the content of spiritual therapy had a significant effect on reducing sports anxiety of the females playing badminton in both stages of post-test and the related follow-up 45 days later. Conclusion. Stress management based on spiritual therapy can be one of the effective approaches in reducing the symptoms of sports anxiety along with other medication interventions. The findings of this study confirm the acceptability of the theoretical issues presented in this basin.

The impact of Stress Management and Resilience Training (SMART) on academic physicians during the implementation of a new Health Information System: An exploratory randomized controlled trial.

ObjectiveThe Stress Management and Resilience Training (SMART) program is an evidence-based intervention designed to build resilience in physicians in clinical practice. The objective of the current study was to assess the impact of the SMART program on academic physicians’ levels of resilience, subjective happiness, stress, and anxiety, and specifically during the implementation of a new hospital-wide Health Information System (HIS).MethodsA total of 40 physicians in a tertiary care academic hospital were randomized (allocation ratio 1:1) to either the SMART intervention or the control condition. The SMART intervention consisted of one mandatory two-hour in-person workshop and an optional 24-week online program, designed to support the materials delivered in the workshop. Outcome measures were assessed using validated scales administered online at baseline and at 3-months and 6-months follow-up.ResultsAfter adjusting for baseline levels of each outcome, no statistically significant intervention effect was observed for resilience, subjective happiness, stress or anxiety at 3-months or 6-months follow-up. However, physicians in the intervention group demonstrated improvements in resilience, stress and anxiety at follow-up that were within the range of clinically relevant differences.ConclusionsThe findings of this exploratory study provide modest support that the SMART intervention may be beneficial for proactively addressing physician wellness during the implementation of a new HIS and that larger randomized trials are warranted.Trial registrationNCT04384861.

Stress Management Intervention for Leaders Increases Nighttime SDANN: Results from a Randomized Controlled Trial.

Stress management interventions aim to reduce the disease risk that is heightened by work stress. Possible pathways of risk reduction include improvements in the autonomous nervous system, which is indexed by the measurement of heart rate variability (HRV). A randomized controlled trial on improving stress management skills at work was conducted to investigate the effects of intervention on HRV. A total of 174 lower management employees were randomized into either the waiting list control group (CG) or the intervention group (IG) receiving a 2-day stress management training program and another half-day booster after four and six months. In the trial, 24 h HRV was measured at baseline and after 12 months. Heart rate (HR), root mean square of successive differences (RMSSD), standard deviation of normal-to-normal intervals (SDNN), and standard deviation of the average of normal-to-normal intervals (SDANN) were calculated for 24 h and nighttime periods. Age-adjusted multilevel mixed effects linear regressions with unstructured covariance, time as a random coefficient, and time × group interaction with the according likelihood-ratio tests were calculated. The linear mixed-effect regression models showed neither group effects between IG and CG at baseline nor time effects between baseline and follow-up for SDANN (24 h), SDNN (24 h and nighttime), RMSSD (24 h and nighttime), and HR (24 h and nighttime). Nighttime SDANN significantly improved in the intervention group (z = 2.04, p = 0.041) compared to the control group. The objective stress axis measures (SDANN) showed successful stress reduction due to the training. Nighttime SDANN was strongly associated with minimum HR. Though the effects were small and only visible at night, it is highly remarkable that 3 days of intervention achieved a measurable effect considering that stress is only one of many factors that can influence HR and HRV.

SMART-ly Managing Type 1 Diabetes - Modifying Glucose Metabolism With an Online Mind-Body Intervention: A Feasibility and Pilot Study.

Managing type 1 diabetes is stressful. Stress physiology influences glucose metabolism. Continuous glucose monitors allow us to track glucose variability in the real-world environment. Managing stress and cultivating resiliency should improve diabetes management and reduce glucose variability. The study was designed as a randomized prospective cohort pre-post study with wait time control. Participants were adult type 1 diabetes patients who used a continuous glucose monitor and recruited from an academic endocrinology practice. The intervention was the Stress Management and Resiliency Training (SMART) program conducted over 8 sessions over web-based video conference software. The main outcome measures were Glucose variability, the Diabetes Self-Management questionnaire (DSMQ),Short-Form Six-Dimension (SF-6D), and the Connor-Davidson Resiliency (CD-RSIC) instrument. There was statistically significant improvement in participants DSMQ and CD RISC scores though the SF-6D did not change. Participants under age 50 years-old showed a statistically significant reduction in average glucose (p = .03) and Glucose Management Index (GMI) (p = .02). Participants also had reduced percentage of time high and increased time in range though this did not reach statistical significance. The participants found doing the intervention online acceptable if not always ideal. An 8-session stress management and resiliency training program reduced diabetes related stress and improved resiliency and reduced average blood glucose and GMI in those under 50 years-old. ClinicalTrials.gov, identifier NCT04944264.

