Larsson Ingrid, Ahlstrand Inger, Larsson Margaretha, Pennbrant Sandra, Ekman Aimée, Hallgren Jenny
School of Health and Welfare, Halmstad University, PO Box 823, Halmstad, S-301 18, Sweden.
School of Health and Welfare, Jönköping University, Jönköping, Sweden.
BMC Health Serv Res. 2025 Apr 29;25(1):617. doi: 10.1186/s12913-025-12782-x.
Newly graduated healthcare and social work professionals can experience stress and a perceived lack of competence when transitioning from academia to clinical practice, which can lead to health problems or leaving the profession. Globally, creating healthy workplaces remains a challenge. The aim of this study, which had a salutogenic approach, was to explore health-promoting resources and workplace experiences among newly graduated healthcare and social work professionals.
This multicenter cross-sectional study included Swedish healthcare and social work professionals in their second year after graduation, recruited from six universities. Data were collected in March 2023 via a self-reported, web-based survey using validated instruments: the salutogenically oriented 13-item Sense of Coherence (SOC) Scale, the Salutogenic Health Indicator Scale (SHIS), and the 32-item Work Experience Measurement Scale (WEMS), along with questions on health, well-being, lifestyle and social factors at work, including three from the General Nordic Questionnaire (QPSNordic). Data were analyzed in SPSS 28 with nonparametric tests and Spearman correlations.
A total of 115 newly graduated healthcare and social work professionals completed the questionnaire. The results indicated that those who expressed they were sure to stay in the profession reported a higher total WEMS score (p < 0.001), as well as higher scores in five out of six dimensions: supportive working conditions (p < 0.001), internal work experience (p < 0.001), autonomy (p < 0.001), time experience (p = 0.006), and management (p = 0.029). Participants who rated their well-being as good scored higher in supportive working conditions (p = 0.025) and the change process (p = 0.008). Those living with children reported higher internal work experience scores (p = 0.019). The results revealed positive and medium-strong to strong correlations between WEMS, SHIS, and SOC total scores. Specifically, there were medium-strong correlations between SHIS and SOC and two dimensions of WEMS: supportive working conditions and time experience, and between SHIS and the change process dimension.
This study highlights the importance of salutogenic resources in supporting newly graduated professionals. Factors such as supportive working conditions, autonomy, and internal work experience were linked to well-being and intention to stay in the profession. Understanding these factors can inform workplace interventions to promote retention and health in early career stages.
新毕业的医疗保健和社会工作专业人员在从学术界过渡到临床实践时，可能会经历压力并感到缺乏能力，这可能导致健康问题或离职。在全球范围内，创建健康的工作场所仍然是一项挑战。本研究采用健康生成法，旨在探索新毕业的医疗保健和社会工作专业人员的健康促进资源和工作场所体验。
这项多中心横断面研究纳入了从六所大学招募的毕业后第二年的瑞典医疗保健和社会工作专业人员。2023年3月通过基于网络的自我报告调查收集数据，使用经过验证的工具：以健康生成法为导向的13项连贯感量表（SOC）、健康生成健康指标量表（SHIS）和32项工作体验测量量表（WEMS），以及关于健康、幸福感、工作中的生活方式和社会因素的问题，包括来自北欧通用问卷（QPSNordic）的三个问题。在SPSS 28中使用非参数检验和斯皮尔曼相关性分析数据。
共有115名新毕业的医疗保健和社会工作专业人员完成了问卷。结果表明，那些表示肯定会留在该行业的人报告的WEMS总分更高（p < 0.001），并且在六个维度中的五个维度得分更高：支持性工作条件（p < 0.001）、内部工作体验（p < 0.001）、自主性（p < 0.001）、时间体验（p = 0.006）和管理（p = 0.029）。将自己的幸福感评为良好的参与者在支持性工作条件（p = 0.025）和变革过程（p = 0.008）方面得分更高。有孩子的人报告的内部工作体验得分更高（p = 0.019）。结果显示WEMS、SHIS和SOC总分之间存在正相关且为中等强度到强相关。具体而言，SHIS与SOC以及WEMS的两个维度：支持性工作条件和时间体验之间存在中等强度的相关性，并且SHIS与变革过程维度之间也存在相关性。
本研究强调了健康生成资源在支持新毕业专业人员方面的重要性。支持性工作条件、自主性和内部工作体验等因素与幸福感和留在该行业的意愿相关。了解这些因素可以为工作场所干预提供信息，以促进早期职业阶段的留用和健康。
