What about neurodiversity among nurses? A cross-sectional exploration of work environment and health among nurses with ADHD and/or autism

This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.

About the autistic author marker

Hedlund, Å. & Jordal, M. (2024). What about neurodiversity among nurses? A cross-sectional exploration of work environment and health among nurses with ADHD and/or autism. WORK: A Journal of Prevention, Assessment & Rehabilitation, 80(3), 1287-1295. https://doi.org/10.1177/10519815241289852

Publication date: 3 Dec 2024 Added to AutiHub: 22 Aug 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
2
Publication authors identified as autistic
1 / 2 (50.0%)

Abstract

Background Employees who have ADHD and/or autism frequently encounter difficulties in their workplace and with their health. Nevertheless, there is a dearth of research focusing on nurses who have ADHD and/or autism, even though the nursing profession presents various significant organizational and social challenges that may potentially have an impact on nurses with ADHD and/or autism. Objective The aim of the present study was to describe and examine associations between work environment, perceived health and satisfaction with given care among nurses who have ADHD and/or autism. Methods Recruitment of participants took place through Swedish social media groups, and data collection was carried out via a web-based questionnaire. A total of 99 nurses who self-reported a diagnosis of ADHD and/or autism were included in the study. Descriptive statistics, binary correlations and linear regression analyses were conducted to analyze the data. Results The nurses reported high quantitative demands at work, low sense of social community and managerial social support, low perceived health and high satisfaction with given care. Regarding associations between variables, nurses with more inattention (ADHD trait) reported higher quantitative demands at work, and nurses with more social anxiety (autistic trait) reported lower perceived health. Conclusions Among nurses with ADHD and/or autism, the organizational and social work environment and health are challenging, and these challenges seem to be partly connected to the ADHD and autistic traits. However, patient care was perceived to work well. More research is needed to evaluate how the perceived health of nurses with ADHD/autism can be improved.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 12 Sep 2026 18:15.

