A WeChat-based “Three Good Things” positive psychotherapy for the improvement of job performance and self-efficacy in nurses with burnout symptoms: A randomized controlled trial

Yu Fang Guo, Louisa Lam, Virginia Plummer, Wendy Cross, Jing Ping Zhang

Research output: Contribution to journalArticleResearchpeer-review

3 Citations (Scopus)


Aim: To evaluate the effects of a WeChat-based “Three Good Things” on job performance and self-efficacy of clinical nurses with burnout symptoms. Background: Few studies have valued the impact of nurses' personal strengths and positive work environment on job performance, particularly in developing countries. Methods: A randomized controlled trial. The intervention group (n = 33) participated in WeChat-based Three Good Things, while the control group (n = 40) did not. Data were collected prior to and immediately after the intervention. WeChat, a popular social software, provides several communicating and recording functions. Results: The main intervention effects and interactions between time and intervention on job performance and self-efficacy were significant (each p <.05). The main time effects on self-efficacy were also significant (p <.05). The post-intervention scores for job performance and self-efficacy between the two groups were statistically different (each p <.05). The scores for job performance and self-efficacy of the intervention group were statistically different before and after the intervention (each p <.05). Conclusion: Three Good Things could significantly improve job performance and self-efficacy of nurses with burnout. Implications for Nursing Management: Nurse managers are recommended to include Three Good Things into their management systems to improve nurses' physical and mental health and work outcomes over the long term.

Original languageEnglish
Pages (from-to)480-487
Number of pages8
JournalJournal of Nursing Management
Issue number3
Publication statusPublished - Apr 2020


  • job performance
  • nursing
  • positive psychology
  • randomized controlled trial
  • self-efficacy

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