Cent Eur J Nurs Midw 2019, 10(3):1092-1101 | DOI: 10.15452/CEJNM.2019.10.0019

The association of primary healthcare nurses' perceived stress with organizational culture and climate in a team context

Nijole Galdikiene1,*, Paula Asikainen2, Ilmari Rostila3, Philip Green4, Sigitas Balčiūnas5, Mika Helminen6, Tarja Suominen3
1 Department of Nursing, Faculty of Health Sciences, Klaipeda State University of Applied Sciences, Lithuania
2 Satakunta Hospital District (Pori), Nursing Science, Health Sciences, Faculty of Social Sciences, Tampere University, Finland
3 Faculty of Social Sciences, Tampere University, Finland
4 University of Tennessee, Knoxville, Tennessee, USA
5 Public Administration Department, Social Research Center, University of Šiauliai, Lithuania
6 Science Centre, Pirkanmaa Hospital District, Faculty of Social Sciences, Tampere University, Finland

Aim: The aim of the present study was to describe the association between primary healthcare (PHC) nurses' perceived stress and organizational culture and climate in a team context.

Design: A descriptive, cross-sectional correlation study.

Methods: 29 teams in 18 PHC centers situated in one Lithuanian county participated in the study. A total of 187 nurses completed the Expanded Nursing Stress Scale, while 344 healthcare professionals (including nurses) responded to the Organizational Social Context questionnaire.

Results: Absolute values of Spearman's rho correlation coefficients between 0.19-0.24 (p < 0.01) were found when examining the association of nurses' stress with organizational culture and climate across PHC teams. Whether the culture was resistant or proficient seemed to have associations with some of the stress factors experienced by nurses. Additionally, how the whole team reported stress or functionality in their organizational climate seemed to be associated with perceived stress of nurses.

Conclusion: Investigating the organizational culture and climate experienced by PHC teams may help identify manageable problems and decrease stress experienced by nurses. The study also allows the possibility of nursing scholars using the study's designs and instruments for further investigation of teams.

Keywords: cross-sectional correlation study; descriptive, organizational climate; organizational culture; nurse stress; primary healthcare

Received: December 31, 2018; Accepted: July 9, 2019; Published: September 30, 2019  Show citation

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Galdikiene N, Asikainen P, Rostila I, Green P, Balčiūnas S, Helminen M, Suominen T. The association of primary healthcare nurses' perceived stress with organizational culture and climate in a team context. Central European Journal of Nursing and Midwifery. 2019;10(3):1092-1101. doi: 10.15452/CEJNM.2019.10.0019.
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    References

