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Restructuring stressors and perceived hospital effectiveness.

R J Burke1

  • 1Schulich School of Management, York University, Toronto, ON.

Canadian Journal of Nursing Leadership
|October 19, 2004
PubMed
Summary

Hospital restructuring and downsizing stressors negatively impact nursing staff perceptions of hospital effectiveness. Increased stressors, particularly workload and staff bumping, correlate with reduced perceived hospital effectiveness.

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Area of Science:

  • Healthcare Management
  • Organizational Psychology
  • Nursing Studies

Background:

  • Hospital restructuring and downsizing are common organizational changes.
  • These changes can create significant stressors for nursing staff.
  • Understanding the impact on perceived hospital effectiveness is crucial.

Purpose of the Study:

  • To examine the relationship between hospital restructuring and downsizing stressors and nursing staff perceptions of hospital effectiveness.
  • To identify specific stressors contributing to reduced perceived effectiveness.

Main Methods:

  • Quantitative study utilizing questionnaires.
  • Data collected from 744 nurses in late 1999.
  • Analysis of relationships between stressors and perceived effectiveness.

Main Results:

  • Significant independent relationships found between restructuring/downsizing stressors and perceived hospital effectiveness.
  • Higher levels of stressors were associated with lower perceived hospital effectiveness.
  • Workload and staff bumping effects on patient care were particularly detrimental.

Conclusions:

  • Hospital restructuring and downsizing stressors significantly impair nursing staff's perception of hospital effectiveness.
  • Addressing workload and staff bumping is essential to mitigate negative impacts.
  • These findings highlight the importance of managing organizational change to maintain staff morale and perceived organizational performance.

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