Volume 23, Issue 1 (4-2025)                   Nursing and Midwifery Journal 2025, 23(1): 36-47 | Back to browse issues page

Ethics code: IR.IAU.URMIA.REC.1402.032


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Khoshmanesh H, Seyedamini B, Shahrifar M. The Effect of Cognitive-Behavioral Stress Management Training on Anger Control among Nurses Working in the Emergency Department: A Quasi-Experimental Study. Nursing and Midwifery Journal 2025; 23 (1) :36-47
URL: http://unmf.umsu.ac.ir/article-1-5377-en.html
1- M.Sc. in Nursing, Emergency Department Nurse, Naghadeh Hospital, Naghadeh, Iran
2- Ph.D. Department of Nursing and Midwifery, Mah.C., Islamic Azad University, Mahabad, Iran (Corresponding Author) , seyedaminib@gmail.com
3- MSc. Department of Nursing, Ur. C., Islamic Azad University, Urmia, Iran
Abstract:   (370 Views)

Background & Aims: The emergency department is the most stressful work environment in the hospitals and the prevalence of stress among its staff is very high. Nurses often struggle to control their negative emotions in such stressful environments. This study aimed to investigate the effect of stress management training on anger control of nurses working in the emergency department of Imam Khomeini Hospital in Naghadeh city in 2023.
Materials & Methods: This quasi-experimental study was conducted as a pre-test-post-test design. Forty nurses from the emergency department were selected through census sampling to participate in the study. Data were collected using a demographic questionnaire and the Springer Anger Control Skills Questionnaire, both before and after stress management training. The data were analyzed using SPSS version 26 at a 95% confidence level, with a significance threshold of P < 0.05.
Results: Based on demographic characteristics, the mean age of the studied samples was 29.32 ± 5.22 years and most of them (65%) were male. The results of the paired t-test showed that in the post-test, the mean scores of anger significantly decreased (t(39)=3.46; P ≤ 0.001) and the mean scores of anger control of nurses significantly increased (t(39)=5.00; P ≤ 0.001).
Conclusion: The results showed that stress management skills training was effective in reducing anger and enhancing anger control in nurses working in the emergency department. Therefore, implementing stress management training programs for nurses working in the emergency department seems beneficial and necessary.
 

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Type of Study: Research | Subject: پرستاری

