A hospital staff support program: Design and evaluation

Gray-Toft, Pamela; Anderson, James G.

doi:10.1016/0020-7489(83)90053-6

Cited by 39 publications

(28 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Effects of such interventions have included a reduction in perceived stress-levels for treatment groups [42,43], increased assertiveness scores [44,45], and increases in job satisfaction [46]. One study of behavioral training in general practitioners demonstrated a benefit in developing skills at coping with stress [30].…”

Section: Discussionmentioning

confidence: 99%

Impact of a stress coping strategy on perceived stress levels and performance during a simulated cardiopulmonary resuscitation: a randomized controlled trial

et al. 2013

View full text Add to dashboard Cite

BackgroundCardiopulmonary resuscitation (CPR) causes significant stress for the rescuers which may cause deficiencies in attention and increase distractibility. This may lead to misjudgements of priorities and delays in CPR performance, which may further increase mental stress (vicious cycle). This study assessed the impact of a task-focusing strategy on perceived stress levels and performance during a simulated CPR scenario.MethodsThis prospective, randomized-controlled trial was conducted at the simulator-center of the University Hospital Basel, Switzerland. A total of 124 volunteer medical students were randomized to receive a 10 minute instruction to cope with stress by loudly posing two task-focusing questions (“what is the patient’s condition?”, “what immediate action is needed?”) when feeling overwhelmed by stress (intervention group) or a control group. The primary outcome was the perceived levels of stress and feeling overwhelmed (stress/overload); secondary outcomes were hands-on time, time to start CPR and number of leadership statements.ResultsParticipants in the intervention group reported significantly less stress/overload levels compared to the control group (mean difference: -0.6 (95% CI −1.3, -0.1), p=0.04). Higher stress/overload was associated with less hands-on time. Leadership statements did not differ between groups, but the number of leadership statements did relate to performance. Hands-on time was longer in the intervention- group, but the difference was not statistically significant (difference 5.5 (95% CI −3.1, 14.2), p=0.2); there were no differences in time to start CPR (difference −1.4 (95% CI −8.4, 5.7), p=0.71).ConclusionsA brief stress-coping strategy moderately decreased perceived stress without significantly affecting performance in a simulated CPR. Further studies should investigate more intense interventions for reducing stress.Trial registrationNCT01645566

show abstract

Section: Discussionmentioning

confidence: 99%

Impact of a stress coping strategy on perceived stress levels and performance during a simulated cardiopulmonary resuscitation: a randomized controlled trial

et al. 2013

View full text Add to dashboard Cite

show abstract

“…They provide staff with an opportunity to ventilate their feelings and to share knowledge about work stressors and useful coping strategies (Gray-Toft and Anderson, 1983). For example, Beardslee and DeMaso (1982) found that such groups enabled nurses to express their frustration about the pain seriously ill children experience as a result of treatment, and the strain of managing constant medical crises.…”

Section: Improving Health Care Work Seltingsmentioning

confidence: 99%

Evaluating health care work settings: A holistic conceptual framework

Moos

Schaefer

1987

Psychology & Health

View full text Add to dashboard Cite

After offering a systems perspective that considers a diversity of job-related and personal factors, we discuss the determinants and impacts of health care work climates and how staff morale and performance can influence the treatment milieu and quality of patient care. We also describe the physical features, organizational structure and policies, and suprapersonal and task factors that help to shape health care work climates. We then review research on the connections between work climate and staff morale and performance, the interplay of work climate factors, and the role of personal factors in these relationships. Finally, we orovide some ideas about how to improve health care work settings and focus on some promising new research directions.

show abstract

“…1992 , Jonge et al . 1996 ), and of stress arising from specific facets of the work environment ( Gray‐Toft & Anderson 1983, Bell 1991).…”

Section: What Is Work‐related Distress?mentioning

confidence: 99%

“…Work‐site stress management/reduction interventions targeting trained nurses with an individual focus have provided coping skills training of relevance to the clinical sources of stress facing participant trained nurses in specific settings, i.e. in a hospice ( Gray‐Toft & Anderson 1983), a long stay psychiatric setting ( Kunkler & Whittick 1991), a continuing education setting ( Michie & Ridout 1990), a burns unit ( von Baeyer & Krause 1983), an acute care ward ( McIntyre et al . 1984 , West et al .…”

Section: Evaluating the Impact Of Work‐based Stress Management/reductmentioning

confidence: 99%

See 1 more Smart Citation

Reducing distress in first level and student nurses: a review of the applied stress management literature

Jones

Johnston

2000

Journal of Advanced Nursing

115

View full text Add to dashboard Cite

Following recent evidence of continuing high levels of distress in both trained and student nurses, a critical review of the stress reduction and stress management literature targeting both trained and student nurses is presented. Using a systematic approach, some 36 studies dating from 1980 until the present day were identified adopting either pre-experimental, quasi-experimental or experimental designs. While many work-site programmes in this series were successful in terms of adaptive changes in problem-solving, self-management skills including relaxation and interpersonal skills, affective well-being, and work performance, a number of design and evaluation inadequacies were identified. The relative lack of home-work interface or organizational level programmes to reduce work-related distress, and the scarcity of interventions targeting aspects of the work environment likely to contribute to such outcomes may have contributed to continuing high levels of distress in trained and student nurses. Recommendations regarding the future design, provision and evaluation of such work-site interventions include the further clarification of the structure of perceived stressors, and development of causal models of the stress process to identify the job characteristics 'causing' work-related distress. Such an approach would inform the design and implementation of evidence-based organizational level interventions augmenting strategies to target the health behaviour, lifestyle/risk factors and self-management skills of practitioners and students with attempts to amend problematic elements of the psychosocial work environment.

show abstract

A hospital staff support program: Design and evaluation

Cited by 39 publications

References 14 publications

Impact of a stress coping strategy on perceived stress levels and performance during a simulated cardiopulmonary resuscitation: a randomized controlled trial

Impact of a stress coping strategy on perceived stress levels and performance during a simulated cardiopulmonary resuscitation: a randomized controlled trial

Evaluating health care work settings: A holistic conceptual framework

Reducing distress in first level and student nurses: a review of the applied stress management literature

Contact Info

Product

Resources

About