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Strömberg, A., Engström, M., Hagerman, H. & Skytt, B. (2019). First-line managers dealing with different management approaches. Leadership in Health Services
Öppna denna publikation i ny flik eller fönster >>First-line managers dealing with different management approaches
2019 (Engelska)Ingår i: Leadership in Health Services, ISSN 1751-1879, E-ISSN 1751-1887Artikel i tidskrift (Refereegranskat) Epub ahead of print
Abstract [en]

Purpose – The purpose of this paper is to contribute new knowledge about how first line managers (FLMs) in elderly care perceive their situation, with a focus on differences in management approaches at the intersection of the central and local parts of the organization.

Design/methodology/approach – The present study has a qualitative approach and is part of a larger project on FLMs in elderly care. The results presented here are based on a secondary analysis of 15 of the totalof 28 interviews carried out in the project.

Findings – Themain results are twofold: the majority of FLMs perceived differences in management approaches between local and central management; the differences caused some struggle because FLMs perceived that the management system did not support the differences. The two main aspects that caused the FLMs to struggle were differences in the foci of the management levels and difficulties in influencing the conditions ofmanagement.

Originality/value – The results contribute to the debate on what aspects are important to sustainable management of elderly care. It is common knowledge that FLMs have a complex position, intermediate to the central, upper level management and their subordinates at the local level – levels with different foci and interests. The study contributes new knowledge about what these differences consist of and the dilemmas they cause and offers suggestions as to what can be done to reduce both energy waste and the risk of low job satisfaction.

Nyckelord
Leadership, Elderly care, Management, Value-orientation, First-line manager, Production-orientation
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:hig:diva-25926 (URN)10.1108/LHS-09-2018-0046 (DOI)2-s2.0-85070257920 (Scopus ID)
Projekt
B-LONG
Tillgänglig från: 2018-01-04 Skapad: 2018-01-04 Senast uppdaterad: 2019-08-23Bibliografiskt granskad
(2019). Forskning pågår 2019: Akademin för hälsa och arbetsliv. Gävle: Gävle University Press
Öppna denna publikation i ny flik eller fönster >>Forskning pågår 2019: Akademin för hälsa och arbetsliv
2019 (Svenska)Rapport (Övrigt vetenskapligt)
Abstract [sv]

Genom denna rapport vill vi synliggöra den forskning som bedrivs inom Akademin för hälsa och arbetsliv. Som underlag samlar forskningsrådet vid akademin årligen in projektbeskrivningar från forskarna kring pågående projekt. Rapporten är tänkt att ge en överblick över forskningens inriktning och innehåll. Rapporten bidrar även till att kunna kommunicera pågående forskning såväl internt som externt.

I rapporten har projekten sorterats under temporära samlingsrubriker som vi idag ser som starka inriktningar för forskningen vid akademin. Forskning och kunskapande sker i processer där både innehåll och inriktning flyttas under resans gång. Projekt formas, omformas och nya projekt startar upp. Titeln på rapporten ”Forskning pågår” signalerar just denna föränderlighet.

Det är med stor glädje som vi för andra året i rad kan presentera över 100 pågående projekt med inriktning mot hälsa och arbetsliv.

Ort, förlag, år, upplaga, sidor
Gävle: Gävle University Press, 2019. s. 142
Nationell ämneskategori
Annan medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:hig:diva-29743 (URN)
Tillgänglig från: 2019-06-11 Skapad: 2019-06-11 Senast uppdaterad: 2019-06-11Bibliografiskt granskad
(2018). Forskning pågår 2018: Akademin för hälsa och arbetsliv. Gävle: Gävle University Press
Öppna denna publikation i ny flik eller fönster >>Forskning pågår 2018: Akademin för hälsa och arbetsliv
2018 (Svenska)Rapport (Refereegranskat)
Abstract [sv]

Forskningsrådet vid Akademin för Hälsa och Arbetsliv har identifierat behovet av att synliggöra den forskning som bedrivs inom akademin ämnesområden. Som en del i detta arbete samlade forskningsrådet inför 2018 in projektbeskrivningar för pågående projekt. Det huvudsakliga syftet var att få överblick över forskningsverksamheten vid akademin. För att även kunna kommunicera den forskning som pågår, såväl internt som externt, har vi valt att publicera projektbeskrivningarna i denna rapport.

