Syftet med studien var att utforska socialarbetares upplevelse av arbetsrelaterad samvetsstress. Vi ville identifiera vad samvetsstress kan vara för yrkesgruppen socialarbetare vars arbetsuppgift innefattar myndighetsutövning och vad i arbetet som orsakar samvetsstress. Sex stycken kvalitativa intervjuer genomfördes med socialarbetare vars yrke innefattar myndighetsutövning. Resultatet visar att samtliga intervjupersoner upplever samvetsstress när de beskriver sig ha svårt att hantera sitt dåliga samvete och att detta leder till negativa psykiska och fysiska stressymptom. Intervjupersonerna beskriver dock upplevelsen av samvetsstress i olika grad vilka kategoriserades: ständig närvaro av samvetsstress, närvaro av samvetsstress i vissa situationer samt medveten bortträngning av samvetsstress. Resultatet visar vidare att samvetsstress kan skapas av de krav och förväntningar som organisationen, brukare och anhöriga samt socialarbetaren själv har om de upplevs som övermäktiga och motstridiga. Vår studie indikerar på ett behov av vidare forskning om samvetsstress hos socialarbetare. / The purpose of our study was to examine the experience of work-related stress of conscience within social workers. We aimed to identify what stress of conscience is for the professional group social workers, whose work include exercise of public authority, and what specifically causes stress of conscience in their work. We conducted six qualitative interviews with social workers whose profession includes exercise of public authority. The result shows that all the respondents experience stress of conscience as they describe themselves having difficulties to cope with their bad conscience, thus leading to negative stress symptoms, both mentally and physically. The interviewees described, however, the experience of stress of conscience in various degrees which were categorized: constant presence of stress of conscience, presence of stress of conscience in specific situations, and conscious suppression of stress of conscious. The result further shows that stress of conscious can be created by the demands and expectations that the organisation, clients and their relatives, as well as the social workers have, if they are experienced as overwhelming and conflicting. Our study indicates that there is a need for further research regarding stress of conscience within social workers.

Syftet med studien var att undersöka hur hemtjänstpersonal verksamma i en kom-mun med Sveriges högsta sjukfrånvaro, upplever den psykosociala arbetsmiljön ut-ifrån aspekterna rollkonflikt, socialt stöd och samvetsstress samt upplevda hinder och möjligheter inom området. Metoden var kvalitativa enskilda semistrukturerade intervjuer med fem hemtjänstpersonal. Resultatet visade att respondenterna hade upplevelser av rollkonflikter, bristande socialt stöd och samvetsstress. Vidare visade resultaten att upplevda hinder för en god psykosocial arbetsmiljö var stress, bris-tande kommunikation och information. Möjligheter för en god psykosocial arbets-miljö upplevdes vara god kommunikation och gott samarbete med andra profess-ioner samt möjlighet att vårda relationen till brukaren för att bättre möta dennes behov. Studien visade att respondenternas upplevelser av psykosocial arbetsmiljö och de undersökta aspekterna rollkonflikt, socialt stöd och samvetsstress till stor del var orsakade av äldreomsorgens och hemtjänstens förändringar. Studien visade även att respondenterna arbetar under de psykosociala arbetsförhållanden som kan ge mest negativa hälsoeffekter. / The aim of the study was to investigate how home care staff, working in a munici-pality with Sweden's highest rates of sick leave, experience their psychosocial work environment from the perspectives of role conflict, social support, stress of con-science and perceived obstacles and opportunities connected to their work. The method was qualitative semistructured individual interviews with five home care staff. The results showed that the respondents had experiences of role conflicts, lack of social support, and stress of conscience. Perceived barriers to a good psychosocial work environment where stress, lack of communication and information. Opportu-nities was perceived to be good communication, cooperation and time to nuture re-lationschip with the client. The study showed that respondents' perceptions of the psychosocial work environment was largely caused by the changes in old age care and home services. The study also showed that respondents are working under psy-chosocial conditions that can give the most adverse health effects.

