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Hospital restructuring stressors, work–family concerns and psychological well-being among nursing staff

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This study examined relationships between hospital restructuring and downsizing stressors, work-family and family-work conflict, job and family satisfaction and psychological well-being. Data were collected from 686 hospital-based nurses, the vast majority women, using anonymous questionnaires. Two research models hypothesizing both direct and indirect effects among these variables were tested using LISREL. Considerable support was found for these models. Restructuring and downsizing stressors had significant relationships with work-family conflict but not family-work conflict. Work-family conflict and family-work conflict, in turn, had significant relationships with psychological health. These results indicate that those responsible for the implementation of organizational restructuring and downsizing must be sensitive to the larger family and community effects of these initiatives. Fortunately, a growing body of literature on best practice provides considerable guidance on how to more effectively plan and manage these transitions.

Este estudio examina relaciones entre estresores relacionados a la reestructuracion y la reduccion de hospitales, el conflicto trabajo-familia y el conflicto familia-trabajo, la satisfaccion laboral y familiar, y el bienestar sicologico. Utilizando cuestionarios anonimos, se recopilaron datos de 686 enfermeros, la gran mayoria de ellos mujeres, con base en hospitales, Se utilizo LISREL para poner a prueba dos modelos de investigacion que plantearon como hipotesis efectos directos e indirectos entre estas variables. Se encontro considerable apoyo para estos modelos. Los estresores, reestructuracion y reduccion, se relacionaron significamente con el conflicto trabajo-familia pero no con el conflicto familia-trbajo. A su vez, el conflicto trabajo-familia y el conflicto familia-trabajo se relacionaron significamente con el bienestar sicologico. Estos resultados indican que los responsables de la implementacion de la reestructuracion y reduccion organizativas deben estar muy conscientes de los efectos familiares y comunitarias de estas iniciativas. Afortunadamente, una literatura cada vez mayor sobre la mejor practica nos proporciona consejos importantes sobre como mejor planificar y dirigir estas transiciones.
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Keywords: CONFLICT; HEALTH; HOSPITAL; NURSES; PSYCHOLOGICAL; RESTRUCTURING; WORK-FAMILY

Document Type: Research Article

Affiliations: York University, Canada

Publication date: April 1, 2001

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