Titeln på rapporten ”Forskning pågår” signalerar att forskning bedrivs i föränderliga processer. Forskningens ständiga utveckling gör att rapporten ger en ögonblicksbild av forskningens inriktning och innehåll. Projekt formas, omformas och nya projekt startar upp. I rapporten har projekten sorterats under temporära samlingsrubriker som vi idag ser som starka inriktningar för forskningen vid akademin. I arbetet med att samla forskningen i styrkeområden kommer även dessa inriktningar att kunna förändras.

Ort, förlag, år, upplaga, sidor
Gävle: Gävle University Press, 2018. s. 127
Nationell ämneskategori
Annan medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:hig:diva-26420 (URN)
Tillgänglig från: 2018-04-16 Skapad: 2018-04-16 Senast uppdaterad: 2018-04-16Bibliografiskt granskad
Waleh Åström, A., Heiden, M., Mathiassen, S. E. & Strömberg, A. (2018). Uncertainty in monetary cost estimates for assessing working postures using inclinometry, observation or self-report. Applied Ergonomics, 71, 73-77
Öppna denna publikation i ny flik eller fönster >>Uncertainty in monetary cost estimates for assessing working postures using inclinometry, observation or self-report
2018 (Engelska)Ingår i: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 71, s. 73-77Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: To assess uncertainty in cost estimates for collecting posture data by inclinometry, observations and self-report.

Method: In a study addressing physical workloads at a paper mill, costs were calculated for measuring postures of twenty-eight workers during three shifts. Uncertainty in costs was assessed for all three methods as the range between an assumed best case (lowest cost) and worst case (highest cost) using scenario analysis.

Results: The cost for observation was larger, but also more uncertain (€16506 and €89552 in the best and worst case, respectively) than that of inclinometry (€7613 - €45896). Self-report costs were both lower and less uncertain (€3743 - €23368).

Conclusions: The extent of uncertainty in cost estimates implies that observation could be less expensive than inclinometry, e.g., in a scenario where experienced observers could use existing software, while inclinometers would have to be purchased. We propose adding uncertainty assessments to cost estimates when selecting a method for measuring working postures, and offer guidance in how to proceed in a specific setting.

Nyckelord
Cost components, scenario analysis, exposure assessment
Nationell ämneskategori
Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:hig:diva-25532 (URN)10.1016/j.apergo.2018.04.005 (DOI)000437366400009 ()29764616 (PubMedID)2-s2.0-85046100007 (Scopus ID)
Forskningsfinansiär
Forte, Forskningsrådet för hälsa, arbetsliv och välfärd, 2010-0748Forte, Forskningsrådet för hälsa, arbetsliv och välfärd, 2009-1761
Anmärkning

Erratum to "Uncertainty in monetary cost estimates for assessing working postures using inclinometry, observation or self-report" [Appl. Ergon. 71C (2018) 73-77].DOI: 10.1016/j.apergo.2018.10.002. ScopusId 2-s2.0-85055122791

Tillgänglig från: 2017-11-15 Skapad: 2017-11-15 Senast uppdaterad: 2019-01-28Bibliografiskt granskad
Waleh Åström, A., Heiden, M., Mathiassen, S. E. & Strömberg, A. (2018). Uncertainty of cost components in assessments of working posture by different methods. In: : . Paper presented at 20th Congress International Ergonomics Association, 26-30 augusti, 2018, Florens, Italy.
Öppna denna publikation i ny flik eller fönster >>Uncertainty of cost components in assessments of working posture by different methods
2018 (Engelska)Konferensbidrag, Poster (med eller utan abstract) (Refereegranskat)
Nationell ämneskategori
Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:hig:diva-27892 (URN)
Konferens
20th Congress International Ergonomics Association, 26-30 augusti, 2018, Florens, Italy
Tillgänglig från: 2018-09-11 Skapad: 2018-09-11 Senast uppdaterad: 2019-05-03
Vidman, Å. & Strömberg, A. (2018). “Well it is for their sake we are here”: meaningful work tasks from care workers' view. Working with Older People, 22(2), 111-120
Öppna denna publikation i ny flik eller fönster >>“Well it is for their sake we are here”: meaningful work tasks from care workers' view
2018 (Engelska)Ingår i: Working with Older People, ISSN 1366-3666, Vol. 22, nr 2, s. 111-120Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose – Employees in elderly care have a high rate of sick leave. One explanation is that employees that experience a low level of meaning of work are at a higher risk for long-term sick leave. The paper aims to discuss these issues.

