High Levels Of Work Stress Research Articles

Stress, burnout, depression and work satisfaction among UK anaesthetic trainees; a quantitative analysis of the Satisfaction and Wellbeing in Anaesthetic Training study.

There is growing evidence that anaesthetic trainees experience, and may be particularly susceptible to, high levels of work stress, burnout and depression. This is concern for the safety and wellbeing of these doctors and for the patients they treat. To date, there has been no in-depth evaluation of these issues among UK anaesthetic trainees to examine which groups may be most affected, and to identify the professional and personal factors with which they are associated. We conducted an anonymous electronic survey to determine the prevalence of perceived stress, risk of burnout/depression and work satisfaction among anaesthetic trainees within South-West England and Wales, and explored in detail the influence of key baseline characteristics, lifestyle and anaesthetic training variables. We identified a denominator of 619 eligible participants and received 397 responses, a response rate of 64%. We observed a high prevalence of perceived stress; 37% (95%CI 32-42%), burnout risk 25% (21-29%) and depression risk 18% (15-23%), and found that these issues frequently co-exist. Having no children, >3days sickness absence in the previous year, ≤1h.week-1 of exercise and >7.5h.week-1 of additional non-clinical work were independant predictors of negative psychological outcomes. Although female respondents reported higher stress, burnout risk was more likely in male respondents. This information could help in the identification of at-risk groups as well as informing ways to support these groups and to influence resource and intervention design. Targeted interventions, such as modification of exercise behaviour and methods of reducing stressors relating to non-clinical workloads, warrant further research.

APAKAH TUNTUTAN PEKERJAAN DAN STRES KERJA PENENTU TURNOVER INTENTION AUDITOR PADA BEBERAPA KAP DI JAKARTA

This study aims to analyze the effect of job demands, job satisfaction, and job stress on intention to leave work (turnover intention). This study also intends to study the role of job satisfaction and job stress variables in mediating the relationship between job demands and turnover intention.
 Respondents of this study consist of 50 senior- and junior auditors who are working at the Public Accounting Firms (KAP) and have a maximum of 5-year working experience. The data was solicited through a research questionnaire written in Google forms, where link to the questionnaire was distributed to the respondents by email and WhatsApp. Path analysis is used in analyzing the data following the single-step multiple-mediator model which was introduced by Preacher & Hayes, while data processing is performed using SPSS 21.
 The results found a significant positive effect of job demands on turnover intention mediated by work stress. Nevertheless, as job demands did not directly affect turnover intention, the relationship between the two occurred only through work stress. These findings indicate that the high job demands faced by auditors working at the KAP will increase work stress. Furthermore, the high level of work stress will increase their desire to leave work (or to increase turnover intention).

Doctors don’t Do-little: a national cross-sectional study of workplace well-being of hospital doctors in Ireland

ObjectivesTo measure levels of occupational stress, burn-out, work–life balance, presenteeism, work ability (balance between work and personal resources) and desire to practise in trainee and consultant hospital doctors in Ireland.DesignNational...

Controlled clinical trial comparing the effectiveness of a mindfulness and self-compassion 4-session programme versus an 8-session programme to reduce work stress and burnout in family and community medicine physicians and nurses: MINDUUDD study protocol

BackgroundHealth personnel are susceptible to high levels of work stress and burnout due to the psychological and emotional demands of their work, as well as to other aspects related to the organisation of that work. This paper describes the rationale and design of the MINDUUDD study, the aim of which is to evaluate the effectiveness of a mindfulness and self-compassion 4-session programme versus the standard 8-session programme to reduce work stress and burnout in Family and Community Medicine and Nursing tutors and residents.MethodsThe MINDUDD study is a multicentre cluster randomised controlled trial with three parallel arms. Six Teaching Units will be randomised to one of the three study groups: 1) Experimental Group-8 (EG8); 2) Experimental Group-4 (EG4) Control group (CG). At least 132 subjects will participate (66 tutors/66 residents), 44 in the EG8, 44 in the EG4, and 44 in the CG. Interventions will be based on the Mindfulness-Based Stress Reduction (MBSR) program, including some self-compassion practices of the Mindful Self-Compassion (MSC) programme. The EG8 intervention will be implemented during 8 weekly face-to-face sessions of 2.5 h each, while the EG4 intervention will consist of 4 sessions of 2.5 h each. The participants will have to practice at home for 30 min/day in the EG8 and 15 min/day in the EG4. The Five Facet Mindfulness Questionnaire (FFMQ), Self-Compassion Scale (SCS), Perceived Stress Questionnaire (PSQ), Maslach Burnout Inventory (MBI), Jefferson Scale of Physician Empathy (JSPE), and Goldberg Anxiety-Depression Scale (GADS) will be administered. Measurements will be taken at baseline, at the end of the programs, and at three months after completion. The effect of the interventions will be evaluated by bivariate and multivariate analyses (Multiple Linear Regression).DiscussionIf the abbreviated mindfulness programme is at least as effective as the standard program, its incorporation into the curriculum and training plans will be easier and more appropriate. It will also be more easily applied and accepted by primary care professionals because of the reduced resources and means required for its implementation, and it may also extend beyond care settings to academic and teaching environments as well.Trial registrationThe study has been registered at ClinicalTrials.gov (NCT03629457; date of registration: 13.08.2018).

