Closing an open psychiatric ward: Organizational change and its effect on staff uncertainty, self-efficacy, and professional functioning

Semyon Melnikov, Razya Shor, Ronit Kigli-Shemesh, Monica Gun Usishkin, Ilya Kagan

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Converting an open psychiatric ward to a closed one can be threatening and stressful for the medical and nursing staff involved. This study describes the effects of this change, in particular the before-after correlation among self-efficacy, professional functioning, and uncertainty. Design and Methods: Forty-four staff participated, completing pre-/poststructured questionnaires. Findings: Uncertainty was higher before the conversion than after the conversion. Professional functioning declined after the conversion. Self-efficacy was positively correlated with pre- and postconversion functioning, but negatively correlated with postconversion uncertainty. Practice Implications: It is important to prepare staff for this significant organizational change. Suggestions for prechange interventions are offered.

Original languageEnglish
Pages (from-to)103-109
Number of pages7
JournalPerspectives in Psychiatric Care
Volume49
Issue number2
DOIs
StatePublished - Apr 2013

Keywords

  • Professional functioning
  • Psychiatric nursing
  • Self-efficacy
  • Uncertainty

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