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Högberg, Hans
Publications (10 of 16) Show all publications
Richter, H., Domkin, D., Elcadi, G. H., Andersson, H. W., Högberg, H. & Englund, M. (2019). A Comparison of Mental and Visual Load Resulting from Semi-automated and Conventional Forest Forwarding: An Experimental Machine Simulation Study (827ed.). In: Sebastiano Bagnara Riccardo Tartaglia · Sara Albolino Thomas Alexander · Yushi Fujita (Ed.), Bagnara S., Tartaglia R., Albolino S., Alexander T., Fujita Y. (Ed.), Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018): Volume X: Auditory and Vocal Ergonomics, Visual Ergonomics, Psychophysiology in Ergonomics, Ergonomics in Advanced Imaging. Paper presented at 20th Congress of the International Ergonomics Association, IEA 2018, 26-30 August 2018, Florence, Italy (pp. 199-208). Cham, X
Open this publication in new window or tab >>A Comparison of Mental and Visual Load Resulting from Semi-automated and Conventional Forest Forwarding: An Experimental Machine Simulation Study
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2019 (English)In: Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018): Volume X: Auditory and Vocal Ergonomics, Visual Ergonomics, Psychophysiology in Ergonomics, Ergonomics in Advanced Imaging / [ed] Bagnara S., Tartaglia R., Albolino S., Alexander T., Fujita Y., Cham, 2019, 827, Vol. X, p. 199-208Conference paper, Published paper (Refereed)
Abstract [en]

The purpose of the present study was to extend the knowledge offunctional linkages between visual and mental load, performance, and prefrontalcortex (PFC) activity, during forestry forwarding work. Eleven healthy participants,range 21–51 years old, with a minimum of 1-year work experience,carried out the task of loading logs along a standardized path in a machinesimulator during two counterbalanced test conditions: (i) conventional cranecontrol, and; (ii) semi-automated crane control. Mental load was assessed byquantification of oxygenated hemoglobin (HbO2) concentration changes overthe right dorsolateral prefrontal cortex (dlPFC) via non-invasive functional nearinfrared spectrometry (fNIRS). Visual, autonomic, and motoric control variableswere measured and analyzed in parallel along with the individual level of performance.Linear Mixed Models (LMM) analysis indicated more mental loadduring conventional crane work. Collectively, our data suggest that fNIRS is aviable tool which can be used in neuroergonomic research to evaluate physiologicalactivity levels in PFC.

Place, publisher, year, edition, pages
Cham: , 2019 Edition: 827
Series
Advances in Intelligent Systems and Computing, ISSN 21945357, E-ISSN 2194-5365 ; 827
Keywords
Visual ergonomics, neuroergonomics, Nirs, robotics
National Category
Other Medical Sciences
Identifiers
urn:nbn:se:hig:diva-27848 (URN)10.1007/978-3-319-96059-3_22 (DOI)2-s2.0-85051781837 (Scopus ID)978-3-319-96058-6 (ISBN)978-3-319-96059-3 (ISBN)
Conference
20th Congress of the International Ergonomics Association, IEA 2018, 26-30 August 2018, Florence, Italy
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-1761
Note

Södra Skogsägarnas Stiftelse för Forskning, Utveckling och Utbildning Grant no: 2009-1761

Available from: 2018-09-05 Created: 2018-09-05 Last updated: 2019-10-02Bibliographically approved
Randmaa, M., Engström, M., Mårtensson, G., Leo Swenne, C. & Högberg, H. (2019). Psychometric properties of an instrument measuring communication within and between the professional groups licensed practical nurses and registered nurses in anaesthetic clinics.. BMC Health Services Research, 19(1), Article ID 950.
Open this publication in new window or tab >>Psychometric properties of an instrument measuring communication within and between the professional groups licensed practical nurses and registered nurses in anaesthetic clinics.
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2019 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 19, no 1, article id 950Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The most common cause of clinical incidents and adverse events in relation to surgery is communication error. There is a shortage of studies on communication between registered nurses and licenced practical nurses as well as of instruments to measure their perception of communication within and between the professional groups. The aim of the present study was to evaluate the psychometric properties of the Swedish version of the adapted ICU Nurse-Physician Questionnaire, designed to also measure communication within and between two professional groups: licensed practical nurses and registered nurses. Specifically, the aim was to examine the instrument's construct validity using confirmatory factor analysis and its internal consistency using Cronbach's Alpha.