References
1. Shirzaei K, Miri M, Sharifzadeh GR, Yaghoobi M, Hosseini K, Kazemi S. Assessment of anger control among nursing personnel of Emam Reza hospital. Mod Care J 2011;8(2):73-8. (Persian). [URL:]
2. Fang Y, Yang J, Zhang M, Song J, Lin R. A Longitudinal Study of Stress in New Nurses in their First Year of Employment. Int J Clin Pract 2022;2022:6932850. https://doi.org/10.1155/2022/6932850 [PMID: 36567777] [DOI:10.1155/2022/6932850.] [PMCID: PMC9705110]
3. Caruso R, Toffanin T, Folesani F, Biancosino B, Romagnolo F, Riba MB, et al. Violence against physicians in the workplace: trends, causes, consequences, and strategies for intervention. Curr Psychiatry Rep 2022;24:911-24. https://doi.org/10.1007/s11920-022-01398-1 [PMID: 36445636] [DOI:10.1007/s11920-022-01398-1.] [PMCID: PMC9707179]
4. Mento C, Silvestri MC, Bruno A, Muscatello MRA, Cedro C, Pandolfo G, et al. Workplace violence against healthcare professionals: a systematic review. Aggress Violent Behav 2020;51:101381. https://doi.org/10.1016/j.avb.2020.101381 [URL:] [DOI:10.1016/j.avb.2020.101381.]
5. Johnson J, Hansen S, Hopper L, Brook L, Watson J, Mills B. Aggression and violence in the emergency department: A qualitative study exploring the perspectives of frontline healthcare professionals. Collegian 2024;31(4):195-201. https://doi.org/10.1016/j.colegn.2024.04.003 [URL:] [DOI:10.1016/j.colegn.2024.04.003.]
6. Dil S, Cam M. The mediator role of mindfulness in the relationship between the listening skills and anger management skills of emergency health care professionals. Int Emerg Nurs 2024;75:101475. https://doi.org/10.1016/j.ienj.2024.101475 [PMID: 38896916] [DOI:10.1016/j.ienj.2024.101475.]
7. Masadeh R, Masadeh OM, Momani A, Jarrah S, Al-Shabatat SH, Al-shawabkeh GhA, et al. The effect of anger management program on perceived stress of healthcare professionals: A quasi-experimental study. NPT 2021;8(4):303-12. https://doi.org/10.18502/npt.v8i4.6706 [URL:] [DOI:10.18502/npt.v8i4.6706 A,]
8. Simonelli-Munoz AJ, Rivera-Caravaca JM, Fortea MI, Simon-Sanchez L, González-Moro MTR, et al. Stress in Emergency Healthcare Professionals: The Stress Factors and Manifestations Scale. IJERPH 2022;19(7):4342. https://doi.org/10.3390/ijerph19074342 [PMID: 35410024] [DOI:10.3390/ijerph19074342.] [PMCID: PMC8998299]
9. Oh E, Kang K, Kim K, Min H. Research trend analysis on job stress of hospital nurses. Kor J Hosp Manag 2018;23(1):16-27. [URL:]
10. Yousefi H, Asadinoghabi F, Salari S. Effective interventions for reducing violence against emergency nurses: a systematic review. Nurs Midwifery J 2025;22(10):811-27. [URL:] [DOI:10.61186/unmf.22.10.811]
11. Dadashzadeh A, Rahmani A, Hasankhani H, Elmi S. Work related burden of stress among emergency medical service personnel. J Emerg Med 2018;5:e2. (Persian). [URL:]
12. Froutan R, Mahroughi N, Malekzadeh J, Mazlom SR. The effect of stress management training on anxiety and resilience of emergency medical staff. IJPN 2018;6(3):46-53. (Persian). [URL:]
13. Dadashzadeh A, Rahmani A, Yavary H. The severity of emergency operation related stressors in the medical emergency technicians in east azerbaijan province. Nurs Midwifery J 2015;13(4):311-9. [URL:]
14. San S, Ozkan B, Uzunhasanoğlu G. Approach to angry patients and anger expression styles of emergency medical services professionals. Ann Clin Anal Med 2020;11(5):411-5. [URL:] [DOI:10.4328/ACAM.20089]
15. Laeeque SH, Bilal A, Hafeez A, Khan Z. Violence breeds violence: Burnout as a mediator between patient violence and nurse violence. Int J Occup Saf Ergo 2019;25(4):604-13. https://doi.org/10.1080/10803548.2018.1429079 [PMID: 29353524] [DOI:10.1080/10803548.2018.1429079.]
16. Bambi S, Foa C, Felippis CD, Lucchini A, Guazzini A, Rasero L. Workplace incivility, lateral violence and bullying among nurses. A review about their prevalence and related factors. Acta Biomed 2018;89:51-79. [URL:] [DOI:10.23750/abm.v89i6-s.7461.]
17. Tanabe Y, Asami T, Yoshimi A, Abe K, Saigusa Y, Hayakawa M, et al. Effectiveness of anger-focused emotional management training in reducing aggression among nurses. Nurs Open 2023;10:998-1006. https://doi.org/10.1002/nop2.1367 [PMID: 36111753] [DOI:10.1002/nop2.1367.] [PMCID: PMC9834502]
18. Farahani M, Zare SE. Effectiveness of cognitive-behavioral anger management training on aggression and job satisfaction on nurses working in psychiatric hospital. Zahedan J Res Med Sci 2018;20(2):e55348. https://doi.org/10.5812/zjrms.55348 [URL:] [DOI:10.5812/zjrms.55348.]
19. Abu-Alhaija DM, Gillespie GL. Critical Clinical Events and Resilience Among Emergency Nurses in 3 Trauma Hospital-Based Emergency Departments: A Cross-Sectional Study. J Emerg Nurs 2022;48(5):525-37. https://doi.org/10.1016/j.jen.2022.05.001 [PMID: 35660061] [DOI:10.1016/j.jen.2022.05.001.] [PMCID: PMC10729101]