Design/methodology/approach – This qualitative interview study aims to examine what employees in residential care facilities experience as the meaningful aspects of their work tasks. Interviews with 14 persons employed in residential care facilities were conducted.

Findings – The findings show that meaningful work tasks are about organizing the work to make use of the creativity and knowledge of the staff in order to support relations with older people.

Originality/value – The knowledge about what constitutes a healthy work environment is not as comprehensive as it is about what constitutes health risks. Furthermore, these issues have been considered by only a few qualitative studies about social care in the field of sick leave. Therefore, this qualitative interview study examines what employees in residential care facilities experience as meaningful aspects of their work tasks.

Ort, förlag, år, upplaga, sidor
Emerald Group Publishing Ltd., 2018
Nyckelord
Care worker, Meaning, Qualitative, Residential care, Social care practice, Sustainability, clinical article, creativity, employee, female, health hazard, human, interview, male, medical leave, qualitative research, social care, work environment, worker
Nationell ämneskategori
Socialt arbete
Identifikatorer
urn:nbn:se:hig:diva-25736 (URN)10.1108/WWOP-09-2017-0024 (DOI)30166938 (PubMedID)2-s2.0-85034965149 (Scopus ID)
Tillgänglig från: 2017-12-06 Skapad: 2017-12-06 Senast uppdaterad: 2018-09-24Bibliografiskt granskad
Lindberg, P., Karlsson, T., Strömberg, A., Gustafsson, S. & Anderzén, I. (2017). Can a systematic participative method for procesing workplace survey data enhance organizational communication skills?. In: : . Paper presented at 12th International Conference on Occupational Stress and Health, "Work, Stress and Health 2017: Contemporary Challenges and Opportunities,", 7-10 June, 2017, Minneapolis, USA.
Öppna denna publikation i ny flik eller fönster >>Can a systematic participative method for procesing workplace survey data enhance organizational communication skills?
Visa övriga...
2017 (Engelska)Konferensbidrag, Poster (med eller utan abstract) (Refereegranskat)
Abstract [en]

Objectives

The concept healthy workplace has been defined as an organization that maximizes the integration of worker goals for wellbeing and company objectives for profitability and productivity (Sauter, Lim, & Murphy, 1996). The PATH-model (Grawitch, Gottschalk, & Munz, 2006) shows a synthesis of earlier research in a number of different disciplines and frames how a healthy workplace with wellbeing for the individual along with organizational improvements can be achieved. The model suggests five general categories of healthy workplace practices: work-life balance, employee growth and development, health and safety, recognition, and employee involvement. In order for these workplace practices to have an influence on the employees and the organizational outcomes the effectiveness of communication within the organization is crucial as is the alignment of workplace practices with the organizational context. Effective organizational communication in this context means that the management communicates what the organization offers the employees in order to enable good performance and wellbeing at work as well as that the employees state their needs in order to do a good job. The ongoing GodA-project (a Swedish acronym for good work environments and healthy workplaces) aims at investigating if workplace strategies in line with the PATH-model add to better health and wellbeing among the employees as well as organizational improvements. The present study is part of the GodA-project and aims at exploring to which extent the specific “GodA-method” for processing workplace survey data influences organizational communication skills. 

