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Organisational intervention to reduce occupational stress and turnover in hospital nurses in the Northern Territory, Australia

Overview of attention for article published in Collegian : journal of the Royal College of Nursing, Australia., December 2012
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (90th percentile)

Mentioned by

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3 policy sources
wikipedia
1 Wikipedia page

Citations

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94 Dimensions

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317 Mendeley
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Title
Organisational intervention to reduce occupational stress and turnover in hospital nurses in the Northern Territory, Australia
Published in
Collegian : journal of the Royal College of Nursing, Australia., December 2012
DOI 10.1016/j.colegn.2012.07.001
Pubmed ID
Authors

Greg Rickard, Sue Lenthall, Maureen Dollard, Tessa Opie, Sabina Knight, Sandra Dunn, John Wakerman, Martha MacLeod, Jo Seiler, Denise Brewster-Webb

Abstract

To evaluate the impact of an organisational intervention aimed to reduce occupational stress and turnover rates of 55% in hospital nurses. The evaluation used a pre- and post-intervention design, triangulating data from surveys and archival information. Two public hospitals (H1 and H2) in the Northern Territory (NT) Australia participated in the intervention. 484 nurses from the two NT hospitals (H1, Wave 1, N = 103, Wave 2, N = 173; H2, Wave 1, N = 75, Wave 2, N = 133) responded to questionnaires administered in 2008 and in 2010. The intervention included strategies such as the development and implementation of a nursing workload tool to assess nurse workloads, roster audits, increased numbers of nursing personnel to address shortfall, increased access to clinical supervision and support for graduates, increased access to professional development including postgraduate and short courses, and a recruitment campaign for new graduates and continuing employees. We used an extended Job Demand-Resources framework to evaluate the intervention and 17 evaluation indicators canvassing psychological distress, emotional exhaustion, work engagement, job satisfaction, job demands, job resources, and system factors such as psychosocial safety climate. Turnover rates were obtained from archival data. Results demonstrated a significant reduction in psychological distress and emotional exhaustion and a significant improvement in job satisfaction, across both hospitals, and a reduction in turnover in H2 from 2008 and 2010. Evidence suggests that the intervention led to significant improvements in system capacity (adaptability, communication) in combination with a reduction in job demands in both hospitals, and an increase in resources (supervisor and coworker support, and job control) particularly in H1. The research addresses a gap in the theoretical and intervention literature regarding system/organisation level approaches to occupational stress. The approach was very successful on a range of health, work outcome, and job design indicators with results providing compelling evidence for the success of the system/organisational level intervention. The quasi-experimental design enabled us to conclude that improvements for the nurses and midwives could be attributed to the organisational intervention by the NT Department of Health (DoH). Further research should be undertaken to explore longer-term impacts, and particularly the influence on turnover. Levels of stress in hospital nurses remain high and present important implications for the psychological well-being of staff.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 317 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Malaysia 2 <1%
Bangladesh 1 <1%
Unknown 314 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 62 20%
Student > Bachelor 42 13%
Student > Ph. D. Student 34 11%
Student > Doctoral Student 23 7%
Researcher 21 7%
Other 56 18%
Unknown 79 25%
Readers by discipline Count As %
Nursing and Health Professions 62 20%
Psychology 58 18%
Medicine and Dentistry 40 13%
Social Sciences 26 8%
Business, Management and Accounting 19 6%
Other 28 9%
Unknown 84 26%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 12. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 September 2022.
All research outputs
#2,869,479
of 25,411,814 outputs
Outputs from Collegian : journal of the Royal College of Nursing, Australia.
#71
of 644 outputs
Outputs of similar age
#26,716
of 285,866 outputs
Outputs of similar age from Collegian : journal of the Royal College of Nursing, Australia.
#1
of 4 outputs
Altmetric has tracked 25,411,814 research outputs across all sources so far. Compared to these this one has done well and is in the 88th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 644 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.9. This one has done well, scoring higher than 88% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 285,866 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 90% of its contemporaries.
We're also able to compare this research output to 4 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them