Efficiency of Acceptance and Commitment Based Nursing Intervention on Work place Ostracism, Organizational Silence and Psychological Distress among Nurses

El Gendy, Rania Sobhy; El-boudy, Doaa Fawzi; Hashem, Shereen Roushdy; Emaraa, Nehal Sobhy

doi:10.21608/tsnj.2023.328820

Efficiency of Acceptance and Commitment Based Nursing Intervention on Work place Ostracism, Organizational Silence and Psychological Distress among Nurses

Document Type : Original Article

Authors

¹ Lecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt

² Lecturer of Nursing Administration, Faculty of Nursing, Menoufia University and King Salman International University, Egypt

10.21608/tsnj.2023.328820

Abstract

Background: Psychological distress, workplace ostracism and organizational silence are significant
problems in organizations, with negative consequences for both individuals and the organization as a
whole. The aim of the study was to examine efficiency of Acceptance and Commitment based nursing
intervention in work place ostracism, organizational silence and psychological distress among nurses.
Subjects and Method: A quasi-experimental design approach was adopted. Setting: The study was
carried out at departments of Emergency Unit, Critical Care Units, Medical Unit, Haemodialysis Unit,
and Psychiatric Mental Health Units. of Menoufia University Hospital, Shebin El-kom District,
Menoufia Governorate, Egypt. A purposive sample of 100 nurses was selected and divided into two
equal groups; study group and control group. Four tools were utilized for data collection (1): A
structured interviewing questionnaire: to assess socio- demographic characteristics of the nurses, (2)
Workplace Ostracism Scale, (3) Organizational silence questionnaire, (4) -21 Items (DASS-21) scale to
measure , Depression, Anxiety and Stress (psychological distress ) .The results: revealed that there
was a significant statistically reduction in the level of work place ostracism, organizational silence and
psychological distress in the study group after application of Acceptance and Commitment based
nursing intervention than control group. Conclusion: It was concluded that the acceptance and
commitment based nursing intervention has a positive effect on reducing psychological distress level,
reducing work place ostracism and reducing organizational silence among nurses. Recommendations:
Acceptance and Commitment training programs should be implemented for all nurses, particularly
those in psychiatric nursing to increase their resilience, and enable them to confront difficult situations
with a positive mindset.