Utbrändhet som arbetsskada och motståndsberättelse

Burnout as occupational injury and narrative of resistance During the last years of the 1990s and the first years of the 2000s, burnout was a common diagnosis for sick listing in Sweden. That burnout is directly related to working life was acknowledged by medical experts as well as in the public debate. The number of applications for occupational compensation due to social and organizational factors in work rose from a very modest degree to nearly a forth of the claims among occupational diseases. In this article 48 individual claims for compensation in cases of burnout as occupational disease are analyzed as narratives of resistance. In this respect they are seen as alternative accounts of risk in working life, but also as narratives about resistance. The concept, narratives of resistance, is used to understand the claimants’ argumentation for rights to compensation, as well as how the claimants draw upon public narratives of societal transformation to understand how they themselves have become ill from occupations that normally are not thought to be hazardous. One conclusion from the analysis is that the claimants regard their illness as the resistance of the body against changes in society and working life. 

Nurses' research utilization two years after graduation : a national survey ofassociated individual, organizational, and educational factors

Background. Nurses' research utilization (RU) as part of evidence-based practice is strongly emphasized in today's nursing education and clinical practice. The primary aim of RU is to provide high-quality nursing care to patients. Data on newly graduated nurses' RU are scarce, but a predominance of low use has been reported in recent studies. Factors associated with nurses' RU have previously been identified among individual and organizational/contextual factors, but there is a lack of knowledge about how these factors, including educational ones, interact with each other and with RU, particularly in nurses during the first years after graduation. The purpose of this study was therefore to identify factors that predict the probability for low RU among registered nurses two years after graduation. Methods. Data were collected as part of the LANE study (Longitudinal Analysis of Nursing Education), a Swedish national survey of nursing students and registered nurses. Data on nurses' instrumental, conceptual, and persuasive RU were collected two years after graduation (2007, n = 845), together with data on work contextual factors. Data on individual and educational factors were collected in the first year (2002) and last term of education (2004). Guided by an analytic schedule, bivariate analyses, followed by logistic regression modeling, were applied. Results. Of the variables associated with RU in the bivariate analyses, six were found to be significantly related to low RU in the final logistic regression model: work in the psychiatric setting, role ambiguity, sufficient staffing, low work challenge, being male, and low student activity. Conclusions. A number of factors associated with nurses' low extent of RU two years postgraduation were found, most of them potentially modifiable. These findings illustrate the multitude of factors related to low RU extent and take their interrelationships into account. This knowledge might serve as useful input in planning future studies aiming to improve nurses', specifically newly graduated nurses', RU.