Cited references
56
With a DOI
41
Without a DOI, from raw bibliography text
15
3 / 56 (5.4%) cited references include at least one author identified as autistic.
References with data to complete
9 / 56 (16.1%)
References with detected author names
47 / 56 (83.9%)
Without detected author names
9
Without a structured title
9
Without a stable identifier
14
References with raw author names still to review
0
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
190
From DOI or external metadata
190
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
9
31 / 190 (16.3%) names are linked to an author already present in AutiHub. 159 / 190 (83.7%) names are not yet linked.
Names linked to a person identified as autistic
7 / 190 (3.7%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 7 / 31 (22.6%). Distinct people identified as autistic: 7 / 190 (3.7%).
  1. Tara R. Buck , Joseph Viskochil , Megan Farley , Hilary Coon , William M. McMahon , Jubel Morgan et al. (2014). Psychiatric Comorbidity and Medication Use in Adults with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 44(12), 3063-3071. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  2. Blandina Blackburn (2023). Managing neurodiversity in workplaces . Occupational Medicine, 73(2), 57-58. Oxford University Press (OUP).
    Crossref OpenAlex OpenCitations
  3. Michał T. Tomczak , Elias Mpofu , Nathan Hutson (2022). Remote Work Support Needs of Employees with Autism Spectrum Disorder in Poland: Perspectives of Individuals with Autism and Their Coworkers . International Journal of Environmental Research and Public Health, 19(17), 10982. MDPI AG.
    Crossref OpenAlex OpenCitations
  4. Gunilla Mårtensson , Marianne Carlsson , Claudia Lampic (2010). Is nurse–patient agreement of importance to cancer nurses’ satisfaction with care? Journal of Advanced Nursing, 66(3), 573-582. Wiley.
    Crossref OpenAlex OpenCitations
  5. Timmy Frawley , Blánaid Gavin , Charlotte Valeur , Karen Morin (2024). Enhancing the nursing profession's awareness of neurodiversity . Journal of Clinical Nursing, 33(2), 419-421. Wiley.
    Crossref OpenAlex OpenCitations
  6. Peige Song , Mingming Zha , Qingwen Yang , Yan Zhang , Xue Li , Igor Rudan (2021). The prevalence of adult attention-deficit hyperactivity disorder: A global systematic review and meta-analysis . Journal of Global Health, 11, 04009-04009. International Society of Global Health.
    Crossref OpenAlex OpenCitations
  7. Diana Baker (2014). The autistic brain: Thinking across the spectrum . Disability & Society, 29(1), 159-161. Informa UK Limited.
    OpenAlex
  8. Åsa Hedlund *Autistic author. Learn more… (2023). Autistic nurses: do they exist? British Journal of Nursing, 32(4), 210-214. Mark Allen Group.
    AutiHub · Autistic Autism Scholarship Project Crossref OpenAlex OpenCitations
  9. Waqar Ulhassan , Ulrica von Thiele Schwarz , Johan Thor , Hugo Westerlund (2014). Interactions between lean management and the psychosocial work environment in a hospital setting – a multi-method study . BMC Health Services Research, 14(1), 480-480. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  10. Jinan Zeidan , Éric Fombonne , Julie Scorah , Alaa T. Ibrahim , Maureen S. Durkin , Shekhar Saxena et al. (2022). Global prevalence of autism: A systematic review update . Autism Research, 15(5), 778-790. Wiley.
    Type: Article DOI: 10.1002/aur.2696 OpenAlex: https://openalex.org/W4214849391
    Crossref OpenAlex OpenCitations
  11. Raffaele Palladino , John Tayu Lee , Mark Ashworth , Maria Triassi , Christopher Millett (2016). Associations between multimorbidity, healthcare utilisation and health status: evidence from 16 European countries . Age and Ageing, 45(3), 431-435. Oxford University Press (OUP).
    Crossref OpenAlex OpenCitations
  12. Benjamín Piñeiro-Dieguez , Vicent Balanzá-Martínez , Pilar García-García , Begoña Soler-López , the CAT Study Group (2016). Psychiatric Comorbidity at the Time of Diagnosis in Adults With ADHD . Journal of Attention Disorders, 20(12), 1066-1075. SAGE Publications.
    Crossref OpenAlex OpenCitations
  13. Jingyi Wang , Bin Ma , Jingjing Wang , Zeyi Zhang , Ou Chen (2022). Global prevalence of autism spectrum disorder and its gastrointestinal symptoms: A systematic review and meta-analysis . Frontiers in Psychiatry, 13, 963102. Frontiers Media SA.
    Crossref OpenAlex OpenCitations
  14. Holly A. White , Priti Shah (2011). Creative style and achievement in adults with attention-deficit/hyperactivity disorder . Personality and Individual Differences, 50(5), 673-677. Elsevier BV.
    Crossref OpenAlex OpenCitations