Peran Persepsi Politik Organisasi, Komitmen Afektif, Kepuasan Kerja dan Stres Kerja terhadap Keinginan untuk Keluar dengan Persepsi Dukungan Organisasi sebagai Moderator

This study aims at analyzing influences of political perception of organization, affective commitment, work satisfaction and work stress towards employee’s eagerness to drop out with a variable of moderation perception of endorsement of organization. This study was conducted at PT PQRS. Analysis method used in this study was mixed method with the explanatory sequential design.The number of the sample was 157 respondents for closed questionnaire and 3 participants for opened questionnaire. The questionnaire measurement was closed with scale 1-7. In quantitative analysis data analysis used was multipel regression analysis with moderating variable and a help of SPSS 23 program. In qualitative analysis data analysis used was deskiptive analysis.In quantitative analysis of examination findings toward hypothesis, it is indicated that variable of political perception of organization positively affects an eagerness of dropping out, affective commitment affects an eagerness of dropping out negatively, work stress positively affects an eagerness of dropping out and perception of endorsement of organization can moderate correlation between affective commitment and work stress towards an eagerness to drop out yet not between perception of endorsement of organization and work satisfaction towards employee’s eagerness to drop out.In qualitative analysis gives results that support the results of hypothesis testing where employees reveal the existence of political behavior and work stress is high enough accompanied by the level of affective commitment and job satisfaction which is low, so that it gives the impact on the high desire to get out of work. Other results indicate that organizational support can be perceived by employees so that moderation testing that is conducted get support that the desire to get out of work tends to decrease when they perceive organizational support at low levels of affective commitment and the employees’ desire to get out of work tends to decrease when they perceive organizational support at the high level of work stress.

Estrés y satisfacción laboral en enfermeros de servicios criticos en una clínica de Lima

Objetivo: Determinar la relación entre estrés laboral y satisfacción laboral en enfermeros de los servicios críticos de una clínica de Lima.Metodología: Estudio descriptivo, no experimental, correlacional, de enfoque cuantitativo. Se utilizo el Maslach Burnout Inventory para medir el nivel de estrés laboral y La Font Roja para medir el nivel de satisfacción laboral. La muestra estuvo constituida por 41 enfermeras que trabajaban en las áreas críticas de unidad de cuidados intensivos, emergencia y urgencia.Resultados: El 46% de enfermeros muestra un nivel alto de estrés laboral; en cuanto a las dimensiones, se encontró que según la dimensión despersonalización hay un nivel alto de estrés laboral en 39%, en cuanto a la dimensión satisfacción por el trabajo 76% de enfermeras presentaron nivel medio; mientras que existe nivel alto 52% de satisfacción laboral.Conclusiones: No existe relación entre nivel de estrés y satisfacción laboral.

Asssessment of Work Stress and Coping Strategies among Primary School Teachers

AbstractBackground: Teaching as a profession is progressively becoming a stressful occupation. Stress is one of the worst health problems with which teachers has to deal with. Also coping may be an important resource to teachers in dealing with multiple demands of their profession.Aim of Study: The study aimed to assess the work stress and coping strategies among primary school teachers.Material & Methods: A descriptive design was utilized. The study was conducted at three schools from each of four districts at Cairo Governorate. A simple random sample used to select 12 schools and all teachers included in the study sample (378). Three tools were used to collect data which includes: Primary school teacher's questionnaire, Occupational Stress Rating Scale and Coping Scale.Results: The result reveals that 74.3% had moderate stress while 23.8% had low stress and only 1.9% had high level of stress. The mean score of problem focused coping were (37.72±10.789), while emotional focused were (67.63±13.941) and total mean of coping were (105.35±13.214). There were a statistically significant difference between the teacher's gender & stress and coping score (p=.000). There were a statistically significant positive correlation between teacher's age and working data and stress (p=.000).Conclusion: The study concluded that majority of teachers had moderate and high level of work stress and used emotional focused coping more than problem focused.

