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Skytt, B., Högberg, H. & Engström, M. (2024). An explorative and confirmative factor analysis of the Leadership and Management Inventory-II among staff working in elderly care. Leadership in Health Services, 37(5), 66-83
Open this publication in new window or tab >>An explorative and confirmative factor analysis of the Leadership and Management Inventory-II among staff working in elderly care
2024 (English)In: Leadership in Health Services, ISSN 1751-1879, E-ISSN 1751-1887, Vol. 37, no 5, p. 66-83Article in journal (Refereed) Published
Abstract [en]

Purpose

The Purpose of the study was to investigate the construct validity and internal consistency of the LaMI among staff in the context of elderly care in Sweden.

Design/methodology/approach

Questionnaire data from a longitudinal study of staff working in elderly care were used. Data were collected using the Leadership and Management Inventory. First data collection was for explorative factor analysis (n = 1,149), and the second collection, one year later, was for confirmatory factor analysis (n = 1,061).

Findings

The explorative factor analysis resulted in a two-factor solution that explained 70.2% of the total variance. Different models were tested in the confirmatory factor analysis. The final model, a two-factor solution where three items were omitted, showed acceptable results.

Originality/value

The instrument measures both leadership and management performance and can be used to continually measure managers’ performances as perceived by staff to identify areas for development.

Place, publisher, year, edition, pages
Emerald, 2024
Keywords
Health leadership competencies; Leadership; Management; Nurses; Statistical analysis
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-43286 (URN)10.1108/lhs-01-2023-0004 (DOI)001101160900001 ()37962108 (PubMedID)2-s2.0-85176883614 (Scopus ID)
Available from: 2023-11-16 Created: 2023-11-16 Last updated: 2024-01-24Bibliographically approved
Xu, L., Tao, X., Lou, Y. & Engström, M. (2024). Sleep quality, frailty and overall health among community-dwelling older people: A longitudinal study. Journal of Advanced Nursing, 80(1), 328-338
Open this publication in new window or tab >>Sleep quality, frailty and overall health among community-dwelling older people: A longitudinal study
2024 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 80, no 1, p. 328-338Article in journal (Refereed) Published
Abstract [en]

Aims

The aims of the study were to describe sleep quality among community-dwelling older people; determine the association between sleep quality (total and multidimensional), frailty and overall health; study frailty as a mediator in the association between sleep quality and overall health.

Design

This longitudinal, correlative study used data from 2020 to 2022.

Methods

A total of 181 community-dwelling older people in a city in Southeast China were assessed twice. Sleep quality was measured using the Pittsburgh Sleep Quality Index at Time 1 (year 2020); frailty was measured using the FRAIL scale, and overall health was measured using the EuroQol visual analogue scale at Time 1 and 2 (1 year later). Associations and indirect effects were examined using linear regression analyses using the PROCESS Macro (Model 4).

Results

Poor sleep quality (higher scores) was associated with increased frailty over time (total scale), as well as subjective sleep quality, sleep duration, sleep efficiency and daytime dysfunction. Mediation analyses indicated that frailty change had an indirect effect on the association between sleep quality total score Time (T) 1 and overall health T2 and between the dimensions subjective sleep quality, sleep duration, sleep efficiency and daytime dysfunction and overall health. All analyses were adjusted for age, multimorbidity and overall health T1.

Conclusions

Poor sleep quality is a common problem associated with poor overall health after 1 year, and the progression of frailty mediates this association.

Impact

The findings provide a better understanding of the association between sleep quality and overall health and elucidate the mediating effect of frailty. Regular screening and effective treatment by healthcare providers for sleep problems and frailty in older people are necessary to improve their overall health and enhance healthy ageing.

Patient or Public Contribution

Participants in the study provided the data used for all data analysis in the manuscript. Patient or public were not involved in data analysis, interpretation or manuscript preparation. Staff in the community health centre helped with data collection.

Place, publisher, year, edition, pages
Wiley, 2024
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-42762 (URN)10.1111/jan.15790 (DOI)37438957 (PubMedID)
Available from: 2023-07-13 Created: 2023-07-13 Last updated: 2024-01-08Bibliographically approved
Bjuhr, M., Lindberg, M., Engström, M., Welmer, A.-K. & Sjölund, B.-M. (2023). Antecedents of and experiences with voluntary early exit from working life before the expected retirement age in Sweden.
Open this publication in new window or tab >>Antecedents of and experiences with voluntary early exit from working life before the expected retirement age in Sweden
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2023 (English)In: Article in journal (Refereed) Submitted
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-42876 (URN)
Available from: 2023-08-23 Created: 2023-08-23 Last updated: 2023-09-14Bibliographically approved
Xu, L., Lan, X., Lou, Y. & Engström, M. (2023). Associations between frailty, sociodemographic characteristics and quality‐of‐life among community‐dwelling older adults: A cross‐sectional study. Nursing Open, 10(4), 2392-2405
Open this publication in new window or tab >>Associations between frailty, sociodemographic characteristics and quality‐of‐life among community‐dwelling older adults: A cross‐sectional study
2023 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 10, no 4, p. 2392-2405Article in journal (Refereed) Published
Abstract [en]

