Some were linked to the notion of a learning organization and explored the benefits of that but not specifically in the context of stress management; many were also outside the selected timeframe. Thus, vulnerability to job-related stress seems to relate to a complex mix of social gradient, job control, effort-reward imbalance, social support and health behaviours Lunt et al. Studies that have applied highly collaborative approaches and have achieved demonstrable positive outcomes therefore provide an opportunity to identify features that may inform future research. Two management sessions held on this Renewal of mission: Randomly Included plenary, individual and small group sessions, characteristics allocated to an intervention and facilitated by consultant and to a control group Five work groups: Participatory approaches are recognized as being potentially challenging as so many staff groups may be involved.

By Louise Hamelin Brabant. Type of organization involved in the study: Some were linked to the notion of a learning organization and explored the benefits of that but not specifically in the context of stress management; many were also outside the selected timeframe. The approach has distinguishable organizational characteristics through its focus on system development, co-learning processes, participation, democratic process, empowerment and a search for a balance between research and intervention Schurman, An initial analysis of the value to this study was made by one of the authors PS , and the decision ratified in discussion with the other two.

Smaller organizations or units within larger organizations with up to participants seem most appropriate for this approach. Although they reported significant outcomes, the prospective nature of the research designs often introduced concerns in providing an appropriate evaluative process because of the detrimental effects of staff turnover, management change and organization-wide policy changes.

workplace stress in nursing a literature review andrew mcvicar

In conclusion, utilizing PAR shows promise as a vehicle for primary, psychosocial interventions for workplace stress. Briner and Reynolds, ; Lamontagne et al.

Four of the papers actually referred to just two studies, but for two papers Lavoie- Tremblay, ; Lavoie-Tremblay et al. Attrition rate by second survey: Evaluation Studies were longitudinal in design, providing a before-after evaluation of the intervention.


Six of the 11 studies took place in the statutory sector i. Ni this will require further comparative studies, and new tools to evaluate the intensity of individual distress. Keywords Organizational change, Stress, Wellness interventions, Research methods, Workplace wellness Paper type Research paper The scale of the problem of workplace stress is well recognized: Self-report scales dominated evaluations 21 different scales; range per study but this strategy is challenged by impacts of organizational change and staff turnover on response rates.

In all, 23 papers related to PAR outside the workplace.

workplace stress in nursing a literature review andrew mcvicar

However, complex, collaborative, psychosocial interventions within the workplace, that is, collective actions aimed at improving the psychological well-being of individuals through changing aspects of the working environment, have been reported to have inconsistent outcomes Seymour and Grove,though some reviews have also suggested that when effective they are more likely to have a positive outcome than individual-focused ones Caulfield et al.

Accordingly a non-systematic scoping review Anderson et al. Non-intervention groups ought to be utilized where possible, despite difficulties in group matching, as they help to strengthen evidence. Collaboration issues Improved stress outcomes following organizational change are more likely to be lasting if they engender a positive attitude to collaborative learning among managers and workers Lunt et al.

In principle, the engagement of participants within PAR designs across every stage of the research process, including design of an evaluation strategy, ought to be responsive to such issues provided that the participatory process is retained throughout the duration of the intervention period.

Workplace stress in nursing: a literature review.

Help Center Find new research papers in: Intervention study on psychosocial work factors and mental health and musculoskeletal outcomes. The studies involved interventions targeted at features of the work environment or culture, and broad sources of workplace stress are suggested.

workplace stress in nursing a literature review andrew mcvicar

To identify nurses’ perceptions of workplace stress, consider the potential effectiveness of initiatives to reduce distress, and identify directions for future research. The rationale for choice should be made clear as even well-known psychosocial measures may have unconfirmed validity and reliability across settings.


Workplace stress in nursing: a literature review.

In contrast, the study by Boivie et al. In two mmcvicar Mikkelsen et al. Whilst specifically Workplace stress related to stress research, the focus was more concerned with community interventions development or public health than with workplace stress management, and so the papers were rejected.

Recent trends suggest that psychosocial interventions are increasingly being applied Lamontagne et al. Sample A total of 57 papers were identified as potentially having apparent but variable relevance to the aim of the review: Summary and conclusions There is evidence that PAR literatuure can have predominantly positive outcomes for major stress indicators, including job performance and productivity, absenteeism and mental health, but there is inconsistency with some studies reporting either partial or little overall impact Jordan et al.

Conflict and resistance generated by hierarchy and an inequality of power are the most difficult obstacles to overcome if collaborative forums are to be effective Fricke, A literature search from January to April was conducted using the key words nursing, stress, distress, stress management, job satisfaction, staff turnover and coping to identify research on sources of stress in adult and child care nursing.

Analysis A mcvicsr approach to analysis is recommended for scoping reviews Davis et al. Specific but important problems should be revjew, and evaluation of un issues, rather than presumptive ones, is an essential part of the assessment process.

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Norway job stress and other job institutions. PAR has the greatest potential for high-level collaboration as it is founded on engagement by most or all stakeholders in the workplace, and so goes beyond nugsing consultation to integrally involve those facing the situation in the research process itself Winter and Munn- Giddings,