Background Health promotion in higher education may support sustainable health among future healthcare and social work professionals, who face elevated risk of poor health when entering working life. The aim of this study was to describe associations between general health, health-promoting resources, lifestyle factors, and social factors among final-semester students in nursing, healthcare, and social work programs and newly graduated nurses and healthcare and social work professionals. In addition, the study compared groups reporting excellent/very good general health with those reporting good, fair, or poor health. Methods Data were collected through a web-based questionnaire, between 2020 and 2023, which included items on health and lifestyle factors, along with validated instruments measuring health-promoting resources (sense of coherence, salutogenic health, emotional intelligence, occupational balance) and social support. Analyses included chi-square tests, non-parametric tests, and logistic regression. Results This study included 343 final-semester students in nursing, healthcare, and social work programs and 115 newly graduated professionals. In the final semester, excellent/very good health was most strongly associated with absence of sleep problems (OR 3.3), no oral tobacco use (OR 2.7), and exercising > 60 min/week (OR 2.8). Higher scores in sense of coherence, emotional intelligence, occupational balance were also linked to better health. Among newly graduated professionals, absence of sleep problems (OR 6.8), daily activity > 150 min/week (OR 3.5), and low alcohol use (OR 2.7) were associated with excellent/very good health. At both time points, groups with excellent or very good general health reported higher scores in sense of coherence, salutogenic health, emotional intelligence, and occupational balance. No significant differences in health or health-promoting resources were found between final-semester students and newly graduated professionals. Conclusion Participants reporting excellent or very good health had higher health-promoting resources and better sleep during their final semester in nursing, healthcare, and social work programs and as newly graduated professionals. Neither health nor health-promoting resources changed upon entering work-life, however, this observation should be interpreted cautiously given the study's limitations and confirmed in future research. Health promotion during higher education and in early work-life may therefore be crucial for sustainable health. As some of the data were collected during the COVID-19 period, results should be interpreted with awareness that pandemic-related circumstances may have influenced lifestyle and perceived health.

Background: Students with foreign backgrounds can face challenges in the study environment linked to language, cultural roles, norms, and ethnicity. It is important to increase knowledge about students' own health-promoting resources and social study factors, to optimize a good study environment. Objective: This study aimed to describe and investigate changes in health-promoting resources and social study factors in, respectively, the first and final semesters, for students with and without foreign backgrounds, in nursing and social work programs in Sweden. Methods: The study had a repeated cross-sectional multicentre design at the group level. Students at six Swedish universities answered a web-based questionnaire in the first (n = 665) and final semester (n = 296) of nursing and social work programs. The questionnaire measured health-promoting resources (SOC-13; SHIS; OBQ), and social study factors (QPSNordic). Statistics were conducted through descriptive, correlation, and multiple linear regression analyses. Results: At baseline, students with foreign backgrounds reported significantly lower health-promoting resources, including SOC total (p < .004), SHIS (p < .004), and social study factors (p < .004), compared to other students. By the final semester, disparities between the two groups persisted in two items of social study factors. In the final semester, students' relationships and the value of group work predicted health-promoting resources for the entire student cohort. Conclusion: Social relationships were central to health-promoting resources for Swedish nursing and social work students. The results indicated the value of targeted actions, in the study environment, especially among students with foreign backgrounds.

Background Newly graduated healthcare and social work professionals can experience stress and a perceived lack of competence when transitioning from academia to clinical practice, which can lead to health problems or leaving the profession. Globally, creating healthy workplaces remains a challenge. The aim of this study, which had a salutogenic approach, was to explore health-promoting resources and workplace experiences among newly graduated healthcare and social work professionals. Methods This multicenter cross-sectional study included Swedish healthcare and social work professionals in their second year after graduation, recruited from six universities. Data were collected in March 2023 via a self-reported, web-based survey using validated instruments: the salutogenically oriented 13-item Sense of Coherence (SOC) Scale, the Salutogenic Health Indicator Scale (SHIS), and the 32-item Work Experience Measurement Scale (WEMS), along with questions on health, well-being, lifestyle and social factors at work, including three from the General Nordic Questionnaire (QPSNordic). Data were analyzed in SPSS 28 with nonparametric tests and Spearman correlations. Results A total of 115 newly graduated healthcare and social work professionals completed the questionnaire. The results indicated that those who expressed they were sure to stay in the profession reported a higher total WEMS score (p < 0.001), as well as higher scores in five out of six dimensions: supportive working conditions (p < 0.001), internal work experience (p < 0.001), autonomy (p < 0.001), time experience (p = 0.006), and management (p = 0.029). Participants who rated their well-being as good scored higher in supportive working conditions (p = 0.025) and the change process (p = 0.008). Those living with children reported higher internal work experience scores (p = 0.019).The results revealed positive and medium-strong to strong correlations between WEMS, SHIS, and SOC total scores. Specifically, there were medium-strong correlations between SHIS and SOC and two dimensions of WEMS: supportive working conditions and time experience, and between SHIS and the change process dimension. Conclusions This study highlights the importance of salutogenic resources in supporting newly graduated professionals. Factors such as supportive working conditions, autonomy, and internal work experience were linked to well-being and intention to stay in the profession. Understanding these factors can inform workplace interventions to promote retention and health in early career stages.

