Reducing occupational stress among registered nurses in very remote Australia: a participatory action research approach

Lenthall, Sue, Wakerman, John, Dollard, Maureen F., Dunn, Sandra, Knight, Sabina, Opie, Tessa, Rickard, Greg, and MacLeod, Martha (2018) Reducing occupational stress among registered nurses in very remote Australia: a participatory action research approach. Collegian, 25 (2). pp. 181-191.

[img] PDF (Published Version) - Published Version
Restricted to Repository staff only

View at Publisher Website:


Background: Nurses in very remote areas of Australia (RANs), work in complex and isolated settings for which they are often inadequately prepared, and stress levels are high. This paper, based on the Back from the edge' project, evaluates the development and implementation of an intervention to reduce and prevent the impact of occupational stress in the RAN workforce in the Northern territory.

Methods: The methods involved a combined participatory action research/organisational development model, involving seven steps, to develop and implement system changes within the (then) Northern Territory Department of Health and Families (NTDH&F). The development, implementation and evaluation was informed via information from participants collected during workshops and interviews. Pre and post surveys were undertaken to evaluate the study.

Results: Occupational stress interventions developed by the workgroups were categorised into four main groups: (1) remote context, (2) workload and scope of practice, (3) poor management, and (4) violence and safety concerns. The main interventions centred on promoting a well educated, stable workforce. There were very few measurable changes as a result of the interventions as many were not able to be implemented in the time period of the study, but implementation is continuing.

Conclusion: While the outcome evaluations showed few effects, the study through consensus approaches, provides a blueprint for reducing stress among remote area nurses and evidence which should inform policy and practice with respect to service delivery in remote areas. 2017 Australian College of Nursing Ltd. Published by Elsevier Ltd.

Item ID: 53445
Item Type: Article (Research - C1)
ISSN: 1876-7575
Keywords: Remote area nurses, Occupational health, Stress, Job demand/resources
Date Deposited: 03 May 2018 12:09
FoR Codes: 42 HEALTH SCIENCES > 4205 Nursing > 420599 Nursing not elsewhere classified @ 100%
More Statistics

Actions (Repository Staff Only)

Item Control Page Item Control Page