Methods

The GodA study is a 2-year follow up study with a survey feedback design in three companies with both blue- and white collar workers. One of the companies serves as “intervention-company”, the other two as controls. The project started in 2012 with a pre-project by means of focus groups and individual interviews in order to find out how employees and managers in the three companies describe the concept of a healthy work environment and what contributes to their well-being at work. In 2013 a baseline questionnaire was sent out including items, a) based on the combined results of the pre-study and a comprehensive literature review (Lindberg & Vingård, 2012) , and b) well-established questions on health and work environment. The results from the survey were reported back to the companies, which have been processing their respective results. In spring 2015 another survey wave was administered. Parallel, data concerning the company’s key indicators and internal development have been collected.

 Baseline results in the GodA-study showed that the employees considered communication as a very important factor for their well-being at work. However, they also reported that the internal communication was not at all at desired level. Considering that the PATH-model emphasizes internal communication as critical in establishing a healthy workplace, the intervention was designed to enhance communication skills. The “GodA-method”, to process the survey feedback was developed in collaboration with the “intervention-company”. In short, the baseline results concerning health, and physical- and psychosocial factors at the workplace, as reported by respective working group, are split into nine themes. Each theme is designed small enough to be processed during the groups’ monthly staff meetings. At the meetings the employees discuss today’s theme, first without then together with their supervisor and decide upon one measurable action to be taken to improve their work environment. To begin each discussion without the supervisor was a chosen strategy in order to empower the employees and in an implicit way train communication skills. The intervention has been followed by process evaluation forms for the supervisors as well as group interviews with employees and supervisors, respectively.   

Results

Nine working groups, each with 7-13 employees, were studied. The individual groups performed heterogeneous. The degree to which the various groups actively took actions for improvements seemed to be associated with the closest supervisor’s understanding of the importance of respective themes and his/her capability to conduct group discussions.

Communication was measured by a 5-item index showing the discrepancy between experienced and desirable communication level, where an index score of -0,5 to 0 (no discrepancy) was considered as good and a score below -.5 was considered undesirable. Preliminary results show that in groups (=5) performing 3-5 meetings the communication index in average deteriorated from -0.89 to -1.41, whereas groups (=4) performing 8-9 meetings the index improved or remained at a rather high level, in average from -0.92 to -0.71. Further analyses and results will be presented at the conference.

Conclusion

The results give support to the hypothesis that systematic and continuous training focusing on a mutual theme is a feasible method for improving communication skills.

Practical implications

Healthy workplaces are not created overnight. The GodA-method for processing employee surveys seems to be a useful way to systematically work with continuous improvements of the workplace. However, training of supervisors for group discussions seems necessary.

Nationell ämneskategori
Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:hig:diva-24780 (URN)
Konferens
12th International Conference on Occupational Stress and Health, "Work, Stress and Health 2017: Contemporary Challenges and Opportunities,", 7-10 June, 2017, Minneapolis, USA
Forskningsfinansiär
AFA Försäkring
Anmärkning

Acknowledgements

This study was made possible by grants from AFA insurance and University of Gävle.

Tillgänglig från: 2017-08-02 Skapad: 2017-08-02 Senast uppdaterad: 2018-03-13Bibliografiskt granskad
Waleh Åström, A., Heiden, M., Mathiassen, S. E. & Strömberg, A. (2017). Uncertainty in monetary cost estimates for assessing working postures using inclinometry, observation or self-report. In: Anna-Lisa Osvalder, Mikael Blomé and Hajnalka Bodnar (Ed.), NES 2017 ”JOY AT WORK”: Conference Proceedings. Paper presented at Nordic Ergonomics and Human Factors Society Conference (NES2017) 'Joy at Work', 20-23 August 2017, Lund, Sweden (pp. 160-161).
Öppna denna publikation i ny flik eller fönster >>Uncertainty in monetary cost estimates for assessing working postures using inclinometry, observation or self-report
2017 (Engelska)Ingår i: NES 2017 ”JOY AT WORK”: Conference Proceedings / [ed] Anna-Lisa Osvalder, Mikael Blomé and Hajnalka Bodnar, 2017, s. 160-161Konferensbidrag, Muntlig presentation med publicerat abstract (Refereegranskat)
Abstract [en]

Background

In order to optimize cost-efficiency when collecting posture data in field studies, accurate cost data are needed. A few studies have assessed costs of different measurement methods, but they did not address the uncertainty of the cost estimates. Information on the uncertainty of cost estimates is key input when deciding which method to use.

