ArticleInternational journal of mental health nursing2019
Why is change a challenge in acute mental health wards? A cross-sectional investigation of the relationships between burnout, occupational status and nurses' perceptions of barriers to change.
Article in International journal of mental health nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mental health nurses' measured attitudes to people and practice: Systematic review of UK empirical research 2000-2019.Journal of psychiatric and mental health nursing · 2022Pooled it
- Barriers and Facilitators-Lessons Learned From a Randomised Trial to Implement Clinical Practice Guidelines for the Prevention of Coercion in Psychiatry.International journal of mental health nursing · 2025Trial
- The side effects of service changes: exploring the longitudinal impact of participation in a randomised controlled trial (DOORWAYS) on staff perceptions of barriers to change.BMC psychiatry · 2019Trial
- Suicidality in women nurses: A critical interpretive synthesis.International journal of nursing studies advances · 2026Review
- An exploration of acceptability of a collaboratively developed model of formulation.PLOS mental health · 2026Article
- Comprehensive Symptom Prediction in Inpatients With Acute Psychiatric Disorders Using Wearable-Based Deep Learning Models: Development and Validation Study.Journal of medical Internet research · 2024Article
- The Use of 360-Degree Video in Developing Emotional Coping Skills (Reduced Anxiety and Increased Confidence) in Mental Health Nursing Students: A Protocol Paper.Nursing reports (Pavia, Italy) · 2022Article
- Article
- Empathy and burnout in medical staff: mediating role of job satisfaction and job commitment.BMC public health · 2022Article
- Burnout among nurses: a multicentric comparative study.Revista latino-americana de enfermagem · 2021Article
- Working conditions in a mental health institution: An exploratory study of professional nurses in Limpopo province, South Africa.Curationis · 2020Article
- Optimism and distress tolerance in the social adjustment of nurses: examining resilience as a mediator and gender as a moderator.Journal of research in nursing : JRN · 2019Article
- Predicting Inpatient Aggression in Forensic Services Using Remote Monitoring Technology: Qualitative Study of Staff Perspectives.Journal of medical Internet research · 2019Article
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Authors and funding
4 authors.
Funding
Abstract
Changes in UK psychiatric wards have been difficult to implement. Specific areas of nursing staff resistance remain unclear. Previous healthcare research suggests that burnout is common and that managers' regard changes more positively than direct care staff. We will therefore examine whether burnout and workforce characteristics influence psychiatric nurses' perceptions of barriers to change. Psychiatric nurses (N = 125) completed perceptions measures of 'barriers to change' (VOCALISE: subscales included 'powerlessness, confidence and demotivation'); and 'burnout' (Maslach Burnout Inventory: subscales included 'emotional exhaustion, personal accomplishment and depersonalization '). Staff characteristics, such as length of employment, occupational status, education, ethnicity, gender and age, were also collected. Correlations between these measures informed random-effects regression models, which were conducted to predict the barriers to change score and to explore differential effects in the subscales of VOCALISE. Perceptions of barriers to change (VOCALISE) were correlated with burnout (r = 0.39), occupational status (r = -0.18) and age (r = 0.22). Burnout (Coef. β: 10.52; P > 0.001) and occupational status (Coef. β: -4.58; P = 0.05) predicted VOCALISE. Emotional exhaustion (Coef. β: 0.18; P < 0.001) and low personal accomplishment (Coef. β: 0.21; P = 0.001) predicted powerlessness. Emotional exhaustion predicted low motivation regarding changes (Coef. β: 0.11; P = 0.005). Low confidence predicted high levels of depersonalization (Coef β: 0.23; P = 0.01). Direct care staff expressed significantly more powerlessness (Coef. β: -2.60; P = 0.02) and significantly less confidence (Coef. β: -3.07; P = 0.002) than managers. For changes to be successful in psychiatric wards, burnout will need to be addressed. Future change strategies may consider involving direct care staff to improve perceptions of barriers to change.
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