The Effectiveness of Cognitive- Behavioral Stress Management Training on Job Burnout of Female Nurses in Some Medical Hospitals of Ahwaz by Controlling Rotation Time

Document Type : Original Article


Department of Psychology, Shahid Chamran University of Ahvaz, Iran.


Background and Objective: The present study investigated the effectiveness of cognitive behavioral stress management training (CBSM) on three aspects of burnout (emotional exhaustion, depersonalization and personal accomplishment), in female nurses. The population of this study consisted of all expert female nurses in Golestan, Razi and Abuzar hospitals.
Subjects and Methods: The research method was semi experimental with pre-, post-test and control group. 233 Nurses complited the Maslash Burnout Inventory (MBI). Then, 30 nurses who were one standard deviation above the mean in MBI were randomly selected. These subjects with paired single-married randomly divided into two groups as experimental and control (n=15 in each group). The experimental group received 9 sessions of cognitive-behavioral stress management (CBSM) training, but the control group did not receive any intervention.
Results: The results of MANCOVA indicated that CBSM significantly decreased depersonalization and increased personal accomplishment but did not decrease the emotional exhaustion in experimental group compared with pre-test and control group (P<0/001). These results were significantly persisted after one month period of follow up.
Conclusion: CBSM decreased depersonalization and increased personal accomplishment in nurses.


1-Hansen N, Sverke M, Naswall K. Predicting nurse burnout from demands resources in three acute care hospitals under different forms of ownership: a cross–sectional questionnaire survey. Int J Nurs Stud, 2009;46(1):95-106.

2-Raiger J. Applying a cultural lens to the concept of burnout. J Transcult Nurs 2005; 16(1):71-6.
3-West CP, Huschka MM, Novotny PJ, Sloan JA, Kolars JC, Habermann TM, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. J Am Med Assoc 2006; 296:1071-8.
4-Espeland KE. Overcoming burnout: how to revitalize your career. J Contin Educ Nurs 2006;37(4):178-84.
5-Kim HJ, Shin KH, Swanger N. Burnout and engagement: a comparative analysis using the big five personality dimensions. Int J Hosp Manage 2009;28:96-104.
6-Bogaert PV,Kowaiski C,Mace Weeks S,Heusden DV,Clark SP.The relationship between nurse environment,nurse work characteristics,burnout and job outcome and quality of nursing care:A cross-sectional survey.International Journal of Nursing Studies,50(12),2013:1667-1677.
7-Gandoy-Crego  M, Clemente M, Mayan-Santos JM, Espinosa P. Personal determinants of burnout in nursing staff at geriatric centers. Arch Gerontol Geriatr 2009;48(2):246-9.
8-Laai M.Job Stress Management in Nurses.Procedia-Social and  Behavioral Sciences,84,2013:437-442.
9-Kingdon D, Dimech A. Cognitive and behavior therapies: The state of the art. Psychiatry 2008;7(5):217-20.
10-Rahgoy A, Fallahi M, Karimlo M, Gaeeny M. Stress Inoculation management on Stress in Nurses. J Rehabil 2006; 7(2):61-5. [In Persian]
11-Garossi farshi  M, Moslem  M. Job burnout  and  copy skills in nurses  of  kordestan  hospital. J  Psychol  Stud 2005:(4-5):75-91. [In Persian]
12-Kravits K, McAllister-Black R, Grant M, Kirk C. Self-care strategies for nurses: A psycho-educational interventional intervention for stress reduction and the prevention of burnout. Appl Nurs Res 2010;23(3):130-138.
13-Rasolian M, Elahi F, Afkhamebrahimy A. The relationship between  burnout and personality traits. J Cognition Personality 2003;9 (4):18-24. [In Persian]
14-Payami M. Burnout in nurses of hospital of Medical Sciences University in  Zanjan. J Iran Nurs 2000  ;34:32-41. [In Persian]
15-Payami M. Social support and its relationship with burnout in nurses of special care. J Med Sci Zanjan Univ 1995;  33:52-7. [In Persian]
16-Abdy Masole  A, Kaviyani  H, Khaghani zadeh  M, Momeni  A. Burnout and mental health. J Med Sci Tehran Univ 2007;65(6):65-75. [In Persian]
17-Atashafroz A. Study the Mental health, stress and burnout in teachers of exceptional and normal students [dissertation]. Ahwaz: Shahid Chamran University of Ahvaz; 2007. [In Persian]
18-Keogh E, Bond FW, Flaxman PE. Improving academic performance and mental health through a stress management intervention: outcomes and mediators of change. Behav Res Ther 2006;44(3):339-57.
19-Berns D. Anxiety  attacks. Trans by Gharachedaghi M. Tehran: Asim; 2006. [In Persian]
20-Teror  B J, Enright SJ. [controlling  stress and   anxiety]. Trans by Tozandegani H, Kamalpoor N. Neyshabour: Islamic Azad University; 2006. [In Persian]
21-Richardson KM, Rothstein HR. Effects of occupational stress management Intervetion programs: a meta-analysis. J Occup healt Psychol 2008;13(1):69-93.
22-Millilken TF, Clements PT, Tillman HJ. The impact of strees management on nurse productivity and retention. Nurs Econ 2007;25(4):203-10.
23-American Nurses Association (ANA).. The nursing shortage: Solutions for the short and long term. Available at: URL: http://www.nursing world.Org/.2001. Accessed  month day, year.
24-Breevaart K,Arnold B,Evanglia Demerouti B.Daily Self-management and employee Work engagement .Journal of Vocational Behavior,84(1),2014:31-38.
25-Hodge GM, Jupp JJ, Taylor AJ. Work stress, distress and burnout in music and mathematics teachers. Br J Educ Psychol 1994;64(1):65-76.
26-Crotty M. Burnout and its implication for the continuing education of nurses. Nurse Educ Today 1987;7(6):278-84.
27-Taormina RJ, Law CM. Approaches to preventing burnout: the effects of personal management and organizational socialization. J Nurs Manage 2000;8(2):89-99.
28-Bogaret PV,Olaf T,Mace Weeks S,Heusden DV,Wouters K,France E.Nursing Unit Teams Matter:Impact of Unit-level Nurse Practice Environment,Nurse Work Charactheristics,and Burnout on Nurse Reported Job Outcomes,and Quality of care,and Patient Adverse Events.International Journal of Nursing Studies,Available online 30 December 2013.
 29-Rudman  A, Gustavsson JP. Early-career burnout among new graduate nurses: a prospective observational study of intra- individual change trajectories. Int J Nurs stud 2011;48(3):292-306.
30-Nahrgang JD, Morgeson FP, Hofmann DA. Safety at work: a meta-analytic investigation of the link between job demands, job resources, burnout, engagement, and safety outcomes. J Appl Psychol 2011;96(1):71-94.
31-Orly S, Rivka B, Rivka E, Dorit SE. Are cognitive-behavioral interventions effective in reducing occupational stress among nurses? Appl Nurs Res 2012;25(3):152-7.
32-Cutshall Sm, Wentworth Lj, Wahner-Roedler Dl, Vincent A, Schmidt Je, Loehrer Ll, et al. Evaluation of biofeed-back assisted meditation program as a stress management tool for hospital nurses: a pilot study. Explore (NY) 2011;7(2):110-2.