An interventional study of Laughter Yoga Program in Burnout, Professional, Stress, Psychological and Compassion Fatigue, sponsored by Zonguldak Bulent Ecevit University. Not yet recruiting. Per ClinicalTrials.gov, last updated 2026-09-21.
Sponsored by Zonguldak Bulent Ecevit University · Not applicable, Interventional, and Other
The goal of this clinical trial is to learn if laughter yoga can improve both individual and organizational outcomes in nurse managers. The main questions it aims to answer are:
Participants will:
Nurse managers play a vital role in healthcare systems by ensuring the quality of nursing services, supporting staff, coordinating care, and solving organizational problems. However, the combination of administrative responsibilities, staff shortages, and high expectations often leads to stress, burnout, compassion fatigue, and difficulties in maintaining work-life balance. These conditions not only affect the individual health and well-being of nurse managers but also reduce team motivation, patient care quality, and overall organizational performance.
Laughter yoga is a mind-body practice that combines intentional laughter with breathing exercises. It does not rely on humor or jokes; instead, participants engage in guided group exercises that promote spontaneous and prolonged laughter. Scientific evidence suggests that laughter yoga can lower stress hormones, increase endorphins, improve mood, and strengthen social bonds. Although laughter yoga has been studied in various populations, there is a lack of randomized controlled trials (RCTs) specifically focusing on nurse managers and their professional challenges.
This randomized controlled trial aims to fill this gap by evaluating the individual and organizational outcomes of laughter yoga among nurse managers working in university and state hospitals.
The expected contribution of this study is to provide new evidence on a cost-effective, non-pharmacological intervention that can be easily integrated into hospital settings. If laughter yoga proves effective, it can be adopted as a sustainable strategy to support nurse managers' mental health, enhance their leadership capacity, and indirectly improve patient care and organizational outcomes.
216 studies on the registry are indexed under Burnout, Professional; 33 are open to participants now.
This study's planned enrollment of 80 is close to the median of 80 across 161 interventional studies indexed under Burnout, Professional.
Browse Burnout, Professional studies →Zonguldak Bulent Ecevit University is the lead sponsor of 100 studies on the registry; 8 are open to participants now.
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Exclusion Criteria:
Structured group-based laughter yoga sessions, 2 times per week, 30-45 minutes each, for 8 weeks.
Behavioral: Laughter Yoga Program
Participants continue their routine work duties without any additional intervention.
This intervention consists of a structured Laughter Yoga Program designed for nurse managers. Each session includes breathing exercises, warm-up activities, guided and simulated laughter exercises (such as clapping, chanting, role-play laughter), and a short relaxation/meditation phase. Sessions are conducted in small groups by a certified facilitator. The program is delivered twice weekly for 8 weeks, with each session lasting approximately 30-45 minutes. The intervention is intended to reduce burnout, stress, and compassion fatigue, while improving decision-making, problem-solving, job performance, and work-life balance.
Also known as: Laughter Therapy;, Laughter Exercises
Perceived Stress (Perceived Stress Scale - PSS)
Developed by Cohen \& Williamson, adapted to Turkish by Eskin in 2013. 14 items, single-factor measure of stress. Scale Range: 0-56. Interpretation Higher scores = greater perceived stress (worse outcome).
Time frame: Baseline, 8 weeks, 3 months.
Burnout Levels (Maslach Burnout Inventory - MBI)
Developed by Maslach \& Jackson in 1986, adapted to Turkish by Ergin in1992. 22 items, three subscales: Emotional Exhaustion, Depersonalization, and Personal Accomplishment. Scale Range: Emotional Exhaustion (0-54), Depersonalization (0-30), Personal Accomplishment (0-48). Interpretation: Higher Emotional Exhaustion and Depersonalization scores = worse outcome; higher Personal Accomplishment scores = better outcome.
Time frame: Baseline, immediately post-intervention (8 weeks), and follow-up (3 months after intervention).
Problem Solving Inventory
Problem Solving Inventory, Developed by Heppner \& Peterson in1982; adapted to Turkish by Şahin in 1993 Description: 31 items, six subscales: Problem-Solving Confidence, Approach-Avoidance, Personal Control, Planfulness, Impulsivity, Reflective Style. Scale Range: 31-186. Interpretation: Higher scores = less effective problem solving (worse outcome); lower scores = better problem-solving skills.
Time frame: Baseline, 8 weeks, 3 months
Work Performance
Work Performance Job Performance Scale - Goodman and Svyantek in 1999; Turkish adaptation was made in 2014 by Bağcı. Description: 25 items, two subscales: Task Performance and Contextual Performance. Scale Range: 25-125. Interpretation: Higher scores = better work performance.
Time frame: Baseline, 8 weeks, 3 months.
Compassion Fatigue
Developed by Dennis Portnoy and adapted Turkısh by Özdemir and Kutlu in 2022. The form consists of 40 items. The scale, which has no sub-dimensions, is evaluated based on the total number of items. The scale is a 3-point Likert-type scale: 1 = Very true, 2 = Partly true, and 3 = Rarely true. Those who answered "Very true" to 15 or more items in total are considered to have high levels of compassion fatigue.Cronbach alpha is 0,87
Time frame: Baseline, 8 weeks, 3 months
Decision-Making Styles scale
Developed by Scott and Bruce in 1995; adapted to Turkish by Yılmaz Kuşaklı in 2023 24 items, five subscales: Rational, Intuitive, Dependent, Avoidant, Spontaneous. Scale Range: 24-120. Interpretation: Higher scores in each subscale = more frequent use of that decision-making style
Time frame: Baseline, 8 weeks, 3 months.
No study locations are listed for this record.
Plan to share: No
Start is estimated for Sep 2026; primary completion for Dec 2026, 3 months later.
Of 128 non-industry interventional studies with no phase under Burnout, Professional, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 22. This study's planned 3 months is below that.
Counting every sponsor, half of 132 studies reached it within 11 months; a quarter within 6 and three quarters within 23.
How these figures are worked out, and which studies are left out of them.
This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.
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