Assessments of Stress of Conscience, Perceptions of Conscience, Burnout, and Social Support Before and After Implementation of a Participatory Action-Research-Based Intervention

Ericson-Lidman, Eva; Åhlin, Johan

doi:10.1177/1054773815618607

Cited by 14 publications

(29 citation statements)

References 43 publications

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“…Stress of conscience and ethical dilemmas are a topical issue in healthcare 6,[45][46][47] and need to be examined from different angles, for example, the exact mechanisms and process involved to work intensification that may increase stress of conscience. Follow-up research should therefore utilize a longitudinal mediator setting to establish whether the reasons leading to increasing stress of conscience, for example, are increasing pace of work and workload that impair adequate care or something else.…”

Section: Recommendations For Future Researchmentioning

confidence: 99%

Intensified job demands, stress of conscience and nurses' experiences during organizational change

Heikkilä¹,

Huhtala

Mauno

et al. 2021

Nurs Ethics

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Background: Nurses frequently face ethically demanding situations in their work, and these may lead to stress of conscience. Working life is currently accelerating and job demands are intensifying. These intensified job demands include (1) work intensification, (2) intensified job-related planning demands, (3) intensified career-related planning demands, and (4) intensified learning demands. At the same time, many healthcare organizations are implementing major organizational changes that have an influence on personnel. Aim: The aim of the study was to investigate the association between intensified job demands and stress of conscience, and whether their association is moderated by organizational change experiences among nurses. Experiences of organizational change may expose employees to stress of conscience or serve as a buffer because employees appraise, involve, and cope with changes differently. Research design: Questionnaires measuring stress of conscience, intensified job demands, and organizational change experiences were completed by nurses (n = 511) in a healthcare district undergoing a major organizational change. Ethical considerations: Throughout, the study procedures were implemented according to the guidelines of the Finnish National Board on Research Integrity and the 1964 Helsinki Declaration and its later amendments. According to the Finnish regulations, because participation was voluntary, informed consent was requested, and participants were advised of their right to withdraw from the study at will. No permission from an ethics committee was necessary. Findings: Work intensification and personal worry considering organizational change were associated with more severe stress of conscience among nurses. Nurses’ experiences of managements’ competent handling of organizational change buffered the association between work intensification and stress of conscience. Conclusions: During organizational changes, management may alleviate nurses’ stress of conscience by proper communication and support procedures.

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Section: Recommendations For Future Researchmentioning

confidence: 99%

Intensified job demands, stress of conscience and nurses' experiences during organizational change

Heikkilä¹,

Huhtala

Mauno

et al. 2021

Nurs Ethics

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“…They found that the non-parametric test (Kruskal-Wallis) showed a significant reduction in burnout score post-intervention, however conducting a parametric test ANOVA did not find a statistical significance in burnout scores in the same study. No statistically significant reduction score post-intervention was found by two other intervention studies (Fukuda et al (2018), Ericson-Lidman & Ahlin (2017).…”

Section: Resultsmentioning

confidence: 75%

Supporting the resilience and retention of frontline care workers in care homes for older people: A scoping review and thematic synthesis

Johnston

Malcolm

Rambabu

et al. 2020

Preprint

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The COVID-19 pandemic has reinforced the need to ensure that strategic and operational approaches to retain high quality, resilient frontline care home workers, who are not registered nurses, are informed by context specific, high quality evidence. We therefore conducted this scoping review to address the question: What is the current evidence for best practice to support the resilience and retention of frontline care workers in care homes for older people? MEDLINE, PubMed, PsycINFO, Embase, MedRxiv, CINAHL, ASSIA, Social Science Premium were searched for literature published between 2010 and 2020. The search strategy employed combinations of search terms to target frontline care workers in care homes for older people and the key concepts relevant to resilience and retention were applied and adapted for each database. Thirty studies were included. Evidence for best practice in supporting the resilience and retention specifically of frontline care workers in care homes is extremely limited, of variable quality and lacks generalisability. At present, it is dominated by cross-sectional studies mostly from out with the UK. The small number of intervention studies are inconclusive. The review found that multiple factors are suggested as being associated with best practice in supporting resilience and retention, but few have been tested robustly. The thematic synthesis of these identified the analytical themes of - Culture of Care; Content of Work; Connectedness with Colleagues; Characteristics and Competencies of Care Home Leaders and Caring during a Crisis. The evidence base must move from its current state of implicitness. Only then can it inform intervention development, implementation strategies and meaningful indicators of success. High quality, adequately powered, co-designed intervention studies, that address the fundamentally human and interpersonal nature of the resilience and retention of frontline care workers in care homes are required.

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“…Health care professionals cannot tolerate extreme busyness over time without compromising either the quality of the care they provide or their own health (Ericson‐Lidman & Åhlin, 2017). For many nurses, maladministration of relational tasks and concrete and visible negligence, such as failing to provide for the fluid and nutritional needs of patients, are perceived as a confession of failure.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, it is possible to learn solutions. Reflection allows one to review knowledge about the actors' own situations and to develop a knowledge base through which nurses can decide on meaningful and feasible actions to be undertaken (Ericson‐Lidman & Åhlin, 2017). Reflection may be a way to address busyness constructively.…”

Section: Discussionmentioning

confidence: 99%

“…One way to maintain the energy in the culture and stop an escalating situation is to critically assess activities and eliminate tasks that need not be done (Shirey & Hites, 2015). Social support on a daily basis appears to be an important factor of health care personnel (Ericson‐Lidman & Åhlin, 2017). Leaders need to focus on more than task completion alone.…”

Section: Discussionmentioning

confidence: 99%

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Nurses' experiences of busyness in their daily work

Govasli¹,

Solvoll

2020

Nursing Inquiry

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The purpose of this study is to explore and illuminate the phenomenon of busyness as experienced by nurses. The daily work of nursing practice is often characterized by a hectic pace in the execution of tasks. Previous research shows that busyness can potentially lead to a reduction in the quality of nursing. Little has been explored about nurses' own experiences of busyness. This study has a qualitative design. The method chosen is a phenomenological hermeneutical exploration of personal experiences. Results reveal that busyness is experienced as a disparity between perceived necessary tasks and time available to accomplish them. Busyness has an outer dimension of events and a dimension of internal processes. Busyness is experienced as acceptable to some extent, but feels strongly uncomfortable if important tasks remain undone. The intolerable busyness raises negative emotions, steals energy and weakens health. Coping with busyness seems to be a personal and individual struggle, even though health service enterprises are a collective matter.

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Assessments of Stress of Conscience, Perceptions of Conscience, Burnout, and Social Support Before and After Implementation of a Participatory Action-Research-Based Intervention

Cited by 14 publications

References 43 publications

Intensified job demands, stress of conscience and nurses' experiences during organizational change

Intensified job demands, stress of conscience and nurses' experiences during organizational change

Supporting the resilience and retention of frontline care workers in care homes for older people: A scoping review and thematic synthesis

Nurses' experiences of busyness in their daily work

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