umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Work experiences among healthcare professionals in the beginning of their professional careers: a gender perspective
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
2009 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Swedish healthcare organizations have undergone substantial organizational and economic restructuring during the 1990s due to financial cutbacks. Little is known about recently graduated healthcare professionals´ work experience in healthcare and their future career preferences. The overall aims of this thesis was, to increase knowledge about how recently graduated healthcare professionals in Sweden perceive their work in healthcare organizations. A gender perspective is adopted.

In this national cross-sectional study, four stratified random samples were separately drawn from the 1999 Swedish university graduates who were nurses (NS), occupational therapists (OT), physical therapists (PT) and (registered) physicians (PN) and who at the time of the sampling procedure were living in Sweden. Stratification was performed by sex. A total of 3989 were eligible and of those, 1434 were selected: 535 NS, 250 OT, 250 PT and 399 PN.

A questionnaire was constructed containing questions about socio-demographic factors, working conditions, career preferences,  work satisfaction and questions about the responsibility for and actual work with home and family, the so called unpaid household work. The questionnaires also contained questions measuring psychosocial working conditions: the effort-reward imbalance questionnaire (ERI-Q) and the demand-control questionnaire (DCQ). Collection of the data for NS, OT and PT was completed in March 2002 and for PN in May 2003. The response rate was 81% and 76% respectively. The total sample thus consists of 1145 participants; 423 nurses, 212 occupational therapists, 205 physiotherapists and 305 physicians. 

Most of the respondents were employed in the public sector, but many desired privately employment within the coming five year period, men more often than women. Career preferences for future work differed between women and men. A majority indicated that they did not have the opportunity to pursue knowledge development in the professional field during working hours and nearly one half could not work as independently as they wished. Satisfaction with work in general was high, but many were dissatisfied with management at work and a majority was dissatisfied with the work organization. This dissatisfaction was associated with the opportunity to work as independently as they wished and the opportunity to pursue knowledge development in the professional field. Significantly more women than men had the main responsibility for home and family and did most of the unpaid household work.

Among the OT and PT working for county councils and municipalities, the results revealed that those working for municipalities, experienced low control at work compared with those working for county councils. No differences were found between OT and PT or between men and women in the two professions regarding the DCQ and the ERI-Q except for the WOC scale. Women had significantly higher scores on the WOC scale compared with men. Logistic regression analyses revealed a significant association between WOC and ERI, effort, reward and sex. One fourth of the OT and PT working for county councils and municipalities was dissatisfied with their job and this dissatisfaction was significantly associated with type of employer, reward and effort-reward imbalance (in the ERI-Q) and control (in the DCQ).

Differences regarding scoring on the ERI-Q were found between nurses and physicians working in county councils but not between women and men in the same group, with the exception of the scores on overcommitment. Significantly more nurses were defined as having high effort, low reward and effort-reward imbalance compared with the physicians. More women in the NS and PN group were defined as experiencing WOC compared to men.  Logistic regression analyses revealed significant associations between experiences of WOC and ERI, effort and reward. Nearly one fifth in the NS and PN group were dissatisfied with work and this dissatisfaction was particularly high among those with high effort, low reward, those with the greatest imbalance between effort and reward and those who experienced high overcommitment.

In conclusion, in order to limit future work related problems and to be able to retain well educated professionals in healthcare work, dissatisfaction among the recently graduated must be taken seriously. Healthcare employers should better utilize the knowledge that recently graduated possess, regarding for example how to be a part of the development of the profession and the job. It is also important that healthcare employers address gender (in) equality at work and that work environments allow both women and men to combine careers with family duties.