Aim: The overall aim of this thesis was to gain a deeper understanding of older people's view of health and care while dependent on community care. Furthermore to describe and compare formal caregivers' perceptions of quality of care, working conditions, competence, general health, and factors associated with quality of care from the caregivers' perspective. Method: Qualitative interviews were conducted with 19 older people in community care who were asked to describe what health and ill health((I), good and bad care meant for them (II). Data were analyzed using content analysis (I) and a phenomenological analysis (II). The formal caregivers; 70 nursing assistants (NAs) 163 enrolled nurses (ENs) and 198 registered nurses (RNs), answered a questionnaire consisting of five instruments: quality of care from the patient's perspective modified to formal caregivers, creative climate questionnaire, stress of conscience, health index, sense of coherence and items on education and competence (III). Statistical analyses were performed containing descriptive statistics, and comparisons between the occupational groups were made using Kruskal-Wallis ANOVA, Mann-Whitney U-test and Pearson's Chi-square test (III). Pearson's  product moment correlation analysis and multiple regression analysis were performed studying the associations between organizational climate, stress of conscience, competence, general health and sense of coherence with quality of care (IV). Results: The older people's health and well-being were related to their own ability to adapt to and compensate for their disabilities and was described as negative and positive poles of autonomy vs. dependence, togetherness vs. being an onlooker, security vs. insecurity and tranquility vs. disturbance (I).  The meaning of good care (II) was that the formal caregivers respected the older people as unique individuals, having the opportunity to live their lives as usual and receiving a safe and secure care. Good care could be experienced when the formal caregivers had adequate knowledge and competence in caring for older people, adequate time and continuity in the care organization (II). Formal caregivers reported higher perceived quality of care in the dimensions medical-technical competence and physical-technical conditions than in identity-oriented approach and socio-cultural atmosphere (III). In the organizational climate three of the dimensions were close to the value of a creative climate and in seven near a stagnant climate. The formal caregivers reported low rate of stress of conscience. The RNs reported to a higher degree than the NAs/ENs a need to gain more knowledge, but the NAs and the ENs more often received training during working hours. The RNs reported lower emotional well-being than the NAs/ENs (III). The formal caregivers' occupation, organizational climate and stress of conscience were associated with perceived quality of care (IV). Implications: The formal caregivers should have an awareness of the importance of kindness and respect, supporting the older people to retain control over their lives. The nursing managers should employ highly competent and adequate numbers of skilled formal caregivers, organize formal caregivers having round the clock continuity. Improvements of organizational climate and stress of conscience are of importance for good quality of care.

Background This thesis was part of the research programme ‘Stress of Conscience and Burnout among Healthcare Personnel in Elderly Care’ at Umeå University. Relationships have been found between stress of conscience, perception of conscience, burnout, and social support. No longitudinal studies investigating these relationships have been performed previously, thus it was not known how these relationships develop over time. Neither was it known how stress of conscience and other phenomena of importance might vary between organisations because no comparative studies have been performed. It seems important to organize the care of older people in such a way that healthcare personnel can stay healthy at their workplace, especially because the aging population is expected to grow. Studies have shown that stress of conscience is associated with the well being of healthcare personnel and the quality of care they provide. In order to develop measures against stress of conscience, it seems important to gain a deeper understanding of the aspects in daily work that can generate troubled conscience among healthcare personnel.   