    1. Aarons GA, Glisson C, Green PD, Hoagwood K, Kelleher KJ, et al. The research network on youth mental health. The organizational social context of mental services and clinician attitudes toward evidence-based practice: a United States national study. Implementation Science. 2012;7(1):56-70. Go to original source... Go to PubMed...
    2. Adib-Hajbaghery M, Khamechian M, Alavi NM. Nurses' perception of occupational stress and its influencing factors: a qualitative study. Iranian Journal of Nursing and Midwifery Research. 2012;17(5):352-359. Go to original source... Go to PubMed...
    3. Al Rasasi A, Al Faisal W, El Sawaf E, Hussain H, Wasfy A. Work-related stress among nurses working in Dubai, a burden for healthcare institutions. American Journal of Psychology and Cognitive Science. 2015;1(2):61-65.
    4. Al Sayah F, Szafran O, Robertson S, Bell NR, Williams B. Nursing perspectives on factors influencing interdisciplinary teamwork in the Canadian primary care setting. Journal of Clinical Nursing. 2014;23(19-20):2968-2979. Go to original source... Go to PubMed...
    5. Bailey P, Jones L, Way D. Family physician/nurse practitioner: stories of collaboration. Journal of Advanced Nursing. 2006;53(4):381-391. Go to original source... Go to PubMed...
    6. Bartuškaitė M, Butkevičienė E. Public attitudes towards health policy and alternative health care in Lithuania. Public Policy and Administration. 2013;12(1):94-107. Go to original source...
    7. Brown J, Lewis L, Ellis K, Stewart M, Freeman TR, Kasperski MJ. Conflict on interprofessional primary healthcare teams - can it be resolved? Journal of Interprofessional Care. 2011;25(1):4-10. Go to original source... Go to PubMed...
    8. Burns N, Grove SK. The practice of nursing research. Appraisal, synthesis and generation of evidence. 6th ed. Missouri: Saunders Elsevier; 2009.
    9. Chatzigianni D, Tsounis A, Markopoulos N, Sarafis P. Occupational stress experienced by nurses working in a Greek regional hospital: a cross-sectional study. Iranian Journal of Nursing and Midwifery Research. 2018;23(6):450-457. Go to original source... Go to PubMed...
    10. Clarke SP. Organizational climate and culture factors. Annual Review of Nursing Research. 2006;24:255-272. Go to original source... Go to PubMed...
    11. Cody WK. Paternalism in nursing and healthcare: central issues and their relation to theory. Nursing Science Quarterly. 2003;16(4):288-296. Go to original source... Go to PubMed...
    12. Davey MM, Cummings G, Newburn-Cook CV, Lo EA. Predictors of nurse absenteeism in hospitals: a systematic review. Journal of Nursing Management. 2009;17(3):312-330. Go to original source... Go to PubMed...
    13. Davis K, White S, Stephenson M. The influence of workplace culture on nurses' learning experiences: a systematic review of qualitative evidence. JBI Database of Systematic Reviews and Implementation Reports. 2016;14(6):274-346. Go to original source... Go to PubMed...
    14. Dollard MF, Opie T, Lenthall S, Wakerman J, Knight S, Dunn S, Rickard G, MacLeod M. Psychosocial safety climate as an antecedent of work characteristics and psychological strain: a multilevel model. Work & Stress. 2012;26(4):385-404. Go to original source...
    15. French SE, Lenton R, Walters V, Eyles J. An empirical evaluation of an expanded Nursing Stress Scale. Journal of Nursing Measurement. 2000;8(2):161-178. Go to original source...
    16. Glisson C, James LR. The cross-level effects of culture and climate in human service teams. Journal of Organizational Behavior. 2002;23(6):767-794. Go to original source...
    17. Glisson C. Assessing and changing organizational culture and climate for effective services. Research on Social Work Practice. 2007;17(6):763-747. Go to original source...
    18. Glisson C, Green P, Williams NJ. Assessing the Organizational Social Context (OSC) of child welfare systems: implications for research and practice. Child Abuse Neglect. 2012;36(9):621-632. Go to original source... Go to PubMed...
    19. Glisson C,Williams NJ. Assessing and changing organizational social contexts for effective mental health services. Annual Review of Public Health. 2015;36:507-523. Go to original source... Go to PubMed...
    20. Glumbkaitė E, Kalibatas J, Kanapeckienė V, Mikutienė D. Pirminė sveikatos priežiūros centruose dirbančių slaugytojų streso ir psihologinių reikalvimų darbe sąsajos su streso pasekmėmis. Gerontologija. 2007;8(1):31-38. (in Lithuanian)