BACKGROUND: Trait emotional intelligence (EI) is often assessed using the 30-item Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF). However, previous research using item response theory (IRT) modelling has identified several underperforming items. This study aimed to psychometrically evaluate, refine, and optimize the TEIQue-SF using IRT, with the goals of identifying and eliminating underperforming items, and examining whether items in the refined version function differently across sexes. Furthermore, the study sought to further validate the Swedish version of the TEIQue-SF.

METHODS: This cross-sectional study surveyed 845 first-year students aged 19-59 (87% women) from seven healthcare and social work programs across six universities in southern Sweden. Participants completed the TEIQue-SF and health-related measures for convergent validity. IRT modeling employed the Graded Response Model (GRM) using the 2-Parameter Logistic Model in IRT for Patient-Reported Outcomes (IRTPRO). Marginal reliability and differential item functioning (DIF) were assessed with IRT, internal consistency with Cronbach's alpha and mean inter-item correlations, and validity through evaluating Direct Discrepancy Dynamic fit index (DDDFI) and bivariate correlations.

RESULTS: The IRT modeling identified underperforming items, leading to a refined 12-item TEIQue-SF that effectively captures trait EI with high-quality items. The item selection process is detailed and supplemented. The shortened measure showed a strong correlation with the original (r = .94), demonstrated good reliability, and exhibited uniform DIF for only one item (Item 15). A comparison of confirmatory factor analysis (CFA) model fit statistics using the DDDFI indicated a fair fit for the TEIQue-SF. Consistent with previous research on the TEIQue-SF, both 30-item and 12 item versions demonstrated strong convergent validity with health-related measures within the Swedish context.

CONCLUSIONS: The 12-item TEIQue-SF is a brief, precise, and valid measure for assessing trait EI while preserving its global conceptual structure. IRT modeling and validity testing against health-related measures confirm that 12-item TEIQue-SF effectively captures trait EI.

Aim: This study described healthcare professionals' experiences of tasks that contribute to job satisfaction. Design: A qualitative descriptive study was conducted. Methods: Data were collected through a survey questionnaire with an open-ended question on job satisfaction. 5464 healthcare professionals responded to the questionnaire. Data were analysed through manifest qualitative content analysis. Results: The theme 'Enhancing healthcare professionals' job satisfaction through coherence, manageability, and meaningfulness' emerged with the following five categories: Enhancing person-centred care, Enhancing education, mentorship, and patient communication, Enhancing active participation in organisational development and transformation, Enhancing multi-professional teamwork and collaborative care, and Enhancing rewards and support. Conclusion: This study emphasises that job satisfaction among healthcare professionals depends on meaningful caring activities, a supportive work environment, and workplace resources. These factors boost resilience, reduce stress, and improve retention and patient care. A resource-based, salutogenic approach promotes both professional and personal well-being, fostering healthier, more effective healthcare environments.

Background

It has been suggested that the university environment, to improve students’ health status and educational outcomes, should be based on a health promoting approach. More knowledge is needed about health promoting resources and lifestyle factors that may be of value for students in higher education and their future work-life balance. The aim of this study was to explore health-promoting resources, general health and wellbeing, and health promoting lifestyle factors among fourth and final semester students in higher education in healthcare and social work.

Methods

This longitudinal study is based on self-reported data collected through a web-based questionnaire that included questions about general health, wellbeing, and healthy lifestyle factors and made use of instruments: the Sense of Coherence (SOC) scale, the Salutogenic Health Indicator Scale (SHIS), and five questions from the General Nordic Questionnaire (QPS Nordic). The questionnaire was distributed among students enrolled in seven different healthcare and social work programmes at six universities in Sweden. Data was collected when students were in their fourth (2019/2020) and final (2020/2021) semesters analysed with multiple linear and logistic regressions.

