The psychological effects of organizational restructuring on nurses

Journal of Advanced Nursing

Volumn 53, Issue 3, 2006, Pages 344-357

  Brown, Hilary ^a,c   Zijlstra, Fred ^b   Lyons, Evanthia ^b  

^a BOURNEMOUTH UNIVERSITY   (United Kingdom)

^b UNIVERSITY OF SURREY   (United Kingdom)

^c Talbot Campus   (United Kingdom)

Author keywords

Healthcare organizations; Management; Nursing; Questionnaire; Restructuring; Theoretical model test

Indexed keywords

ADAPTIVE BEHAVIOR; ADULT; AGED; ANALYSIS OF VARIANCE; ARTICLE; FEMALE; HEALTH CARE FACILITY; HEALTH PERSONNEL ATTITUDE; HUMAN; JOB SATISFACTION; MALE; MENTAL STRESS; MIDDLE AGED; NURSE ATTITUDE; NURSING STAFF; ORGANIZATION; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL MODEL; QUALITY OF LIFE; QUESTIONNAIRE; UNITED KINGDOM;

ADAPTATION, PSYCHOLOGICAL; ADULT; AGED; ANALYSIS OF VARIANCE; ATTITUDE OF HEALTH PERSONNEL; FEMALE; GREAT BRITAIN; HEALTH FACILITY MERGER; HUMANS; JOB SATISFACTION; MALE; MIDDLE AGED; MODELS, PSYCHOLOGICAL; NURSE'S ROLE; NURSING STAFF; ORGANIZATIONAL INNOVATION; QUALITY OF LIFE; QUESTIONNAIRES; STRESS, PSYCHOLOGICAL;

EID: 33645112001     PISSN: 03092402     EISSN: 13652648     Source Type: Journal    
DOI: 10.1111/j.1365-2648.2006.03723.x     Document Type: Article

References (55)

