{
  "abstract": "Background: Many healthcare systems face shortages of qualified care workers, prompting efforts to formalise frontline care roles. In Sweden, the introduction of a protected occupational title for assistant nurses represents a major reform in eldercare. Organisational conditions shaping psychosocial work environments during occupational transitions may influence employee well-being, yet little is known about whether perceived organisational preparedness for reform is associated with psychosocial work outcomes.\n\nObjectives: To examine whether perceived organisational preparedness for a major occupational reform predicts psychosocial outcomes among assistant nurses over one year.\n\nMethods: A longitudinal survey was conducted among Swedish assistant nurses at two time points a year apart (T1, N = 617; T2, N = 404). Linear mixed-effects models with repeated measures examined associations between baseline perceived organisational preparedness (prepared vs unprepared) and psychosocial outcomes, including job satisfaction, pride, meaningfulness, and self-rated health.\n\nResults: Perceived organisational unpreparedness was consistently associated with poorer psychosocial outcomes. Participants reporting unprepared organisations had significantly lower job satisfaction, pride, meaningfulness, and self-rated health compared with those reporting readiness. Main effects of preparedness were significant across several models, while preparedness × time interactions were generally non-significant, indicating stable group differences over one year. Time effects were minimal.\n\nConclusions: Perceived organisational preparedness for occupational reform was linked to sustained differences in psychosocial work outcomes during occupational change. Organisational readiness may represent an important workplace factor influencing employee well-being and work-related health during occupational change. These findings may inform organisational strategies in healthcare.\n\nKey messages: • Perceived organisational readiness for occupational reform was associated with better psychosocial work outcomes among assistant nurses over one year.\n\n• Organisational preparedness during occupational change may influence employee well-being and support healthier work environments in healthcare.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": "abstract",
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "name": "SL Fällman"
    },
    {
      "name": "G Jutengren"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/68s0kj777tj31.bib",
  "cited_by": 0,
  "doi": "10.1093/eurpub/ckag169.2075",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13698537/",
  "id": "68s0kj777tj31",
  "issns": [
    "1101-1262",
    "1464-360X"
  ],
  "landing_url": "https://doi.org/10.1093/eurpub/ckag169.2075",
  "language": "en",
  "licence": "CC-BY-NC-4.0",
  "licence_label": "CC BY-NC 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "6. Poster Displays"
    ],
    [
      "heading",
      "AcademicSubjects/MED00860"
    ],
    [
      "heading",
      "AcademicSubjects/SOC01210"
    ],
    [
      "heading",
      "AcademicSubjects/SOC02610"
    ],
    [
      "heading",
      "DZ. Social, political and commercial determinants of health"
    ],
    [
      "openalex",
      "2922|Nursing education and management"
    ]
  ],
  "openalex": "W7223649527",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13698537/pdf/?tool=EBI",
  "pmcid": "PMC13698537",
  "pmid": null,
  "published": "2026-10-01",
  "publisher": "Oxford University Press",
  "ris": "https://research.draconitic.com/paper/68s0kj777tj31.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:24Z",
      "native_id": "PMC13698537",
      "source": "pmc",
      "url": "https://doi.org/10.1093/eurpub/ckag169.2075"
    },
    {
      "first_seen": "2026-10-30T12:21:44Z",
      "native_id": "PMC:PMC13698537",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13698537"
    }
  ],
  "subjects": [],
  "title": "Organisational reform readiness and psychosocial outcomes among assistant nurses",
  "title_text": "Organisational reform readiness and psychosocial outcomes among assistant nurses",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:35:23Z",
  "url": "https://research.draconitic.com/paper/68s0kj777tj31",
  "venue": "The European Journal of Public Health",
  "versions": []
}