Dimensions of control and nurses’ reactions to hospital amalgamation

This longitudinal panel study examined the relationship of three dimensions of control (personal, job and organizational) assessed in the initial phase of a hospital amalgamation on nurses’ reactions two years later during the amalgamation period. The participants were 179 full‐time nurses employed in four community hospitals being amalgamated into two. Nurses reported low organizational control, a finding consistent with the sense of powerlessness frequently associated with nurses. The hypothesis that the three types of control would differentially predict nurses’ reactions to the hospital amalgamation was supported. Personal control significantly predicted changes in perceived co‐worker support and help‐seeking coping over the amalgamation period. Job control significantly predicted changes in perceived supervisor support and direct action coping (putting more effort into doing one’s job) over the amalgamation period. Organizational control significantly predicted changes in perceived hospital support and trust in the hospital over the amalgamation period. The findings indicate the need to include more than one dimension of control in investigations of nurses’ sense of powerlessness and the importance of matching the type of control to outcome variables.