Aim

To explore the quality-of-life among community-dwelling older adults in China and to examine the associations between frailty, sociodemographic characteristics and quality-of-life.

Design

A cross-sectional correlational study was adopted.MethodsQuestionnaire study of 311 community-dwelling older adults using the Life Satisfaction Questionnaire and FRAIL scale.

Results

Highest quality-of-life was found for the physical symptoms factor and the lowest for quality of everyday activities/fun. Frailty was associated with total quality-of-life and the physical symptoms and sickness impact factors. For total quality-of-life, the odds of being in the group with a median score or more decreased for frail older people (OR 0.30) versus non-frail and increased for those with medical insurance from employer versus basic (OR 2.30) and those doing exercise ≥30 min 3 days/week or more versus less (OR 2.12). Registered nurses caring for community-dwelling older adults should screen for and prevent frailty and encourage exercise to improve their quality-of-life.

Place, publisher, year, edition, pages
Wiley, 2023
Keywords
everyday activities; frailty; health promotion; nursing; older people; physical functioning; quality-of-life
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-40519 (URN)10.1002/nop2.1494 (DOI)000889902600001 ()36412493 (PubMedID)2-s2.0-85142434479 (Scopus ID)
Available from: 2022-11-25 Created: 2022-11-25 Last updated: 2023-04-04Bibliographically approved
Kaltenbrunner, M., Mathiassen, S. E., Bengtsson, L., Högberg, H. & Engström, M. (2023). Associations between lean maturity in primary care and musculoskeletal complaints among staff. A longitudinal study. BMJ Open, 13, Article ID e067753.
Open this publication in new window or tab >>Associations between lean maturity in primary care and musculoskeletal complaints among staff. A longitudinal study
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2023 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 13, article id e067753Article in journal (Refereed) Published
Abstract [en]

Objective. We had two aims: 1) to determine the prevalence of musculoskeletal complaints among staff in primary care 2) to determine to what extent Lean maturity of the primary care unit can predict musculoskeletal complaints one year later. 

Design. Descriptive, correlational, and longitudinal design.

Setting. Primary care units in mid-Sweden.

Participants. In 2015, staff members responded to a web survey addressing Lean maturity and musculoskeletal complaints. The survey was completed by 481 staff members (response rate 46%) at 48 units; 260 staff members at 46 units also completed the survey in 2016. 

Outcome measures. Associations with musculoskeletal complaints were determined both for Lean maturity in total, and for four Lean domains entered separately in a multivariate model, i.e., Philosophy, Processes, People and partners, and Problem-solving.     

Results. The shoulders (12-month prevalence 58%), neck (54%), and low back (50%) were the most common sites of 12-months retrospective musculoskeletal complaints at baseline. Shoulders, neck, and low back also showed the most complaints for the preceding 7 days (37%, 33%, and 25%, respectively). The prevalence of complaints was similar at the 1-year follow-up. Total lean maturity in 2015 was not associated with musculoskeletal complaints, neither cross-sectionally nor one year later, for shoulders (one-year β: -0.002, 95% CI -.03 to .02), neck (β: 0.006, 95% CI -.01 to .03), low back (β: 0.004, 95% CI -.02 to .03) and upper back (β: 0.002, 95% CI -.02; .02). 

Conclusion. The prevalence of musculoskeletal complaints among primary care staff was high and did not change within a year. The extent of Lean maturity at the care unit was not associated with complaints among staff, neither in cross-sectional analyses nor in a one-year predictive analysis

