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Högberg, Hans
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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
Öppna denna publikation i ny flik eller fönster >>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 (Engelska)Ingår i: 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, s. 199-208Konferensbidrag, Publicerat paper (Refereegranskat)
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.

Ort, förlag, år, upplaga, sidor
Cham: , 2019 Upplaga: 827
Serie
Advances in Intelligent Systems and Computing, ISSN 21945357, E-ISSN 2194-5365 ; 827
Nyckelord
Visual ergonomics, neuroergonomics, Nirs, robotics
Nationell ämneskategori
Annan medicin och hälsovetenskap
Identifikatorer
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)
Konferens
20th Congress of the International Ergonomics Association, IEA 2018, 26-30 August 2018, Florence, Italy
Forskningsfinansiär
Forte, Forskningsrådet för hälsa, arbetsliv och välfärd, 2009-1761
Anmärkning

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

Tillgänglig från: 2018-09-05 Skapad: 2018-09-05 Senast uppdaterad: 2018-12-05Bibliografiskt granskad
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.
Öppna denna publikation i ny flik eller fönster >>Psychometric testing of a short form questionnaire for measurement of health experiences among people with musculoskeletal disorders undergoing multimodal rehabilitation
2019 (Engelska)Ingår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, nr 5, artikel-id e025103Artikel i tidskrift (Refereegranskat) 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.

Ort, förlag, år, upplaga, sidor
BMJ Publishing Group Ltd, 2019
Nyckelord
musculoskeletal disorders, outcome measure, questionnaire, validation, psychometric test
Nationell ämneskategori
Övrig annan medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:hig:diva-27466 (URN)10.1136/bmjopen-2018-025103 (DOI)000471192800103 ()31110088 (PubMedID)2-s2.0-85065983318 (Scopus ID)
Tillgänglig från: 2018-06-29 Skapad: 2018-06-29 Senast uppdaterad: 2019-08-23Bibliografiskt granskad
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
Öppna denna publikation i ny flik eller fönster >>Staff perception of Lean, care-giving, thriving and exhaustion: a longitudinal study in primary care
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2019 (Engelska)Ingår i: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963Artikel i tidskrift (Övrigt vetenskapligt) Accepted
Nyckelord
COPSOQ, JD-R theory, linear mixed model, LiHcQ Lean in healthcare questionnaire, quality of care, thriving, exhaustion
Nationell ämneskategori
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
Identifikatorer
urn:nbn:se:hig:diva-29441 (URN)
Tillgänglig från: 2019-04-05 Skapad: 2019-04-05 Senast uppdaterad: 2019-09-06Bibliografiskt granskad
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.
Öppna denna publikation i ny flik eller fönster >>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 (Engelska)Konferensbidrag, Enbart muntlig presentation (Övrigt vetenskapligt)
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.

Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:hig:diva-25769 (URN)
Konferens
IEA 2018 - 20th Congress International Ergonomics Association - Florence, 26th - 30th August 2018, Florence, Italy
Projekt
Skogsmaskinförares mentala och fysiska belastningsnivåer under arbete med delautomatiserad skotarkran – en experimentell studie i skogsmaskinsimulator (MentAuto)
Anmärkning

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

Tillgänglig från: 2017-12-08 Skapad: 2017-12-08 Senast uppdaterad: 2018-03-22Bibliografiskt granskad
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
Öppna denna publikation i ny flik eller fönster >>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 (Engelska)Ingår i: FALF Konferens 2018: Arbetet - problem eller potential för en hållbar livsmiljö?: Program och Abstracts / [ed] Per Lindberg, Gävle: Gävle Universtiy Press , 2018, s. 96-Konferensbidrag, Muntlig presentation med publicerat abstract (Övrigt vetenskapligt)
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.

Ort, förlag, år, upplaga, sidor
Gävle: Gävle Universtiy Press, 2018
Nationell ämneskategori
Medicin och hälsovetenskap Hälsovetenskaper
Identifikatorer
urn:nbn:se:hig:diva-27224 (URN)978-91-88145-28-4 (ISBN)
Konferens
FALF KONFERENS 2018 'Arbetet - problem eller potential för en hållbar livsmiljö?',10-12 juni 2018, Gävle
Projekt
MentAuto
Tillgänglig från: 2018-06-20 Skapad: 2018-06-20 Senast uppdaterad: 2018-12-06Bibliografiskt granskad
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
Öppna denna publikation i ny flik eller fönster >>Who gains?: Sociological parameters for obtaining high grades in physical education
2018 (Engelska)Ingår i: Nordic Journal of Studies in Educational Policy, ISSN 2002-0317, Vol. 4, nr 1, s. 48-Artikel i tidskrift (Refereegranskat) 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.

