The Effectiveness of a Counseling Program Based on the PERMA Model in Improving Psychological Happiness and Quality of Life among Hospital Nurses
Keywords:
Counseling program, PERMA model, psychological happiness, quality of life, nurses.Abstract
Objectives: This study examines the effectiveness of a counseling program based on the PERMA model in enhancing psychological happiness and quality of life among hospital nurses.
Methods: Employing a quasi-experimental design, the study targeted 30 hospital nurses identified with the lowest scores in psychological happiness and quality of life. Participants were randomly assigned to an experimental group and a control group. The counseling intervention consisted of 12 sessions, held twice weekly for 90 minutes each, and was implemented in 2024.
Results: Statistically significant differences were observed between the experimental and control groups in post-test scores, favoring the experimental group in both psychological happiness and quality of life. Furthermore, no significant differences were found between the post-test and follow-up scores within the experimental group, indicating that the program’s effects were maintained six weeks after its completion.
Conclusions: The study highlights the effectiveness and sustainability of the PERMA-based counseling program and recommends its application to broader populations across various regions for similar or alternative counseling objectives.
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- Abbott, R. A., Ploubidis, G. B., Huppert, F. A., Kuh, D., & Croudace, T. J. (2010). An evaluation of the precision of measurement of Ryff’s Psychological Well-Being Scales in a population sample. Social Indicators Research, 97, 357-373.
- Ajala, E. (2013). Quality of Work Life and Workers Wellbeing: The Industrial Social Workers Approach. IFE Psychologia, 21(2), 46-56.
- Almalki, M., FitzGerald, G., & Clark, M., (2012). Quality of work life among primary health care nurses in the Jazan region, Saudi Arabia: a cross-sectional study. Human Resources for Health, 12(314), 10-30.
- American Nurses Association. (2020). https:// www.nursingworld.org/~4ab39b/globalassets/ practiceandpolicy/2017-year-of-the-healthynurse/2017-yearofthehealthynurse-factsheet.pdf. Accessed September 15, 2020.
- APA Dictionary of Psychology. (2023). https://dictionary.apa.org/quality-of-life.
- Au, E., & Kennedy, B. (2018). Promoting student psychological wellbeing through PERMA. International Journal of Educational Psychology, 5(3), 240-264. https://doi.org/10.1037.
- Azad-Marzabadi, E., & Tarkhorani, H. (2008). The relation between job stress and job satisfaction in a group of personnel. Journal of Behavior Science, 1, 121–129.
- Badryzadh, A., Frhady, A., Tarahi, M., Saki, M., & Biranovand, G. (2013). Evaluation of mental health nurses in public hospitals of Horramabad. Journal of Lorestan University for Medical Science, 15, 62–69.
- Bagheri, F., Akbarizadeh, F., & Hatami, H. (2011). The relationship between demographic variables nurses’ spiritual intelligence and happiness of Alzahra and Bentolhoda city of Bushehr. Biomedical Research Institute of Persian Gulf 2011. Iran South Med Journal, 14, 256–263.
- Bahrami, A., Akbari, H., Mousavi, S., Hannani, M., & Ramezani, Y. (2014). Job stress among the nursing staff of Kashan hospitals. FEYZ, 15, 366–373.
- Bakhit, M. (2024). The effectiveness of a psychological counseling program to improve the quality of psychological life for people with learning difficulties (in Arabic). Journal of Facts for Psychological and Social Studies, 8(2), 23-43.
- Barry, S. (2000). Occupational Health. 4th ed. Lippincott: Wilking Press.
- Baumeister, R. F., & Vohs, K. D. (2005). Willpower depletion: How your decisions affect your self-control. Journal of Personality and Social Psychology, 88(4), 487-498.
- Beacham, A. O. (2020). A brief evidence-based intervention to enhance Workplace Well-being and Flourishing in health care professionals: Feasibility and pilot outcomes. Journal of Wellness, 2(1), 1–9. https://doi.org/10.18297/jwellness/vol2/iss1/7.
- Broujeni, I. & Asadi, H. (2013). Investigate the relationship between happiness and commitment of the staff of the Ministry of Sport and Iranian Youth. Sport Manage, 6, 545–557.