\u201cOne size does not fit all\u201d \u2013 lessons learned from a multiple-methods study of a resident\xa0wellness curriculum across sites and specialties

BackgroundThere is growing recognition that wellness interventions should occur in context and acknowledge complex contributors to wellbeing, including individual needs, institutional and cultural barriers to wellbeing, as well as systems issues which propagate distress. The authors conducted a multiple-methods study exploring contributors to wellbeing for junior residents in diverse medical environments who participated in a brief resilience and stress-reduction curriculum, the Stress Management and Resiliency Training Program for Residents (SMART-R).MethodsUsing a waitlist-controlled design, the curriculum was implemented for post-graduate year (PGY)-1 or PGY-2 residents in seven residency programs across three sites. Every three months, residents completed surveys, including the Perceived Stress Scale-10, General Self-Efficacy Questionnaire, a mindfulness scale (CAMSR), and a depression screen (PHQ-2). Residents also answered free-text reflection questions about psychological wellbeing and health behaviors.ResultsThe SMART-R intervention was not significantly associated with decreased perceived stress. Linear regression modeling showed that depression was positively correlated with reported stress levels, while male sex and self-efficacy were negatively correlated with stress. Qualitative analysis elucidated differences in these groups: Residents with lower self-efficacy, those with a positive depression screen, and/or female residents were more likely to describe experiencing lack of control over work. Residents with higher self-efficacy described more positive health behaviors. Residents with a positive depression screen were more self-critical, and more likely to describe negative personal life events.ConclusionsThis curriculum did not significantly modify junior residents’ stress. Certain subpopulations experienced greater stress than others (female residents, those with lower self-efficacy, and those with a positive depression screen). Qualitative findings from this study highlight universal stressful experiences early in residency, as well as important differences in experience of the learning environment among subgroups. Tailored wellness interventions that aim to support diverse resident sub-groups may be higher yield than a “one size fits all” approach.Trial registrationNCT02621801, Registration date: December 4, 2015 – Retrospectively registered.

The impact of stress management training on stress-related coping strategies and self-efficacy in hemodialysis patients: a randomized controlled clinical trial

IntroductionDialysis causes many psychological and social problems, such as stress and inefficiency in patients, which should be considered in health promotion interventions. Therefore, this study aimed to determine the impact of stress management training on stress coping strategies and the self-efficacy of these patients in southeastern Iran.MethodsThis quasi-experimental study was a randomized controlled clinical trial was conducted on hemodialysis patients from December 2019 to January 2020. Patients who met inclusion criteria were selected with the convenience sampling method and divided into the two groups of intervention (n = 30) and control (n = 30) by using the block randomization method. Participants in the intervention group were trained in a stress management training program in 8 one-and-a-half-hour sessions, held twice a week. Data were measured with stress coping strategies and general self-efficacy questionnaires before, immediately, and 1 month after the intervention. SPSS18 was used for data analysis.ResultsThe study results showed that the scores of stress coping strategies and the self-efficacy score in all their dimensions were significantly different between the intervention and control groups (P < 0.001).ConclusionThe present study results showed that stress management training programs promoted stress coping strategies and self-efficacy in hemodialysis patients. Health planners and nurses are recommended to use these easy, feasible, and inexpensive interventions to reduce stress and increase self-efficacy.Trial registration Iranian Registry of Clinical Trials (IRCT): IRCT20160914029817N10. Date of registration: October 7, 2021. URL: https://en.irct.ir/trial/58540. Registration timing: a retrospective.

The Effect of Stress Management Program on Perceived Stress in Patients with Type 2 Diabetes: A Randomized Controlled Trial.