Aim The overall aim of this thesis was to describe, compare, and investigate longitudinal relationships between stress of conscience, perceptions of conscience, burnout, social support and person-centred care among healthcare personnel working in two different organisations for residential care of older people. Furthermore, the aim was to deepen the understanding of some aspects of importance that generate troubled conscience at each of the two organisations. Based on the emerging knowledge from the research programme and the results from studies І and ІІ, important aspects that can generate troubled conscience among healthcare personnel were shown to be working with guidelines and working during times of downsizing and reorganisation. Methods Studies Ι and ΙΙ took quantitative approaches with a longitudinal design (Ι) and a cross-sectional design (ΙΙ), while studies ΙΙΙ and IV were based on a qualitative approach. In study Ι, the participants were healthcare personnel working in an organisation for residential care of older people with a public mode of operation located in a small town in northern Sweden (baseline n = 488, follow-up n = 277). In study ΙΙ, the participants were healthcare personnel working in two different organisations chosen to be as different from each other as possible regarding their characteristics. In this study, an organisation with a private mode of operation and located in a large city in the south of Sweden (n = 98) was compared to the baseline data from the publically run organisation from the small town in study Ι (n = 488). In studies ΙΙΙ (n = 8) and IV (n = 7), the participants were care providers working at the same public organisation (ΙΙΙ) and private organisation (IV) as in studies Ι and ΙΙ. Quantitative data were analysed using partial least square regression with jack-knife approximate t-tests, hierarchical cluster analysis with multiscale bootstrap resampling, descriptive statistics, hypotheses tests, effect size measures, and confidence intervals. Qualitative data were analysed using qualitative content analysis. Results The main results showed that the healthcare personnel reported higher levels of stress of conscience than have been reported in other studies. Perceiving one’s conscience as a burden, having high levels of emotional exhaustion and depersonalisation, and noticing disturbing conflicts between co-workers were positively associated with stress of conscience. Associations between stress of conscience and perceiving one’s conscience as a burden and burnout were similar among healthcare personnel despite the differences in the characteristics of the organisations they worked in. Women reported higher levels of stress of conscience and less social support from their co-workers compared to men. This thesis also provides new insights about how working according to guidelines and during times of downsizing and reorganisation can be burdensome issues for care providers and can generate troubled conscience. An overall understanding of care providers experiences of guidelines in daily work was revealed as struggling to do their best; prioritising between arcane guidelines while keeping the residents’ needs in the foreground.  They described experiences that guidelines were coming from above, were controlling and not sufficiently anchored at their workplace. They also described guidelines as stealing time from residents, colliding with each other, lacking practical use and complicating care, and challenging their judgment. An overall understanding of care providers’ experiences of working  during times of downsizing and reorganisation was revealed as perceiving oneself as pinioned in between current circumstances to provide care and what one’s conscience conveyed. They perceived loss of good management, changed working conditions as exhausting and activating their conscience. They also expressed how they perceived troubled conscience when working conditions decreased the quality of care. Conclusion The results is reflected on in relation to a nursing care model as it seems important to understand the results from a society- and organizational perspective as well as from an individual perspective. The results of the thesis show that it is important to provide healthcare personnel with opportunities to follow and express what their conscience tells them at their workplace in order to buffer the effects of stress of conscience. Support, knowledge, involvement, time, and additional resources are key issues that can help care providers to work more constructively with guidelines in their daily practice. The results show that in times of downsizing and reorganisation it is important to exercise leadership that promotes care providers’ feelings of involvement, security, and togetherness in order to relieve some of the healthcare personnel’s burdensome experiences. An overall understanding of the results is that it seems important to organize the residential care of older people in such a way that registered nurses and leaders are able to be present in healthcare personnel’s daily practice. Healthcare personnel need attendant and supportive leaders who can help them to solve various forms of work-related problems and to help them make priorities in the daily care of residents. This seems important regardless of whether the priorities are between guidelines and residents’ needs or a consequence of an increasingly stressful work environment during times of downsizing and reorganisation. Further studies are needed in order to investigate the importance of gender in relation to stress of conscience and if different kinds of support are needed for women than for men in order to buffer the effects of stress of conscience. Finally, more longitudinal