AdaptationNCT06849141
The Effect of the Role Performance Strengthening Program on the Adaptive Performance and Competence of Nurses
A study testing Role Performance Strenghthening Program in people with Adaptation and Competence, run by Akdeniz University at 1 site in Turkey (Türkiye).
Trial summary
The "Role Performance Strenghthening Program (RPSP)" based on the Roy Adaptation Model was structured to increase the competence and adaptive performance levels of nurses working in pandemic units and to strenghthen role performance of nurses. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Adaptation, Competence, Psychiatric Nursing
- What is being tested?
- Role Performance Strenghthening Program
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 28 Feb 2022to 20 Aug 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- Working as a nurse in pandemic clinics, pandemic intensive care units or the orange area of the emergency room,
- Having a competency score average below 26 as a result of measurements made with the Nursing Competency Scale,
- Accepting to participate in the research in writing and verbally,
- Accepting to participate in all sessions of the Role Performance Strenghthening Program. -
Who cannot join
- It has been determined that the person is continuing a therapy program to cope with the problems he/she experiences due to working during the pandemic. -
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Akdeniz University Hospital
Antalya, Konyaalti, 07070
About this study
Official title: The Effect of the Role Performance Strengthening Program Based on the Roy Adaptation Model on the Adaptive Performance and Competence of Nurses Working in Pandemic Units
The "Role Performance Strenghthening Program (RPSP)" based on the Roy Adaptation Model was structured to increase the competence and adaptive performance levels of nurses working in pandemic units and to strenghthen role performance of nurses. In the measurements made after the completion of the program, it was determined that the competence and adaptive performance level of the nurses increased. It was found that the Roy Adaptation Model was suitable for use in research to be conducted on a nurse sample regarding coping with the challenges caused by coronavirus pandemic. It is recommended that the RPSP be included in institutional training programs.
Read the detailed description
It has been understood that supporting the mental health and resilience of nurses who are vulnerable to the difficulties experienced during the pandemic process is of great importance. In this context, it has been revealed that there is a need for supportive psychiatric nursing practices; that psychiatric nurses need to help their colleagues cope with difficulties during difficult processes such as the pandemic. Based on this need, a psychoeducation program was written in this doctoral thesis to support and strengthen nurses during the pandemic process. This program, called "Role Performance Strengthening Program", is shaped within the framework of cognitive behavioral approach elements and is based on the Roy Adaptation Model. It is thought that the competence and adaptive performance level of nurses will increase through this structured psychoeducation program; therefore, the competence and adaptive performance level of nurses will be maintained and even increased during difficult processes such as the pandemic.
- Conditions
- Adaptation, Competence, Psychiatric Nursing, Psychoeducation, Mixed Method Implementation Study
- Being tested
- Role Performance Strenghthening Program
- Keywords
- psychiatric nursing, psychoeducation, role performance, Roy Adaptation Model, coronavirus pandemic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Role Performance Strenghthening ProgramOther
This intervention was developed by the researcher within the scope of her doctoral dissertation. The intervention is an individual psychoeducation program; it was written and structured within the framework of cognitive behavioral therapy, based on the Roy Adaptation Model. The intervention was structured on the idea of empowering nurses working in pandemic units.
| Study group | Role | What they receive |
|---|---|---|
| Nurses who were implemented the "Role Performance Strenghthening Program (RPSP)" | Experimental | Within the scope of the doctoral thesis study, the "Role Performance Enhancement Program (RPGP), an individual psychoeducation program produced within the framework of cognitive behavioral approach elements and based on the Roy Adaptation Model, was applied to 10 nurses. Each nurse was worked with individually. Sessions were conducted online or face-to-face, at the time and place preferred by the nurses, once a week. The program consisted of 6 sessions. Each session lasted 45-90 minutes on average. However, the duration of each session could be extended according to the needs of the nurses. After the application, post-action measurements were made one week later and follow-up measurements were made four weeks later. Receives: Other: Role Performance Strenghthening Program |
What is being measured
The primary outcome is the main question the study is designed to answer.
Scoring below 26 on the "Nurse Competence Scale"
Quantitative data collection forms were first given to 54 nurses by the researcher and collected. After the scores obtained from these forms were collected and averaged, 42 nurses who received less than 26 points from the Nurse Competence Scale were selected. Getting less than 25 points from the Nurse Competence Scale is an indicator of low level of competence.
Nurses' competence levels were measured with a visual analog scale (VAS) ranging from 0 to 100 points. Scores below 25 indicate "low competence"; scores between 25 and 49 indicate "slightly good competence"; scores between 50 and 75 indicate "good competence"; and scores above 75 indicate "very good competence".
