ArticleNursing ethics2022
Intensified job demands, stress of conscience and nurses' experiences during organizational change.
Article in Nursing ethics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 32 citations in OpenAlex.
- Psychological Health Risk Factors Among Healthcare Workers: A Structural Equation Modeling Approach.Healthcare (Basel, Switzerland) · 2026Article
- Challenges faced by nurses and their stress of conscience levels in providing palliative care: a cross-sectional descriptive study.BMC palliative care · 2026Article
- Organising Nurse Work Environments: (Reshaped) Roles of Nursing Teams-A Qualitative Descriptive Study.Journal of advanced nursing · 2026Article
- The Relationship Between Stress of Conscience and Quiet Quitting in Nurses: The Mediating Role of Compassion Fatigue.Healthcare (Basel, Switzerland) · 2026Article
- The role of job satisfaction on the association between perceived person-centred care and stress of conscience: a moderated mediation analysis of cross-sectional data from primary care professionals.BMC primary care · 2026Article
- Article
- Nurses crisis management during COVID-19 at individual and organizational levels in a qualitative single centre study in Poland.Scientific reports · 2025Article
- From stress to support: an ethnographic journey of a staff-led wellbeing intervention in maternity services.BMC health services research · 2025Article
- Higher levels of person-centred care are associated with lower levels of stress of conscience in hospital and municipal care: cross-sectional findings from the PCC@Work project.BMC health services research · 2025Article
- Exposure to distressing situations among registered nurses during the COVID-19 pandemic: a cross-sectional study.BMC nursing · 2025Article
- Burnout in healthcare workers: The effect of stress of conscience.Journal of evaluation in clinical practice · 2025Article
- Stress of conscience in healthcare in turbulent times: A longitudinal study.Nursing ethics · 2024Article
- A Concept Analysis of Change Fatigue Among Nurses Based on Walker and Avant's Method.Journal of nursing management · 2024Article
- Psychological capital, grit and organizational justice as positive strengths and resources among registered nurses: A path analysis.Nursing open · 2023Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNurses frequently face ethically demanding situations in their work, and these may lead to stress of conscience. Working life is currently accelerating and job demands are intensifying. These intensified job demands include (1) work intensification, (2) intensified job-related planning demands, (3) intensified career-related planning demands, and (4) intensified learning demands. At the same time, many healthcare organizations are implementing major organizational changes that have an influence on personnel.
aimThe aim of the study was to investigate the association between intensified job demands and stress of conscience, and whether their association is moderated by organizational change experiences among nurses. Experiences of organizational change may expose employees to stress of conscience or serve as a buffer because employees appraise, involve, and cope with changes differently. RESEARCH
designQuestionnaires measuring stress of conscience, intensified job demands, and organizational change experiences were completed by nurses (n = 511) in a healthcare district undergoing a major organizational change. ETHICAL CONSIDERATIONS: Throughout, the study procedures were implemented according to the guidelines of the Finnish National Board on Research Integrity and the 1964 Helsinki Declaration and its later amendments. According to the Finnish regulations, because participation was voluntary, informed consent was requested, and participants were advised of their right to withdraw from the study at will. No permission from an ethics committee was necessary.
findingsWork intensification and personal worry considering organizational change were associated with more severe stress of conscience among nurses. Nurses' experiences of managements' competent handling of organizational change buffered the association between work intensification and stress of conscience.
conclusionsDuring organizational changes, management may alleviate nurses' stress of conscience by proper communication and support procedures.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.