Stress management plays an important role in improving metabolic control in type 2 diabetes patients. The aim of this study was to find the effect of educational intervention on improving stress management in type 2 diabetic patients in Dezful, Iran. In an experimental study, 92 patients with type 2 diabetes who were referred to the Diabetes Clinic of Ganjavian Hospital of Dezful were selected by available sampling method. Then, they were randomly divided into two groups: 46 as intervention and 46 as control. For the intervention group, a stress management training program was designed for one month (8 sessions), while there was no training for the control group. All participants filled the Cohen Perceived Stress Questionnaire (PSQ) in baseline and follow up (3 months) phases. All the data were analyzed using SPSS software by conducting an independent t- test, and paired sample t- test, and Chi-square test at a significant level of 0.05. The mean age of participants was 52.70 ± 10.91 years. Pre-test data revealed that there was no significant difference between the stresses of the two groups (P> 0.05); however, the results of the independent t-test, 3 months after the educational intervention, demonstrated a significant decrease in stress level in the intervention group compared to the control group (P <0.05). Based on the findings of this study, it is concluded that the design and implementation of health education interventions can be useful to improve stress management in people with type 2 diabetes.

PELATIHAN MANAJEMEN STRES SECARA DARING PADA REMAJA LAKI-LAKI SELAMA PEMBELAJARAN JARAK JAUH

Online stress management training among junior high school male adolescents during school from home. This research aims to examine the effectiveness of an online stress management training program for male adolescents, between 12-15 years old, who are attending School from Home (SFH) due to pandemic COVID -19. Design of this research is a one-group design with three times measurement, which are pre-test, post-test, and a follow up, in a monthly interval between each measurement. The measurements are Perceived Stress Scale (PSS) and BRIEF COPE. The online training program is conducted through video conferencing meetings twice a week. One session of the program takes 90 minutes. Research participants consists of 6 male adolescents. The discovered data is then analyzed through Friedman test to identify a significant mean score's differences on the utilized instruments after the program. The result shows significant decrease of stress level followed by the significant improvement of the use of adaptive coping strategy. So, online stress management training can be an effective program to help high school adolescents to lower down their stress level during school from home in Pandemic COVID-19.

Effect of the stress management training program as an electronic package on nurses' mental health and job performance in the face of patients with COVID-19

Effect of the stress management training program as an electronic package on nurses' mental health and job performance in the face of patients with COVID-19

Effect of Stress Management Training for the Elderly in Rural Northern Thailand

Background:Stress management is an important health promotion activity for elderly people.Objective:This research aimed to study the effect of stress management training program on the knowledge and stress management skills of elderly living in the rural community of northern Thailand.Methods:This was a quasi-experimental study. The elderly living in rural northern part areas of Thailand were recruited for the study. Multi-stage random sampling was employed to select participants. Seventy-two elderly people were assigned to the intervention group. Participants received stress management training, including knowledge, meditation, and self-practice massage. Interview questionnaires were used as a research instrument in the process of data collection. An independent t-test was employed to compare mean scores between the two groups. Three different time periods were examined using repeated measures ANOVA, test with a significant level of 0.05.Results:After the program, there were statistically significant differences in mean scores of knowledge and stress management between the intervention and the control group. The mean scores of knowledge and stress management of the intervention group were higher than the control group (p-value&lt;0.05), and the level of stress of the elderly in the intervention group had decreased within and between groups after the follow-up (p-value&lt;0.05).Conclusion:Stress management training program is effective in developing knowledge and stress management skills and helping reduce stress for the elderly living in the rural community of Thailand. This program should be applied to reduce stress and to improve quality of life among other age groups.

The effect of training program of health promotion behaviors on geriatric general health components.

