2004
DOI: 10.1046/j.1365-2648.2003.02876.x
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Downsizing and reorganization: demands, challenges and ambiguity for registered nurses

Abstract: The concurrence of 'ever-growing job demands' and 'work going unrewarded' contributed to a feeling of being taken advantage of by the employer. The 'waste of human resources' and 'competence drain' that followed redundancies provoked anger. Unfulfilled collaboration with doctors was a major stress producer, which related to both the downsized work organization, and the complex 'deference-dominance' doctor-nurse relationship. The well-being of nurses depends on being an equal/parallel health professional in a c… Show more

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Cited by 69 publications
(95 citation statements)
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References 25 publications
(22 reference statements)
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“…[2] On the contrary, other studies have shown that there is a difficulty in engaging health care professionals in organizational improvements of care processes. [8][9][10][11] The literature also describes health care organizations' culture as characterized by limited trust and limited collaboration between different occupational groups and organizational levels. [12,13] Despite these hindering factors, there is potential to overcome these obstacles.…”
Section: Introductionmentioning
confidence: 99%
“…[2] On the contrary, other studies have shown that there is a difficulty in engaging health care professionals in organizational improvements of care processes. [8][9][10][11] The literature also describes health care organizations' culture as characterized by limited trust and limited collaboration between different occupational groups and organizational levels. [12,13] Despite these hindering factors, there is potential to overcome these obstacles.…”
Section: Introductionmentioning
confidence: 99%
“…Vahtera et al (2000) showed that good supervisor support was more important than good co-worker support. Further, Hertting, Nilsson, Theorell, and Larsson (2004) found that employees' job strain increased when managers failed to understand how the changes affected employees and their work; this led to employee frustration and lack of trust in management.…”
Section: The Different Contributions Of Support From Supervisors and mentioning
confidence: 99%
“…It is particularly important in professions that are both social and service oriented where contact with people suffering and seeking help is the key objective. Nursing satisfies all of these criteria [19]. Due to the high expectations for task orientation and the fact that nurses are seen as people predetermined to ceaselessly solve specific problems, the emotional aspect of their functioning is marginalized, ignored and sometimes perceived as undesired.…”
Section: Importance Of the Problemmentioning
confidence: 99%