multilevel studies are needed in order to investigate how organisations’ characteristics and organisational changes affect healthcare personnel’s levels of stress of conscience. / Bakgrund Denna avhandling var en del av forskningsprojektet ”Samvetsstress och utbrändhet bland personal inom äldreomsorg”, vid Umeå universitet. Resultat har visat att det finns samband mellan samvetsstress, syn på samvete, utbrändhet och socialt stöd. Inga longitudinella studier som undersöker dessa samband har utförts tidigare och därför är det inte känt hur dessa samband kan utvecklas över tid. Det är inte heller känt hur samvetsstress och andra betydelsefulla fenomen kan variera mellan organisationer eftersom jämförande studier saknas. Det är viktigt att organisera vården av äldre personer på ett sådant sätt att vårdpersonal kan hålla sig friska på sina arbetsplatser, i synnerhet med tanke på att andelen äldre i befolkningen förväntas öka. Studier har visat att samvetsstress är relaterat med vårdpersonalens välbefinnande och kvaliteten på den vård de tillhandahåller. För att utveckla åtgärder mot samvetsstress är det viktigt att få en djupare förståelse om aspekter i det dagliga arbetet som kan generera dåligt samvete hos vårdpersonal. SyfteDet övergripande syftet med avhandlingen var att beskriva, jämföra och undersöka longitudinella samband mellan samvetsstress, syn på samvete, utbrändhet, socialt stöd och personcentrerad vård bland vårdpersonal som arbetar inom två olika organisationer för äldreomsorg. Syftet innefattade även att fördjupa förståelsen av betydelsefulla aspekter som genererar dåligt samvete inom båda organisationerna. Baserat på den framväxande kunskapen från forskningsprogrammet och resultaten från delstudierna І och ІІ framkom det att viktiga aspekter som kan generera dåligt samvete var att arbeta med riktlinjer och att arbeta i tider av nedskärning och omorganisering. Metod Studierna Ι och ΙΙ baseras på kvantitativa metoder, en med longitudinell design (Ι) och en med tvärsnittsstudie design (ΙΙ).  Studierna ΙΙΙ och IV baseras på kvalitativ metod. Deltagarna i delstudie Ι bestod av vårdpersonal som arbetade inom en offentlig organisation för äldreomsorg lokaliserad i en liten stad i norra Sverige (baseline n = 488, uppföljning n = 277). Deltagarna i delstudie ΙΙ var all vårdpersonal som arbetade inom två olika organisationer för äldreomsorg valda att vara så olika varandra som möjligt gällande olika karaktäristika. Den ena organisationen hade privat driftsform och var belägen i en stor stad i södra Sverige (n = 98), baseline data från studie Ι (n = 488) användes beträffande den andra organisationen. Delstudierna ΙΙΙ (n = 8) och IV (n = 7) bestod av vårdpersonal som arbetar inom samma offentliga organisation (ΙΙΙ) och privata organisation (IV) som i delstudierna Ι och ΙΙ. Kvantitativt data analyserades med ‘partiel least squares regression’ och ‘jackknife’ approximativa t-tester, hierarkisk klusteranalys med ‘multiscale bootstrap resampling’, beskrivande statistik, hypotestester, olika effektmått, konfidensintervall. Kvalitativa data analyserades med kvalitativ innehållsanalys. Resultat Huvudresultaten visade att vårdpersonal skattade högre nivåer av samvetsstress jämfört med vad som har rapporterats i andra studier. Resultaten visade att uppfatta sitt samvete som en börda, höga nivåer av emotionell utmattning och cynism samt att bevittna störande konflikter mellan medarbetare var positivt korrelerat med samvetsstress. Trots stora skillnader gällande organisationernas karaktäristika var sambanden mellan samvetsstress och att uppfatta sitt samvete som en börda samt utbrändhet samstämmiga. Kvinnor skattade högre nivåer av samvetsstress och mindre socialt stöd från sina arbetskamrater jämfört med män.  Denna avhandling ger också nya insikter om hur arbete i enlighet med riktlinjer och under tider av nedskärningar och omorganisering kan vara en tung börda för vårdpersonal att bära och hur det kan generera dåligt samvete. Den övergripande förståelsen av vårdpersonalens erfarenhet av riktlinjer i det dagliga arbetet visade att vårdpersonalen kämpar för att göra sitt bästa, prioriterar mellan svårbegripliga riktlinjer samtidigt som boendes behov hålls i förgrunden. Vårdpersonalen beskrev hur dom upplevde att riktlinjer kommer från ovan, är kontrollerande och inte tillräckligt förankrade.  De beskrev också hur riktlinjer tar tid från de boende, krockar med varandra, saknar praktisk nytta och komplicerar omvårdnaden samt utmanar det egna omdömet. Den övergripande förståelsen av vårdpersonalens erfarenheter av att arbeta under tider av nedskärningar och omorganisering visade att vårdpersonalen uppfattar sig själv som bakbundna mellan rådande omständigheter att ge omvårdnad och vad deras samvete förmedlar. Vårdpersonalen upplevde sig vara utan gott ledarskap och förändrade arbetsvillkor som utmattande och aktiverade samvetet. Vårdpersonalen uttryckte också hur de fick dåligt samvete när de upplevde att arbetsförhållandena försämrade vårdkvaliteten. Slutsatser Eftersom det förefaller viktigt att förstå resultaten utifrån ett samhälls- och organisationsperspektiv