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A prospective study of managers' turnover and health in a healthcare organization.
University of Borås, School of Health Science.
2012 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 20, no 7, 889-899 p.Article in journal (Refereed)
Sustainable development
The content falls within the scope of Sustainable Development
Abstract [en]

AIMS: To assess turnover and health of Swedish healthcare managers, and identify important supporting factors relating to work and individual resources. BACKGROUND: Individual managers' own sustainability in terms of turnover and health may be influenced by managerial working conditions and individual resources. METHODS: A 4-year prospective questionnaire study of 216 healthcare managers. Turnover and indicators of good health (healthy work attendance and no burnout) were related to work factors and individual resources using Cox regressions with constant time at risk. RESULTS: Forty per cent of the healthcare managers had left after 4 years. Fifty-two per cent had a healthy work attendance record and the proportion with no burnout had increased. Experiencing moderate/high job control was a predictor of remaining in the managerial position. Good health was predicted by having energy left for domestic work and being thoroughly rested after sleep. CONCLUSIONS: Managerial turnover seems high in Swedish healthcare and linked to working conditions, while sustained health are linked to individual resources. IMPLICATIONS FOR NURSING MANAGEMENT: Healthcare organizations should focus not only on developing individuals in their managerial role but also on strengthening the conditions that allow managers to exercise their leadership and to ensuring that the managers most suitable for their posts do not leave.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Ltd. , 2012. Vol. 20, no 7, 889-899 p.
Keyword [en]
nursing leadership, leaders, leadership, work-life balance, sustainable work, psychosocial work environment
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Integrated Caring Science
Identifiers
URN: urn:nbn:se:hb:diva-1473DOI: 10.1111/j.1365-2834.2011.01347.xISI: 000309741100008PubMedID: 23050622Local ID: 2320/11887OAI: oai:DiVA.org:hb-1473DiVA: diva2:869530
Available from: 2015-11-13 Created: 2015-11-13

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Dellve, Lotta
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CiteExportLink to record
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Citation style
  • apa
  • harvard1
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More styles
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