20. Yun K, Yoo YS. Effects of the Anger Management Program for Nurses. ANR 2021;15(4):247-54. [PMID: 34352415] [DOI:10.1016/j.anr.2021.07.004]
21. Turan N. An investigation of the effects of an anger management psychoeducation programme on psychological resilience and affect of intensive care nurses. Intensive Crit Care Nurs 2021;62:102915. https://doi.org/10.1016/j.iccn.2020.102915 [PMID: 32828644] [DOI:10.1016/j.iccn.2020.102915.]
22. Babaie E, Golestani T, Nazoktabar H, Entezari R. The Effect of Stress Management Training on Self-efficacy and Quality of Life in Nurses of Government Hospitals in Tehran City. J Healthc 2020;22(2):157-67. (Persian). [URL:] [DOI:10.52547/jhc.22.2.157]
23. Ghaffari S, Baqaei H, Rizvan Q. The effect of teaching creative thinking skills in public libraries on children's creativity, case study: 12-year-old female children who are members of Imam Ali Public Library in Qom. Fam Res Q 2019;17(1):127-44. (Persian). [URL:]
24. Soliman SM, Sabola NE, Faltas SFM, Shokre ES. Anger management intervention on nurses' knowledge, coping strategy and self-efficacy in intensive care units. Int J Health Sci 2022;6(10):1191-208. [URL:] [DOI:10.53730/ijhs.v6nS10.13874]
25. Bahmanzadeh L, Haji Alizadeh K. The effect of cognitive-behavioral stress management training on improving psychological symptoms and quality of life in nurses. JRH 2017;7(6):1154-61. [URL:]
26. Cildoz M, Ibarra A, Mallor F. Coping with stress in emergency department physicians through improved patient-flow management. Socio-Econ Plan Sci 2020;71:100828. [URL:] [DOI:10.1016/j.seps.2020.100828]
27. Uzar-Ozcetin YS, Hicdurmaz D. Effects of Structured Group Counseling on Anger Management Skills of Nursing Students. J Nurs Educ 2017;56(3):174-81. https://doi.org/10.3928/01484834-20170222-10 [PMID: 28263357] [DOI:10.3928/01484834-20170222-10.]
28. Sayadi AR, Hosseini SF, Hosseini SH. Investigating the effect of teaching professional ethics on control of anger in prehospital emergency personnel in Kerman 2018. ETHIC 2020;8(3&4):14-20. [URL:] [DOI:10.52547/ethicnurs.8.3.4.14]
29. Naji T, Bekmaz K, Sadooghiasl A. Investigating the relationship between strategies for coping with nurses' stress and perceived organizational support in Tehran University of Medical Sciences hospitals in 2021, Tehran, Iran. Nurs Midwifery J 2022;20(4):302-11. [URL:] [DOI:10.52547/unmf.20.4.302]
30. Sari PM, Herlina K, Abdurrahman A. Online learning with multi-representation worksheets for oral and written communication skills on light reflecting material. OLER 2022;2(1):49-56. [URL:] [DOI:10.58524/oler.v2i1.122]
31. Farshchi-Tabrizi Y, Borazjani S, Rahimi C. Validation and Psychometric Properties of the Anger Management Skills Test. SDH 2020;6(1):e24. http://dx.doi.org/10.22037/sdh.v6i1.32760. [URL:]
32. Mirzajani S. Structural relationship between self-esteem and general health with aggressive behavior in runaway girls. J Appl Psychol 2014;8(2):107-27. (Persian). [URL:]
33. Hajloo N, Heidari Rad H. The relationship between the effect of attachment styles on positive and negative perfectionism, anger and emotional adjustment in students. J Knowl Res Appl Psychol 2016;4(66):11-20. [URL:]
34. Palanghi A, Rezaei E. Comparison of Psychological Well-Being and Anger Control in Mothers of Children with Learning Disabilities and Normal Children. J Learn Disabil 2017;6(2):38-51. [URL:]
35. Shariatkhah J, Farajzadeh Z, Khazaee K. The effects of cognitive-behavioral stress management on nurses' job stress. IJNMR 2017;22:398-402. [PMID: 29033997] [DOI:10.4103/1735-9066.215683] [PMCID: PMC5637151]
36. Mousavidoost H, Mousavidoost M. The effect of combined training of stress management and anger management skills on aggression of male prisoners in Varamin prison. 9th Int Conf Psychol Soc Sci 2016. (Persian). [URL:]
37. Lee JE, Shin J, Kim MS, Jo MH, Lee IJ. Development and evaluation of cognitive behavioral group treatment to reduce psychological stress of emotion labor workers: a preliminary study. Kor J Stress Res 2016;24(1):35-45. https://doi.org/10.17547/kjsr.2016.24.1.35 [URL:] [DOI:10.17547/kjsr.2016.24.1.35.]
38. Khalafi A, Tangestani Y, Osanloo Sh. Relationship between job stress and social support and burnout in nurses. JNAS 2020;3(1):48–52. [URL:]
39. Meikaeilei N, Ganji M, TalebiJoybari M. A comparison of resiliency, marital satisfaction and mental health in parents of children with learning disabilities and normal children. J Learn Disabil 2019;2:120-37. (Persian). [URL:]
40. Mohammadi Sadegh M, Navidian A, Quljah M, Rezaei N. The effect of psychological training on resilience and anger management of pre-hospital emergency workers: a quasi-experimental study. Hayat 2020;27(3):336-47. (Persian). [URL:]

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