Publications by authors named "Marja Hult"

Aim: To describe how nursing staff assess their superiors' destructive leadership and nurse leaders' structural empowerment. A further aim is to examine the associations between destructive leadership and staff outcomes and how nurse leaders' structural empowerment moderates these associations.

Design: A cross-sectional study.

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Aim: To identify and describe evidence from original studies on the contextual factors, dimensions, and outcomes of decent and precarious work among nursing and care workers.

Design: This is a mixed-methods systematic review.

Data Sources: The Scopus, Web of Science, PubMed, CINAHL, PsycINFO and SocINDEX databases were searched on January 11, 2024.

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Aim: To investigate the effects of psychological contract breach and psychological safety on health and well-being outcomes among nurses.

Design: A cross-sectional study.

Methods: Data were gathered from members of the Finnish social and healthcare workers' trade union (n = 4575) in February 2023.

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Background: Working in the healthcare sector seems less interesting than other sectors: the salary is low relative to the demands of the labour involved, and working conditions as well as management are perceived as poor. These factors may have an impact on the well-being of nurses in the healthcare sector. This study aims to explore the relationship between precarious employment and occupational well-being, in addition to the moderating effect of having a calling in this relationship among younger and older nurses.

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Background: Nurse managers are central to guaranteeing quality healthcare outcomes. However, their position is very demanding and special attention should be paid to their mental well-being. Good mental well-being at work is associated with overall occupational well-being, increasing nurse managers' intention to stay in the profession and their commitment to their organization.

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Aim: To investigate the association between precarious employment and commitment among registered nurses.

Background: The nursing profession faces numerous challenges, and precarious employment (PE) has emerged as a significant issue affecting nurses' well-being and professional status.

Methods: In spring 2023, we conducted a cross-sectional survey involving members of a healthcare workers' trade union in Finland.

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Background: Prioritization decision-making arises when nurses encounter intricate situations that demand ethically challenging judgments about care. This phenomenon has rarely been studied in nursing homes. Prioritization decision-making may lead to instances where individuals in social and healthcare may not receive all services they need.

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Objectives: In the wake of national and global personnel shortages, it is becoming increasingly common for students to undertake casual and temporary agency work in the health care and social sectors. This phenomenon can have both advantages and disadvantages for these workers. The objective of this study was to describe health care and social sector students' experiences of such work.

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Objective: Employment conditions in the care sector are changing, and precarious employment (PE) is becoming more widespread, manifesting as undervaluation, adverse leadership, work overload, and inadequate control over work. This study aimed to examine changes in psychosocial health, work well-being, PE, and calling over time and explore the effects of PE and calling on psychosocial health and work well-being.

Methods: The longitudinal study collected follow-up panel data in the three time points (2020, 2022, and 2023) from care workers (n = 1502), linear mixed effects models.

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Aim: To assess and describe reviews of nursing leadership styles associated with organizational, staff and patient outcomes.

Design: A systematic review of reviews.

Methods: Reviews describing a search strategy and quality assessment.

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Youth unemployment is a problem that undermines young people's health and well-being and is also a concern for their immediate communities and society. Human values predict health-related behaviour; however, this relation is very little studied and not examined earlier among NEET (not in employment, education or training) young people. This study aimed to explore the association between four higher-order human values (conservation, openness to change, self-enhancement, self-transcendence), self-rated health (SRH) and subjective well-being (SW) among NEET young men and women (n = 3842) across European regions.

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This study aimed to describe unfinished nursing care activities in nursing homes. The study was conducted as a cross-sectional survey and employed the BERNCA-NH-instrument and one open-ended question. The participants were care workers (n=486) in nursing homes.

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Aim: To evaluate factors related to the occupational well-being of social and health care educators' work communities during the COVID-19 pandemic.

Design: A cross-sectional study was conducted among social and health care educators in Finland 2020.

Methods: Data (n = 552) were collected through a questionnaire containing continuous, Likert scale and categorical variables.

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Article Synopsis
  • The study aims to identify factors that encourage nurses to work past retirement age, using a systematic review approach.
  • The review included 18 studies, emphasizing that older nurses are more willing to continue working, driven by factors like good health, meaningful relationships, and supportive work environments.
  • To retain experienced nurses, organizations should implement flexible work arrangements and support systems throughout a nurse's career, as current research mostly reflects individual preferences without objective evaluations.
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Background: There is a need to shift from biomedical and pathogenic approaches to salutogenic approach.

Objective: To validate the Finnish version of the SHIS by testing its psychometric properties in care workers and to assess the SHIS score over time.

Methods: We first conducted a survey in 2020 (T1) and tested the psychometric properties of SHIS among care workers.

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Background: The salutogenic approach in workplace health promotion emphasizes resources to gain and maintain good health and wellbeing. One of these resources could be calling, but its relation to the salutogenic approach is unknown.

Objective: To explore the associations between salutogenic measures of health and occupational wellbeing and calling among workers from the care and educational sectors.

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Aim: We aim to explore registered nurses' perceptions of their career.

Background: Career development options have been found to increase attraction to nursing and support nurses' engagement with their organization and profession.

Methods: We collected qualitative individual interviews with 23 registered nurses; data were analysed with thematic analysis and reported according to the consolidated criteria for reporting qualitative research (COREQ) criteria.

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Aim And Objectives: To describe nurses with substance use disorder (SUD) in authority disciplinary actions.

Background: Nurses with SUD risk patient safety. Research evidence on the identification of nurses' SUD and related management procedures is currently sparse.

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Aim: To explore how nurses perceived having a calling to nursing.

Design: A mixed-method study.

Methods: Survey data collected in autumn 2020 and semi-structured individual interview data collected in spring 2021.

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Background: The health, well-being and safety of the general population are important goals for society, but forecasting outcomes and weighing up the costs and benefits of effective promotional programmes is challenging. This study aimed to identify and describe the cost-effectiveness calculators that analyze interventions that promote health, well-being and safety.

Methods: Our systematic review used the CINAHL, PsycINFO, SocINDEX, EconLit, PubMed and Scopus databases to identify peer-reviewed studies published in English between January 2010 and April 2020.

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Background: Unemployment is associated with decreased health which may be a reason or a consequence of becoming unemployed. Decreased health can inhibit re-employment.

Objectives: To assess the effectiveness of health-improving interventions for obtaining employment in unemployed job seekers.

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The study explored the impact of self-rated health (SRH) and work ability on employment, and examined the effects of meaningfulness, social networks and physical activity on health and work ability with a population-based cross-sectional survey data (n = 12 729) of full-time employed and unemployed workers. SRH, perceived work ability and levels of perceived meaningfulness, social networks and physical activity were all significantly better among employed workers compared to unemployed people. The results showed that work ability mediated the effect of health on employment and predicted employment.

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Background: There has been relatively little research on the possible factors promoting good work ability among unemployed people. Consequently, the role of health behaviours in good work ability among the unemployed is unknown.

Purpose: To explore the work ability and health behaviours of unemployed people through sociodemographic factors and examine the association between good work ability and health behaviours.

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Aims: The aims of this study were to describe the perceived work ability of unemployed individuals and to explore the association between perceived good work ability and sociodemographic, work-related and well-being factors.

Methods: The data were derived from the Finnish Regional Health and Well-being Study (ATH) collected by postal and Internet-based questionnaires in 2014-2015. The random sample was selected from the Finnish National Population Register.

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