BACKGROUND:Increasing in elderly's population and their individual and social problems especially mental health problem in this group need special attention. The aim of this study was evaluation of health promotion behaviors training program efficacy on general health components in elderlies referring to health centers in Isfahan city.MATERIALS AND METHODS:This study was a tri phasic field trial in 2014 in which 72 elderlies allocated randomly in two case and control groups. Case group participated in 9 training sessions on stress management and interpersonal relationships and the control group participated in 2 sessions with a neutral discussion content. Data collection tools were demographic information questionnaire and general health questionnaire 28. Pretest, posttest, and 2-month follow-up were performed in two groups. Data were analyzed by t-test, analysis of variance with repeated measurement, least significant difference post hoc test, and SPSS 20 software.RESULTS:Findings of this study showed that the average of general health score in case and control groups had not significant difference before the intervention (P > 0.05). However, the mean difference of general health score after intervention and 2-month follow-up was statistically significant in two groups (P < 0.001).CONCLUSIONS:This study showed that interpersonal relationship and stress management training program are effective on promotion of mental health in elderlies. Hence, the findings of this study can be used in the field of treatment and care of the elderly by other health-care categories.

Feasibility and efficacy of integrating resiliency training into a pilot nurse residency program

The high stress associated with the nursing profession can negatively affect the health of nurses and the quality of patient care that they provide. This quasi-experimental study aimed to 1) assess the feasibility of integrating a Stress Management and Resiliency Training (SMART) program within a nine-month pilot nurse residency program and 2) assess the effects of the program on participants’ stress, anxiety, mindfulness, and resilience relative to a comparison group. A pre- and post-intervention survey design was used, with measurements taken at baseline and at 1, 3, 9, and 12 months after baseline. We enrolled 51 registered nurses (intervention group, n = 23; comparison group, n = 28) at a Midwestern US academic medical center. Nurses in the intervention group had a participation rate of 93%–100% with SMART program events. Despite the relatively limited adherence to the protocol by intervention group participants, significant improvements were noted for stress (P < .001), mindfulness (P < .001), and resilience (P < .001) in the intervention group compared with the comparison group. The SMART program can potentially be successfully integrated into a nurse residency program and positively impact nurse stress, mindfulness, and resilience. Further research is needed to determine the proper dose of the intervention and methods to enhance adherence.

Stress Management and Resiliency Training for Healthcare Professionals: A Mixed-Methods, Quality-Improvement, Cohort Study.

To assess the effects of a multi-modal resilience program, the Stress Management and Resiliency Training (SMART) Program, on healthcare professional well-being and job satisfaction. This pilot, mixed-methods, quality improvement, cohort study assessed perceived stress, physical and mental health, job satisfaction, burnout, and value of the curriculum to attendees. Participants experienced a significant reduction in perceived stress (P < 0.001) and significant improvements in global mental health (P = 0.001), physical health (P = 0.045), and job satisfaction (P = 0.047). There was no significant improvement in burnout. Qualitative analysis of free text responses revealed appreciation for the skills taught, increased resiliency, and a positive impact on relationships. Delivering the SMART Program to healthcare professionals is feasible and may serve as a useful tool for reducing stress and increasing resilience.

Stress management training program for stress reduction and coping improvement in public health nurses: A randomized controlled trial.

This study aimed to evaluate the effect of the stress management interventional program in reducing occupational stress and improving coping strategies among public health nurses. A double-blind, cluster-randomized approach was used as a randomization method for this study to evaluate the stress management interventional program. A cluster-randomized controlled trial was carried out in eight comprehensive healthcare centres in Amman city, Jordan; four centres were randomly assigned to each experimental and control group. One hundred and seventy nurses were selected randomly from March 2019 - August 2019 and data were collected by using the Nursing Stress Scale & brief COPE over three data collection times. Both descriptive and inferential statistics (repeated measure ANOVA, Independent t test, and chi-squared) were used to answer the research questions of this study. The results showed that both the levels of occupational stress and coping strategies were significantly different between the two study groups over the three data collection points (p<0.05). Based on the findings of this study, the stress management program is an effective non-invasive method that can be used to reduce stress levels and improve coping strategies for public health nurses. The implementation of stress management interventions in health care is likely to help nurses manage occupational stress in practice. Nurses suffer from a high level of occupational stress. In particular, approximately74% of nurses experience severe occupational stress, which can lead to many mental and physical disorders. However, nurses were less able to utilize the correct stress preventive strategies due to gaps in knowledge, skills, and awareness. This study contributed to the provision of empirical evidence of the effectiveness of the stress management program in reducing occupational stress and improving coping strategies among public health nurses. A stress management intervention program is a valuable non-invasive method that can be used by healthcare organizations to reduce stress levels and improve coping strategies for nurses in practice. NCT03833986.