Aim

This study aimed atassessingthe uncertainty in estimates of costs for collecting posture data by inclinometry, observations and self-report.

Method

The study wasbased on data collected at a Swedish paper mill (Heiden et al. 2017)1. Using a model developed by Trask et al. (2014)2, costs were calculatedfor measuring trunk and upperarm postures of twenty-eight workers during three full shifts using inclinometers, observations from recorded videos, and workers’ self-reports from a questionnaire. For each measurement method, the uncertainty of the actually observed total cost was assessed by determining the range of costs between an assumed best case (lowest cost) and worst case (highest cost) using scenario analysis.

Results

Observation was the most expensive method (€41499) and also showed a large uncertainty in the cost estimate (€19089–€87154). Self-reports had the lowest cost (€9156) with the smallest uncertainty (€3941–€27473). The overall cost for inclinometry was €16851 with best and worst cases €8567 and €60313, respectively. The actual costs of inclinometry and self-reports in the conducted study were reasonably close to the best case.

Discussion

In their study of flight baggage handling, Trask et al. (2014) concluded that inclinometry was more expensive than observation when measuring trunk and arm postures. In the present study, we found observation to be the more expensive. Given the uncertainty in cost estimates, both results are plausible. Notably, in Trask et al. (2014), video recordings were restricted to 4 hours, whereas in the present material, video recordings covered full 7 -to 12-hour shifts. The time allocated to collecting video material for observations will significantly affect the cost comparison of methods, and this may serve as an example that further investigations of separate cost components for each method are warranted.

Conclusions

Based on a meticulous cost assessment, we found that cost estimates for observation of working postures were the most uncertain, followed by inclinometry and self-reports. A better understanding of data collection costs and their uncertainty, and thus of how to properly identifyan optimal measurement method, requires a deeper analysis of the cost model, and of the contributions of separate cost components to the overall cost

1 https://doi.org/10.1093/annweh/wxw0262

2 https://doi.org/10.5271/sjweh.3416

Nyckelord
Scenario analysis, exposure assessment, method comparison, cost calculation
Nationell ämneskategori
Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:hig:diva-25314 (URN)978-91-7753-152-4 (ISBN)
Konferens
Nordic Ergonomics and Human Factors Society Conference (NES2017) 'Joy at Work', 20-23 August 2017, Lund, Sweden
Tillgänglig från: 2017-09-21 Skapad: 2017-09-21 Senast uppdaterad: 2018-03-13Bibliografiskt granskad
Lindberg, P., Karlsson, T., Strömberg, A., Gustafsson, S. & Anderzén, I. (2016). Can a systematic participative method for processing workplace survey data enhance organizational communication skills?. In: Scientific programme: Book of Abstracts. Paper presented at Fourth International Scientific conference on Wellbeing at Work 2016, 29 May - 1 June 2016, Amsterdam, the Netherlands.
Öppna denna publikation i ny flik eller fönster >>Can a systematic participative method for processing workplace survey data enhance organizational communication skills?
Visa övriga...
2016 (Engelska)Ingår i: Scientific programme: Book of Abstracts, 2016Konferensbidrag, Enbart muntlig presentation (Refereegranskat)
Abstract [en]

Objectives

The PATH-model (1) frames how a healthy workplace with wellbeing for the individual along with organizational improvements can be achieved, suggesting five healthy workplace practices. In order for these practices to have the desired influence, the effectiveness of communication within the organization is crucial. The ongoing GodA-project (an acronym for good work environments and healthy workplaces) is set up to investigate different aspects of the PATH-model. The present sub-study aims at exploring to which extent the specific “GodA-method” for processing workplace survey data influences organizational communication skills. 

Methods

The GodA study is a 2-year follow up study with a survey feedback design in three companies with both blue- and white collar workers. In one of the companies the “GodA-method” for processing survey feedbacks was developed and tested. Baseline results concerning workplace factors were split into nine themes, small enough to be processed during respective working groups’ monthly staff meetings. At the meetings the employees discussed today’s theme, first without, then together with their supervisor and decided on one action for improvements. This strategy was chosen in order to empower the employees and implicitly train their communication skills. The intervention was followed by process evaluations.   