Partner Relations and Work Stress Modulating Health Issues

Two hundred and twelve participants, 135 male and 77 female, derived from several different occupations, responded to questionnaires based upon several self-report instruments including the Subjective Stress Experience Questionnaire (psychological and somatic), the Stress and Energy Scale, the Hospital Anxiety and Depression (HAD) Scale, the Job Stress Survey (JSS), Partnership Relations Quality (PRQ) Test, and the Positive and Negative Affect Scale (PANAS). It was found that self-reported high levels of work stress (the JSS “High work stress” group) induced more anxiety, stress (SE), psychological and somatic subjective stress, and negative affect than selfreported low levels of work stress (the JSS “Low work stress” group), with intermediate levels of work stress (the JSS “Medium work stress” group) in between. Self-reported high levels of partnership relations quality (the “High PRQ” group) was associated with less depression, anxiety, stress (SE) and negative affect than self-reported low levels of partnership relations quality (the “High PRQ” group), with intermediate levels (the “Medium PRQ” group) in between. Regression analysis indicated that depressive, anxiety, stress (SE), psychological stress and somatic stress were each significantly predicted by work stress (JSS), whereas partnership relations quality was counter-predictive for depression, anxiety, stress (SE) and psychological stress. Female participants expressed higher levels of stress and energy (SE), anxiety and psychological stress (SSE) than the male participants. The present findings tentatively suggest the health-promoting advantages of positive partnership, and/or familial, relations in counteracting the illhealth accruing from various types of general stress (SE, psychological and somatic) and the particular stresses of work occupation.

The Related Factors To Decreased The New Graduate Nurses Work Stress Level Of In Semarang

Background: The new graduate nurses have been in a stressful situation about their workplace. The High level of work stress has been decreased the nurse�s motivation in the work, so it will have an impact on the decline the nursing services quality. The new graduate nurses with the work stress will be motivated to quit their jobs. Objective: This study aims to determine the factors associated with decreased job stress of new graduate nurses. Method: This study was a quantitative research. The data was analized with the associative analytic method and cross sectional approach. The population of this study was all new graduate nurses who have had experience for 1-6 months. The sample size is determined by total sampling technique of 30 nurses. The study was conducted at Semarang Medical Center. Work stress measurement using DASS 42 instrument. The analysis process of the data performed using Spearman rank test and multiple linear regression to measure the relation of factors related to work stress. Result: The new graduate nurses work stress has a normal until light category. The average value of new graduate nurses work stress was 27, with the minimum and maximum score 8-40. The factors that have been eligible for the multivariate analysis of new graduate nurses work stress reduction were age and the mentoring programs. The result of the multivariate test showed that nurse ages together with the mentoring program had significant effect to the decreased of new graduate nurses work stress (p-value = 0,007). Discussion: Has increased of ages have been improved adaptability and positive response to stressors. The mentoring was the process of coaching for the new graduate nurses. Mentoring can be used as a support system for new graduate nurses in facing the transition from student to being nurses. The combination of increased the ages and the mentoring programs have been reduced the new graduate nurses work stress.

The effects of perceptions of staff–inmate boundary violations and willingness to follow rules upon work stress

While most correctional officers are professional in their interactions with inmates, some employees cross the line and engage in boundary violations, which potentially put everyone at risk. Using questionnaires collected from 501 correctional officers employed by the Texas Department of Criminal Justice, this study examined the relationship between correctional officers’ perceptions of boundary violations and work stress. Ordinary Least Squares regression results indicated that higher levels of work stress were reported by respondents who perceived that coworkers behaved inappropriately with inmates, who reported higher role strain, who feared victimization, and who reported closely following organizational rules. Female officers and officers who viewed inmates as amiable rather than manageable were also found to experience high levels of work stress. The findings suggest that correctional supervisors are likely to be more effective than line staff in developing and sustaining a culture of professionalism and civility, which can lessen the stressors for those working behind prison walls.

