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:: Volume 28, Issue 4 (10-2020) ::
Journal of Ilam University of Medical Sciences 2020, 28(4): 90-99 Back to browse issues page
Effectiveness of Psychological Flexibility Training based on Acceptance and Commitment Therapy on Emotional Burn Out and Emotional Labor among Nurses Working at Hospitals in Ahvaz, Iran
Sareh Mirshekar1 , Seyed Esmaeil Hashemi * 2, Mahnaz Mehrabizade Honarmand1 , Nasrin Arshadi1
1- Dept of Psychology, Faculty of Educational Sciences and Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran
2- Dept of Psychology, Faculty of Educational Sciences and Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran , esmaeil12140@yahoo.com
Abstract:   (2666 Views)
Introduction: This study aimed to investigate the effectiveness of psychological flexibility training based on acceptance and commitment therapy on emotional burnout and emotional labor among nurses working at hospitals in Ahvaz, Iran.
Materials & Methods: This semi-experimental was conducted based on a pretest-posttest design and a control group. The study population included all nurses working at hospitals in Ahvaz, Iran, during 2019. In total, 40 nurses were selected using the purposeful sampling method based on the inclusion criteria and were randomly assigned to experimental and control groups. The participants in both groups were requested to respond to the Maslach burnout inventory and the Diefendorff et al. emotional labor scale before and after the intervention. The experimental group participated in three sessions of psychological flexibility training based on acceptance and commitment therapy. On the other hand, the control group awaited for the intervention. The data were analyzed using a multivariate analysis of covariance. Ethics code: EE/
Findings: The results of the data analysis showed a significant difference between the two groups in terms of emotional burn out (F=223.014, P=0.001) and emotional labor (F=273.731, P=0.001).
Discussions & Conclusions: Based on the findings, it can be stated that psychological flexibility training based on acceptance and commitment therapy can be used to reduce emotional burnout and emotional labor among nurses.
Keywords: Acceptance and commitment therapy, Emotional exhaustion, Emotional labor Psychological flexibility
Full-Text [PDF 643 kb]   (857 Downloads)    
Type of Study: Research | Subject: psychology
Received: 2019/01/5 | Accepted: 2019/02/6 | Published: 2020/10/31
1. Massoudi R, Aetemadifar S, Afzali S, Khayri F, Hassanpourdehkordi A. [The influential factors on burnout among nurses working in private hospitals in Tehran]. IJNR 2008:3: 47-58. (Persian)
2. Broom A, Kirby E, Good P, Wootton J, Yates P, Hardy J. Negotiating futility managing emotions nursing the transition to palliative care. Qual Health Res 2015;25:299-309. doi. 10.1177/1049732314553123.
3. Lundstrom T, Pugliese G, Bartley J, Cox J, Guither C. Organizational and environmental factors that affect worker health and safety and patient outcomes. Am J Infect Control 2002;30:93-106.
4. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol 2001;52:397-422. doi. 10.1146/annurev.psych.52.1.397.
5. Mathisen GE, Bergh LIV. Action errors and rule violations at offshore oil rigs the role of engagement emotional exhaustion and health complaints. Saf Sci 2016;85: 130-8. doi. 10.1016/j.ssci.2016.01.008
6. Chou HY, Hecker R, Martin A. Predicting nurses well‐being from job demands and resources: A cross‐sectional study of emotional labour. J Nurs Manage 2012;20:502-11. doi. 10.1111/j.1365-2834.2011.01305.
7. Hochschild AR. The managed heart the commercialization of human feeling. 1 th ed. Perface Berkeley Uni California Publication. 2012;111-9. doi.10.1002/pam.4050030365
8. Lee YH, Woo B. Emotional Intelligence emotional labor, and emotional exhaustion among korean fitness employees. J Glob Sport Manage 2017:2: 65-78. doi. 10.1080/24704067.2017.1283528
9. Yagil D, Medlerliraz H. Personally committed to emotional labor: surface acting emotional exhaustion and performance among service employees with a strong need to belong. J Occup Health Psychol 2017;22:481-91. doi.10.1037/ocp0000049.
10. Han SS, Han JW, Kim YH. Effect of nurse's emotional labor on customer orientation and service delivery the mediating effects of work engagement and burnout. Saf Health Work 2018; 9: 441-6. doi.10.1016/j.shaw.2017.12.001
11. Khaghanizade M, Siratinir M, Abdi F, Kaviani H. Assessing of mental health level of employed nurses in educational hospitals affiliated to Tehran medical sciences University. JFMH 2006: 8: 141-8.
12. Abdimasooleh F, Kaviani H, Khaghanizde M, Momeniaraghi A. The relationship between burnout and mental health among nurses. Tehran Uni Med J 2007:65: 65-75.