Results

The survey included responses from students during the fourth (n = 498) and the final (n = 343) semester of higher education programmes in health and social work. Total SOC scores decreased between the fourth semester and the final semester. The prevalence of the health promoting lifestyle factor of physical exercise decreased between the fourth and final semesters. Students in their final semester reported valuing group work more highly than did students in their fourth semester. Despite this, students in both the fourth and the final semester reported high SOC, low levels of good general health and perceived wellbeing, and sleeping problems.

Conclusions

Students’ report of good general health were associated with wellbeing, high-intensity physical training, and no sleeping problems A high SOC level was associated with good general health, perceived wellbeing, and no sleeping problems. A higher SHIS level was also associated with wellbeing and no sleeping problems. Therefore, we suggest further research focusing on how to prepare students in healthcare and social work during higher education for a future work-life in balance targeting effects on sleep quality.

OBJECTIVE: The aim was to explore whether occupational balance is associated with health, health-promoting resources, healthy lifestyle and social study factors among students during higher education within healthcare and social work.

DESIGN: The study has a multicentre repeated cross-sectional design. Data were collected via a self-reported, web-based questionnaire based on the validated instruments: the 11-item Occupational Balance Questionnaire (OBQ11), the Sense of Coherence (SOC) Scale, the Salutogenic Health Indicator Scale (SHIS) and five questions from the General Nordic Questionnaire (QPS Nordic) together with questions about general health and lifestyle factors.

SETTING: Students at six universities in western Sweden at one of the following healthcare or social work programmes: biomedical scientists, dental hygienists, nurses, occupational therapists, physiotherapists, radiology nurses and social workers.

PARTICIPANTS: Of 2283 students, 851 (37.3%) participated.

RESULTS: The students experienced that occupational balance increased during education. The total OBQ11 score was higher among students in semesters 4 and 6/7, compared with semester 1 students. Students with higher OBQ11 also reported higher SOC throughout their education, while health seemed to decrease. Students who reported higher levels of OBQ11 reported lower levels of health and well-being in semesters 4 and 6/7, compared with semester 1. There was an opposite pattern for students reporting lower levels of OBQ11.

CONCLUSIONS: The association between higher levels of OBQ11 and lower levels of health and well-being is remarkable. There is a need for more research on this contradiction and what it means for students' health and well-being in the long run.

Background: Educational environments are considered important in strengthening students’ health status and knowledge, which are associated with good educational outcomes. It has been suggested to establish healthy universities based on a salutogenic approach – namely, health promotion. The aim of this study was to describe health-promoting resources and factors among first-semester students in higher education in healthcare and social work.

Methods: This cross-sectional study is based on a survey distributed among all students in seven healthcare and social work programmes at six universities in southern Sweden. The survey was carried out in 2018 using a self-reported, web-based questionnaire focussing on general health and well-being, lifestyle factors together with three validated instruments measuring health-promoting factors and processes: the Sense of Coherence (SOC) scale, Salutogenic Health Indicator Scale (SHIS) and Occupational Balance Questionnaire (OBQ).

Results: Of 2283 students, 851 (37.3%) completed the survey, of whom 742 (87.1%) were women; 722 (84.8%) were enrolled on healthcare programmes, and 129 (15.2%) were enrolled on social work programmes. Most reported good general health and well-being (88.1% and 83.7%, respectively). The total mean scores for the SOC scale, SHIS and OBQ were, respectively, 59.09 (SD = 11.78), 44.04 (SD = 9.38) and 26.40 (SD = 7.07). Well-being and several healthy lifestyles were related to better general health and higher SOC, SHIS and OBQ scores. Multiple linear and logistic regressions showed that perceived well-being and no sleeping problems significantly predicted higher general health and higher SOC, SHIS and OBQ scores. Being less sedentary and non-smoking habits were significant predictors of higher SOC.

Conclusions: Swedish students in higher education within the healthcare and social work sector report good general health and well-being in the first semester, as well as health-promoting resources (i.e. SOC, SHIS and OBQ), and in some aspects, a healthy lifestyle. High-intensity exercise, no sleeping problems and non-smoking seem to be of importance to both general health and health-promotive resources. This study contributes to knowledge about the health promotive characteristics of students in the healthcare and social work fields, which is of importance for planning universities with a salutogenic approach.

The World Health Organization has highlighted the importance of health promotion for health service providers in order to ensure sustainable working life for individuals involved in providing health services. Such sustainability begins when students are preparing to manage their own future health and welfare in working life. It has been suggested that universities, employees and trainee health professionals should adopt or follow a salutogenic approach that not only complements the providing of information on known health risks but also favors health promotion strategies. This paper describes the study design and data collection methods in a planned study aiming to explore health-promoting factors for a sustainable working life among students in higher education within healthcare and social work.