Job strain and stress of conscience among nurse assistants working in residential care

2013 ◽  
Vol 23 (3) ◽  
pp. 368-379 ◽  
Author(s):  
Anneli Orrung Wallin ◽  
Ulf Jakobsson ◽  
Anna-Karin Edberg
Keyword(s):  
Residential Care ◽  
Job Strain ◽  
Stress Of Conscience

scholarly journals Stress of Conscience Questionnaire (SCQ): exploring dimensionality and psychometric properties at a tertiary hospital in Australia

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Yangama Jokwiro ◽  
Elizabeth Pascoe ◽  
Kristina Edvardsson ◽  
Muhammad Aziz Rahman ◽  
Ewan McDonald ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Health Professionals ◽  
Goodness Of Fit ◽  
Job Strain ◽  
Factor Model ◽  
International Comparisons ◽  
Internal Consistency Reliability ◽  
Cross Sectional ◽  
Stress Of Conscience

Abstract Background This study explored the psychometric properties and dimensionality of the Stress of Conscience Questionnaire (SCQ) in a sample of health professionals from a tertiary-level Australian hospital. The SCQ, a measure of stress of conscience, is a recently developed nine-item instrument for assessing frequently encountered stressful situations in health care, and the degree to which they trouble the conscience of health professionals. This is relevant because stress of conscience has been associated with negative experiences such as job strain and/or burnout. The validity of SCQ has not been explored beyond Scandinavian contexts. Methods A cross-sectional study of 253 health professionals was undertaken in 2015. The analysis involved estimates of reliability, variability and dimensionality. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to explore dimensionality and theoretical model fit respectively. Results Cronbach’s alpha of 0.84 showed internal consistency reliability. All individual items of the SCQ (N = 9) met the cut-off criteria for item-total correlations (> 0.3) indicating acceptable homogeneity. Adequate variability was confirmed for most of the items, with some items indicating floor or ceiling effects. EFA retained a single latent factor with adequate factor loadings for a unidimensional structure. When the two‐factor model was compared to the one‐factor model, the latter achieved better goodness of fit supporting a one-factor model for the SCQ. Conclusion The SCQ, as a unidimensional measure of stress of conscience, achieved adequate reliability and variability in this study. Due to unidimensionality of the tool, summation of a total score can be a meaningful way forward to summarise and communicate results from future studies, enabling international comparisons. However, further exploration of the questionnaire in other cultures and clinical settings is recommended to explore the stability of the latent one-factor structure.

Associations between the working characteristics of nursing staff and the prevalence of behavioral symptoms in people with dementia in residential care

2008 ◽  
Vol 20 (4) ◽  
pp. 764-776 ◽  
Author(s):  
David Edvardsson ◽  
P. O. Sandman ◽  
Rhonda Nay ◽  
Stig Karlsson
Keyword(s):  
Residential Care ◽  
Clinical Experience ◽  
Nursing Staff ◽  
Job Strain ◽  
Well Being ◽  
Working Environment ◽  
Assessment Scale ◽  
Behavioral Symptoms ◽  
Work Characteristics ◽  
People With Dementia

ABSTRACTBackground: Clinical experience suggests that the work characteristics of staff in residential care may influence the well-being of residents with dementia. However, few studies have explored those anecdotal experiences. The aim of this study was to investigate associations between work characteristics of nursing staff and prevalence of behavioral symptoms among people with dementia in residential care settings.Methods: The self-report job strain assessment scale was used to measure staff perceptions of their working environment, and the Multi Dimensional Dementia Assessment Scale to measure the occurrence of behavioral symptoms among residents in 40 residential care units for people with dementia.Results: The findings show that in settings where staff reported high job strain, the prevalence of behavioral symptoms was significantly higher compared to settings where staff reported low job strain. Furthermore, settings characterized by staff having a more positive caring climate had significantly less prevalence of escape, restless and wandering behaviors compared to settings having a less positive caring climate. There was no statistically significant association between staff members' self-reported knowledge in caring for people with dementia and prevalence of behavioral symptoms.Conclusions: This study provides evidence for the oft-cited clinical experience that the well-being of nursing staff is associated with the well-being of people with dementia in residential care settings.

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