A prospective study of managers’ turnover and health in a healthcare organization
- 29 December 2011
- journal article
- Published by Wiley in Journal of Nursing Management
- Vol. 20 (7), 889-899
- https://doi.org/10.1111/j.1365-2834.2011.01347.x
Abstract
To assess turnover and health of Swedish healthcare managers, and identify important supporting factors relating to work and individual resources. Individual managers' own sustainability in terms of turnover and health may be influenced by managerial working conditions and individual resources. 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. 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. Managerial turnover seems high in Swedish healthcare and linked to working conditions, while sustained health are linked to individual resources. 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.Keywords
This publication has 59 references indexed in Scilit:
- Work attendance among healthcare workers: prevalence, incentives, and long-term consequences for health and performanceJournal of Advanced Nursing, 2011
- Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic reviewInternational Journal of Nursing Studies, 2010
- Managing complex workplace stress in health care organizations: leaders' perceived legitimacy conflictsJournal of Nursing Management, 2009
- Does sickness presenteeism have an impact on future general health?Internationales Archiv für Arbeitsmedizin, 2009
- Sickness Presenteeism Today, Sickness Absenteeism Tomorrow? A Prospective Study on Sickness Presenteeism and Future Sickness AbsenteeismJournal of Occupational and Environmental Medicine, 2009
- Sickness Presenteeism: Prevalence, Attendance-Pressure Factors, and an Outline of a Model for ResearchJournal of Occupational and Environmental Medicine, 2005
- Social class and self-reported health status among men and women: what is the role of work organisation, household material standards and household labour?Social Science & Medicine (1982), 2004
- Organisational trust: the keystone to patient safetyHeart, 2004
- Sleep disturbances, work stress and work hoursJournal of Psychosomatic Research, 2002
- Role congruity theory of prejudice toward female leaders.Psychological Review, 2002