likväl som ur ett individperspektiv utförs reflektioner av resultaten utifrån en omvårdnadsmodell. Resultat i denna avhandling visar att det är viktigt att ge vårdpersonalen möjligheter att på sin arbetsplats följa och uttrycka vad deras samvete säger för att effekterna av samvetsstress ska mildras. Stöd, kunskap, engagemang, tid och övriga resurser är faktorer av betydelse som kan hjälpa vårdpersonal att arbeta mer konstruktivt med riktlinjer i sitt dagliga arbete. Resultaten visar att i tider präglade av nedskärningar och omorganisering är det viktigt med ledarskap som främjar vårdpersonals känslor av engagemang, trygghet och gemenskap för att en del av vårdpersonalens betungande erfarenheter ska kunna lindras. En övergripande förståelse av resultaten är att det förefaller vara av vikt att äldreomsorgen organiseras på ett sådant sätt att sjuksköterskor och chefer har möjlighet att vara tillgängliga i vårdpersonalens dagliga praktiska arbete. Vårdpersonal behöver stödjande och tillgängliga ledare som kan hjälpa till att lösa olika former av arbetsrelaterade problem och att göra prioriteringar i den dagliga omvårdnaden. Detta förefaller vara av vikt oavsett om prioriteringarna är mellan riktlinjer och boendes behov eller en konsekvens av en av en alltmer stressig arbetsmiljö under tider av nedskärningar och omorganisering. Ytterligare studier behövs för att undersöka vikten av genus i relation till samvetsstress och om olika former av stöd behövs för kvinnor och män i syfte att mildra effekterna av samvetsstress. Det behövs fler longitudinella ‘multilevel’ studier för att kunna undersöka hur organisationers karaktäristiska kan påverka vårdpersonalens nivåer av samvetsstress. / Stress of Conscience and Burnout among Healthcare Personnel

Aim: The overall aim of this thesis was to gain a deeper understanding of older people's view of health and care while dependent on community care. Furthermore to describe and compare formal caregivers' perceptions of quality of care, working conditions, competence, general health, and factors associated with quality of care from the caregivers' perspective. Method: Qualitative interviews were conducted with 19 older people in community care who were asked to describe what health and ill health((I), good and bad care meant for them (II). Data were analyzed using content analysis (I) and a phenomenological analysis (II). The formal caregivers; 70 nursing assistants (NAs) 163 enrolled nurses (ENs) and 198 registered nurses (RNs), answered a questionnaire consisting of five instruments: quality of care from the patient's perspective modified to formal caregivers, creative climate questionnaire, stress of conscience, health index, sense of coherence and items on education and competence (III). Statistical analyses were performed containing descriptive statistics, and comparisons between the occupational groups were made using Kruskal-Wallis ANOVA, Mann-Whitney U-test and Pearson's Chi-square test (III). Pearson's  product moment correlation analysis and multiple regression analysis were performed studying the associations between organizational climate, stress of conscience, competence, general health and sense of coherence with quality of care (IV). Results: The older people's health and well-being were related to their own ability to adapt to and compensate for their disabilities and was described as negative and positive poles of autonomy vs. dependence, togetherness vs. being an onlooker, security vs. insecurity and tranquility vs. disturbance (I).  The meaning of good care (II) was that the formal caregivers respected the older people as unique individuals, having the opportunity to live their lives as usual and receiving a safe and secure care. Good care could be experienced when the formal caregivers had adequate knowledge and competence in caring for older people, adequate time and continuity in the care organization (II). Formal caregivers reported higher perceived quality of care in the dimensions medical-technical competence and physical-technical conditions than in identity-oriented approach and socio-cultural atmosphere (III). In the organizational climate three of the dimensions were close to the value of a creative climate and in seven near a stagnant climate. The formal caregivers reported low rate of stress of conscience. The RNs reported to a higher degree than the NAs/ENs a need to gain more knowledge, but the NAs and the ENs more often received training during working hours. The RNs reported lower emotional well-being than the NAs/ENs (III). The formal caregivers' occupation, organizational climate and stress of conscience were associated with perceived quality of care (IV). Implications: The formal caregivers should have an awareness of the importance of kindness and respect, supporting the older people to retain control over their lives. The nursing managers should employ highly competent and adequate numbers of skilled formal caregivers, organize formal caregivers having round the clock continuity. Improvements of organizational climate and stress of conscience are of importance for good quality of care.