METHODS: A cross-sectional and correlational design was used. The setting was anaesthetic clinics in two Swedish hospitals. A total of 316 questionnaires were delivered during spring 2011, of which 195 were analysed to evaluate the psychometric properties of the questionnaire. Construct validity was assessed using confirmatory factor analysis and internal consistency using Cronbach's Alpha. To assess items with missing values, we conducted a sensitivity analysis of two sets of data, and to assess the assumption of normally distributed data, we used Bayesian estimation.

RESULTS: The results support the construct validity and internal consistency of the adapted ICU Nurse-Physician Questionnaire. Model fit indices for the confirmative factor analysis were acceptable, and estimated factor loadings were reasonable. There were no large differences between the estimated factor loadings when comparing the two samples, suggesting that items with missing values did not alter the findings. The estimated factor loadings from Bayesian estimation were very similar to the maximum likelihood results. This indicates that confirmative factor analysis using maximum likelihood produced reliable factor loadings. Regarding internal consistency, alpha values ranged from 0.72 to 0.82.

CONCLUSIONS: The tests of the adapted ICU Nurse-Physician Questionnaire indicate acceptable construct validity and internal consistency, both of which need to be further tested in new settings and samples.

TRIAL REGISTRATION: Current controlled trials http://www.controlled-trials.com Communication and patient safety in anaesthesia and intensive care. Does implementation of SBAR make any differences? Identifier: ISRCTN37251313, retrospectively registered (assigned 08/11/2012).

Keywords
Anaesthetic clinic, Communication, Confirmatory factor analysis, ICU nurse-physician questionnaire, Methodological, Psychometric, Validation
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-31286 (URN)10.1186/s12913-019-4805-7 (DOI)31823775 (PubMedID)
Available from: 2019-12-13 Created: 2019-12-13 Last updated: 2019-12-13Bibliographically approved
Wiitavaara, B., Rissén, D., Högberg, H. & Nilsson, A. (2019). Psychometric testing of a short form questionnaire for measurement of health experiences among people with musculoskeletal disorders undergoing multimodal rehabilitation. BMJ Open, 9(5), Article ID e025103.
Open this publication in new window or tab >>Psychometric testing of a short form questionnaire for measurement of health experiences among people with musculoskeletal disorders undergoing multimodal rehabilitation
2019 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, no 5, article id e025103Article in journal (Refereed) Published
Abstract [en]

Aim

The aim of present study was to assess if a previously suggested short-form questionnaire tested among women with non-specific neck-shoulder pain is suitable also for use among men and women with non-specific musculoskeletal disorders in any part of the body, by testing its construct validity by a confirmatory factor analysis. If not, the secondary aim was to investigate the evolving factor structure when performing an explorative factor analysis of data in the expanded sample.

Methods

Questionnaire data was collected in three different contexts, in primary care via eight different multimodal rehabilitation teams, in specialised care via two different specialist care centres. The sample consisted of 116 participants, male (n=29) and female (n=87) with non-specific musculoskeletal disorders.

Data was analysed using confirmatory and exploratory factor analysis and a visual comparison between the result of the Principal Component Analysis in present study, and the results attained in a previous study with a similar aim and design.

Results

The confirmatory factor analyses did not end up in a model with acceptable measures for validity. Three models were tested, none of them met the criterion for an acceptable model and the goodness-of-fit statistics were not fully acceptable. The exploratory factor analysis had an only partly comparable result, compared to previous study.