Prevención de burnout y fatiga por compasión: evaluación de una intervención grupal

The aim of this study was to evaluate the efficacy of a group intervention designed to reduce symptoms of burnout and compassion fatigue. By non-probabilistic sampling 24 volunteer participants, 21 women and 3 men (mean age 43.5±7.9) were recruited, they played managerial functions in organizations that give services to vulnerable population. By quota sampling, 3 independent therapeutic groups were formed with 8 participants each, a package of instruments was used to measure burnout, compassion fatigue, depression and anxiety at 3 moments: baseline, post-treatment and follow-up at 3 months. The intervention was preventive and with 2 axis: one therapeutic (interpersonal group therapy with cognitive behavioral components) and another psychoeducational; it was implemented by the author through 20 biweekly sessions of 3h each, plus an additional follow-up session. There was a significant decrease (P<.05) in symptoms of emotional exhaustion, depression, burnout and anxiety, a change that remained stable for the 2 first variables after 3 months. In conclusion, the group intervention was efficient and specific to reduce key symptoms of burnout in professionals who experience high levels of work stress.

Work stress associated cool down reactions among nurses and hospital physicians and their relation to burnout symptoms

BackgroundHospital staff experience high level of work stress and they have to find strategies to adapt and react to it. When they perceive emotional exhaustion and job dissatisfaction in response to constant work stress, one reaction might be emotional withdrawal. This emotional distancing can be seen as an adaptive strategy to keep ‘functionality’ in the job. Both, perception of emotional exhaustion and emotional distancing as a strategy, can be operationalized as ‘Cool Down’. We assume that work stress associated variables are positively associated with Cool Down reactions, while internal and external resources are negatively associated and might function as a buffer against emotional distancing. Moreover, we assume that the perception of stress and work burden might be different between nurses and physicians and women and men, but not their cool down reactions as a strategy.MethodsAnonymous cross-sectional survey with standardized instruments among 1384 health care professionals (66% nurses, 34% hospital physicians). Analyses of variance, correlation and also stepwise regression analyses were performed to analyze the influence of demands and resources on Cool Down reactions.ResultsAs measured with the Cool Down Index (CDI), frequency and strength of Cool Down reactions did not significantly differ between women and men, while women and men differ significantly for their burnout symptoms, stress perception and perceived work burden. With respect to profession, Cool Down and stress perception were not significantly different, but burnout and work burden. For nurses, “Emotional Exhaustion” was the best CDI predictor (51% explained variance), while in physicians it was “Depersonalization” (44% explained variance). Among putative resources which might buffer against Cool Down reactions, only team satisfaction and situational awareness had some influence, but not self-efficacy expectation.ConclusionThe perceptions of emotional exhaustion and distancing of nurses and physicians (and women and men) seems to be different, but not their adaptive Cool Down reactions. Data would support the notion that a structural approach of support would require first to control and eliminate work stressors, and second a multifaceted approach to strengthen and support hospital staff’s resources and resilience.

Interrelations between principals’ risk of burnout profiles and proactive self-regulation strategies

School leadership is a demanding job. Those involved in school leadership have shown to experience high levels of work stress that may, if prolonged, result in burnout. The purpose of this study was to examine school leaders’ risks of burnout in terms of work stress and burnout symptoms, and their relationship with proactive self-regulation strategies. The participants consisted of 420 school principals and teachers with leadership duties (henceforth: principals). The survey data consisted of Likert-type statements and were analysed by hierarchical and K-means cluster analysis, and one-way analysis of variances. The results suggested that principals experience relatively low levels of work stress and burnout, and utilise several proactive self-regulation strategies. On the basis of cluster analysis, four risk of burnout profiles were identified. The profiles differed from each other in terms of proactive self-regulation strategies. The use of these strategies was related to a reduced risk of burnout.

RELATIONSHIP BETWEEN WORK STRESS AND PERFOMANCE OF EMPLOYEES: A CASE STUDY OF TRANSIT HOTEL IN NAIROBI CITY COUNTY

Employees are the most important asset of any organizations and need to be guarded against factors that can hinder their performance at work. This is primarily the responsibility of the management in any organization, however; some managers ignore this issue and label it as unimportant, as a result employees in the hotel sector of Nairobi are increasingly exhibiting high levels of work stress and this has in turn affected their overall performance at work. The aim of this study is to determine the relationship that exists between work stress and performance of employees in the hotel sector in Nairobi. It also aimed to identify the various sources of stress and their effect on employee performance and to investigate the techniques employed by managers of these organizations to help the employees cope with work stress. The study was conducted in Transit Hotel in Ngara Nairobi City, County. It focused on a target population of 5 managerial and 55 non management staff. The research used descriptive research design and employed simple random sampling and stratified random sampling as the data collection techniques, resulting in a sample of 31 respondents. The data collection tool used was a questionnaire. Descriptive statistics using frequency tables was used to analyse the data while Chi square was used to analyse the inferential statistics. The findings showed a relationship between work stress and employee performance and that work stress significantly affects the performance of an individual and stress management techniques are not highly regarded or utilised by management.