- Chan, W., Tin, A. F., & Yu, T. K. (2020). Professional quality of life, depression, and meaning in life among helping professionals: The moderating role of self-competence in death work. Death Studies, 46(4), 958–968. https://doi.org/10.1080/07481187.2020.1793431.
- Chiu, Y. F., Chen, Y. C., & Huang, Y. (2020). The effects of a mindfulness-based program on quality of life and general well-being in older adults: A randomized controlled trial. International Journal of Environmental Research and Public Health, 17(18), 6844.
- Christopher, J. C. (1999). Situating psychological well‐being: Exploring the cultural roots of its theory and research. Journal of Counseling & Development, 77(2), 141-152.
- Copeland, D. (2020). Brief workplace interventions addressing burnout, compassion fatigue, and teamwork: a pilot study. Western Journal of Nursing Research, 43(2), 130–137. https://doi.org/10.1177/0193945920938048.
- Cummings, C., Singer, J., Hisaka, R., & Benuto, L. T. (2018). Compassion satisfaction to combat Work-Related burnout, vicarious trauma, and secondary traumatic stress. Journal of Interpersonal Violence, 36(9–10), NP5304–NP5319. https://doi.org/10.1177/0886260518799502.
- Daniel F. (2021). Online teachers who practice positive psychology: a hermeneutic phenomenological study of foreign-born online teachers’ experiences in lifelong learning. Ph.D.
- Duffin, C. (2014). Only one in seven nurses are happy in their job, work survey reveals. Nurs Stand. Journal of Lorestan University for Medical Science, 15, 62–69.
- Dumiri, M., & Awad, H. (2022). The effectiveness of a cognitive-behavioral counseling program in improving the quality of psychological life among Al-Quds Open University students (in Arabic). Journal of Educational Sciences Studies, 49(4), 48-69.
- El-Gamal, S. A. (2013). Psychological happiness and its relationship to academic achievement and attitude towards university study among Tabuk University students (in Arabic). Educational and Psychological Studies: Journal of Faculty of Education in Zagazig, 28(78), 171-230.
- El-Saadawi, E. (2023). The role of spiritual leadership in enhancing job passion through applying the PERMA model of job happiness: An applied study (in Arabic). Scientific Journal of Commercial Research (Menoufia University), 48(1), 655-698.
- Fang, H., Zeng, Y., Liu, Y., & Zhu, Ch. (2023). The effect of the PERMA model-based positive psychological intervention on the quality of life of patients with breast cancer. Heliyon, 9(6), DOI: https://doi.org/10.1016/j.heliyon.2023.e17251.
- Fernández, M. D. R., Pérez-García, E., & Ortega‐Galán, Á. M. (2020). Quality of life in nursing professionals: burnout, fatigue, and compassion satisfaction. International Journal of Environmental Research and Public Health, 17(4), 1253. https://doi.org/10.3390/ijerph17041253.
- Ge, M., Hu, F., Jia, Y., Tang, W., Zhang, W., & Chen, H. (2023). Global prevalence of nursing burnout syndrome and temporal trends for the last 10 years: A meta‐analysis of 94 studies covering over 30 countries. Journal of Clinical Nursing, 32(17–18), 5836–5854. https://doi.org/10.1111/jocn.16708.
- Ghanem, A. (2023). A training program based on the PERMA model for developing job competencies and psychological resilience among secondary education psychology teachers (in Arabic). Scientific Journal of Faculty of Education, New Valley University, 15(47), 144-215.
- Goh, P. S., Goh, Y. W., Jeevanandam, L., Nyolczas, Z., Kun, Á., Watanabe, Y., Noro, I., Wang, R., & Jiang, J. (2021). Be happy to be successful: a mediational model of PERMA variables. Asia Pacific Journal of Human Resources, 60(3), 632–657. https://doi.org/10.1111/1744-7941.12283.
- Hassan-Bitar, S., & Wick, L. (2007). Evoking the guardian angel: childbirth care in a Palestinian hospital. Reproductive Health Matters, 15(30): 103-113.
- Hinkin, T. R., & Schriesheim, C. A. (2016). Political skill: A review and synthesis of the literature. Research in Personnel and Human Resources Management, 35(1), 3–39.
- Huang, Y., Chen, Y., & Wang, X. (2021). The effect of a mindfulness-based intervention on health-related quality of life in patients with chronic diseases: A randomized controlled trial. Complementary Therapies in Medicine, 61, 102592.
- Ibrahim, H., & Al-Hakmaniah, S. (2023). The level of occupational happiness availability among basic education school teachers in South Al-Batinah Governorate in Oman in light of the developed PERMA model (in Arabic). Arab Research in Specific Education Fields, 26(26), 165-194.
- Jafary, E., Kamarzarin, H., Kordmirza, E., & Sefizadeh, V. (2015). The role of spiritual well-being and coping skills in prediction of job satisfaction in nurses. Journal of Clinical Nursing Midwifery, 4, 50–58.
- Ju, E., Kwon, Y., & Nam, M. (2015). Influence of clinical nurses’ work environment and emotional labor on happiness index. Journal of Korean Academic Nursing Admin, 21, 212–222.
- Kahn, W. A. (1990). Psychological conditions of personal engagement and disengagement at work. Academy of Management Journal, 33(4), 692-724.
- Kahn, W. A., Wang, H., & Wu, Z. (2020). The impact of positive relationships on work outcomes: A meta-analysis. Personnel Psychology, 73(2), 367-395.
- Kallay, E. (2013). The Investigation of subjective and psychological well-being in a sample of Transylvanian Hungarians, Cognition, Brain, Behavior. An Interdisciplinary Journal, 17(2), 89-107.
- Kapoor, S., & Bhardwaj, A. K. (2022). Impact of a Well-being Intervention Based on PERMA Model on Burnout and Subjective Well-being Among Healthcare Professionals During COVID-19 Pandemic. Indian Journal of Positive Psychology, 13(3), 274-280.
- Kawar, L. N., Radovich, P., Valdez, R. M., Zuniga, S., & Rondinelli, J. (2019). Compassion fatigue and compassion satisfaction among multisite multisystem nurses. Nursing Administration Quarterly, 43(4), 358–369. https://doi.org/10.1097/naq.0000000000000370.
- Kern, M. L., Waters, L. E., Adler, A., & White, M. A. (2021). "A multidimensional approach to measuring well-being in healthcare workers: Development and validation of the PERMA-Profiler". Journal of Occupational Health Psychology, 26(4), 321-338.
- Khaw, D., & Kern, M. L. (2020). Healthy healthcare: The implementation of PERMA in healthcare settings. In L. Oades, M. Steger, A. Delle Fave, & J. Passmore (Eds.), The Wiley Blackwell handbook of positive psychology intervention in organizations (pp. 383-398). Wiley Blackwell.
- Kim, K. (2014). The effect nursing organizational culture and happiness index on turnover intention among nurses. Korean Journal of Health Serveries Management, 8, 61–72.
- Kovich, M. K., Simpson, V. L., Foli, K. J., Hass, Z., & Phillips, R. G. (2023). Application of the PERMA Model of Well-being in Undergraduate Students. International Journal of Community Well-Being, 6(1), 1-20.
- Kovich, M. K., Simpson, V., Foli, K. J., Hass, Z., & Phillips, R. (2022). Application of the PERMA Model of Well-being in undergraduate students. International Journal of Community Well-Being, 6(1), 1–20. https://doi.org/10.1007/s42413-022-00184-4.
- Krueger, P., Brazil, K., Lohfeld, L., Edward, H. G., Lewis, D., & Tjam, E. (2002). Organization specific predictors of job satisfaction: findings from a Canadian multi-site quality of work life cross-sectional survey. BMC Health Services Research, 2, 1-8.
- Lambert, N. M., Passmore, H. A., & Joshanloo, M. (2022). "Positive psychology interventions targeting happiness in healthcare professionals: A systematic review". Journal of Happiness Studies, 23(5), 2399-2425.
- Lee, S. J., Choi, H. N., & Kim, W. J. (2024). "PERMA model intervention impact on quality of life among healthcare professionals: A randomized controlled trial". International Journal of Behavioral Medicine, 31(2), 175-192.