Results

Nine working groups, each with 7-13 employees, were studied. The degree to which the various groups actively took actions for improvements seemed to be associated with the closest supervisor’s understanding of the importance of respective themes and his/her capability to conduct group discussions.

Communication was measured by a 5-item index showing the discrepancy between experienced and desirable communication level, where -0,5 – 0 was considered as good. In groups (=5) performing 3-5 meetings the communication index in average deteriorated from -0.89 to -1.41, whereas groups (=4) performing 8-9 meetings the index improved or remained at a rather high level, in average from -0.92 to -0.71.

Conclusion

The results give support to the idea that systematic and continuous training focusing on a mutual theme is a feasible method for improving communication skills. Training of supervisors for group discussions seems necessary.

Nationell ämneskategori
Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:hig:diva-23054 (URN)
Konferens
Fourth International Scientific conference on Wellbeing at Work 2016, 29 May - 1 June 2016, Amsterdam, the Netherlands
Forskningsfinansiär
AFA Försäkring
Tillgänglig från: 2016-12-15 Skapad: 2016-12-15 Senast uppdaterad: 2018-12-03Bibliografiskt granskad
Anderzén, I., Karlsson, T., Strömberg, A., Gustafsson, S. & Lindberg, P. (2016). Predictors of Well-being at work. In: Scientific Programme: Wellbeing at Work 2016. Paper presented at 4th Wellbeing at Work 2016, 29 May - 1 June 2016, Amsterdam, The Netherlands.
Öppna denna publikation i ny flik eller fönster >>Predictors of Well-being at work
Visa övriga...
2016 (Engelska)Ingår i: Scientific Programme: Wellbeing at Work 2016, 2016Konferensbidrag, Muntlig presentation med publicerat abstract (Refereegranskat)
Abstract [en]

The concept of healthy workplace has been defined as an organization that maximizes the integration of worker goals for wellbeing and company objectives for profitability and productivity. Conditions in today’s working life make new approaches necessary in order to limit negative health effects of work and to enhance wellbeing and health at work. About 24 % of the working population in Sweden report to have had work-related disorders during the last twelve months. In order to achieve a sustainable working life it is likely that strategies and actions from different and new angles are needed.ObjectivesThe present study is a part of a larger study (the GodA –study; a Swedish acronym for good work environments and healthy workplaces) and aims to investigate how work environment factors, work ability, work motivation, work and life balance predict well-being at work.

Methods

The GodA study is a 2-year follow up study in Sweden with a survey feedback design in three companies with both blue- and white collar workers. One of the companies serves as “intervention-company”, the other two as controls. A baseline questionnaire was sent out 2013 and the results from the survey were reported back to the companies, which have been processing their results. In spring 2015 a follow up survey has been administered. Data have been analysed with univariate and multivariate linear regression analyses.

Results

A baseline multivariate linear regression model, which included background factors, perceived psychosocial work climate and work environmental factors (motivation, leadership, employee responsibilities, efficacy, work ability and management committed to employee health) and work life balance, showed that psychosocial work climate (B= .48, 95% CI=.27 – .69) leadership, (B= .27, 95% CI=.05– .49), work ability (B= -.12, 95% CI= .03 – .21), motivation (B= -33, 95% CI= .14 – .51) and work life balance (B= -.34, 95% CI=-.57– -.12), were signifi-cantly associated with well-being at work and explained 40% of the variance (Adjusted R2=.40, p<.001).

Conclusions

Results showed that not only work environment factors are important predictors. To maintain a healthy work place a promotion of balance between work and private life is needed.

Nationell ämneskategori
Arbetsmedicin och miljömedicin
Identifikatorer
urn:nbn:se:hig:diva-23055 (URN)
Konferens
4th Wellbeing at Work 2016, 29 May - 1 June 2016, Amsterdam, The Netherlands
Forskningsfinansiär
AFA Försäkring
Tillgänglig från: 2016-12-15 Skapad: 2016-12-15 Senast uppdaterad: 2018-03-13Bibliografiskt granskad
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