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Cited by 60Workplace Health and Well-beingNursing education and managementJob Satisfaction and Organizational Behavior

Recurrent changes in the work environment, job resources and distress among nurses: a comparative cross-sectional survey

Verhaeghe, Rik, Vlerick, Peter, De Backer, Guy, Van Maele, Georges, Gemmel, Paul·2008·International Journal of Nursing Studies
DOI 10.1016/j.ijnurstu.2006.10.003
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Abstract

Background and objectives Occupational stress in nursing has frequently been considered in nursing literature. The operationalization of job demands in different work settings and its relation to distress have been discussed to identify significant interactions with job resources. In this study, job demands were defined as recurrent changes in the work environment of nurses (i.e. changing colleagues, supervisors, workplaces, working hours and tasks). In particular, we focused on the 'negative appraisal' (i.e. 'threat') of these changes. The interaction between 'threat' and job resources (i.e. timing control, method control and supervisor support) and its relation to distress among Registered Nurses was examined.Methods The study was part of a larger cross-sectional survey among 7863 (response rate 51%) employees belonging to 10 general hospitals in Belgium. The results are based on self-administered questionnaires of 1094 Registered Nurses employed in intensive care units (ICU) (n = 416) and surgery/medical wards (non-ICU) (n = 678). General Linear Modelling was used to test the moderating effects.Results In both study samples, 'threat' was positively associated with distress (P < 0.001). However, in contrast with non-ICU nurses, ICU nurses only considered 'supervisor support' as a significant moderator in the positive relationship between 'threat' and distress (P = 0.023). 'Timing and method control', instead of supervisor support, moderated this relation among non-ICU nurses (P = < 0.001 and 0.018, respectively).Conclusion These findings provide additional evidence to consider negative appraisal of recurrent changes as occupational specific stressor in nursing. Moreover, the buffering effects which were found between 'threat' and the measured job resources in relation to distress, and the difference of these interactions in ICU and non-ICU health care settings, confirmed the suggestion to consider particular job characteristics in job stress research. Finally, the findings of our study may be of importance for nursing administrators who are dealing with distress among nurses.

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Authors
Verhaeghe, R., Vlerick, P., De Backer, G., Van Maele, G., & Gemmel, P.
Affiliations
Ghent University (BE)
Corresponding author
Verhaeghe, Rik
ORCID
Venue
International Journal of Nursing Studies
Publisher
Elsevier BV
Published
2008-03
Volume
45
Issue
3
Pages
382-392
ISSN
0020-7489 (ISSN-L)
DOI
10.1016/j.ijnurstu.2006.10.003
OpenAlex
W2081197218
Cited by
60
References
40
Citations by year
2026: 2 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 5 · 2020: 2 · 2019: 3 · 2017: 1 · 2016: 2 · 2015: 5 · 2014: 6 · 2013: 5 · 2012: 5
FWCI
5.76
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • International Journal of Nursing Studies (publishedVersion)
  • PubMed (publishedVersion)
  • Ghent University Academic Bibliography (Ghent University) (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
  • Health Sciences › Nursing › Research and Theory › Nursing education and management
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Job Satisfaction and Organizational Behavior
Keywords
occupational stress, nurses, job demands, job resources, threat appraisal, distress, supervisor support, timing control, intensive care unit nurses, general wards, workplace change, moderating effect
MeSH terms
Belgium, Cross-Sectional Studies, Data Collection, Humans, Intensive Care Units, Internal-External Control, Nursing Staff, Hospital, Occupational Diseases, Personnel Administration, Hospital, Personnel Staffing and Scheduling, Social Support, Stress, Psychological, Linear Models, Workplace

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