A systematic review of the effects of euthanasia and occupational stress in personnel working with animals in animal shelters, veterinary clinics, and biomedical research facilities.

The study of occupational stress and compassion fatigue in personnel working in animal-related occupations has gained momentum over the last decade. However, there remains incongruence in understanding what is currently termed compassion fatigue and the associated unique contributory factors. Furthermore, there is minimal established evidence of the likely influence of these conditions on the health and well-being of individuals working in various animal-related occupations. To assess currently available evidence and terminology regarding occupational stress and compassion fatigue in personnel working in animal shelters, veterinary clinics, and biomedical research facilities. Studies were identified by searching the following electronic databases with no publication date restrictions: ProQuest Research Library, ProQuest Social Science Journals, PsycARTICLES, Web of Science, Science Direct, Scopus, PsychINFO databases, and Google Scholar. Search terms included (euthanasia AND animals) OR (compassion fatigue AND animals) OR (occupational stress AND animals). Only articles published in English in peer-reviewed journals that included use of quantitative or qualitative techniques to investigate the incidence of occupational stress or compassion fatigue in the veterinary profession or animal-related occupations were included. On the basis of predefined criteria, 1 author extracted articles, and the data set was then independently reviewed by the other 2 authors. 12 articles met the selection criteria and included a variety of study designs and methods of data analysis. Seven studies evaluated animal shelter personnel, with the remainder evaluating veterinary nurses and technicians (2), biomedical research technicians (1), and personnel in multiple animal-related occupations (2). There was a lack of consistent terminology and agreed definitions for the articles reviewed. Personnel directly engaged in euthanasia reported significantly higher levels of work stress and lower levels of job satisfaction, which may have resulted in higher employee turnover, psychological distress, and other stress-related conditions. Results of this review suggested a high incidence of occupational stress and euthanasia-related strain in animal care personnel. The disparity of nomenclature and heterogeneity of research methods may contribute to general misunderstanding and confusion and impede the ability to generate high-quality evidence regarding the unique stressors experienced by personnel working with animals. The present systematic review provided insufficient foundation from which to identify consistent causal factors and outcomes to use as a basis for development of evidence-based stress management programs, and it highlights the need for further research.

The effectiveness of mindfulness based programs in reducing stress experienced by nurses in adult hospital settings: a systematic review of quantitative evidence protocol.

REVIEW QUESTION / OBJECTIVE The objective of this review is to identify the effectiveness of mindfulness based programs in reducing stress experienced by nurses in adult hospitalized patient care settings. INCLUSION CRITERIA Types of participants This review will consider studies that include Registered Nurses, regardless of their credentials or specialty fields, who are currently employed in adult patient care settings. Studies involving nurses employed in non-adult health service settings will be excluded. Types of intervention(s)/phenomena of interest This review will consider studies that evaluate any mindfulness based programs that originate from the original Mindfulness-Based Stress Reduction Program developed by John Kabat Zinn. The intervention will be compared to standard care, which in most instances is no intervention. Studies examining the effectiveness of mindful meditation alone without a concurrent structured mindfulness based program will be excluded. Types of outcomes This review will consider studies pertaining to mindfulness based programs that include the following outcome measure: perceived stress. Studies will be selected that measure stress experienced by nurses as measured by a variety of perceived stress scales, including but not limited to, the Perceived Stress Scale and the Depression and Anxiety Stress Scale.

Association between depression and work stress in nursing professionals with technical education level.

Objective: to analize the relationship between depression and work stress in nursing professionals with technical education level of a teaching hospital in a city of the state of São Paulo. Methods: a cross-sectional study was carried out with 310 nursing technicians and nursing assistants, randomly selected. The outcome analyzed was the report of depression and its relationship with high levels of work stress, measured using the Job Stress Scale. Descriptive statistics and logistic regression were performed. Results: the prevalence of depression in this study was 20%, and it was more expressive in females, aged over 40 years, living without a partner and in smokers. The chance of depression was twice as high among professionals showing high levels of work stress, even after multiple regression adjusting. Conclusion: depressive symptoms were strongly associated with high stress levels among nursing assistants and nursing technicians, evidencing a problem to be considered along with the planning of specific intervention programs for this population, as well as the need for better cases management by the supervisors.