Conclusion

The results of present study did not prove the suggested short form questionnaire to be suitable for evaluation of symptoms among men and women with non-specific musculoskeletal disorders in any part of the body. Further studies including larger samples are recommended.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2019
Keywords
musculoskeletal disorders, outcome measure, questionnaire, validation, psychometric test
National Category
Other Medical Sciences not elsewhere specified
Identifiers
urn:nbn:se:hig:diva-27466 (URN)10.1136/bmjopen-2018-025103 (DOI)000471192800103 ()31110088 (PubMedID)2-s2.0-85065983318 (Scopus ID)
Available from: 2018-06-29 Created: 2018-06-29 Last updated: 2019-11-29Bibliographically approved
Kaltenbrunner Nykvist, M., Bengtsson, L., Mathiassen, S. E., Högberg, H. & Engström, M. (2019). Staff perception of Lean, care-giving, thriving and exhaustion: a longitudinal study in primary care. BMC Health Services Research, 19(1), Article ID 652.
Open this publication in new window or tab >>Staff perception of Lean, care-giving, thriving and exhaustion: a longitudinal study in primary care
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2019 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 19, no 1, article id 652Article in journal (Other academic) Published
Abstract [en]

Background

Lean is commonly adopted in healthcare to increase quality of care and efficiency. Few studies of Lean involve staff-related outcomes, and few have a longitudinal design. Thus, the aim was to examine the extent to which changes over time in Lean maturity are associated with changes over time in care-giving, thriving and exhaustion, as perceived by staff, with a particular emphasis on the extent to which job demands and job resources, as perceived by staff, have a moderated mediation effect.

Method

A longitudinal study with a correlational design was used. In total, 260 staff at 46 primary care units responded to a web survey in 2015 and 2016. All variables in the study were measured using staff ratings. Ratings of Lean maturity reflect participants’ judgements regarding the entire unit; ratings of care-giving, thriving, exhaustion and job demands and resources reflect participants’ judgements regarding their own situation.

Results

First, over time, increased Lean maturity was associated with increased staff satisfaction with their care-giving and increased thriving, mediated by increased job resources. Second, over time, increased Lean maturity was associated with decreased staff exhaustion, mediated by decreased job demands. No evidence was found showing that job demands and job resources had a moderated mediation effect.

Conclusion

The results indicate that primary care staff may benefit from working in organizations characterized by high levels of Lean maturity and that caregiving may also be improved as perceived by staff.

Keywords
COPSOQ, JD-R theory, linear mixed model, LiHcQ Lean in healthcare questionnaire, quality of care, thriving, exhaustion
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hig:diva-29441 (URN)10.1186/s12913-019-4502-6 (DOI)000484951700004 ()31500624 (PubMedID)2-s2.0-85071970266 (Scopus ID)
Available from: 2019-04-05 Created: 2019-04-05 Last updated: 2019-10-09Bibliographically approved
Engström, M., Högberg, H., Strömberg, A., Hagerman, H. & Skytt, B. (2019). Staff Working Life and Older Persons’ Satisfaction With Care: A Multilevel, Correlational Design. Journal of Nursing Care Quality
Open this publication in new window or tab >>Staff Working Life and Older Persons’ Satisfaction With Care: A Multilevel, Correlational Design
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2019 (English)In: Journal of Nursing Care Quality, ISSN 1057-3631, E-ISSN 1550-5065Article in journal (Refereed) Accepted
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-31143 (URN)
Available from: 2019-11-28 Created: 2019-11-28 Last updated: 2019-12-03Bibliographically approved
Richter, H., Domkin, D., Elcadi, G. H., Anderson, H. W., Högberg, H. & Englund, M. (2018). A comparison of mental and visual loads resulting from semi-automated and conventional forest harvesting: An experimental machine simulation study. In: : . Paper presented at IEA 2018 - 20th Congress International Ergonomics Association - Florence, 26th - 30th August 2018, Florence, Italy.
Open this publication in new window or tab >>A comparison of mental and visual loads resulting from semi-automated and conventional forest harvesting: An experimental machine simulation study
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2018 (English)Conference paper, Oral presentation only (Other academic)
Abstract [en]

