University of Oulu

Konttila, J., Holopainen, A., Kyngäs, H., & Pesonen, H.-M. (2021). Background characteristics and exposure to violence predict well-being at work among psychiatric outpatient nurses. Archives of Psychiatric Nursing, 35(2), 223–231.

Background characteristics and exposure to violence predict well-being at work among psychiatric outpatient nurses

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Author: Konttila, Jenni1; Holopainen, Arja2; Kyngäs, Helvi1;
Organizations: 1University of Oulu Finland, Faculty of Medicine, Research Unit of Nursing Science and Health Management, Medical Research Center, Finland
2Nursing Research Foundation/The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence/WHO Collaborating Centre for Nursing, Finland
3Centria University of Applied Sciences, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.2 MB)
Persistent link:
Language: English
Published: Elsevier, 2021
Publish Date: 2023-01-23


Aims: To investigate the well-being at work and analyze relevant predictors of it among nurses working in psychiatric outpatient settings including following specific objectives 1) describe the current state of well-being at work among psychiatric nurses; and 2) examine how background characteristics and exposure to violence predict well-being at work.

Design: A cross-sectional survey design.

Methods: Two-staged sampling was used to select participants from psychiatric outpatient units. Data were collected with printed Nordic Questionnaire for Monitoring the Age Diverse Workforce (QPSNordic-ADW) and Violence Incidence Assessment (VIA-Q) questionnaire from January 2019 to June 2019. Descriptive statistics were performed to summarize the collected data and binary logistic regression was used to identify predictors related to the well-being at work.

Results: The respondents (n = 181) generally evaluated well-being at work quite positively but were more critical towards interaction with their immediate superior, organizational culture, interaction between work and private life, and organizational commitment. Working experience in psychiatric nursing and experiences of harassment were identified as strong predictors of well-being at work.

Conclusions: The management of healthcare organizations should discuss nursing ethics and morale more, as well as pay attention to the ethical environment to prevent moral distress among nurses. Several weaknesses seem to exist especially in the management of psychiatric outpatient units which influence nurses’ well-being at work. Identification of these can help organizations to develop management and implement interventions to increase nurses’ well-being at work. Conversations about the managerial culture and collegial climate should also arise at the organizational and unit levels.

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Series: Archives of psychiatric nursing
ISSN: 0883-9417
ISSN-E: 1532-8228
ISSN-L: 0883-9417
Volume: 35
Issue: 2
Pages: 223 - 231
DOI: 10.1016/j.apnu.2020.06.006
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
Copyright information: © 2021. This manuscript version is made available under the CC-BY-NC-ND 4.0 license