  15. Monica Kaltenbrunner , Lars Bengtsson , Svend Erik Mathiassen , Hans Högberg , Maria Engström (2019). Staff perception of Lean, care-giving, thriving and exhaustion: a longitudinal study in primary care . BMC Health Services Research, 19(1), 652-652. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  16. Elias Sarkis (2014). Addressing Attention-Deficit/Hyperactivity Disorder in the Workplace . Postgraduate Medicine, 126(5), 25-30. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  17. Elie Abdelnour , Madeline O Jansen , Jessica A Gold (2022). ADHD diagnostic trends: increased recognition or overdiagnosis? Mo. Med., 119(5), 467.
    Type: Article OpenAlex: https://openalex.org/W4308554985
    Crossref OpenAlex
  18. Michael TM Wang , Alex Muntz , James S Wolffsohn , Jennifer P Craig (2021). Association between dry eye disease, self-perceived health status, and self-reported psychological stress burden . Clinical and Experimental Optometry, 104(8), 835-840. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  19. Jonna M Eriksson , Lisa MJ Andersen , Susanne Bejerot (2013). RAADS-14 Screen: validity of a screening tool for autism spectrum disorder in an adult psychiatric population . Molecular Autism, 4(1), 49. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  20. Camille Hours , Christophe Recasens , Jean-Marc Baleyte (2022). ASD and ADHD Comorbidity: What Are We Talking About? Frontiers in Psychiatry, 13, 837424-837424. Frontiers Media SA.
    Crossref OpenAlex OpenCitations
  21. Lisa A. Croen , Ousseny Zerbo , Yinge Qian , Maria L Massolo , Steve Rich , Stephen Sidney et al. (2015). The health status of adults on the autism spectrum . Autism, 19(7), 814-823. SAGE Publications.
    Crossref OpenAlex OpenCitations
  22. Rusting R (2018). Decoding the overlap between autism and ADHD . Sci Am.
    Type: Other
    Crossref
  23. Martin Oscarsson , Martina Nelson , Alexander Rozental , Ylva Ginsberg , Per Carlbring , Fredrik Jönsson (2022). Stress and work-related mental illness among working adults with ADHD: a qualitative study . BMC Psychiatry, 22(1), 751. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  24. Amelia Kotte , Gagan Joshi , Ronna Fried , Mai Uchida , Andrea Spencer , K. Yvonne Woodworth et al. (2013). Autistic Traits in Children With and Without ADHD . Pediatrics, 132(3), e612-e622. American Academy of Pediatrics (AAP).
    Crossref OpenAlex OpenCitations
  25. Geraldine Leader , Roisín Moore , June L. Chen , Aoife Caher , Sophia Arndt , Leanne Maher et al. (2022). Attention deficit hyperactivity disorder (ADHD) symptoms, comorbid psychopathology, behaviour problems and gastrointestinal symptoms in children and adolescents with autism spectrum disorder . Irish Journal of Psychological Medicine, 39(3), 240-250. Cambridge University Press (CUP).
    Crossref OpenAlex OpenCitations
  26. Martha A. Combs , Will H. Canu , Joshua J. Broman-Fulks , Courtney A. Rocheleau , David C. Nieman (2015). Perceived Stress and ADHD Symptoms in Adults . Journal of Attention Disorders, 19(5), 425-434. SAGE Publications.
    Crossref OpenAlex OpenCitations
  27. Ji S. Hong , Vini Singh , Luke Kalb (2021). Attention Deficit Hyperactivity Disorder Symptoms in Young Children with Autism Spectrum Disorder . Autism Research, 14(1), 182-192. Wiley.
    Type: Article DOI: 10.1002/aur.2414 OpenAlex: https://openalex.org/W3093080988
    Crossref OpenAlex OpenCitations
  28. Esra Okyar , Işık Görker (2020). Examining the autistic traits in children and adolescents diagnosed with attention-deficit hyperactivity disorder and their parents . BMC Psychiatry, 20(1), 285-285. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  29. N. Schreuer , R. Dorot (2017). Experiences of employed women with attention deficit hyperactive disorder: A phenomenological study . Work, 56(3), 429-441. SAGE Publications.
    Crossref OpenAlex OpenCitations
  30. Beth Pfeiffer , Kerri Braun , Moya Kinnealey , Maggie Derstine Matczak , Helene Polatajko (2017). Environmental factors impacting work satisfaction and performance for adults with autism spectrum disorders . Journal of Vocational Rehabilitation, 47(1), 1-12. SAGE Publications.
    Crossref OpenAlex OpenCitations
  31. (n.d.). Centers for Disease Control and Prevention. Symptoms and Diagnosis of ADHD. [Internet]. 2023. https://www.cdc.gov/ncbddd/adhd/diagnosis.html . 2023.
    Type: Other
    Crossref
  32. Thomas Koehler , Danielle Olds (2022). Generational Differences in Nurses’ Intention to Leave . Western Journal of Nursing Research, 44(5), 446-455. SAGE Publications.
    Crossref OpenAlex OpenCitations
  33. Andreas Lundin , Kyriaki Kosidou , Christina Dalman (2019). Testing the Discriminant and Convergent Validity of the World Health Organization Six-Item Adult ADHD Self-Report Scale Screener Using the Stockholm Public Health Cohort . Journal of Attention Disorders, 23(10), 1170-1177. SAGE Publications.
    Crossref OpenAlex OpenCitations
  34. (n.d.). Centers for Disease Control and Prevention. Autism Spectrum Disorder [Internet]. 2022. https://www.cdc.gov/ncbddd/autism/hcp-dsm.html . 2022.