This study is concerned with a new method for partly automating forestry harvesting work. Work-related injuries and constant demands for a higher productivity are two of the many arguments for why forestry work must be improved. Forestry work places great mental demands on the driver because they must continuously evaluate and act on relevant parts in a heavy visual information flow. Against this background the purpose of the present study was to extend the knowledge of functional linkages between visual and mental fatigue, performance, and prefrontal cortex activity, during semi-automated and conventional forestry harvesting work. Eleven healthy participants, range 21–51 years old, with a minimum of 1-year work experience, carried out the task of loading logs along a standardized path in a machine simulator during two counterbalanced 45-min periods: (i) conventional forest harvesting, and; (ii) semi-automated forest harvesting. Equal emphasizes was put on accuracy and speed. During manual forest harvesting the driver controlled the crane arm, used to load logs into the load space of the forest vehicle (“forwarder”), by manually operating the joysticks and so guide the crane to the location of the log and then back to the load space. During semi-automatic forest harvesting the driver moved the crane with the press of a button to a pre-programmed location near the log and then, after another button press, to a pre-programmed location within the load space. The following joystick usage parameters were considered for the statistical analysis: Sequential work cycle number, work phase (1-loading in basket, 2-movement to log, 3-picking up log, 4-movement to load space), number of simultaneously used controls across samples of one phase, number of direction changes of joystick movements per phase. Mental load was assessed by quantification of oxygenated hemoglobin (HbO2) concentration changes over the right dorsolateral prefrontal cortex (dlPFC) via non-invasive functional near infrared spectrometry (fFNIRS: PortaLite mini, Artinis Medical Systems, Zetten, the Netherlands). The frequency and duration of horizontal amplitudes of eye/head/neck angles was assessed continuously with 8 SmartEye cameras and used as a measure of visual load. NASA-TLX and Borg CRS was used to assess perceived mental and physical fatigue. Linear Mixed Model will be used to test and to analyze the effect of the duration of work, joystick usage, work type (manual or semi-automated) and perceived mental and physical effort on the outcome of oxygenated hemoglobin concentration. This study contributes with new knowledge of the consequences of the current increase in automation. The 4th industrial revolution can have tremendous implications on how we perceive and organize work in the future, but little is still known about the impact on human body and brain.

National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-25769 (URN)
Conference
IEA 2018 - 20th Congress International Ergonomics Association - Florence, 26th - 30th August 2018, Florence, Italy
Projects
Skogsmaskinförares mentala och fysiska belastningsnivåer under arbete med delautomatiserad skotarkran – en experimentell studie i skogsmaskinsimulator (MentAuto)
Note

Abstract submitted to: IEA 2018 - 20th Congress International Ergonomics Association - Florence, 26th - 30th August 2018

Available from: 2017-12-08 Created: 2017-12-08 Last updated: 2019-12-05Bibliographically approved
Richter, H., Domkin, D., Elcadi, G. H., Andersson, H., Högberg, H., Forsman, M. & Englund, M. (2018). A comparsion of mental and visual loads resulting from semi-automated and conventional forest harvesting: An experimental machine simulation study. In: Per Lindberg (Ed.), FALF Konferens 2018: Arbetet - problem eller potential för en hållbar livsmiljö?: Program och Abstracts. Paper presented at FALF KONFERENS 2018 'Arbetet - problem eller potential för en hållbar livsmiljö?',10-12 juni 2018, Gävle (pp. 96). Gävle: Gävle Universtiy Press
Open this publication in new window or tab >>A comparsion of mental and visual loads resulting from semi-automated and conventional forest harvesting: An experimental machine simulation study
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2018 (English)In: FALF Konferens 2018: Arbetet - problem eller potential för en hållbar livsmiljö?: Program och Abstracts / [ed] Per Lindberg, Gävle: Gävle Universtiy Press , 2018, p. 96-Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

