Effects of a Connection-Enhancement Program for Newly Employed Generation Z Nurses.
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-29
SponsorNational Defense Medical University, Taiwan
About this trial
The purpose of this randomized controlled trial is to evaluate the effects of a connection-enhancement program on resilience, perceived stress, burnout, and intention to stay among newly employed Generation Z nurses in a military hospital. Approximately 80 eligible nurses will be randomly assigned to either an intervention group or a control group. The control group will receive conventional orientation education for newly employed nurses, whereas the intervention group will receive the connection-enhancement program in addition to conventional orientation education. The intervention will be delivered over four weeks, with one 50-60-minute session per week. Outcomes will be assessed before and after the intervention using self-reported questionnaires and salivary cortisol measurements.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Newly employed nurses who are currently working at Tri-Service General Hospital and have been employed for no more than 2 years
Nurses who provide direct patient care
Aged 20 years or older
Nurses of any sex and from any clinical unit
Disqualifiers
Born before 1997
Experienced a major family event within the past 3 months
Have a mental illness or emotional disorder
Trial design
Design model
Parallel
Treatments tested in this trial
Connection-Enhancement Program
BehavioralThe Connection-Enhancement Program is a 4-week intervention for newly employed Generation Z nurses, delivered by trained research personnel in weekly 50-60-minute sessions. The programme uses presentations, multimedia materials, guided exercises, and brief discussions. Week 1 addresses workplace adaptation, stress awareness, role transition, and psychological safety; Week 2 focuses on resilience, relaxation techniques, and self-care; Week 3 addresses emotional awareness, emotion regulation, and mindfulness-based breathing; and Week 4 focuses on self-compassion, resilience, coping strategies, support resources, and active listening skills. Workplace-based scenarios and experiences shared by experienced nurses are integrated throughout the program to strengthen participants' understanding of workplace stress and practical coping strategies.
Conventional Orientation Education
Other interventionParticipants in the control group will receive conventional orientation education for newly employed nurses provided by the hospital. They will not receive the Connection-Enhancement Program during the study intervention period.
Treatment groups
80 Participants
are divided into 2 treatment groupsGroup A: Connection-Enhancement ProgramExperimental treatment 2 interventions
Group B: Conventional Orientation EducationActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Change in Resilience
Resilience will be assessed using the 29-item Chinese version of the Resilience Scale, which comprises five domains: personal strength, family cohesion, social resources, social competence, and structured style. Total scores range from 0 to 203, with higher scores indicating greater resilience.
Time frame
At baseline (before intervention) and immediately after the 4-week intervention.2
Change in Perceived Stress
Perceived stress will be assessed using the 14-item Perceived Stress Scale (PSS). Each item is rated on a 5-point Likert scale ranging from 0 (never) to 4 (always), with selected items reverse-scored. Total scores range from 0 to 56, with higher scores indicating greater perceived stress.
Time frame
At baseline (before intervention) and immediately after the 4-week intervention.3
Change in Burnout
Burnout will be assessed using the 19-item Taiwanese Nurse Burnout Scale (TNBS), which comprises five domains: workload, workplace support, family relationships, work ability, and nursing identity. Items are rated on a 7-point Likert scale ranging from 1 (strongly disagree) to 7 (strongly agree), with higher scores indicating greater burnout.
Time frame
At baseline (before intervention) and immediately after the 4-week intervention.4
Change in Intention to Stay
Intention to stay will be assessed using the 19-item Nurses' Professional Commitment Scale, which comprises three domains: professional identity, professional involvement, and professional withdrawal. Items are rated on a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree), with higher scores indicating greater professional commitment.
Time frame
At baseline (before intervention) and immediately after the 4-week intervention.Secondary outcomes
1
Change in Self-Compassion
Self-compassion will be assessed using the 26-item Taiwanese version of the Self-Compassion Scale (SCS), comprising six domains: self-kindness, common humanity, mindfulness, self-judgment, isolation, and over-identification. Items are rated on a 5-point Likert scale ranging from 1 (almost never) to 5 (almost always). Negative domains are reverse-scored, and the total score is calculated as the mean of all items. Higher scores indicate greater self-compassion.
Time frame
At baseline (before intervention) and immediately after the 4-week intervention.2
Change in Self-Efficacy
General self-efficacy will be assessed using the 10-item Chinese version of the General Self-Efficacy Scale (GSES). Each item is rated on a 4-point Likert scale ranging from 1 (not at all true) to 4 (exactly true). Total scores range from 10 to 40, with higher scores indicating greater general self-efficacy.
Time frame
At baseline (before intervention) and immediately after the 4-week intervention.3
Change in Salivary Cortisol Level
Salivary cortisol will be assessed as a physiological indicator of stress using a noninvasive point-of-care salivary analysis device. The measurement range is 1.25-40 nM, with higher cortisol levels indicating greater physiological stress. Saliva samples will be collected between 8:00 AM and 10:00 AM to account for diurnal variation in cortisol levels.
Time frame
At baseline (before intervention) and immediately after the 4-week intervention.Locations
Sponsors and contacts
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Source ClinicalTrials.gov
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