Job strain and stress of conscience among nurse assistants working in residential care
Article first published online: 8 AUG 2013
© 2013 John Wiley & Sons Ltd
Journal of Nursing Management
How to Cite
2013) Journal of Nursing Management Job strain and stress of conscience among nurse assistants working in residential care, , (
- Article first published online: 8 AUG 2013
- Manuscript Accepted: 10 JUN 2013
- Swedish Brain Power Consortium
- Vårdalinstitutet, King Gustaf V and Queen Victoria's Foundation
- Dementia Foundation
- Skåne University Hospital
- aged care;
- long-term care;
- work situation;
- work stress
The aim was to investigate job strain and stress of conscience among nurse assistants working in residential care and to explore associations with personal and work-related aspects and health complaints.
It is important to investigate job strain and stress of conscience, both for the well-being of the nurse assistants themselves and for the impact on the quality of care they provide.
Questionnaires measuring job strain, stress of conscience, personal and work-related aspects and health complaints were completed by NAs (n = 225). Comparisons of high and low levels of job strain and stress of conscience and multiple linear regression analyses were performed.
Organisational and environmental support and low education levels were associated with low levels of job strain and stress of conscience. Personalised care provision and leadership were related to stress of conscience and the caring climate was related to job strain.
There is a need for support from the managers and a supportive organisation for reducing nurse assistants work-related stress, which in turn can create a positive caring climate where the nurse assistants are able to provide high quality care.
Implications for nursing management
The managers' role is essential when designing supportive measures and implementing a value-system that can facilitate personalised care provision.