This study is concerned with a new method for partly automating forestry harvesting work. Work-related injuries and constant demands for a higher productivity are two of the many arguments for why forestry work must be improved. Forestry work places great mental demands on the driver because they must continuously evaluate and act on relevant parts in a heavy visual information flow. Against this background the purpose of the present study was to extend the knowledge of functional linkages between visual and mental fatigue, performance, and prefrontal cortex activity, during semi-automated and conventional forestry harvesting work. Eleven healthy participants, range 21–51 years old, with a minimum of 1-year work experience, carried out the task of loading logs along a standardized path in a machine simulator during two counterbalanced 45-min periods: (i) conventional forest harvesting, and; (ii) semi-automated forest harvesting. Equal emphasizes was put on accuracy and speed. During manual forest harvesting the driver controlled the crane arm, used to load logs into the load space of the forest vehicle (“forwarder”), by manually operating the joysticks and so guide the crane to the location of the log and then back to the load space. During semi-automatic forest harvesting the driver moved the crane with the press of a button to a pre-programmed location near the log and then, after another button press, to a pre-programmed location within the load space. The following joystick usage parameters were considered for the statistical analysis: Sequential work cycle number, work phase (1-loading in basket, 2-movement to log, 3-picking up log, 4-movement to load space), number of simultaneously used controls across samples of one phase, number of direction changes of joystick movements per phase. Mental load was assessed by quantification of oxygenated hemoglobin (HbO2) concentration changes over the right dorsolateral prefrontal cortex (dlPFC) via non-invasive functional near infrared spectrometry (fFNIRS: PortaLite mini, Artinis Medical Systems, Zetten, the Netherlands). The frequency and duration of horizontal amplitudes of eye/head/neck angles was assessed continuously with 8 SmartEye cameras and used as a measure of visual load. NASA-TLX and Borg CRS was used to assess perceived mental and physical fatigue. Linear Mixed Model will be used to test and to analyze the effect of the duration of work, joystick usage, work type (manual or semi-automated) and perceived mental and physical effort on the outcome of oxygenated hemoglobin concentration. This study contributes with new knowledge of the consequences of the current increase in automation. The 4th industrial revolution can have tremendous implications on how we perceive and organize work in the future, but little is still known about the impact on human body and brain.

Place, publisher, year, edition, pages
Gävle: Gävle Universtiy Press, 2018
National Category
Health Sciences Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-27224 (URN)978-91-88145-28-4 (ISBN)
Conference
FALF KONFERENS 2018 'Arbetet - problem eller potential för en hållbar livsmiljö?',10-12 juni 2018, Gävle
Projects
MentAuto
Available from: 2018-06-20 Created: 2018-06-20 Last updated: 2019-12-05Bibliographically approved
Svennberg, L. & Högberg, H. (2018). Who gains?: Sociological parameters for obtaining high grades in physical education. Nordic Journal of Studies in Educational Policy, 4(1), 48
Open this publication in new window or tab >>Who gains?: Sociological parameters for obtaining high grades in physical education
2018 (English)In: Nordic Journal of Studies in Educational Policy, ISSN 2002-0317, Vol. 4, no 1, p. 48-Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to investigate factors contributing to higher grades in Swedish physical education (PE) by analysing register data from the Swedish National Agency for Education for all students graduating from compulsory school in 2014 (n = 95,317). The results show that the chances of gaining a high grade in PE are affected by (in decreasing order) migration background, parents? education, attending an independent or a municipally operated school and gender, and that this also holds true after controlling for the other background factors. The results also show that PE grade differences between boys and girls are bigger in the group that moved to Sweden after school start than in the group that had lived in Sweden since school start. In addition, the results point to substantial inequalities between students with a combination of the highest odds and those with a combination of the lowest odds. Bernstein?s concept of the pedagogic device is used to discuss ways of understanding what knowledge becomes valued in PE and which groups have better possibilities to assimilate this valued knowledge.