    21. Graham KR, Davies BL, Woodend AK, Simpson J, Mantha SL. Impacting Canadian public health nurses' job satisfaction. Canadian Journal of Public Health. 2011;102(6):427-431. Go to original source...
    22. James LR, Choi CC, Ko C-HE, McNeil PK, Minton MK, Wright MA, Kim K. Organizational and psychological climate: a review of theory and research. European Journal of Work & Organizational Psychology. 2008;17(1):5-32. Go to original source...
    23. Jaruseviciene L, Liseckiene I, Valius L, Kontrimiene A, Jarusevicius G, Lapão LV. Teamwork in primary care: perspectives of general practitioners and community nurses in Lithuania. BMC Family Practice. 2013;14:118. Go to original source... Go to PubMed...
    24. Kontrimienė A, Andriuškevičūtė L, Radzevičūtė S, Liseckiene I, Bumblyte I, Valius L, Jaruševičienė L. Bendruomenė slaugytojų funkcijos pirminėje svekatos priežiūroje: bendruomenės slaugytojų ir šimos gydytojų požiūriu. Lietuvos Bendrosios Praktikos Gydytojas. 2013;17(4):218-224. (in Lithuanian)
    25. Lazarus RS, Folkman S. Stress, appraisal and coping. New York: Springer; 1984.
    26. Lee JH, Nam SK, Kim A-R, Kim B, Lee MY, Lee SM. Resilience: a meta-analytic approach. Journal of Counseling & Development. 2013;91(3):269-279. Go to original source...
    27. Maneesriwongul W, Dixon JK. Instrument translation process: a methods review. Journal of Advanced Nursing. 2004;48(2):175-186. Go to original source... Go to PubMed...
    28. Mathieu JE, Taylor SR. Framework for testing mesomediational relationships in organizational behavior. Journal of Organizational Behavior. 2007;28(2):141-172. Go to original source...
    29. Maun A, Engström M, Frantz A, Brämberg EB, Thorn J. Effective teamwork in primary healthcare through a structured patient-sorting system - a qualitative study on staff members' conceptions. BMC Family Practice. 2014;15:189. Go to original source... Go to PubMed...
    30. Opie T, Dollard MF, Lenthall S, Wakerman J, Dunn S, Knight S, Macleod M. Levels of occupational stress in the remote area nursing workforce. Australian Journal of Rural Health. 2010;18(6):235-241. Go to original source... Go to PubMed...
    31. Parahoo K. Nursing research: principles, process and issues. 3rd ed. New York: Palgrave Macmillan; 2014.
    32. Poghosyan L, Nannini A, Clarke S. Organizational climate in primary care settings: implications for nurse practitioner practice. Journal of the American Association of Nurse Practitioners. 2013;25(3):134-140. Go to original source... Go to PubMed...
    33. Polit DF, Beck CT. Essentials of nursing research: evidence for nursing practice. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2014.
    34. Rencher AC, Christensen WF. Methods of multivariate analysis. 3nd ed. New York: Wiley-Interscience; 2012. Go to original source...
    35. Rostila I, Suominen T, Asikainen P, Green P. Differentiation of organizational climate and culture in public health and social services in Finland. Journal of Public Health. 2011;19(1):39- 47. Go to original source...
    36. Sarafis P, Rousaki E, Tsounis A, Malliarou M, Lahana L, Bamidis P, Niakas D, Papastavrou E. The impact of occupational stress on nurses' caring behaviours and their health-related quality of life. BMC Nursing. 2016;15(56):1. Go to original source... Go to PubMed...
    37. Shimeles A. Community based health insurance schemes in Africa: the case of Rwanda. African Development Bank Group. Working Paper 120. PMid: 11979211; 2010 [cited 2018 Dec 16]. Available from: https://www.afdb.org/fileadmin/uploads/afdb/Documents/Procurement/Project-relatedProcurement/WORKING%20120%20word%20document%20AA.PDF
    38. Supreme Council of Lithuania. Lithuanian national conception of health 1991. Vilnius. Decree NoI-1939 [cited 2018 Dec 16]. Available from https://www.etar.lt/portal/lt/legalAct/TAR.66813A09EB5B (in Lithuanian)
    39. World Health Organization. Primary healthcare. Main terminology. 2003. [cited 2018 Dec 16]. Available from: http://www.euro.who.int/en/health-topics/Healthsystems/primary-health-care/main-terminology
    40. World Medical Association. Declaration of Helsinki - Ethical principles for medical research involving human subjects. 64th WMA General Assembly. 2013, Fortaleza, Brazil. [cited 2014 May 5]. Available from: http://www.wma.net/en/30publications/10policies/b3/

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