Workplace culture in psychiatric nursing described by nurses

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During recent years, there has been a global shortage of nurses 1. Nurses are thinking of changing their profession, and the most common reasons given are that work is too stressful, there are few possibilities for career development and that their workplace culture is not perceived as supporting their work 3. In Finland, 25% of nurses under 30 years of age are reported as considering a change of profession 4. Therefore, workplace culture is an important issue when the shortage of nurses is seen as influencing the day‐to‐day life of nurses 5.
In recent decades, the provision of psychiatric services has changed dramatically in both hospitals and outpatient services through a process of deinstitutionalisation. During the 1990s, psychiatric and somatic healthcare systems became integrated in Finland 6. This trend can also be seen on an international level, with decreasing lengths of stay in the hospital setting and increasing psychiatric patient numbers being seen in community care 7. These changes have had an effect on the workplace culture in psychiatric hospitals. The work demands more flexibility from nursing staff, for example in how they have used to work while the lengths of patients’ stay decrease and the new requirements for the care in shorter period need to be fulfilled 8. There is some research about workplace culture in psychiatric nursing, for example from the point of view of resistance to change 9, coercive measures 10 and the use of restraint 12. However, to our knowledge, there is a dearth of research concerning the workplace culture from the psychiatric nursing point of view. This study looks to describe the workplace culture from the viewpoint of stress, job satisfaction and working environment.
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