Measured: All quantitative and qualitative data of the first phase of the research were collected in approximately 8 weeks.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Feb 2025
- Study start28 Feb 2022
- Primary completion17 Apr 2022
- Study completion20 Aug 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (35)Papers the sponsor has linked to this study.
- Other trials for AdaptationStudies of the same condition, open and under way.
- More trials run by Akdeniz UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- The research process has four stages: Pre-action, action, post-action and follow-up. In the Pre-Action Stage, quantitative data were collected from 54 nurses volunteered to participate in the research. According to the obtained score averages determined a risk group. This risk group consisted of 42 nurse. 35 of these nurses accepted to have a semi-structured interview before the action. With the information obtained from the analysis of the collected quantitative and qualitative data, the "Role Performance Strengthening Program" was structured based on the Roy Adaptation Model. In the Action Stage, 35 nurses were invited to participate in the RPSP, and 10 nurses accepted to participate. A psychoeducation program was implemented to 10 nurses. In the Post-Action Stage, quantitative and qualitative measurements were repeated one week after the last session with each nurse. In the Follow-up Stage, quantitative and qualitative measurements were repeated four weeks after the last sessions.
- Masking
- None (open label)
- Enrolment
- 10 participants (actual)
Sponsor and investigators
- Lead sponsor
- Akdeniz University
- Sponsor type
- University, hospital or other
- Collaborators
- Akdeniz University Hospital
- Responsible party
- Principal investigator, Belkıs Simsek, Akdeniz University
- Investigators
- İlhan Günbayı, Prof. Dr., Study director, Akdeniz University Faculty of Education, Department of Educational Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06849141
- Sponsor's protocol ID
- KAEK-751
- Status last verified
- Feb 2025
- First submitted
- 11 Feb 2025
- Last updated
- 5 Mar 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Yilmaz A, Seren Intepeler S. Opinions of emergency nurses in Turkey on their work environment during the COVID-19 pandemic and its relationship with their health: A qualitative study. Heliyon. 2023 Nov 25;9(12):e22716. doi: 10.1016/j.heliyon.2023.e22716. eCollection 2023 Dec.
PubMed 38144309Yiğitol B, Büyükmumcu S. Covid-19 Korkusu, Kişilik Özellikleri, İş Performansı ve İşten Ayrılma Niyeti Arasındaki Yordayıcı İlişkilerin İncelenmesi. OPUS International Journal of Society Researches, 2021; 17(Pandemi Özel Sayısı): 3414-3447.
Senesac P, Roy C. Callista Roy's Adaptation Model. In: Smith, MC, Gullett, DL. eds. Nursing Theories & Nursing Practice. 5thed. Philadelphia: FA Davis Company; 2019, Chapter 10, p: 149-164.
Savsar A, Damar HT, Aktaş FÖ. Operating Room Nurses' Metaphorical Perceptions of Coronavirus Disease 2019, Quarantine, and Mask Concepts: A Qualitative Study. J Nursology, 2023; 26(3), 167-174.
Roy SC. The Roy Adaptation Model (3rd Ed.) New Jersey: Pearson Education & Upper Saddle River; 2009(b).
Roy SC. Elements of the Roy Adaptation Model. In: Roy SC, ed. The Roy Adaptation Model. 3rd ed. New Jersey: Pearson Education; 2009(a).
Roy C. Spiritualty based on the Roy adaptation model for use in practice, teaching and research. Aquichan, 2018; 18(4): 393-394.
Roy C. Research based on the Roy adaptation model: last 25 years. Nurs Sci Q. 2011 Oct;24(4):312-20. doi: 10.1177/0894318411419218.
PubMed 21975478Roy C. Extending the Roy adaptation model to meet changing global needs. Nurs Sci Q. 2011 Oct;24(4):345-51. doi: 10.1177/0894318411419210.
PubMed 21975483Roy C. A theorist envisions the future and speaks to nursing administrators. Nurs Adm Q. 2000 Winter;24(2):1-12. doi: 10.1097/00006216-200001000-00004.
PubMed 10765251Roy C, Zhan L. Sister Callista Roy's Adaptation Model and Its Applications. (Chapter 17). Nursing Theories and Nursing Practice. 2. Edition. F.A. Davis Company; 2006.
Pulakos ED, Schmitt N, Dorsey DW, Arad S, Borman WC, Hedge JW. Predicting adaptive performance: Further tests of a model of adaptability. Hum perform, 2002; 15(4): 299-323.
Pulakos ED, Dorsey DW, White SS. Adaptability in the workplace: Selecting an adaptive workforce. In Understanding adaptability: A prerequisite for effective performance within complex environments. Emerald Group Publishing Limited; 2006.
