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dc.contributor.authorHeikkilä, Mikko
dc.contributor.authorHuhtala, Mari
dc.contributor.authorMauno, Saija
dc.contributor.authorFeldt, Taru
dc.date.accessioned2021-08-11T10:49:53Z
dc.date.available2021-08-11T10:49:53Z
dc.date.issued2022
dc.identifier.citationHeikkilä, M., Huhtala, M., Mauno, S., & Feldt, T. (2022). Intensified job demands, stress of conscience and nurses' experiences during organizational change. <i>Nursing Ethics</i>, <i>29</i>(1), 217-230. <a href="https://doi.org/10.1177/09697330211006831" target="_blank">https://doi.org/10.1177/09697330211006831</a>
dc.identifier.otherCONVID_99277562
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/77324
dc.description.abstractBackground: Nurses frequently face ethically demanding situations in their work, and these may lead to stress of conscience. Working life is currently accelerating and job demands are intensifying. These intensified job demands include (1) work intensification, (2) intensified job-related planning demands, (3) intensified career-related planning demands, and (4) intensified learning demands. At the same time, many healthcare organizations are implementing major organizational changes that have an influence on personnel. Aim: The aim of the study was to investigate the association between intensified job demands and stress of conscience, and whether their association is moderated by organizational change experiences among nurses. Experiences of organizational change may expose employees to stress of conscience or serve as a buffer because employees appraise, involve, and cope with changes differently. Research design: Questionnaires measuring stress of conscience, intensified job demands, and organizational change experiences were completed by nurses (n = 511) in a healthcare district undergoing a major organizational change. Ethical considerations: Throughout, the study procedures were implemented according to the guidelines of the Finnish National Board on Research Integrity and the 1964 Helsinki Declaration and its later amendments. According to the Finnish regulations, because participation was voluntary, informed consent was requested, and participants were advised of their right to withdraw from the study at will. No permission from an ethics committee was necessary. Findings: Work intensification and personal worry considering organizational change were associated with more severe stress of conscience among nurses. Nurses’ experiences of managements’ competent handling of organizational change buffered the association between work intensification and stress of conscience. Conclusions: During organizational changes, management may alleviate nurses’ stress of conscience by proper communication and support procedures.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherSAGE Publications
dc.relation.ispartofseriesNursing Ethics
dc.rightsCC BY 4.0
dc.subject.otherhealthcare
dc.subject.otherintensified job demands
dc.subject.othernurses
dc.subject.otherorganizational change
dc.subject.otherstress of conscience
dc.subject.otherwork intensification
dc.titleIntensified job demands, stress of conscience and nurses' experiences during organizational change
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202108114490
dc.contributor.laitosPsykologian laitosfi
dc.contributor.laitosDepartment of Psychologyen
dc.contributor.oppiainePsykologiafi
dc.contributor.oppiaineHyvinvoinnin tutkimuksen yhteisöfi
dc.contributor.oppiaineKäyttäytymisen muutos, hyvinvointi ja terveys elämänkulussafi
dc.contributor.oppiaineTyön ja johtamisen muuttuminen digitaalisessa ajassafi
dc.contributor.oppiainePsychologyen
dc.contributor.oppiaineSchool of Wellbeingen
dc.contributor.oppiaineBehaviour change, health, and well-being across the lifespanen
dc.contributor.oppiaineEmergent work in the digital eraen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange217-230
dc.relation.issn0969-7330
dc.relation.numberinseries1
dc.relation.volume29
dc.type.versionpublishedVersion
dc.rights.copyright© 2021 the Authors
dc.rights.accesslevelopenAccessfi
dc.relation.grantnumber308336
dc.subject.ysotehostaminen
dc.subject.ysokokemukset
dc.subject.ysotavoitteet
dc.subject.ysoterveydenhuolto
dc.subject.ysosairaanhoitajat
dc.subject.ysoetiikka
dc.subject.ysoarvot (käsitykset)
dc.subject.ysoorganisaatiomuutokset
dc.subject.ysovaatimukset
dc.subject.ysoomatunto
dc.subject.ysohoitohenkilöstö
dc.subject.ysohoitoetiikka
dc.subject.ysotyöelämä
dc.subject.ysostressi
dc.subject.ysojohtaminen
dc.format.contentfulltext
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dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.1177/09697330211006831
dc.relation.funderResearch Council of Finlanden
dc.relation.funderSuomen Akatemiafi
jyx.fundingprogramAcademy Project, AoFen
jyx.fundingprogramAkatemiahanke, SAfi
jyx.fundinginformationThe author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The study was part of the IJDFIN research project funded by Academy of Finland (308336; PI Taru Feldt). Saija Mauno’s contribution was funded by Academy of Finland (308334).
dc.type.okmA1


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