Effect of Roy’s Adaptation Theory- Based Mindfulness Therapy on Work Stress: A Quasy-Experimental Study
Isidorus Juri Dwi Aprianto
An Idea Health Journal March 1, 2026 DOI: 10.53690/ihj.v6i01.630 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Quasi-experimental two-group pretest–posttest design Peer reviewed |
|---|---|
| Sample size | 60 |
| Population | Inpatient nurses in a private hospital in Semarang, Indonesia |
| Intervention | Mindfulness therapy |
| Duration | Two-week intervention |
| Measures | Job Stress Scale |
| Topics | Meditation |
| Keywords | Coping psychology Intervention counseling Occupational stress Stress linguistics Adaptation eye Nonprobability sampling Stress reduction Clinical psychology Physical therapy Psychotherapist Stress management Research design Experience sampling method Well-being Burnout |
| Key findings | Mindfulness therapy based on the Roy Adaptation Model significantly reduced work-related stress among inpatient nurses, with a very large effect size. |
Abstract
Background:Work-related stress among inpatient nurses represents a significant occupational health concern that adversely affects psychological well-being, job performance, and quality of patient care. Despite increasing evidence supporting mindfulness-based interventions, their integration within a nursing theoretical framework remains limited. This study aimed to examine the effect of mindfulness therapy grounded in the Roy Adaptation Model on work-related stress among inpatient nurses in a private hospital in Semarang, Indonesia
Methods: A quasi-experimental two-group pretest–posttest design was employed. Sixty nurses were recruited using purposive sampling and assigned to an intervention group (n = 30) and a control group (n = 30).
Result: Work-related stress was measured using the Job Stress Scale, which demonstrated excellent internal consistency (Cronbach’s α = 0.965). Higher scores indicated lower levels of stress. The intervention group received mindfulness therapy three times per week for two weeks.The mean stress score in the intervention group increased significantly from 51.87 ± 2.97 at baseline to 78.87 ± 2.98 after the intervention (p < 0.001), indicating a substantial reduction in stress levels, with a very large effect size (Cohen’s d = 28.51). No significant change was observed in the control group (p = 0.161).
Conclusion: These findings indicate that mindfulness therapy based on the Roy Adaptation Model effectively enhances adaptive coping mechanisms and significantly reduces work-related stress among inpatient nurses.
Comparable studies
Other experimental studies on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| The benefits of being present: Mindfulness and its role in psychological well-being. Cancer patients (clinical intervention study) | 2003 | Mixed methods: scale development, correlational, quasi-experimental, laboratory, experience-sampling, and clinical intervention study | |
| Loving-kindness meditation increases social connectedness. | 2008 | Controlled laboratory experiment | |
| Mindfulness and mind-wandering: Finding convergence through opposing constructs. | 2012 | Two studies: correlational study and experimental study | |
| Mental Training Enhances Attentional Stability: Neural and Behavioral Evidence | 2009 | Experimental study | |
| Mindfulness meditation and substance use in an incarcerated population. Incarcerated population | 2006 | Quasi-experimental with treatment-as-usual control condition |