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Stress of Conscience among psychiatric nursing staff in relation to environmental and individual factors
Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).ORCID iD: 0000-0002-1437-5060
2012 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 19, no 2, p. 208-219Article in journal (Refereed) Published
Abstract [en]

The present study aimed at investigating the relationship between environmental and individual factors and Stress of Conscience among nursing staff in psychiatric in-patient care. A questionnaire involving six different instruments measuring Stress of Conscience, the ward atmosphere, the psychosocial work environment, Perceived Stress, Moral Sensitivity, and Mastery was answered by 93 nursing staff at 12 psychiatric in-patient wards in Sweden. The findings showed that Sense of Moral Burden, Mastery, Control at Work and Angry and Aggressive Behavior were related to Stress of Conscience. We conclude that Mastery and Control at Work seemed to work as protective factors, while Sense of Moral Burden and perceptions of Angry and Aggressive Behavior made the nursing staff more vulnerable to Stress of Conscience. Future research should investigate whether measures to increase the level of perceived control and being part of decision making will decrease the level of Stress of Conscience among the staff.

Place, publisher, year, edition, pages
Sage Publications, 2012. Vol. 19, no 2, p. 208-219
Keywords [en]
coping, nursing staff, psychosocial environment, stress of conscience
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-5531DOI: 10.1177/0969733011419239ISI: 000302009500004PubMedID: 22457384Scopus ID: 2-s2.0-84859068377Local ID: 14076OAI: oai:DiVA.org:mau-5531DiVA, id: diva2:1402392
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-05Bibliographically approved
In thesis
1. Psychiatric nursing staff and the workplace: Perceptions of the ward atmosphere, psychosocial work environment, and stress
Open this publication in new window or tab >>Psychiatric nursing staff and the workplace: Perceptions of the ward atmosphere, psychosocial work environment, and stress
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Major changes have taken place in psychiatric care in Sweden as well as in other countries. These changes, and the current climate of pressure and demands on the nursing staff in psychiatric in-patient care, make it important to be able to understand the relationship between environmental aspects and the nursing staff’s working conditions. The overall aim of the present thesis was to investigate perceptions of the ward atmosphere, the psychosocial work environment and stress among nursing staff working in psychiatric in-patient care. The findings were based on two questionnaire surveys (65 + 93 participants) and were analyzed using non-parametric statistics. The findings showed that a revised Swedish version of the Ward Atmosphere Scale involved some reliability problems that need to be addressed in future studies. Several aspects of the ward atmosphere were found to be related to the psychosocial work environment, and aspects of the ward atmosphere and the psychosocial work environment were related to the nursing staff’s Perceived Stress and Stress of Conscience. The nursing staff’s sense of Mastery was found to be a protective factor against Stress of Conscience, while a Sense of Moral Burden increased the vulnerability. Taking these aspects into consideration when making improvements in the workplace could help to prevent stress.

Place, publisher, year, edition, pages
Malmö University, Faculty of Health and Society, 2011. p. 71
Series
Malmö University Health and Society Dissertations, ISSN 1653-5383 ; 1
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mau:diva-7327 (URN)11841 (Local ID)978-91-7104-247-7 (ISBN)11841 (Archive number)11841 (OAI)
Note

Note: The papers are not included in the fulltext online.

Paper II and IV in dissertation as manuscript, paper III as accepted manuscript.

Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-03-05Bibliographically approved

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Wann-Hansson, Christine

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