Contributory factors to collaborative involvement include a presence of a social climate of learning, the provision of opportunities for multi-level participation in the design of interventions, awareness of tacit behaviours that may be undermining, and definition of roles and responsibilities Nytro et al. In general, most studies lasted at least 18 months. This review of studies that report successful interventions sought to identify what might be learned from them, with the aim of clarifying a PAR design that might increase the likelihood of improving stress management in the workplace. In terms of the scale of the project, the most extensive was a study in a manufacturing plant Heaney et al. The studies involved interventions targeted at features of the work environment or culture, and broad sources of workplace stress are suggested. Smaller organizations or units within larger organizations with up to participants seem most appropriate for this approach.

Forums were mainly action or project groups of some sort that met periodically five to ten meetings over the duration of the project, a few months to five years depending upon the study. Study aims should not be over-ambitious. Evaluation Studies were longitudinal in design, providing a before-after evaluation of the intervention. Organizational interventions are targeted at most but not all of these sources, and their effectiveness is likely to be limited, at least in the short to medium term. PAR can be effective here, for example, Heaney et al. Nature of stress targeted and the participatory process. Enter the email address you signed up with and we’ll email you a reset link.

workplace stress in nursing a literature review andrew mcvicar

The fifth survey was nine months after the Work Environment Scales intervention Turnover rate from staff records Heaney et al. In all, 23 papers related to PAR outside the workplace. Four studies were not empirical per se, but were either discussion papers related to participation two studiesor were evaluation studies which did not involve an intervention two studies. Intervention study on psychosocial work factors and mental health and musculoskeletal outcomes.

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Efforts to ensure a good match for the groups are especially apparent in the Bond and Bunce study, but despite having addressed many of the difficulties inherent in applying randomized selection strategies the authors note that there may still have been important, literatre differences between them, for example in relation to roles and responsibilities.


Two management sessions held on this Renewal of mission: Regarding the latter, most studies refer to this in the context of mental health problems arising from stress, though some Gold, ; Lavoie-Tremblay, ; Lavoie-Tremblay et al.

These usually drew on literautre findings from earlier phases of the study and 6,1 informed the next stage, such as a wider consultation phase or implementation phase.

Designs are complex, but PAR provides the means of resolving critical issues of stakeholder engagement, including managers, and of ensuring a reliable evaluation strategy. A total of 32 scales were used across the studies, either selected from those already available 18 different scales across all studies; see Strdss III or literatur specifically for the purpose of the study three studieswhile three studies also referred to staff or management records for data on absenteeism or turnover.

Four of the papers actually referred to just two studies, but for two papers Lavoie- Tremblay, ; Lavoie-Tremblay et al. In some studies they were also used to develop solutions, and two Gold, litfrature Boivie 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, 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.

Comparison with a non-intervention group appears to strengthen the evaluation, but PAR also provides an opportunity to implement an innovative strategy sensitive to the workplace situation.

Workplace stress in nursing: a literature review.

Common features of the research sites were evidence of past or continuing re-organization and re-structuring, and concern with excessive workplace stress. The variety of settings suggests that the economic sector and nature of business are not important factors when selecting a site for participative research into workplace stress. Nature of stress targeted, and the participatory process: 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.

Accordingly a non-systematic scoping review Anderson et al. Corresponding author Andrew McVicar can be contacted at: All had positive outcomes, considered to be those evidenced as having had an impact on conditions and processes in the workplace: 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.


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. Collaboration enables stakeholders with different kinds of expertise to solve mfvicar together — perhaps also with input from external experts, such as occupational psychologists — and a feature was the amount of time that had to be committed in the early phase of the study to agree access, share expectations, agree a timeframe and to formally establish a commitment from the workforce.

workplace stress in nursing a literature review andrew mcvicar

Most studies were initiated either by a direct approach to the organization from an academic institution, or by the organization management contacting those institutions. Log In Sign Up.

Non-intervention groups ought to be utilized where possible, despite worrkplace in group matching, as they help to strengthen evidence. In contrast, the study by Boivie et al.

Workplace stress in nursing: a literature review.

This might be expected in complex, multi-factorial situations, but it can complicate evaluation of the efficacy of the intervention e. PAR provides scope to engage managers as participants.

workplace stress in nursing a literature review andrew mcvicar

PAR has the greatest potential for mcvlcar collaboration as it is founded on engagement by most or all stakeholders in the workplace, and so goes beyond simple consultation to integrally involve those facing the situation in the research process itself Winter and Munn- Giddings, No information on response rate et al.

Social lead stresd and senior UK healthcare organization and a services: Stress perception is highly subjective, and so the complexity of nursing practice may result in variation between nurses in their identification of sources of stress, especially when the workplace and roles of nurses are changing, as is currently occurring in the United Kingdom health service.

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