OTSurveyWork (Reading, Mass.)2026

Health-promoting resources and social study factors among students with and without foreign backgrounds in nursing and social work programs at six Swedish universities.

Annika Jensen, Ingrid Larsson, Elenita Forsberg and 2 others

PMID 41021703

WHAT IT FOUND

Students with foreign backgrounds started nursing or social work training with lower health and coping scores and weaker ties to classmates than other students.

By the final semester those gaps had closed, though they still felt less listened to and talked about studies less.

Key findings

01In the first semester, students with foreign backgrounds scored lower than other students on overall sense of coherence, on the meaningfulness and manageability parts of it, and on the health indicator scale. Comprehensibility did not differ.

02Those differences were gone by the final semester: no significant difference between the groups on sense of coherence or on the health indicator scale, and no group difference in occupational balance, general health or perceived well-being at either time point.

03Students with foreign backgrounds answered yes to all five social study questions less often than other students in the first semester (support from study mates 56% vs 81%, p < .001). Two of the five were still lower in the final semester: study mates listen (59% vs 83%) and talk with friends about studies (52% vs 75%).

STILL TO COME

How it was doneWhat they found

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What it does not show

The first-semester and final-semester groups were mostly different people, so the study cannot show that individual students changed. The authors note that students who reported low values first time round may have dropped out or simply not answered later. Only 42 students with foreign backgrounds answered in the final semester, and only 296 of the 1,854 invited students answered at that point. No power calculation was done. No dropout analysis was carried out, so it is unclear whether students left their programme or chose not to answer the survey. The questionnaire was in Swedish, which the authors say may have been a barrier for students whose first language was not Swedish. The results can only be generalised to nursing and social work students at the six universities studied, not to students elsewhere or to other programmes. Data collection ran through the COVID-19 pandemic and the design included no way of measuring the pandemic's effect on the results, which the authors call a validity limitation.

Declared interests

The research received funding to cover project management costs from the Swedish Framework for Health Research in Collaboration. The first author is employed as a doctoral student at Halmstad University, and all authors receive regular research support from their respective universities. The authors declared no potential conflicts of interest.

The easy way to misread this

Do not read the closing gap as students catching up over their programme. The first-semester and final-semester respondents were mostly different people, and the students who scored lowest first time round may simply not have answered later. The authors carried out no dropout analysis.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →