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Hospital restructuring stressors, support, and nursing staff perceptions of unit functioning.

Ronald J Burke1

  • 1Schulich School of Business, York University, 4700 Keele Street, Toronto, Ontario, MeJ 1P3, Canada.

The Health Care Manager
|April 14, 2005
PubMed
Summary

Hospital restructuring and downsizing create stress for nursing staff. Lower organizational support during these changes leads to poorer perceptions of hospital functioning long-term.

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Correlates of nursing staff survivor responses to hospital restructuring and downsizing.

The health care manager·2005

Area of Science:

  • Healthcare Management
  • Nursing Studies
  • Organizational Psychology

Background:

  • Hospital restructuring and downsizing are prevalent globally.
  • Research highlights stressors and facilitators for nursing staff during transitions.
  • Understanding the long-term impact on perceptions of hospital functioning is crucial.

Purpose of the Study:

  • To longitudinally examine the effects of hospital restructuring and downsizing on nursing staff perceptions of hospital functioning.
  • To investigate the relationship between restructuring stressors, organizational support, and perceived hospital functioning over time.

Main Methods:

  • Longitudinal study design.
  • Data collected via questionnaires from hospital-based nursing staff in 1996 and 1999.

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  • Statistical analysis to determine relationships between variables.

    • Main Results:

    • Moderate, statistically significant relationships were found between restructuring stressors and organizational support in 1996 and hospital functioning perceptions in 1999.
    • Higher restructuring stressors and lower organizational support in 1996 correlated with more negative perceptions of unit and hospital functioning in 1999.

    Conclusions:

    • Restructuring stressors and organizational support significantly impact nursing staff perceptions of hospital functioning.
    • Early organizational support during hospital restructuring may mitigate long-term negative perceptions.
    • Findings underscore the importance of supportive strategies for nursing staff during organizational change.