Workplace culture in psychiatric nursing described by nurses
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.