1. Aiken L.H. Clarke S. Sloane D.M. Sochalski J.A. Busse R. Clarke H. Giovannetti P. Hunt J. Rafferty A.M. Sharmian J. 2001 Nurses' reports on hospital care in five countries Health Affairs 20 3 43 53
2. Armstrong S.M. Cameron S.J. Horsburgh M.E. 1996 The impact of organizational downsizing on the job satisfaction of nurses Canadian Journal of Nursing Adminstration 9 4 8 32
3. Arndt E.M. Duchemin K.F. 1993 More than 'Bandaids': emotional support and education during the downsizing process Healthcare Management Forum 6 3 5 10
4. Baumann A. Giovannetti P. O'Brien-Pallas L. Mallette C. Deber R. Blythe J. Hibberd J. DiCenso A. 2001 Healthcare restructuring: the impact of job change Canadian Journal of Nursing Leadership 14 1 14 20
5. Beehr T.A. Farmer S.J. Glazer S. Gudanowski D.M. Nair V.N. 2003 The enigma of social support and occupational stress: source congruence and gender role effects Journal of Occupational Health Psychology 8 3 171 180
6. Black T.R. 1999 Doing Quantitative Research in the Social Sciences: An Integrative Approach to Research Design, Measurement and Statistics Sage Publications London
7. Blythe J. Baumann A. Giovannetti P. 2001 Nurses' experiences of restructuring in three Ontario hospitals Journal of Nursing Scholarship 33 1 61 68
8. Brown H. 2003 The psychological effects of restructuring among nurses PhD Thesis University of Surrey Guildford
9. Burke R.J. 2001 Surviving hospital restructuring Journal of Nursing Administration 31 4 169 172
10. Burke R.J. 2002 Work experiences and psychological well-being of former hospital-based nurses now employed elsewhere Psychological Reports 91 3, part 2 1059 1064
11. Burke R.J. Greenglass E.R. 2001 Hospital restructuring and nursing staff well-being: the role of perceived hospital and union support Anxiety, Stress and Coping 14 93 115
12. Canavan K. 1996 Steps taken to protect health care workers from violence Nevada RNformation 5 3 17
13. Coddington D.C. Moore K.D. 1987 Downsizing, Chapter 14 In Market-Driven Strategies in Health Care Coddington D.C. Moore K.D. eds Jossey-Bass Inc., Publishers San Francisco, CA pp 202 215
14. Corey-Lisle P. Tarzian A.J. Cohen M.Z. Trinkoff A.M. 1999 Healthcare reform: its effects on nurses Journal of Nursing Administration 29 3 30 37
15. Crail M. 1999 Bitter pill: fourty nine trusts working towards merger Health Services Journal 109 5638 10 11
16. Davidson H. Folcarelli P.H. Crawford S. Duprat L.J. Clifford J.C. 1997 The effects of health care reforms on job satisfaction and voluntary turnover among hospital-based nurses Medical Care 35 6 634 645
17. Dencker K. Gottfries C.G. Landstroem H. 1989 Short-term nursing staff reactions to the closure of a major psychiatric hospital Nordisk Psykiatrisk Tidsskrift 43 5 401 410
18. Dialogue E. 1996 Dialogue on Health Reform Ontario Nurses Association Toronto
19. DoH 1990 National Health Service and Community Care Act (1990) HMSO London
20. DoH 2000a Hospital and Community Health Service Expenditure: By Age of Recipient, 1998-99. Dataset Name: 8.5 Retrieved from, on 16 May 2005 q9
21. DoH 2000b National Health Service activity for sick and disabled people: Accident and emergency, And Acute Out-patients and Day Cases, 1981, 1986, 1991-92, 1996-97 and 1997-98: Social Trends. Dataset Name: ST30815 Retrieved from on 16 May 2005
22. DoH 2000c NHS Outpatient, Community and Day Care Contacts for People With a Mental Illness, 1987-88 to 1997-98 (Selected years): Social Trends Dataset. Dataset Name: ST30816 Retrieved from on 16 May 2005
23. DoH 2000d Places Available in Residential Care Homes: By Sector. Dataset Name: 8.11 Retrieved from on 16 May 2005
24. Doyle-Driedger S. 1997 The nurses Maclean's 110 24 27
25. Faul F. Erdfelder E. 1992 GPOWER: A Priori, Post Hoc, and Compromise Power Analyses for MS-DOS (Computer Programme) Bonn University, Department of Psychology Bonn
26. Gaynor S.E. Verdin J.A. Bucko J.P. 1995 Peer support: a key to caregiver morale and satisfaction Journal of Nursing Administration 25 11 23 28
27. Goldstein H. Spiegelhalter D.J. 1996 League tables and their limitations: statistical issues in comparisons of institutional performance Journal of the Royal Statistical Society 159 385 443
28. Greenglass E.R. Burke R.J. 1997 Hospital Restructuring, Anger and Hostility in Nurses Presented at: 11th Conference of the European Health Psychology Society, Bordeaux q10
29. Greenglass E.R. Burke R.J. 2000 Hospital downsizing, individual resources, and occupational stressors in nurses Anxiety, Stress and Coping: An International Journal 13 371 390
30. Harrell F.E. 2001 Missing data In Regression Modeling Strategies Bickel P. Diggle P. Fienberg S. Gather U. Olkin I. Zeger S. eds Springer-Verlag Inc New York pp 41 52
31. Harris P.E. 1989 The Nurse Stress Index Work and Stress 3 4 335 346
32. Kivimaki M. Kalimo R. Lindstrom K. 1994 Contributors to satisfaction with management in hospital wards Journal of Nursing Management 2 229 234
33. Lam L.T. Ross F.I. Cass D.T. Quine S. Lazarus R. 1999 The impact of work related trauma on the psychological health of nursing staff: a cross sectional study Australian Journal of Advanced Nursing 16 3 14 20
34. Latack J.C. Havlovic S.J. 1992 Coping with job stress: a conceptual evaluation framework for coping measures Journal of Organizational Behavior 13 5 479 508
35. Lazarus R.S. Folkman S. 1984 Stress, Appraisal and Coping Springer New York
36. Lees G.M.J. 2001 A comparative analysis of the survivor's syndrome responses of administrators, managers, nurses, and emergency physicians in a downsizing of the Ontario hospital industry Dissertation Abstracts International Section A: Humanities and Social Sciences, vol. 62 (2-A), 668 PhD Walden University Minneapolis, MN, USA q12
37. Little R.J.A. Rubin D.A. 1989 The analysis of social science data with missing values Sociological Methods and Research 18 2 & 3 292 326
38. McClenahan J. Howard L. Macknight A. 1999 Healthy Ever After? Supporting Staff Through Merger and Beyond Health Education Authority London
39. Morrison D. Payne R.L. Wall T.D. 2003 Is job a viable unit of analysis? A multilevel analysis of demands-control-support models Journal of Occupational Health Psychology 8 3 209 219
40. Office of Health Economics (OHE) 2002 Compendium of Health Statistics 14th edn OHE London
41. Osgood C.E. Suci G.J. Tannenbaum P.H. 1957 The Measurement of Meaning University of Illnois Press Urbana, IL
42. Perryman S. Robinson D. 2003 Down the line Health Services Journal 113 5851 26 28
43. Roos N.P. Shapiro E. 1995 Using the information system to assess change: the impact of downsizing the acute sector Medical Care 33 Suppl. 12 DS109 DS126
44. Rout U.R. 2000 Stress amongst district nurses: a preliminary investigation Journal of Clinical Nursing 9 2 303 309
45. Schaefer J.A. Moos R.H. 1996 Effects of work stressors and work climate on long-term care staff's job morale and functioning Research in Nursing and Health 19 63 73
46. Shaw J.B. Barrett-Power E. 1997 A conceptual framework for assessing organization, work group, and individual effectiveness during and after downsizing Human Relations 50 2 109 127
47. Shindul-Rothschild J. Berry D. Long-Middleton E. 1997 Where have all the nurses gone? Final results of AJN's patient care survey The American Journal of Maternal/Child Nursing 22 1 33 47
48. Smith G. Seccombe G. 1998 Changing Times: A Survey of Registered Nurses in 1998. Report no. 351. The Institute for Employment Studies London
49. Spence Laschinger H.K. Sabiston J.A. Finegan J. Shamian J. 2001 Voices from the trenches: nurses' experiences of hospital restructuring in Ontario Canadian Journal of Nursing Leadership 14 1 6 13
50. Spielberger C.D. Reheiser E.C. 1994 The Job Stress Survey: measuring gender differences in occupational stress Journal of Social Behavior and Personality 9 2 199 218
51. Spielberger C.D. Vagg P.R. 1998 Professional Manual fo the Job Stress Survey Research edn University of South Florida Tampa, FL
52. Staw B.M. Sandelands L.E. Dutton J.E. 1981 Threat-rigidity effects in organizational behavior: a multilevel analysis Administrative Science Quarterly 26 4 501 524
53. Taylor S. White B. Muncer S. 1999 Nurses' cognitive structural models of work-based stress Journal of Advanced Nursing 29 4 974 983
54. Tonges M.C. Rothstein H. Carter H.K. 1998 Sources of satisfaction in hospital nursing practice: a guide to effective job design Journal of Nursing Administration 28 5 47 61
55. World Health Organization 1996 WHOQOL-BREV Programme on Mental Health WHO