    Type: Other
    Crossref
  35. Ghaidaa Khalifa , Zonera Sharif , Madiha Sultan , Briano Di Rezze (2020). Workplace accommodations for adults with autism spectrum disorder: a scoping review . Disability and Rehabilitation, 42(9), 1316-1331. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  36. (n.d.). The Swedish National Board of Health and Welfare. National guidelines for care and support in ADHD and autism. Prioritization support for decision makers and managers. [Internet]. 2022. https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/nationella-riktlinjer/2022-10-8100.pdf . 2022.
    Type: Other
    Crossref
  37. Hanne Berthelsen , Hugo Westerlund , Gunnar Bergström , Hermann Burr (2020). Validation of the Copenhagen psychosocial questionnaire version III and establishment of benchmarks for psychosocial risk management in Sweden . Int J Env Res Public Heal, 17(9), 31. MDPI AG.
    Crossref OpenAlex
  38. (n.d.). American Psychiatric Association. What is ADHD? [Internet]. 2022. https://www.psychiatry.org/patients-families/adhd/what-is-adhd . 2022.
    Type: Other
    Crossref
  39. Maria Carmen Malagón-Aguilera , Rosa Suñer-Soler , Anna Bonmatí-Tomas , Cristina Bosch-Farré , Sandra Gelabert-Viella , Aurora Fontova-Almató et al. (2020). Dispositional Optimism, Burnout and Their Relationship with Self-Reported Health Status among Nurses Working in Long-Term Healthcare Centers . International Journal of Environmental Research and Public Health, 17(14), 4918. MDPI AG.
    Crossref OpenAlex OpenCitations
  40. Anselm B. M. Fuermaier , Lara Tucha , Marah Butzbach , Matthias Weisbrod , Steffen Aschenbrenner , Oliver Tucha (2021). ADHD at the workplace: ADHD symptoms, diagnostic status, and work-related functioning . Journal of Neural Transmission, 128(7), 1021-1031. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  41. Simon M Bury , Darren Hedley , Mirko Uljarević , Eynat Gal (2020). The autism advantage at work: A critical and systematic review of current evidence . Research in Developmental Disabilities, 105, 103750. Elsevier BV.
    Crossref OpenAlex OpenCitations
  42. Pei-Yin Pan , Sven Bölte (2020). The association between ADHD and physical health: a co-twin control study . Scientific Reports, 10(1), 22388-22388. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  43. Marissa L. Diener , Cheryl A. Wright , Carly Taylor , Valerie D’Astous , Lauren Lasrich (2020). Dual perspectives in autism spectrum disorders and employment: Toward a better fit in the workplace . Work, 67(1), 223-237. SAGE Publications.
    Crossref OpenAlex OpenCitations
  44. Margot C. W. Joosen , Marjolein Lugtenberg , Iris Arends , Hanneke J. A. W. M. van Gestel , Benedikte Schaapveld , Berend Terluin et al. (2022). Barriers and Facilitators for Return to Work from the Perspective of Workers with Common Mental Disorders with Short, Medium and Long-Term Sickness Absence: A Longitudinal Qualitative Study . Journal of Occupational Rehabilitation, 32(2), 272-283. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  45. (n.d.). Schiller L. Ny rapport med fokus på arbetsmarknaden och NPF [Internet]. Riksförbundet Attention. 2022. https://attention.se/2022/11/14/ny-rapport-med-fokus-pa-arbetsmarknaden-och-npf/ . 2022.
    Type: Other
    Crossref
  46. Grandin T (2014). The autistic brain, Thinking across the spectrum . The autistic brain, Thinking across the spectrum.
    Type: Other
    Crossref
  47. Kirsty Lauder , Almuth McDowall , Harriet R. Tenenbaum (2022). A systematic review of interventions to support adults with ADHD at work—Implications from the paucity of context-specific research for theory and practice . Frontiers in Psychology, 13, 893469-893469. Frontiers Media SA.
    Crossref OpenAlex OpenCitations
  48. (n.d.). International Council of Nurses. The global voice of nursing [Internet]. 2023. https://www.icn.ch/ . 2023.
    Type: Other
    Crossref
  49. (n.d.). Sjuksköterskeförening S. Kompetensbeskrivning för legitimerad sjuksköterska. [Internet]. 2017. https://swenurse.se/download/18 . 9f73344170c003062317be/1584025404390/kompetensbeskrivning legitimerad sjuksköterska 2017.pdf. 2017.
    Type: Other
    Crossref
  50. (n.d.). Checklists – STROBE [Internet]. https://www.strobe-statement.org/checklists/ . 2023 [cited 2021 Aug 30].
    Type: Other
    Crossref
  51. Polit D (2020). Nursing research. Generating and Assessing Evidence for Nursing Practice. 11th ed . Nursing research. Generating and Assessing Evidence for Nursing Practice. 11th ed.
    Type: Other
    Crossref
  52. IBM Corp (2020). IBM SPSS Statistics for Windows, Version 27.0 . IBM SPSS Statistics for Windows, Version 27.0.
    Type: Other
    Crossref
  53. Pallant J (2016). SPSS Survival Manual . SPSS Survival Manual.
    Type: Other
    Crossref