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University West, Department of Nursing, Health and Culture has in 2011 established the Center on Salutogenesis. We are today responsible for the a the website www.salutogenesis.hv.se. We are running a systematic and analytical research synthesis on salutogenic research 1992-up to date. The website is a continuation of a former one located in Helsinki, Finland. The new website is now in Swedish and in English.

We continuously update the sites including the database (only in English). However, to build up and keep it  updated is time consuming. Therefore we invite authors of scientific papers published in peer reviewed journals to join us in this task. Please fill in a review protocol (in English) of your study in line with the presented model. Please send your review protocol to the Responsible Editor of the website, Monica Eriksson. We will thereafter put the information into the Database. This is a possibility for Authors to spread their findings to all of us interested in the field of salutogenesis. Thank you for your cooperation!

 
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Burnout in health-care professionals during reorganizations and downsizing. A cohort study in nurses

Year
2010
Country
Sweden
Sample
Nurses
Aged 30 - 65
Method
Quasi-experimental retrospecitve cohort study, participants followed for 30 months

Analysis
Chi-square-test, Linear regression, Pearsons correlation analysis
Aim
To study the development of burnout in personnel with long work experience during two large reorganizations with downsizing, and factors like SOC, profession and work experience related to burnout.
SOC Scale
SOC-13
Statistical data
N=46
 
Other measures: gender, age, profession, duration and type of work experience, size of current position, Bergen Burnout Indicator (BBI)
Language
Swedish
Main result

One man and 45 women were invited to the surveys. There was a significant increase in burnout during the study period, the mean increase in BBI-score was 12.5 pr year (p < 0.001). The proportion of satisfied nurses at the first and last surveys were 84% and 35% respectively, and the proportions with burnout were 0% and 29% respectively (p < 0.001). Except for auxiliary nurses with experience from the medical department, all subgroups experienced a significant increase in BBI. Burnout was associated with low SOC (p < 0.001, r square 0.33)

 

Conclusions: There was a significant development of burnout in a group of nurses during a period with two reorganizations and downsizing. Burnout was associated with low SOC. Working with seriously ill patients with cancer has probably made the nurses exceptionally vulnerable to the stress and workload related to the reorganizations.

 
Strengths and weaknesses:

Restricted number of participants might affect the external validity. There are no indications of a particularly vulnerable group of participants. However, working with seriously and terminally ill patients might have made them exceptionally vulnerable.

 

The comprehensive and frequent reorganizations in the hospital made it an ideal quasi-experimental situation for studies of effects of reorganizations and downsizing.

 

A few participants quit their jobs during the study and some new employees were engaged. This reduces the validity nut is inevitable in such observational studies. The high participation rate increases the validity.

References
Burnout in health-care professionals during reorganizations and downsizing. A cohort study in nurses. Nordang K, Hall-Lord ML, Farup PG. BMC Nurs. 2010 Jun 4;9:8.
Inserted: 20.01.2011 14:45:27
Updated: 27.06.2013 10:38:25