Job demands, job resources, and health outcomes among nursing professionals in private and public healthcare sectors in Sweden – a prospective study
AuthorThapa, Dip Raj; Stengård, Johanna; Ekström-Bergström, Anette; Areskoug Josefsson, Kristina; Krettek, Alexandra; Nyberg, Anna
Methods: Data were drawn from the Swedish Longitudinal Occupational Survey of Health (SLOSH) 2016 and 2018, including 520 nurses and 544 assistant nurses working in the private and public healthcare sectors from 2016 (base‑ line). Data were analyzed using binary logistic regression.
Results: Nursing professionals reported higher threats, lower bullying, lower control, lower social support, and lower cohesion in the public healthcare units compared to the private healthcare units. The prospective analyses showed that job resources in terms of social support and rewards were associated with higher self-rated health and lower burnout. Cohesion was associated with higher self-rated health. Job demands in terms of psychological demands and job eforts were associated with lower self-rated health, higher burnout, and higher sickness absence, while emotional demands were associated with higher burnout.
Conclusions: Nursing professionals’ job resources are defcient in public healthcare units. Job resources are associ‑ ated with positive health outcomes, whereas job demands are associated with negative health outcomes, among nursing professionals. Strengthening job resources among nursing professionals in the private and public healthcare sectors can promote and sustain their work-related health.