Previous research suggests that healthcare managers can experience stress ofconscience, which has a relationship with burnout syndrome. The aim of this studywas to examine the perceived degree of stress of conscience of first-line managersand middle managers within the healthcare in Dalarna and if the degree of stress ofconscience were reduced the further away from the core business the manager isworking. A cross-sectional survey was conducted with comparative andcorrelation-design to enable an independent t-test and to compare the mean valuefor first- and middle managers. The results showed that first-line managers rated amean value of 57 points for stress of conscience and demands and expectation ofothers caused the most troubled conscience. The results for middle managersshowed a mean value of 35,7 points for stress of conscience and the cause fortroubled conscience was others' expectations. The perceived degree of stress ofconscience was higher for first-line managers than for middle managers but notsignificant and therefore is the closeness to the core business not a sufficient factorto draw any conclusions. / Forskning indikerar på att chefer inom vård och omsorg kan upplevasamvetsstress, vilket har ett samband med utmattningssyndrom. Syftet med studienvar att undersöka den upplevda graden av samvetsstress hos första och andralinjens chefer inom vård och omsorg i Dalarnas län samt om graden avsamvetsstress minskar desto längre bort från den operativa verksamheten chefenarbetar. En tvärsnittsstudie genomfördes med enkätutskick, där designen var enkombination mellan komparativ design och korrelationsdesign för att möjliggöraett independent t-test och jämföra medelvärdet av samvetsstress hos första ochandra linjens chefer. Resultatet av denna studie visar medelvärde 57 poäng församvetsstress hos första linjens chefer där krav och andras förväntningar orsakadehögst grad av dåligt samvete. Resultatet för andra linjens chefer visar medelvärdet35,7 poäng för samvetsstress där orsaken till dåligt samvete främst var andrasförväntningar. Graden av samvetsstress är högre hos första linjens chefer än andralinjens chefer men skillnaden är inte signifikant och därmed utgör inte denoperativa närheten tillräcklig påverkan på graden av samvetsstress hos chefer inomvård och omsorg i Dalarnas län för att dra en slutsats.