13. Duarte J, Pintogouveia J. Mindfulness self-compassion and psychological flexibility mediate effects of a mindfulness based intervention in a sample of oncology nurses. J Cont Behave Sci 2017:6:125 -33. doi.10.1016/j.jcbs.2017.03.002
14. Bond FW, Flaxman PE, Veldhoven MJPM, Biron M. The impact of psychological flexibility and acceptance and commitment therapy on health and productivity at work. Cont Occup Health Psychol Glob Res Pract Wiley 2010;1: 296-313. doi.10.1002/9780470661550.
15. Bond FW, Bunce D. The role of acceptance and job control in mental health, job satisfaction, and work performance. J Appl Psychol 2003; 88:1057-67. doi.10.1037/0021-9010.88.6.1057.
16. Obrien 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 setting. J Altern Comple Med 2019; 25: 753-61. doi.10.1089/acm.2019.0087.
17. Fatehidehaghani F, Badami R. [The impact of acceptance and commitment based therapy on job stress, metacognitive beliefs attention and shooting performance among military personnel]. J Mil Psychol 2017; 8:19-28. (Persian)
18. Bahreinian S, khanjani S, Masjediarani A. [The efficacy of group acceptance and commitment therapy based training on burnout in nurses]. J Police Med 2016; 5 :143-52. (Persian)
19. Robins TG, Roberts RM, Sarris A. Burnout and engagement in health profession students the relationships between study demands study resources and personal resources. Australas J Organ Psychol 2015;8: 1-13. doi.10.1017/orp.2014.7.
20. Onwezen MC, Veldhoven MJPM, Biron M. The role of psychological flexibility in the demands exhaustion performance relationship. Eur J Work Org Psychol 2014; 23:163-76. doi.10.1080/1359432X.2012.742242.
21. Biron M, Veldhoven, M. Emotional labour in service work psychological flexibility and emotion regulation. HR 2012;65: 1259-82. doi.10.1177/0018726712447832.
22. Arshadi N, Neisi A, Esmaeili I. [The mediating role of work motivation in the relationship between emotional exhaustion and job performance based on conservation of resources model]. IJBS 2014;7: 327-45. (Persian)
23. Diefendorff JM, Croyle MH, Gosserand RH. The dimensionality and antecedents of emotional labor strategies. J Vocat Behave 2005:66, 339-59. doi.10.1016/j.jvb.2004.02.001.
24. Keyvanara M, Naemesfahani M, Bahrami S, Karimi S, Azizzadeh M. An Investigation of the relationship between emotional labor and job satisfaction among the executives and nursing managers of the teaching hospitals affiliated to Isfahan University of medical sciences. JHC 2015; 1 :47-54. (Persian)
25. Flaxman PE, Bond FW, Livheim F. The mindful and effective employee an acceptance and commitment therapy training manual for improving well‐being and performance. Oakland CA New Harb 2013; 2:153-7.
26. Khamisa N, Peltzer K, Oldenburg B. Burnout in relation to specific contributing factors and health outcomes among nurses a systematic review. Int J Environ Res Publ Health 2013; 10:2214-40. doi.10.3390/ijerph10062214.
27. Mulki JP, Jaramillo F, Locander WB. Emotional exhaustion and organizational deviance can the right job and a leader's style make a difference? J Bus Res 2006; 59:1222-30. doi. 10.1016/j.jbusres.2006.09.001.
28. Hayes SC, Bissett R, Roget N, Padilla M, Kohlenberg BS, Fisher G, et al. The impact of acceptance and commitment training and multicultural training on the stigmatizing attitudes and professional burnout of substance abuse counselors. Behave Ther 2004; 35:821 -35. doi. 10.1016/S0005-7894(04)80022-4
29. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment theory model processes and outcomes. Behave Res Ther 2006;44:1-25. doi.10.1016/j.brat.2005.06.006.
30. Martinez D, Totterdell P, Alcover CM, Holman D. Emotional labor and emotional exhaustion: interpersonal and intrapersonal mechanisms. Work Stress 2007; 21: 30-47. doi.org/10.1080/02678370701234274
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Mirshekar S, Hashemi S E, Mehrabizade Honarmand M, Arshadi N. Effectiveness of Psychological Flexibility Training based on Acceptance and Commitment Therapy on Emotional Burn Out and Emotional Labor among Nurses Working at Hospitals in Ahvaz, Iran. J. Ilam Uni. Med. Sci. 2020; 28 (4) :90-99
URL: http://sjimu.medilam.ac.ir/article-1-5359-en.html

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Volume 28, Issue 4 (10-2020) Back to browse issues page
مجله دانشگاه علوم پزشکی ایلام Journal of Ilam University of Medical Sciences
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