Conflict of Interest Statement
Closing an Open Psychiatric Ward: Organizational Change and Its Effect on Staff Uncertainty, Self-Efficacy, and Professional Functioning
Article first published online: 7 NOV 2012
© 2012 Wiley Periodicals, Inc
Perspectives in Psychiatric Care
Volume 49, Issue 2, pages 103–109, April 2013
How to Cite
Melnikov, S., Shor, R., Kigli-Shemesh, R., Gun Usishkin, M. and Kagan, I. (2013), Closing an Open Psychiatric Ward: Organizational Change and Its Effect on Staff Uncertainty, Self-Efficacy, and Professional Functioning. Perspectives in Psychiatric Care, 49: 103–109. doi: 10.1111/ppc.12001
The authors report no actual or potential conflicts of interest.
- Issue published online: 5 APR 2013
- Article first published online: 7 NOV 2012
- Manuscript Accepted: 13 SEP 2012
- Manuscript Revised: 12 SEP 2012
- Manuscript Received: 10 JUL 2012
- Professional functioning;
- psychiatric nursing;
Converting an open psychiatric ward to a closed one can be threatening and stressful for the medical and nursing staff involved. This study describes the effects of this change, in particular the before–after correlation among self-efficacy, professional functioning, and uncertainty.
Design and Methods
Forty-four staff participated, completing pre-/poststructured questionnaires.
Uncertainty was higher before the conversion than after the conversion. Professional functioning declined after the conversion. Self-efficacy was positively correlated with pre- and postconversion functioning, but negatively correlated with postconversion uncertainty.
It is important to prepare staff for this significant organizational change. Suggestions for prechange interventions are offered.