Examination of the Subjective Well‐Being of Australian Internet Child Exploitation Investigators

ObjectiveInternet child exploitation investigation is an area of policing associated with high levels of work stress, potentially contributing to the development of mental and other health‐related problems. This study extends prior research suggesting that child abuse investigation officers have normal levels of life satisfaction using a well‐validated and more robust measure of subjective well‐being.MethodThe Personal Wellbeing Index (PWI) was self‐completed by a representative sub‐sample of Australian police officers (N = 139) who work in a confronting and challenging area of child abuse investigation (Internet child exploitation). Their data were compared to a comparative sample of 102 non‐Internet child exploitation police officers and participants of the first 28 surveys of the Australian Unity Wellbeing Index (N = 55,697).ResultsConsistent with previous research, mean subjective well‐being for Internet child exploitation officers was above the Australian adult normative range and comparable to the control group of non‐child abuse police investigators. Analysis of domain‐based satisfaction judgments comprising the PWI revealed that satisfaction with “Relationships” and “Achieving in Life” contributed more variance to the prediction of life satisfaction than in the comparative mainstream Australian sample.ConclusionAustralian police officers who work in Internet child exploitation investigation have a higher‐than‐normal level of subjective well‐being. These results attest to the resilience of these investigators in their ability to withstand the confronting nature of their work and handling potentially significant sources of negative workplace stress. The results also highlight the importance role that organisational and informal social support plays in facilitating this resilience.

The association between education and work stress: does the policy context matter?

ObjectivesSeveral studies report socioeconomic differences in work stress, where people in lower socioeconomic positions (SEP) are more likely to experience this burden. In the current study, we analyse associations between education and work stress in a large sample of workers from 16 European countries. In addition we explore whether distinct national labour market policies are related to smaller inequalities in work stress according to educational attainment.MethodsWe use data collected in 2010/11 in two comparative studies (‘Survey of Health, Ageing and Retirement in Europe’ and the ‘English Longitudinal Study of Ageing’; N = 13695), with samples of men and women aged 50 to 64 from 16 European countries. We measure highest educational degree according to the international standard classification of education (ISCED) and assess work stress in terms of the demand-control and the effort-reward imbalance model. National labour market policies are measured on the basis of policy indicators which are divided into (1) ‘protective’ policies offering financial compensation to those excluded from the labour market (e.g. replacement rate), and (2) ‘integrative’ policies supporting disadvantaged individuals on the labour market (e.g. investments into active labour market policies or possibilities for further qualification in later life). In addition to country-specific analyses, we estimate multilevel models and test for interactions between the indicators of national policies and individual education.ResultsMain findings demonstrate consistent associations between lower education and higher levels of work stress in all countries. The strength of this association, however, varies across countries and is comparatively small in countries offering pronounced ‘integrative’ policies, in terms of high investments into measures of an active labor market policy and high participation rates in lifelong learning activities.ConclusionsOur results point to different types of policies that may help to reduce educational differences in work stress, in particular policies supporting those who are disadvantaged on the labour market.

A longitudinal study of aspects of a hospital's family-centred nursing: changing practice through data translation.

To examine how results and data from multiple Family Centred Nursing Index surveys help the development of family-centred nursing at organizational and ward levels. A critical analysis of survey data. The Family Centred Nursing Index provides a valid and reliable assessment of aspects of nursing, through a comprehensive survey of traditional indicators of practice development and a broader range of aspects of practice. A survey with 113 questions, each to be answered on 7-point Likert scale conducted six times in the last 7years. Surveys have been in 2006, 2008, 2009, 2010, 2011/2012 and 2012/2013. All nurses employed by the organization can participate. These are reported as means across 19 constructs linked to five key domains and their significance is examined by year and (in the clinical settings) and compared against the organizational (whole population) averages. Ongoing survey and analysis of nurses' views of their work is providing a valuable source of developmental data. The results show unexpected associations between constructs e.g. - a high level of work stress does not correlate with a lower level of job satisfaction (and vice versa). A clear historical picture of many elements of developing family-centred care is emerging at both the organizational and individual-ward levels. This study provides insights into aspects of organizational and wards working environment for nurses and how these aspects of nurses' work interact in unexpected ways. It is appropriate for providing information to organizations and ward teams in relation to their development towards family-centred cultures.