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Det finns överlag en brist på compassion-inriktade interventioner för vård- och omsorgspersonal. Tidigare studier tyder på att dessa interventioner ger goda resultat, men fler studier behövs. Hittills har exempelvis inga svenska studier undersökt effekter av Compassionate Mind Training (CMT) på individnivå eller med samvetsstress som utfallsmått. Studien syftade följaktligen till att undersöka om en internetbaserad CMT-kurs var en hjälpsam metod för att minska samvetsstress och arbetsrelaterad stress, samt öka självmedkänsla och professionell livskvalitet hos svensk vård- och omsorgspersonal. Studien var designad som en inomindividsstudie och utgick från en Single-Case Experimental Design (SCED), med vissa anpassningar. Totalt sex deltagare mötte inklusionskriterierna och deltog i en för- och eftermätning med självskattningsformulären Stress of Conscience Questionnaire (SCQ), Copenhagen Psychosocial Questionnaire II (COPSOQ-II), Self-Compassion Scale (SCS) och Professional Quality of Life Measure (ProQOL-5) samt fyra veckovisa mätningar under kursens gång. Slutsatsen var att CMT-kursen har varit hjälpsam i att minska samvetsstress och arbetsrelaterad stress samt i att öka självmedkänsla och professionell livskvalitet. Vidare forskning med starkare experimentell kontroll och uppföljningsmätningar behövs dock för att bekräfta resultaten. / There is overall a lack of compassion-based interventions for healthcare personnel. Previous studies suggest these interventions lead to good outcomes, however there is a need for more research. There are for example no Swedish studies that have yet examined the effect of Compassionate Mind Training (CMT) either on an individual level or with stress of conscience as outcome measure. Hence, the study aimed to evaluate whether a CMT-course is a helpful method for reducing stress of conscience and work-related stress, as well as increasing self-compassion and professional quality of life for healthcare personnel. The study had a within-subject design and used a Single-Case Experimental Design (SCED) with some adjustments. Six participants met the inclusion criteria and completed Stress of Conscience Questionnaire (SCQ), Copenhagen Psychosocial Questionnaire II (COPSOQ-II), Self-Compassion Scale (SCS) and Professional Quality of Life Scale (ProQOL-5) before and after the CMT-course in addition to four weekly questionnaires during the course. The conclusion was that CMT was helpful in reducing stress of conscience and work-related stress as well as increasing self-compassion and professional quality of life. However, research with more experimental control and follow up measurements are needed to confirm the results. / ICOP

Antalet sjukskrivningar till följd av stressrelaterade sjukdomar har ökat kraftigt för vårdpersonal. Därtill saknas det evidens för internetbaserade interventioner mot stressrelaterad ohälsa för vårdpersonal. Syftet var att undersöka och utvärdera en internetbaserad kognitiv beteendeterapi-intervention (iKBT) avseende graden av samvetsstress, arbetsrelaterad stress samt självmedkänsla hos vårdpersonal. Enkäter bestående av Stress of Conscience Questionnaire (SCQ), Copenhagen Psychosocial Questionnaire version II (COPSOQ II) och Self-Compassion Scale (SCS) besvarades av deltagarna (N = 8), samtliga var kvinnor mellan 27 – 53 år. Resultaten analyserades med PEM och RCI på individnivå och T-test på gruppnivå. RCI-analysen visade begränsade resultat för SCQ, blandade resultat för COPSOQ II och övervägande positiva resultat för SCS. Analysen på gruppnivå visade en signifikant minskning i Sömnbesvär (p = .032) och Self-Judgment (p = .021) samt signifikant ökning i Self-Kindness (p = .016). Studien behöver replikeras i framtida studier med ett större antal deltagare och en studiedesign som är metodologiskt robust. / The amount of sick leave due to stress-related illnesses has increased significantly for healthcare staff. In addition, there is a lack of evidence for internet-based interventions for stress-related illness for healthcare staff. The aim was to examine and evaluate an internet-based Cognitive Behavioral Therapy (iCBT) intervention regarding the degree of stress of conscience, work-related stress and self-compassion among healthcare staff. Questionnaires consisting of Stress of Conscience Questionnaire (SCQ), Copenhagen Psychosocial Questionnaire version II (COPSOQ II) and Self-Compassion Scale (SCS) were answered by the participants (N = 8), all were women between 27 - 53 years. The results were analyzed with PEM and RCI at the individual level and T-tests at group level. The RCI analysis showed limited results for SCQ, mixed results for COPSOQ II and predominantly positive results for SCS. The analysis at group level showed a significant decrease in Sleep Disorders (p = .032) and Self-Judgment (p = .021) as well as a significant increase in Self-Kindness (p = .016). The study needs to be replicated in future studies with a larger number of participants and a study design that is more methodologically robust.