Volume 23, Issue 3 (9-2025)
Nursing and Midwifery Journal 2025, 23(3): 47-54 |
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Ethics code: IR.UMSU.REC.1403.255
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Haghighi Moghadam Y, alikazemi S, davar S. Effect of a Multimodal LEARN-Based Metacognitive Training Program on Nurses’ Clinical Belongingness: A Quasi-Experimental Study. Nursing and Midwifery Journal 2025; 23 (3) :47-54
URL: http://unmf.umsu.ac.ir/article-1-5362-en.html
URL: http://unmf.umsu.ac.ir/article-1-5362-en.html
1- Department of Nursing, Urmia University of Medical Sciences, Urmia, Iran , hghighimoghadam.y@umsu.ac.ir
2- School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia
3- Department of Epidemiology Biostatistics, Urmia University of Medical Sciences, Urmia, Iran
2- School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia
3- Department of Epidemiology Biostatistics, Urmia University of Medical Sciences, Urmia, Iran
Abstract: (259 Views)
Background and Objective: A diminished sense of belonging among nurses within healthcare organizations has emerged as a significant challenge, underscoring the need to identify influencing factors. This study examined the effect of enhancing metacognitive beliefs via the multimodal LEARN method on nurses’ clinical belongingness.
Methods This quasi-experimental, one-group pretest–posttest design included 48 nurses randomly selected from hospitals in Mahabad. Participants completed the Wells & Cartwright-Hatton Metacognition Questionnaire (1997) and the Levett-Jones et al. Clinical Belongingness Scale (2009). Inclusion criteria comprised a bachelor’s degree (or higher) in nursing, current employment as a nurse, at least three years’ professional experience, and absence of concurrent interventions targeting metacognitive beliefs or diagnosed psychological disorders. Data analysis was conducted in SPSS v22 using the Kolmogorov–Smirnov test, ANOVA, and independent t-test.
Result The multimodal LEARN intervention significantly increased both clinical belongingness and metacognitive belief scores among participants. ANOVA indicated that workplace unit, age, and education level had no significant effect on belongingness. The independent t-test revealed a significant gender difference, with female nurses reporting higher levels of clinical belongingness compared with male nurses.
Conclusion These findings suggest that enhancing metacognitive beliefs through the multimodal Learn method has a positive effect on nurses’ clinical belongingness. Accordingly, strategies to strengthen perceptions of professional competence, promote psychological well-being, and deliver structured educational workshops and training programs to develop metacognitive beliefs and foster supportive work environments may effectively enhance nurses’ sense of belonging and overall mental health.
Methods This quasi-experimental, one-group pretest–posttest design included 48 nurses randomly selected from hospitals in Mahabad. Participants completed the Wells & Cartwright-Hatton Metacognition Questionnaire (1997) and the Levett-Jones et al. Clinical Belongingness Scale (2009). Inclusion criteria comprised a bachelor’s degree (or higher) in nursing, current employment as a nurse, at least three years’ professional experience, and absence of concurrent interventions targeting metacognitive beliefs or diagnosed psychological disorders. Data analysis was conducted in SPSS v22 using the Kolmogorov–Smirnov test, ANOVA, and independent t-test.
Result The multimodal LEARN intervention significantly increased both clinical belongingness and metacognitive belief scores among participants. ANOVA indicated that workplace unit, age, and education level had no significant effect on belongingness. The independent t-test revealed a significant gender difference, with female nurses reporting higher levels of clinical belongingness compared with male nurses.
Conclusion These findings suggest that enhancing metacognitive beliefs through the multimodal Learn method has a positive effect on nurses’ clinical belongingness. Accordingly, strategies to strengthen perceptions of professional competence, promote psychological well-being, and deliver structured educational workshops and training programs to develop metacognitive beliefs and foster supportive work environments may effectively enhance nurses’ sense of belonging and overall mental health.
Type of Study: Research |
Subject:
Nursing management
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