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Shift work to balance everyday life: a salutogenic nursing perspective in home help service in Sweden
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS). Kristianstad University, Research Platform for Collaboration for Health.
Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Platform for Collaboration for Health.ORCID iD: 0000-0002-2795-1899
2015 (English)In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 14, no 1, p. 2-Article in journal (Refereed) Published
Abstract [en]

Background: Nurses in Sweden have a high absence due to illness and many retire before the age of sixty. Factors at work as well as in private life may contribute to health problems. To maintain a healthy work–force there is a need for actions on work-life balance in a salutogenic perspective. The aim of this study was to explore perceptions of resources in everyday life to balance work and private life among nurses in home help service.

Methods: Thirteen semi-structured individual interviews and two focus group interviews were conducted with home help service nurses in Sweden. A qualitative content analysis was used for the analyses.

Result: In the analyses, six themes of perceptions of recourses in everyday life emerged; (i) Reflecting on life. (ii) Being healthy and taking care of yourself. (iii) Having a meaningful job and a supportive work climate. (iv) Working shifts and part time. (v) Having a family and a supporting network. (vi) Making your home your castle.

Conclusions: The result points out the complexity of work-life balance and support that the need for nurses to balance everyday life differs during different phases and transitions in life. In this salutogenic study, the result differs from studies with a pathogenic approach. Shift work and part time work were seen as two resources that contributed to flexibility and a prerequisite to work-life balance. To have time and energy for both private life and work was seen as essential. To reflect on and discuss life gave inner strength to set boundaries and to prioritize both in private life and in work life. Managers in nursing contexts have a great challenge to maintain and strengthen resources which enhance the work-life balance and health of nurses. Salutogenic research is needed to gain an understanding of resources that enhance work-life balance and health in nursing contexts.

Place, publisher, year, edition, pages
2015. Vol. 14, no 1, p. 2-
Keywords [en]
Salutogenesis, Nursing, Home help service, Health promotion, Work-life balance
National Category
Work Sciences
Identifiers
URN: urn:nbn:se:hkr:diva-13416DOI: 10.1186/s12912-014-0054-6PubMedID: 25620885OAI: oai:DiVA.org:hkr-13416DiVA, id: diva2:781803
Available from: 2015-01-19 Created: 2015-01-19 Last updated: 2019-05-08Bibliographically approved
In thesis
1. Att finna sin egen kraft: hälsopromotion på arbetsplatsen utifrån BELE – ett program för att främja ett salutogent livspussel bland kvinnlig vård-, stöd- och omsorgspersonal
Open this publication in new window or tab >>Att finna sin egen kraft: hälsopromotion på arbetsplatsen utifrån BELE – ett program för att främja ett salutogent livspussel bland kvinnlig vård-, stöd- och omsorgspersonal
2018 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [sv]

The overall aim of this thesis was threefold; first, to explore resources associated with work-life balance (WLB), with a focus on the work and private lives of human service employees. Second, to develop a workplace health promotion (WHP) intervention with a WLB focus. Third, to explore the participants’ experiences of the developed WHP intervention done in the workplace. A mixed method approach was used to answer the research questions. The thesis is based on two qualitative studies, one quantitative study and one paper that describe the content and development process of the intervention. The qualitative studies were based on individual interviews and focus group interviews (I, IV). Thirteen semi-structured individual interviews and two focus group interviews were conducted with home help service nurses in Sweden (I). Eight focus group interviews and eight semi-structured individual interviews were conducted with participants in the intervention (IV). A qualitative content analysis was used for the analyses in the qualitative studies. The quantitative study was based on a questionnaire survey to a population of two municipality departments (n = 631, response rate 76%) (II). A linear regression model and logistics regressions models were used for the analyses. The planning and development of the intervention was done using an intervention mapping approach (III). The findings showed a complex picture of resources related to WLB. Resources could be found in the work domain, the private domain and the individual domain (I, II). In the work domain, it seems to be important to have a positive time experience and a meaningful job, but also to work part-time and do shift work. In the private domain, a positive time experience and social support was highlighted. Individual resources such as good health, well-being, reflection and satisfaction with one´s life situation were seen as essential to WLB. The development process of the intervention resulted in the “Balance in Everyday Life Empowerment” (BELE) program (III). The findings showed that a majority of the participants taking part in the BELE program experienced a process of change, often enhanced by an increased awareness, support and inner strength, which promoted well-being and balance in their everyday life (IV). In conclusion, it seems important to use a holistic approach where resources in the employees’ overall life situation are included for the enhancement of WLB. The BELE program was an attempt to contribute to WHP with a WLB focus, and the result indicates that the program was effective with regard to promoting employee well-being.

Place, publisher, year, edition, pages
Malmö: Department of Clinical Sciences, Malmö, Lund University, 2018. p. 95
Keywords
Woman´s health, Workplace health promotion, Work-life balance, Human service employees, Intervention
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hkr:diva-19271 (URN)9789176196298 (ISBN)
Available from: 2019-05-13 Created: 2019-05-08 Last updated: 2019-05-13Bibliographically approved

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Törnquist Agosti, MadelaineAndersson, IngemarEjlertsson, GöranJanlöv, Ann-Christin

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Avdelningen för Hälsovetenskap IIForskningsmiljön Människa - Hälsa - Samhälle (MHS)Research Platform for Collaboration for Health
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