Place, publisher, year, edition, pages
Routledge, 2018
Keywords
Assessment; Bernstein; equity; school marketization; standards-based grading
National Category
Sport and Fitness Sciences Educational Sciences
Identifiers
urn:nbn:se:hig:diva-26210 (URN)10.1080/20020317.2018.1440112 (DOI)
Available from: 2018-03-06 Created: 2018-03-06 Last updated: 2018-12-13Bibliographically approved
Nordlöf, H., Wiitavaara, B., Högberg, H. & Westerling, R. (2017). A cross-sectional study of factors influencing occupational health and safety management practices in companies. Safety Science, 95, 92-103
Open this publication in new window or tab >>A cross-sectional study of factors influencing occupational health and safety management practices in companies
2017 (English)In: Safety Science, ISSN 0925-7535, E-ISSN 1879-1042, Vol. 95, p. 92-103Article in journal (Refereed) Published
Abstract [en]

Companies need to ensure a functioning occupational health and safety management (OHSM) system to protect human health and safety during work, but generally there are differences in how successful they are in this endeavor. Earlier research has indicated that factors like company size, safety culture, and different measures of financial performance may be related to the quality of OHSM practices in companies. Therefore, the aim of this study was to investigate whether these factors are associated with OHSM practices in companies. A postal questionnaire was used to collect data from a sample of Swedish manufacturing companies, and complementary data regarding the companies were retrieved from a credit bureau database. The statistical analysis was performed with ordinal regression analysis using generalized estimating equations. Different predictor variables were modeled with OHSM practices as the outcome variable, in order to calculate p-values and to estimate odds ratios. Company size, safety culture, and creditworthiness were found to be associated with better, as well as worse, OHSM practices in companies (depending on directionality). Practical implications for industry and future research are discussed.

Keywords
Occupational health and safety (OHS), Safety culture, Manufacturing, Work environment, Financial performance, Generalized estimating equations (GEE)
National Category
Work Sciences Production Engineering, Human Work Science and Ergonomics
Identifiers
urn:nbn:se:hig:diva-20416 (URN)10.1016/j.ssci.2017.02.008 (DOI)000399852500009 ()2-s2.0-85014176338 (Scopus ID)
Available from: 2015-10-13 Created: 2015-10-13 Last updated: 2018-12-03Bibliographically approved
Hagerman, H., Högberg, H., Skytt, B., Wadensten, B. & Engström, M. (2017). Empowerment and performance of managers and subordinates in elderly care: a longitudinal and multilevel study. Journal of Nursing Management, 25(8), 647-656
Open this publication in new window or tab >>Empowerment and performance of managers and subordinates in elderly care: a longitudinal and multilevel study
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2017 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 25, no 8, p. 647-656Article in journal (Refereed) Published
Abstract [en]

AIM: To investigate relationships between first-line managers' ratings of structural and psychological empowerment, and the subordinates' ratings of structural empowerment, as well as their ratings of the managers' leadership-management performance.

BACKGROUND: Work situations in elderly care are complex. To date, few studies have used a longitudinal, correlational and multilevel design to study the working life of subordinates and managers.

METHOD: In five Swedish municipalities, questionnaires were answered twice during 2010-12 by 56 first-line managers and 769 subordinates working in nursing homes or home-help services.

RESULTS: First-line managers' empowerment at Time 1 partially predicted subordinate's structural empowerment and ratings of their managers' leadership-management performance at Time 2. Changes over time partially revealed that the more access managers had to structural empowerment, i.e. increase over time, the higher the ratings were for structural empowerment and managerial leadership-management performance among subordinates.

CONCLUSIONS: Findings strengthen research and theoretical suggestions linking first-line managers' structural empowerment to their subordinates' structural empowerment and ratings of their manager's leadership-management performance.

IMPLICATIONS FOR NURSING MANAGEMENT: Managers with high access to structural empowerment are more likely to provide subordinates access to structural empowerment.

Keywords
first-line manager, leadership-management performance, linear mixed model, structural and psychological empowerment, subordinate
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hig:diva-24874 (URN)10.1111/jonm.12504 (DOI)000414511300009 ()28714218 (PubMedID)2-s2.0-85024843093 (Scopus ID)
Projects
B-LONG
Funder
AFA Insurance
Available from: 2017-08-17 Created: 2017-08-17 Last updated: 2019-04-23Bibliographically approved
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