Mensinger JL, Brom H, Havens DS, Costello A, D'Annunzio C, Durning JD, Bradley PK, Copel L, Maldonado L, Smeltzer S, Yost J, Kaufmann P. Psychological responses of hospital-based nurses working during the COVID-19 pandemic in the United States: A cross-sectional study. Appl Nurs Res. 2022 Feb;63:151517. doi: 10.1016/j.apnr.2021.151517. Epub 2021 Oct 27.
PubMed 35034708Menard AD, Soucie K, Ralph J, Chang YY, Morassutti O, Foulon A, Jones M, Desjardins L, Freeman L. One-year follow-up of hospital nurses' work experiences during the COVID-19 pandemic: A qualitative study. J Adv Nurs. 2023 Jul;79(7):2502-2513. doi: 10.1111/jan.15599. Epub 2023 Feb 24.
PubMed 36825468
Study at a glance
From the registry record, last updated by the sponsor on 5 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of the Role Performance Strengthening Program Based on the Roy Adaptation Model on the Adaptive Performance and Competence of Nurses Working in Pandemic Units
- ClinicalTrials.gov ID
- NCT06849141
- Acronym / sponsor ID
- KAEK-751
- Conditions
- Adaptation, Competence, Psychiatric Nursing, Psychoeducation, Mixed Method Implementation Study
- Keywords
- psychiatric nursing, psychoeducation, role performance, Roy Adaptation Model, coronavirus pandemic
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 10 participants (actual)
- Lead sponsor
- Akdeniz UniversityUniversity, hospital or other
- Collaborators
- Akdeniz University Hospital
- Study start
- 28 Feb 2022 (actual)
- Primary completion
- 17 Apr 2022 (actual)
- Study completion
- 20 Aug 2023 (actual)
- First posted
- 27 Feb 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The "Role Performance Strenghthening Program (RPSP)" based on the Roy Adaptation Model was structured to increase the competence and adaptive performance levels of nurses working in pandemic units and to strenghthen role performance of nurses. In the measurements made after the completion of the program, it was determined that the competence and adaptive performance level of the nurses increased. It was found that the Roy Adaptation Model was suitable for use in research to be conducted on a nurse sample regarding coping with the challenges caused by coronavirus pandemic. It is recommended that the RPSP be included in institutional training programs.
Detailed description
It has been understood that supporting the mental health and resilience of nurses who are vulnerable to the difficulties experienced during the pandemic process is of great importance. In this context, it has been revealed that there is a need for supportive psychiatric nursing practices; that psychiatric nurses need to help their colleagues cope with difficulties during difficult processes such as the pandemic. Based on this need, a psychoeducation program was written in this doctoral thesis to support and strengthen nurses during the pandemic process. This program, called "Role Performance Strengthening Program", is shaped within the framework of cognitive behavioral approach elements and is based on the Roy Adaptation Model. It is thought that the competence and adaptive performance level of nurses will increase through this structured psychoeducation program; therefore, the competence and adaptive performance level of nurses will be maintained and even increased during difficult processes such as the pandemic.
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- The research process has four stages: Pre-action, action, post-action and follow-up. In the Pre-Action Stage, quantitative data were collected from 54 nurses volunteered to participate in the research. According to the obtained score averages determined a risk group. This risk group consisted of 42 nurse. 35 of these nurses accepted to have a semi-structured interview before the action. With the information obtained from the analysis of the collected quantitative and qualitative data, the "Role Performance Strengthening Program" was structured based on the Roy Adaptation Model. In the Action Stage, 35 nurses were invited to participate in the RPSP, and 10 nurses accepted to participate. A psychoeducation program was implemented to 10 nurses. In the Post-Action Stage, quantitative and qualitative measurements were repeated one week after the last session with each nurse. In the Follow-up Stage, quantitative and qualitative measurements were repeated four weeks after the last sessions.
| Arm | Type | Receives |
|---|---|---|
| Nurses who were implemented the "Role Performance Strenghthening Program (RPSP)" | Experimental | Other: Role Performance Strenghthening ProgramWithin the scope of the doctoral thesis study, the "Role Performance Enhancement Program (RPGP), an individual psychoeducation program produced within the framework of cognitive behavioral approach elements and based on the Roy Adaptation Model, was applied to 10 nurses. Each nurse was worked with individually. Sessions were conducted online or face-to-face, at the time and place preferred by the nurses, once a week. The program consisted of 6 sessions. Each session lasted 45-90 minutes on average. However, the duration of each session could be extended according to the needs of the nurses. After the application, post-action measurements were made one week later and follow-up measurements were made four weeks later. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (4 listed)
- Working as a nurse in pandemic clinics, pandemic intensive care units or the orange area of the emergency room,
- Having a competency score average below 26 as a result of measurements made with the Nursing Competency Scale,
- Accepting to participate in the research in writing and verbally,
- Accepting to participate in all sessions of the Role Performance Strenghthening Program. -
Key exclusion criteria (1 listed)
- It has been determined that the person is continuing a therapy program to cope with the problems he/she experiences due to working during the pandemic. -
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Role Performance Strenghthening ProgramThis intervention was developed by the researcher within the scope of her doctoral dissertation. The intervention is an individual psychoeducation program; it was written and structured within the framework of cognitive behavioral therapy, based on the Roy Adaptation Model. The intervention was structured on the idea of empowering nurses working in pandemic units. | Other | Nurses who were implemented the "Role Performance Strenghthening Program (RPSP)" |
Primary outcome
Scoring below 26 on the "Nurse Competence Scale"
Time frame: All quantitative and qualitative data of the first phase of the research were collected in approximately 8 weeks.