Place, publisher, year, edition, pages
Umeå: Institutionen för samhällsmedicin och rehabilitering , 2009. , 61 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 1276
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:umu:diva-25771ISBN: 978-91-7264-817-3 (print)OAI: oai:DiVA.org:umu-25771DiVA: diva2:233748
Distributor:
Sjukgymnastik, 901 87, Umeå
Public defence
2009-09-25, Aulan, Vårdvetarhuset, Umeå universitet, 901 87 Umeå, Umeå, 13:00 (Swedish)
Opponent
Supervisors
Projects
healthcare, work satisfaction, career, gender equality, health science education, recently graduated, novices, nurses, occupational therapists, physiotherapists, physicians, ERI-Q, effort, reward, effort-reward imbalance, overcommitment, DCQ, demand, control, job strain
Available from: 2009-09-09 Created: 2009-09-02 Last updated: 2011-03-24Bibliographically approved
List of papers
1. Work satisfaction, career preferences and unpaid household work among recently graduated health-care professionals: a gender perspective
Open this publication in new window or tab >>Work satisfaction, career preferences and unpaid household work among recently graduated health-care professionals: a gender perspective
2007 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 21, no 2, 169-177 p.Article in journal (Refereed) Published
Keyword
adult, career choice, female, health personnel, humans, job satisfaction, male, sex factors
Research subject
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-16199 (URN)10.1111/j.1471-6712.2007.00453.x (DOI)17559435 (PubMedID)
Available from: 2008-01-09 Created: 2008-01-09 Last updated: 2017-12-14Bibliographically approved
2. Gendered career preferences, work satisfaction and unpaid household work among recently graduated physicians
Open this publication in new window or tab >>Gendered career preferences, work satisfaction and unpaid household work among recently graduated physicians
(English)Manuscript (preprint) (Other academic)
Identifiers
urn:nbn:se:umu:diva-25768 (URN)
Available from: 2009-09-02 Created: 2009-09-02 Last updated: 2010-12-09Bibliographically approved
3. Work experiences of novice occupational therapists and physiotherapists in public sector employment: analyses using two occupational stress models
Open this publication in new window or tab >>Work experiences of novice occupational therapists and physiotherapists in public sector employment: analyses using two occupational stress models
2010 (English)In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 12, no 1, 42-49 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to evaluate how recently graduated occupational therapists and physiotherapists, employed by the Swedish county councils and municipalities, experience working in public sector healthcare organization. The study group, 262 occupational therapists and physiotherapists who graduated in 1999, is a sub-sample drawn from a national cross-sectional survey. Data were collected in their third year after graduation. The Swedish Demand-control Questionnaire and the Effort-reward Imbalance Questionnaire together with self-constructed questions were used to evaluate psychosocial factors at work. The results reveal that few were exposed to job strain or effort-reward imbalance (ERI). More were defined as having work-related overcommitment (WOC). Logistic regression analyses revealed a significant association between WOC and ERI, sex, degree of effort and degree of reward. One quarter was dissatisfied with their work and this dissatisfaction was significantly associated with ERI, reward (in the ERI questionnaire), control (in the Demand-control Questionnaire) and type of employer. In conclusion, combining the Demand-control model and the ERI model made it possible to describe and analyse varying aspects of the work of novice occupational therapists and physiotherapists in public sector healthcare.

Keyword
effort-reward imbalance, healthcare, job strain, overcommitment, work satisfaction
Research subject
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-25753 (URN)10.3109/14038190903033161 (DOI)
Available from: 2009-09-01 Created: 2009-09-01 Last updated: 2017-12-13Bibliographically approved
4. Work experiences among nurses and physicians in the beginning of their professional careers: analyses using the effort-reward imbalance model
Open this publication in new window or tab >>Work experiences among nurses and physicians in the beginning of their professional careers: analyses using the effort-reward imbalance model
(English)Manuscript (preprint) (Other academic)
Research subject
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-25763 (URN)
Available from: 2009-09-02 Created: 2009-09-02 Last updated: 2015-04-29Bibliographically approved

Open Access in DiVA

fulltext(0 kB)832 downloads
File information
File name FULLTEXT01.pdfFile size 0 kBChecksum SHA-512
ea8dcfb7102d3466e06cb484de96bfc8859855d3916627cfc3410709618bcf6933fc218484847c1da3bfa526dd14c4b2845243fff0dd3c212e3754bd504c2593
Type fulltextMimetype application/pdf

Search in DiVA

By author/editor
Enberg, Birgit
By organisation
Physiotherapy
Physiotherapy

Search outside of DiVA

GoogleGoogle Scholar
Total: 832 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 1553 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf