Construction of an Internet-Based Multimodal Stress Reduction Model and Its Effects on ICU Nurses' Occupational Stress and Burnout

INTERVENTION: Active Comparator Behavioral,Experimental Behavioral Conventional Psychological Support,Internet‐Based Multimodal Stress Reduction Intervention Participants in the control group received conventional psychological support and humanistic care interventions for 4 consecutive weeks, including: (1) access to the hospital's psychological counseling room on an appointment basis; (2) one weekly psychological lecture (45‐60 minutes); (3) weekly heart‐to‐heart conversations with the ward head nurse during the first three weeks; and (4) a Nursing Department symposium in the fourth week.,4‐week internet‐based multimodal stress reduction for ICU nurses: (1) mindfulness‐based stress reduction (weekly video‐guided sessions); (2) 3D‐guided meditation using VR goggles (Sony PlayStation VR2) with progressive muscle relaxation; (3) motion‐based video games (Ring Fit Adventure on Nintendo Switch) with fat burning, breathing regulation, and yoga relaxation modes. Followed by 4‐week post‐intervention follow‐up with weekly telephone support. CONDITION: Internet; Multimodal stress reduction; Model construction; ICU nurses; Occupational stress; Burnout Occupational stress and burnout in Intensive Care Unit (ICU) nurses. ICU nurses are chronically exposed to high intensity work environments, excessive workloads, life and death decision making pressures, frequent exposure to patient suffering and death, high intensity shift schedules, and emotional exhaustion. These factors lead to elevated levels of occupational stress and burnout, which manifest as increased tension, loss of control, emotional exhaustion, depersonalization, and reduced personal accomplishment. Additional psychological problems studied include anxiety and depressive symptoms. The study also examines low self efficacy, reduced subjective well being, and decreased nursing satisfaction associated with chronic occupational stress in this population. ; Internet; Multimodal stress reduction; Model construction; ICU nurses; Occupational stress; Burnout PRIMARY OUTCOME: Occupational Stress Baseline, Week 1, Week 2, Week 3, Week 4 post intervention, and 4 weeks follow up Perceived Stress Scale (PSS). Higher scores indicate greater occupational stress.,Burnout Baseline, Week 1, Week 2, Week 3, Week 4 post intervention, and 4 weeks follow up Maslach Burnout Inventory (MBI). Evaluates emotional exhaustion, depersonalization, and reduced personal accomplishment. Scores range from 0 to 6. Higher scores indicate more severe burnout. INCLUSION CRITERIA: 1.Nurses with Perceived Stress Scale (PSS) scores of 29 or higher 2.Holders of valid nursing licenses 3.At least 1 year of Intensive Care Unit (ICU) experience 4.At least 6 months since transfer to the current hospital 5.No prior exposure to multimodal stress reduction interventions SECONDARY OUTCOME: Anxiety Baseline, Week 1, Week 2, Week 3, Week 4 post intervention, and 4 weeks follow up Self Rating Anxiety Scale (SAS). Higher scores indicate poorer psychological status.,Depression Baseline, Week 1, Week 2, Week 3, Week 4 post intervention, and 4 weeks follow up Self Rating Depression Scale (SDS). Higher scores indicate poorer psychological status.,Self Efficacy Baseline, Week 1, Week 2, Week 3, Week 4 post intervention, and 4 weeks follow up General Self Efficacy Scale (GSES). Higher scores represent greater self efficacy.,Well Being Baseline, Week 1, Week 2, Week 3, Week 4 post intervention, and 4 weeks follow up Inde Xof Well Being (IWB). Higher scores represent greater well being.,Nursing Satisfaction End of intervention Self designed satisfaction questionnaire. Higher scores indicate greater satisfaction.