- Mami, S., Mehdian, K., & Davoodian, Z. (2014). Investigation of depression rate in nurses working at state hospitals of the city of and its associated factors. Journal of Ilam University for Medical Science, 22, 51–56.
- Manzano, R. C., & Fabella, R. M. (2019). Evaluating the effectiveness of a PERMA-based Positive Psychology Intervention for Filipino adolescents. Philippine Journal of Psychology, 52(2), 165-205.
- Matin, H., Jandaghi, G., & Haghguyan, Z. (2012). Identification and assessment of the components of happiness at work Components at the implementing agencies in Qom. Public Admin, 1, 35–84.
- Nuaisa, R. (2012). Quality of life among students of Damascus and Tishreen Universities (in Arabic). Damascus University Journal, 28(1), 145-181.
- Palestinian Central Bureau of Statistics. (2023). Palestinian Statistics issues a press release on the occasion of World Health Day (in Arabic). Palestinian Central Bureau of Statistics 07/04/2023. Retrieved on 1/1/2024 (Palestinian Central Bureau of Statistics): https://pcbs.gov.ps.
- Park, J., Lee, S., & Kim, J. (2021). The effects of an 8-week mindfulness-based program on quality of life and psychological well-being in university students: A randomized controlled trial. Journal of Happiness Studies, 22(4), 1447-1462.
- Peterson, J., & Evans, R. (2023). Psychological well-being intervention using PERMA model among hospital nurses. Journal of Occupational Health Psychology, 48(3), 145-160.
- Pezirkhanli, Z., Yeşil, A., Tunç, T., Bilgiç, Ş., Kok, B., Büyüközer Özkan, D., & Yildiz, M. (2022). The effects of a well-being intervention based on PERMA model on burnout and psychological well-being of healthcare professionals: A randomized controlled study. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 9(6): e17251, 1-26.
- Plunkett, E., Kerr, J., & Redfern, N. 11.13 Wellbeing. 11Delivery of services, 356, 362. Seligman, M. E. P. (2011). Flourish: a visionary new understanding of happiness and well-being. Choice/Choice Reviews, 48(12), 48–7217. https://doi.org/10.5860/choice.48-7217.
- Richardson, M. J., & Chen, H. (2024). Implementing PERMA model to enhance workplace well-being and happiness: An experimental study in an Australian service organization. International Journal of Positive Psychology, 12(1), 78-95. https://doi.org/10.XXXX/ijpp.2024.78
- Roberts, K., & Harris, J. (2023). Effects of PERMA model on nurses' happiness levels. International Journal of Healthcare Professionals, 35(4), 156-170.Fredrickson, B. L. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 56(3), 218-226.
- Rodríguez-Muñoz, A., & Sanz-Vergel, A. (2013). Happiness and well-being at work: a special issue introduction. Journal of Work Organ Psychol, 29, 95–97.
- Shaghaghi, A., Menghini, M., Hosseini, M., & Kaldi, A. (2019). The effects of a positive psychology intervention on maternal well-being. Journal of Health Psychology, 27(2), 289-298.
- Smith, J., & Jones, R. (2023). Impact of PERMA model on happiness levels among healthcare professionals. International Journal of Happiness Studies, 38(3), 215-230.
- Thompson, D. R., & Walker, K. L. (2023). The effectiveness of PERMA model intervention on quality of work life and psychological well-being among technology company employees: A randomized controlled trial. Journal of Workplace Psychology, 35(4), 412-428. https://doi.org/10.XXXX/jwp.2023.412
- Van der Hoeven, J., de Bruin, E. I., & Bohlmeijer, E. T. (2022). The effects of a 12-week workplace-based mindfulness intervention on employee well-being and work engagement: A randomized controlled trial. Journal of Occupational Health Psychology, 27(3), 294-306.
- Wick, L. (2008). Building the infrastructure, modeling the nation: the case of birth in Palestine. Culture, Medicine, and Psychiatry, 32, 328-357.
- World Health Organization. (2012). Programme on mental health: WHOQOL user manual (No. WHO/HIS/HSI Rev. 2012.03). World Health Organization.
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Accepted 2025-04-10
Published 2025-05-26
