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Prim Care Diabetes. 2013 Oct;7(3):207-12. doi: 10.1016/j.pcd.2013.04.013. Epub 2013 Jun 12.

Role clarity and role conflict among Swedish diabetes specialist nurses.

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  • 1Department of Nursing, Umeå University, Umeå, Sweden. Electronic address:



To explore diabetes specialist nurses (DSNs)' perceptions of their role in terms of clarity, conflict and other psychosocial work aspects.


A cross-sectional study was conducted among DSNs in a county in northern Sweden. The DSNs answered the Nordic Questionnaire of Psychological and Social Factors at Work (QPS Nordic) about psychosocial aspects of their work. Statistical analysis compared DSNs with a reference group of different health professionals. Correlations between role clarity, role conflict, and other variables were analysed.


The DSNs perceived more, and higher, job demands, including quantitative, decision-making and learning demands, but also more positive challenges at work compared with the reference group. Role clarity correlated with experiences of health promotion, perception of mastery, co-worker support, and empowering leadership, while role conflict correlated with quantitative and learning demands.


The DSNs perceived high demands but also positive challenges in their work. Their role expectations correlated with several psychosocial work aspects. It is important that DSNs should be presented with positive challenges as meaningful incentives for further role development and enhanced mastery of their work.

Copyright © 2013 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.


Diabetes specialist nurse; Psychosocial work aspects; Role clarity; Role conflict

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