Ort, förlag, år, upplaga, sidor
Routledge, 2018
Nyckelord
Assessment; Bernstein; equity; school marketization; standards-based grading
Nationell ämneskategori
Idrottsvetenskap Utbildningsvetenskap
Identifikatorer
urn:nbn:se:hig:diva-26210 (URN)10.1080/20020317.2018.1440112 (DOI)
Tillgänglig från: 2018-03-06 Skapad: 2018-03-06 Senast uppdaterad: 2018-12-13Bibliografiskt granskad
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
Öppna denna publikation i ny flik eller fönster >>A cross-sectional study of factors influencing occupational health and safety management practices in companies
2017 (Engelska)Ingår i: Safety Science, ISSN 0925-7535, E-ISSN 1879-1042, Vol. 95, s. 92-103Artikel i tidskrift (Refereegranskat) 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.

Nyckelord
Occupational health and safety (OHS), Safety culture, Manufacturing, Work environment, Financial performance, Generalized estimating equations (GEE)
Nationell ämneskategori
Arbetslivsstudier Produktionsteknik, arbetsvetenskap och ergonomi
Identifikatorer
urn:nbn:se:hig:diva-20416 (URN)10.1016/j.ssci.2017.02.008 (DOI)000399852500009 ()2-s2.0-85014176338 (Scopus ID)
Tillgänglig från: 2015-10-13 Skapad: 2015-10-13 Senast uppdaterad: 2018-12-03Bibliografiskt granskad
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
Öppna denna publikation i ny flik eller fönster >>Empowerment and performance of managers and subordinates in elderly care: a longitudinal and multilevel study
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2017 (Engelska)Ingår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 25, nr 8, s. 647-656Artikel i tidskrift (Refereegranskat) 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.

Nyckelord
first-line manager, leadership-management performance, linear mixed model, structural and psychological empowerment, subordinate
Nationell ämneskategori
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
Identifikatorer
urn:nbn:se:hig:diva-24874 (URN)10.1111/jonm.12504 (DOI)000414511300009 ()28714218 (PubMedID)2-s2.0-85024843093 (Scopus ID)
Projekt
B-LONG
Forskningsfinansiär
AFA Försäkring
Tillgänglig från: 2017-08-17 Skapad: 2017-08-17 Senast uppdaterad: 2019-04-23Bibliografiskt granskad
Essner, A., Zetterberg, L., Hellström, K., Gustås, P., Högberg, H. & Sjöström, R. (2017). Psychometric evaluation of the canine brief pain inventory in a Swedish sample of dogs with pain related to osteoarthritis. Acta Veterinaria Scandinavica, 59(1), Article ID 44.
Öppna denna publikation i ny flik eller fönster >>Psychometric evaluation of the canine brief pain inventory in a Swedish sample of dogs with pain related to osteoarthritis
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2017 (Engelska)Ingår i: Acta Veterinaria Scandinavica, ISSN 1751-0147, E-ISSN 1751-0147, Vol. 59, nr 1, artikel-id 44Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: To evaluate intervention, implement evidence-based practice and enhance the welfare of dogs with naturally occurring osteoarthritis (OA), access to valid, reliable and clinically relevant outcome measures is crucial for researchers, veterinarians and rehabilitation practitioners. The objectives of the present study were to translate and evaluate psychometric properties, in terms of internal consistency and construct validity, of the owner-reported measure canine brief pain inventory (CBPI) in a Swedish sample of dogs with pain related to OA.

RESULTS: Twenty-one owners of clinically sound dogs and 58 owners of dogs with pain related to OA were included in this observational and cross-sectional study. After being translated according to the guidelines for patient-reported outcome measures, the CBPI was completed by the canine owners. Construct validity was assessed by confirmatory factor analysis, by repeating the principal component analysis and by assessing for differences between clinically sound dogs and dogs with pain related to OA. Internal consistency was estimated by Cronbach's α. Confirmatory factor analysis was not able to confirm the factor-structure models tested in our sample. Principal component analysis showed a two-component structure, pain severity and pain interference of function. Two components accounted for 76.8% of the total variance, suggesting an acceptable fit of a two-component structure. The ratings from the clinically sound dogs differed from OA dogs and showed significantly lower CBPI total sum. Cronbach's α was 0.94 for the total CBPI, 0.91 for the pain severity and 0.91 for the pain interference of function.

CONCLUSIONS: The results indicate that the translated version of the CBPI is valid for use in the Swedish language. The findings suggest satisfying psychometric properties in terms of high internal consistencies and ability to discriminate clinically sound dogs from OA dogs. However, based on the confirmatory factor analysis, the original factor structure in the CBPI is not ideally suited to measure pain related to OA in our sample and the hypothesis of the presented two-factor structure was rejected. Further research needs to be conducted to determine whether the original psychometric results from CBPI can be replicated across different target groups and particularly with larger sample size.

Nyckelord
CBPI, Dogs, Measurement properties, Osteoarthritis, Pain, Physiotherapy, Rehabilitation
Nationell ämneskategori
Annan veterinärmedicin
Identifikatorer
urn:nbn:se:hig:diva-24863 (URN)10.1186/s13028-017-0311-2 (DOI)000404805500001 ()28668080 (PubMedID)2-s2.0-85021649059 (Scopus ID)
Anmärkning

Erratum to this article has been published in Acta Veterinaria Scandinavica 2017, 59:50. DOI: 10.1186/s13028-017-0319-7

ScopusId: 2-s2.0-85025447370

ISI-id: 000406952800001

Funding Agency:

Jan Skogsborg Foundation  

Agria Animal Insurance 

Swedish Kennel Club joint research fund 

Tillgänglig från: 2017-08-17 Skapad: 2017-08-17 Senast uppdaterad: 2019-01-08Bibliografiskt granskad
Dahlkvist, E., Hartig, T., Nilsson, A., Högberg, H., Skovdahl, K. & Engström, M. (2016). Garden greenery and the health of older people in residential care facilities: A multi-level cross-sectional study. Journal of Advanced Nursing, 72(9), 2065-2076
Öppna denna publikation i ny flik eller fönster >>Garden greenery and the health of older people in residential care facilities: A multi-level cross-sectional study
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2016 (Engelska)Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, nr 9, s. 2065-2076Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

AIMS:

To test the relationship between greenery in gardens at residential facilities for older people and the self-perceived health of residents, mediated by experiences of being away and fascination when in the garden and the frequency of visitation there. To examine how these indirect effects vary with the number of physical barriers to visiting the garden.

BACKGROUND:

Many older people in residential facilities suffer from complex health problems. Access to a green outdoor environment may enable psychological distance, engage effortless attention, encourage more frequent visitation and promote resident health.

DESIGN:

A multi-level, cross-sectional, correlational design.

METHODS:

Questionnaires were administered June-August, 2011 to convenience samples of residents at 72 facilities for older people with complex healthcare needs. One to 10 eligible residents were sampled during self-motivated garden visits at each facility (n = 290). They reported on their garden experiences and health. Facility staff reported on objective garden characteristics and barriers to access. A serial mediation model was tested with multiple linear regression analysis.

RESULTS:

The total indirect effect of greenery on self-perceived health was positive and significant. Garden greenery appears to affect health by enhancing a sense of being away, affording possibilities to experience the outdoor environment as interesting and encouraging visitation. Among residents in homes with multiple barriers, only fascination mediated the relationship between greenery and self-perceived health.

CONCLUSION:

Ample greenery in outdoor space at residential facilities for older people appears to promote experiences of being away and fascination, more frequent visitation and better health.

Nyckelord
health, nurses, nursing, outdoor environment, residential facilities, serial mediation
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:hig:diva-21204 (URN)10.1111/jan.12968 (DOI)000383625800009 ()27028976 (PubMedID)2-s2.0-84978983258 (Scopus ID)
Projekt
Trädgården en integrerad del i äldreomsorgen?
Anmärkning

Funded by:

- University of Gävle- Örebro University; Swedish Society of Nursing; Maja Johansson & Maja Brantefors Foundation; Annalisa Detlow-Bergs Foundation; Göranssonska Foundation

Tillgänglig från: 2016-02-06 Skapad: 2016-02-06 Senast uppdaterad: 2018-03-13Bibliografiskt granskad
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