Perceived Stress among Nursing Staff in Psychiatric Inpatient Care: The Influence of Perceptions of the Ward Atmosphere and the Psychosocial Work Environment

Tuvesson, Hanna; Eklund, Mona; Wann-Hansson, Christine

doi:10.3109/01612840.2011.564344

Cited by 25 publications

(18 citation statements)

References 29 publications

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“…Joint activities and engagement are also suggested as preventive factors for perceived stress and stress of conscience for staff (Tuvesson et al . , ). Therefore, it seemed reasonable to assume that by adding TT, the quality of interactions between patient and staff would increase, and perceived stress and stress of conscience among staff would decrease.…”

Section: Discussionmentioning

confidence: 99%

Time Together: A nursing intervention in psychiatric inpatient care: Feasibility and effects

Molin

Graneheim

Ringnér

2018

Int J Mental Health Nurs

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The facilitation of quality time between patients and staff in psychiatric inpatient care is useful to promote recovery and reduce stress experienced by staff. However, interventions are reported to be complex to implement and are poorly described in the literature. This multisite study aimed to evaluate the feasibility and effects of the nursing intervention Time Together, using mixed methods. Data consisted of notes from participant observations and logs to evaluate feasibility, and questionnaires to evaluate effects. The primary outcome for patients was quality of interactions, and for staff, it was perceived stress. The secondary outcome for patients was anxiety and depression symptom levels, and for staff, it was stress of conscience. Data were analysed using visual analysis, percentage of nonoverlapping data, and qualitative content analysis. The results showed that Time Together was a feasible intervention, but measurements showed no effects on the two patient outcomes: quality of interactions and anxiety and depressive symptoms and, questionable effects on perceived stress and stress of conscience among staff. Shared responsibility, a friendly approach, and a predictable structure enabled Time Together, while a distant approach and an unpredictable structure hindered the intervention. In conclusion, the intervention proved to be feasible with potential to enable quality interactions between patients and staff using the enabling factors as supportive components. It also had some effects on perceived stress and stress of conscience among staff. Further evaluation is needed to build on the evidence for the intervention.

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Section: Discussionmentioning

confidence: 99%

Time Together: A nursing intervention in psychiatric inpatient care: Feasibility and effects

Molin

Graneheim

Ringnér

2018

Int J Mental Health Nurs

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“…Occupational stress and burnout experienced by mental healthcare staff has been shown to adversely impact staff well-being along with negatively impacting patient care delivery, treatment outcomes, and patient satisfaction (Currid 2009; Garman et al 2002; Tuvesson et al 2011). Inpatient and residential units for adolescents with serious emotional disturbances can be particularly stressful environments for staff (Mörelius et al 2013).…”

Section: Introductionmentioning

confidence: 99%

Implementation of Mindfulness Training for Mental Health Staff: Organizational Context and Stakeholder Perspectives

et al. 2014

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Occupational stress and burnout adversely impacts mental health care staff well-being and patient outcomes. Mindfulness training reduces staff stress and may improve patient care. However, few studies explore mental health setting implementation. This qualitative study used focus groups to evaluate stakeholders’ perceptions of organizational factors affecting implementation of an adapted version of Mindfulness-Based Stress Reduction (MBSR) for staff on adolescent mental health units. Common facilitators included leadership securing buy-in with staff, allocating staff time to participate, and quiet space for training and practice. Other facilitators were past staff knowledge of mindfulness, local champions, and acculturating staff with mindfulness through a non-mandatory training attendance policy. Common barriers were limited staff time to attend training sessions and insufficient training coverage for some staff. Staff also reported improved focus when interacting with adolescents and improved social cohesion on the units. We conclude that a mindfulness-based program for reducing occupational stress can be successfully implemented on adolescent mental health units. Implementation appeared to change the social context of the units, including staff and patient interactions. More broadly, our findings highlight the importance of environmental factors in shaping attitudes, diffusion of innovation, and acculturation of wellness program implementations.

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“…Leung and colleagues also found the 10-item version to have better psychometric properties than the 14-item version (9). The 14-item version, but not the 10-item version, has been extensively used in Sweden (12)(13)(14). No methodological study seems to have been undertaken since the mid1990s, however, and criterion validity, sensitivity to change and the factor structure do not seem to have been investigated at all.…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties and factor structure of the Swedish version of the Perceived Stress Scale

Eklund

Bäckström

Tuvesson

2014

Nordic Journal of Psychiatry

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Perceived Stress among Nursing Staff in Psychiatric Inpatient Care: The Influence of Perceptions of the Ward Atmosphere and the Psychosocial Work Environment

Cited by 25 publications

References 29 publications

Time Together: A nursing intervention in psychiatric inpatient care: Feasibility and effects

Time Together: A nursing intervention in psychiatric inpatient care: Feasibility and effects

Implementation of Mindfulness Training for Mental Health Staff: Organizational Context and Stakeholder Perspectives

Psychometric properties and factor structure of the Swedish version of the Perceived Stress Scale

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