Nurses’ health and work experiences during the COVID-19 pandemic in Swedish prehospital and hospital care: a deductive content analysis through the lens of the swAge model

Abstract Working as a nurse offers job security but also poses risks for mental health issues. This study aims to explore factors and processes that affected health and work experiences among nurses in Sweden during the COVID-19 pandemic. Semi-structured interviews were conducted with 14 nurses from...

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Main Authors: Cicilia Nagel, Petra Nilsson Lindstrom, Albert Westergren, Sophie Schon Persson, Kerstin Nilsson
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-024-21152-x
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author Cicilia Nagel
Petra Nilsson Lindstrom
Albert Westergren
Sophie Schon Persson
Kerstin Nilsson
author_facet Cicilia Nagel
Petra Nilsson Lindstrom
Albert Westergren
Sophie Schon Persson
Kerstin Nilsson
author_sort Cicilia Nagel
collection DOAJ
description Abstract Working as a nurse offers job security but also poses risks for mental health issues. This study aims to explore factors and processes that affected health and work experiences among nurses in Sweden during the COVID-19 pandemic. Semi-structured interviews were conducted with 14 nurses from high COVID-19 patient load areas (ambulance, emergency departments, ICU, infection wards, and specialized COVID-19 wards). A deductive content analysis using the SwAge model’s nine determinant areas, was performed. The COREQ-checklist was adhered to. Nurses were prepared to sacrifice their health for the well-being of their patients, with many still facing the repercussions. They voiced their disappointment with healthcare organizations for providing insufficient support. The pandemic disrupted the social contract between healthcare organizations and the public, particularly in elder care. To perform effectively, nurses need adequate staffing, a safe work environment, fair compensation, manageable workloads, and recognition. Instances of deception and broken promises have undermined trust and professional well-being. During the pandemic, nurses leaned on their colleagues for support to manage stress and compensate for shortcomings. Nonetheless, nurses also reported experiencing resilience, adaptability, and flourishing. Nurses in Sweden face challenges such as undersized organizations and the need for primary care expansion to reduce hospital burdens. A better balance of resources is essential for effective performance. Improved working conditions and organizational support are crucial for retaining nurses. Identifying factors for a sustainable working life involves understanding key areas and their interactions. Healthcare organizations and managers should consider these areas to promote sustainability.
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spelling doaj-art-63fd2db9d51447cf98126643deead37b2025-01-26T12:56:37ZengBMCBMC Public Health1471-24582025-01-0125111110.1186/s12889-024-21152-xNurses’ health and work experiences during the COVID-19 pandemic in Swedish prehospital and hospital care: a deductive content analysis through the lens of the swAge modelCicilia Nagel0Petra Nilsson Lindstrom1Albert Westergren2Sophie Schon Persson3Kerstin Nilsson4Lund UniversityLund UniversityKristianstad UniversityKristianstad UniversityLund UniversityAbstract Working as a nurse offers job security but also poses risks for mental health issues. This study aims to explore factors and processes that affected health and work experiences among nurses in Sweden during the COVID-19 pandemic. Semi-structured interviews were conducted with 14 nurses from high COVID-19 patient load areas (ambulance, emergency departments, ICU, infection wards, and specialized COVID-19 wards). A deductive content analysis using the SwAge model’s nine determinant areas, was performed. The COREQ-checklist was adhered to. Nurses were prepared to sacrifice their health for the well-being of their patients, with many still facing the repercussions. They voiced their disappointment with healthcare organizations for providing insufficient support. The pandemic disrupted the social contract between healthcare organizations and the public, particularly in elder care. To perform effectively, nurses need adequate staffing, a safe work environment, fair compensation, manageable workloads, and recognition. Instances of deception and broken promises have undermined trust and professional well-being. During the pandemic, nurses leaned on their colleagues for support to manage stress and compensate for shortcomings. Nonetheless, nurses also reported experiencing resilience, adaptability, and flourishing. Nurses in Sweden face challenges such as undersized organizations and the need for primary care expansion to reduce hospital burdens. A better balance of resources is essential for effective performance. Improved working conditions and organizational support are crucial for retaining nurses. Identifying factors for a sustainable working life involves understanding key areas and their interactions. Healthcare organizations and managers should consider these areas to promote sustainability.https://doi.org/10.1186/s12889-024-21152-xNursesSalutogenicPathogenicWork situationHealthDeductive analysis
spellingShingle Cicilia Nagel
Petra Nilsson Lindstrom
Albert Westergren
Sophie Schon Persson
Kerstin Nilsson
Nurses’ health and work experiences during the COVID-19 pandemic in Swedish prehospital and hospital care: a deductive content analysis through the lens of the swAge model
BMC Public Health
Nurses
Salutogenic
Pathogenic
Work situation
Health
Deductive analysis
title Nurses’ health and work experiences during the COVID-19 pandemic in Swedish prehospital and hospital care: a deductive content analysis through the lens of the swAge model
title_full Nurses’ health and work experiences during the COVID-19 pandemic in Swedish prehospital and hospital care: a deductive content analysis through the lens of the swAge model
title_fullStr Nurses’ health and work experiences during the COVID-19 pandemic in Swedish prehospital and hospital care: a deductive content analysis through the lens of the swAge model
title_full_unstemmed Nurses’ health and work experiences during the COVID-19 pandemic in Swedish prehospital and hospital care: a deductive content analysis through the lens of the swAge model
title_short Nurses’ health and work experiences during the COVID-19 pandemic in Swedish prehospital and hospital care: a deductive content analysis through the lens of the swAge model
title_sort nurses health and work experiences during the covid 19 pandemic in swedish prehospital and hospital care a deductive content analysis through the lens of the swage model
topic Nurses
Salutogenic
Pathogenic
Work situation
Health
Deductive analysis
url https://doi.org/10.1186/s12889-024-21152-x
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