Stress of conscience and burnout among nurses in Turkey

Author(s):  
Sibel Oner Yalcin ◽  
Gulay Yildirim ◽  
Funda G. Kadioglu ◽  
Yasar Sertdemir
Keyword(s):  
2010 ◽  
Vol 66 (8) ◽  
pp. 1708-1718 ◽  
Author(s):  
Christina Juthberg ◽  
Sture Eriksson ◽  
Astrid Norberg ◽  
Karin Sundin

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Yangama Jokwiro ◽  
Elizabeth Pascoe ◽  
Kristina Edvardsson ◽  
Muhammad Aziz Rahman ◽  
Ewan McDonald ◽  
...  

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.


2006 ◽  
Author(s):  
Ann-Louise Glasberg ◽  
Sture Eriksson ◽  
Vera Dahlqvist ◽  
Elisabeth Lindahl ◽  
Gunilla Strandberg ◽  
...  
Keyword(s):  

2016 ◽  
Vol 24 (3) ◽  
pp. 477-492 ◽  
Author(s):  
Muder Alkrisat

Background: Moral distress can be predisposed when nurses are exposed to ambiguous moral situations. Purpose: Is to test a conceptual model based on Roy adaptation model (RAM) to examine the relationship among workplace stress, conscience stress, and moral distress mediated by coping. Design: A correlational, cross sectional. Results: Data were collected from 199 licensed nurses. The findings indicated that workplace stress was related negatively to coping processes (β = −.12) and that stress of conscience was predictive of greater use of coping process (β = −.21). Conclusion: The results indicated that the model suggested based on RAM is saturated and is the perfect fit. However, the alternative models indicated that workplace stress moderately predicted moral distress.


2012 ◽  
Vol 19 (2) ◽  
pp. 208-219 ◽  
Author(s):  
Hanna Tuvesson ◽  
Mona Eklund ◽  
Christine Wann-Hansson

The present study aimed at investigating the relationship between environmental and individual factors and Stress of Conscience among nursing staff in psychiatric in-patient care. A questionnaire involving six different instruments measuring Stress of Conscience, the ward atmosphere, the psychosocial work environment, Perceived Stress, Moral Sensitivity, and Mastery was answered by 93 nursing staff at 12 psychiatric in-patient wards in Sweden. The findings showed that Sense of Moral Burden, Mastery, Control at Work and Angry and Aggressive Behavior were related to Stress of Conscience. We conclude that Mastery and Control at Work seemed to work as protective factors, while Sense of Moral Burden and perceptions of Angry and Aggressive Behavior made the nursing staff more vulnerable to Stress of Conscience. Future research should investigate whether measures to increase the level of perceived control and being part of decision making will decrease the level of Stress of Conscience among the staff.


2006 ◽  
Vol 13 (6) ◽  
pp. 633-648 ◽  
Author(s):  
Ann-Louise Glasberg ◽  
Sture Eriksson ◽  
Vera Dahlqvist ◽  
Elisabeth Lindahl ◽  
Gunilla Strandberg ◽  
...  

Stress in health care is affected by moral factors. When people are prevented from doing ‘good’ they may feel that they have not done what they ought to or that they have erred, thus giving rise to a troubled conscience. Empirical studies show that health care personnel sometimes refer to conscience when talking about being in ethically difficult everyday care situations. This study aimed to construct and validate the Stress of Conscience Questionnaire (SCQ), a nine-item instrument for assessing stressful situations and the degree to which they trouble the conscience. The items were based on situations previously documented as causing negative stress for health care workers. Content and face validity were established by expert panels and pilot studies that selected relevant items and modified or excluded ambiguous ones. A convenience sample of 444 health care personnel indicated that the SCQ had acceptable validity and internal consistency (Cronbach’s alpha exceeded 0.83 for the overall scale). Explorative factor analysis identified and labelled two factors: ‘internal demands’ and ‘external demands and restrictions’. The findings suggest that the SCQ is a concise and practical instrument for use in various health care contexts.


2016 ◽  
Vol 26 (2) ◽  
pp. 205-223 ◽  
Author(s):  
Eva Ericson-Lidman ◽  
Johan Åhlin

Interventions aiming to constructively address stress of conscience are rare. The aim of the study was to compare assessments of stress of conscience, perceptions of conscience, burnout, and social support among health care personnel (HCP) working in municipal residential care of older adults, before and after participation in a participatory action research (PAR) intervention aiming to learn to constructively deal with troubled conscience. Questionnaire data were collected at baseline and at follow-up (1-year interval; n = 29). Descriptive statistics and nonparametric statistical tests were used to make comparisons between baseline and follow-up. HCP gave significantly higher scores to the question, “Are your work achievements appreciated by your immediate superior?” at follow-up compared with baseline. No significant differences in levels of stress of conscience and burnout at follow-up were found. The results suggested that a PAR intervention aiming to learn HCP to deal with their troubled conscience in difficult situations could be partially successful.


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