Quantitative data collection forms were first given to 54 nurses by the researcher and collected. After the scores obtained from these forms were collected and averaged, 42 nurses who received less than 26 points from the Nurse Competence Scale were selected. Getting less than 25 points from the Nurse Competence Scale is an indicator of low level of competence. Nurses' competence levels were measured with a visual analog scale (VAS) ranging from 0 to 100 points. Scores below 25 indicate "low competence"; scores between 25 and 49 indicate "slightly good competence"; scores between 50 and 75 indicate "good competence"; and scores above 75 indicate "very good competence".
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Mar 2025.
- Background: PubMed 38144309Yilmaz A, Seren Intepeler S. Opinions of emergency nurses in Turkey on their work environment during the COVID-19 pandemic and its relationship with their health: A qualitative study. Heliyon. 2023 Nov 25;9(12):e22716. doi: 10.1016/j.heliyon.2023.e22716. eCollection 2023 Dec.
- BackgroundYiğitol B, Büyükmumcu S. Covid-19 Korkusu, Kişilik Özellikleri, İş Performansı ve İşten Ayrılma Niyeti Arasındaki Yordayıcı İlişkilerin İncelenmesi. OPUS International Journal of Society Researches, 2021; 17(Pandemi Özel Sayısı): 3414-3447.
- BackgroundSenesac P, Roy C. Callista Roy's Adaptation Model. In: Smith, MC, Gullett, DL. eds. Nursing Theories & Nursing Practice. 5thed. Philadelphia: FA Davis Company; 2019, Chapter 10, p: 149-164.
- BackgroundSavsar A, Damar HT, Aktaş FÖ. Operating Room Nurses' Metaphorical Perceptions of Coronavirus Disease 2019, Quarantine, and Mask Concepts: A Qualitative Study. J Nursology, 2023; 26(3), 167-174.
- BackgroundRoy SC. The Roy Adaptation Model (3rd Ed.) New Jersey: Pearson Education & Upper Saddle River; 2009(b).
- BackgroundRoy SC. Elements of the Roy Adaptation Model. In: Roy SC, ed. The Roy Adaptation Model. 3rd ed. New Jersey: Pearson Education; 2009(a).
- BackgroundRoy C. Spiritualty based on the Roy adaptation model for use in practice, teaching and research. Aquichan, 2018; 18(4): 393-394.
- Background: PubMed 21975478Roy C. Research based on the Roy adaptation model: last 25 years. Nurs Sci Q. 2011 Oct;24(4):312-20. doi: 10.1177/0894318411419218.
- Background: PubMed 21975483Roy C. Extending the Roy adaptation model to meet changing global needs. Nurs Sci Q. 2011 Oct;24(4):345-51. doi: 10.1177/0894318411419210.
- Background: PubMed 10765251Roy C. A theorist envisions the future and speaks to nursing administrators. Nurs Adm Q. 2000 Winter;24(2):1-12. doi: 10.1097/00006216-200001000-00004.
- BackgroundRoy C, Zhan L. Sister Callista Roy's Adaptation Model and Its Applications. (Chapter 17). Nursing Theories and Nursing Practice. 2. Edition. F.A. Davis Company; 2006.
- BackgroundPulakos ED, Schmitt N, Dorsey DW, Arad S, Borman WC, Hedge JW. Predicting adaptive performance: Further tests of a model of adaptability. Hum perform, 2002; 15(4): 299-323.
- ICN COVID-19 Update: Occupational risks to nurses must be minimised to enable them to continue their vital workLink provided by the sponsor.
- Guidelines on mental health nursing.Link provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
İlhan Günbayı, Prof. Dr. study director
Akdeniz University Faculty of Education, Department of Educational Sciences
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Role Performance Strenghthening Program in people with Adaptation and Competence, run by Akdeniz University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 5 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Scoring below 26 on the "Nurse Competence Scale" (time frame: All quantitative and qualitative data of the first phase of the research were collected in approximately 8 weeks.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06849141, which also lists 35 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Mar 2025.