Place, publisher, year, edition, pages
BMJ, 2023
Keywords
Lean in Health care Questionnaire (LiHcQ), musculoskeletal disorders (MSD), Nordic Musculoskeletal Questionnaire (NMQ), pain
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-37260 (URN)10.1136/bmjopen-2022-067753 (DOI)000944467100029 ()36813498 (PubMedID)2-s2.0-85148548320 (Scopus ID)
Available from: 2021-10-22 Created: 2021-10-22 Last updated: 2023-08-28Bibliographically approved
Bjuhr, M., Engström, M., Welmer, A.-K., Elmståhl, S. & Sjölund, B.-M. (2023). Being active in working life at age 60, 66 and 72 - a study of two Swedish cross-sectional samples 12 years apart.
Open this publication in new window or tab >>Being active in working life at age 60, 66 and 72 - a study of two Swedish cross-sectional samples 12 years apart
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2023 (English)In: Article in journal (Refereed) Submitted
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-42875 (URN)
Available from: 2023-08-23 Created: 2023-08-23 Last updated: 2023-09-14Bibliographically approved
Lindmark, T., Engström, M. & Trygged, S. (2023). First-Line Managers’ Perceptions of Their Psychosocial Work Environment in Nursing Homes: A Qualitative Analysis of the Influence of Ownership Type. Health & Social Care in the Community, Article ID 6694499.
Open this publication in new window or tab >>First-Line Managers’ Perceptions of Their Psychosocial Work Environment in Nursing Homes: A Qualitative Analysis of the Influence of Ownership Type
2023 (English)In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, article id 6694499Article in journal (Refereed) Published
Abstract [en]

In the wake of welfare sector reforms and the increasing marketisation of eldercare services, nursing home first-line managers (FLMs) are confronted with escalating work demands within streamlined organisations. Given this background, the aim was to investigate FLMs’ perceptions of their psychosocial work environment and of differences between nursing home ownership types. Nineteen managers from three Swedish municipalities from municipal, outsourced, and private nursing homes participated in semi-structured interviews focused on job demands, job resources, and ownership differences. The FLMs’ perceptions were interpreted as forming two themes. Navigating challenges: striving to cope with demands highlighted various challenges, including recruitment, workload, and lack of organisational support. Key stressors encompassed personnel struggles, time constraints, and complex interactions. Influence of ownership dynamics on the work environment explored variation across ownership types. Private nursing home managers enjoyed more decision-making autonomy but faced more scrutiny than did municipal ones. FLMs in outsourced homes described unique stressors, notably uncertainty and increased workload due to the procurement process. These findings underscore the potential need for tailored systemic changes across different ownership types. The policy implications include enhancing communication and support in municipal homes, reducing the span of control in private homes, and revising the procurement process in outsourced homes. These insights suggest that further research outlining differences between ownership types, particularly private and outsourced nursing homes, is warranted. Such research could aid in formulating specific strategies tailored to each ownership type in order to enhance the psychosocial work environment for FLMs in nursing homes.

Place, publisher, year, edition, pages
Hindawi, 2023
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-43178 (URN)10.1155/2023/6694499 (DOI)001095074600001 ()2-s2.0-85176261293 (Scopus ID)
Available from: 2023-10-25 Created: 2023-10-25 Last updated: 2024-01-02Bibliographically approved
Bjuhr, M., Engström, M., Welmer, A.-K., Elmståhl, S. & Sjölund, B.-M. (2023). Health and work-related factors as predictors of still being active in working life at age 66 and 72 in a Swedish population: A longitudinal study. Work: A journal of Prevention, Assessment and rehabilitation, 76(4), 1481-1492
Open this publication in new window or tab >>Health and work-related factors as predictors of still being active in working life at age 66 and 72 in a Swedish population: A longitudinal study
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2023 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 76, no 4, p. 1481-1492Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Health and work environment are known factors in being active in working life beyond legal retirement.

OBJECTIVE: To investigate sociodemographic, health and work environment factors as possible predictors of being active in working life at ages 66 and 72. Secondly, investigate eventual changes over time, shortly after a major reform in the Swedish pension system, and predictors of still being active in working life at age 66.

METHODS: We used a longitudinal design with two separate cohorts of people at age 60. One baseline assessment was made in 2001–2003 with two 6 years follow-ups, and one in 200–2009 with one 6 years follow-up. Data were accessed through a Swedish national population-based study and analysed using logistic regression. To examine possible differences between the two cohorts, interaction terms with each independent variable were analysed.

RESULTS: Being a man and working in a profession that requires at least three years of university education predicted that the person would still be active in working life at age 66 and 72. Additionally, having a light level of physical activity at work and being diagnosed with fewer than two diseases, also predicted still being active in working life at age 66. Only physical activity at work showed significant changes over time.

CONCLUSION: Shortly after a major reform of the public pension system, there was an increase in participation in working life after age 66 and 72. However, gender, profession, and health factors are still important considerations regarding older people’s participation in working life.

Place, publisher, year, edition, pages
IOS Press, 2023
Keywords
Extended working life, healthy ageing, older people
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-42671 (URN)10.3233/wor-220480 (DOI)001139629100019 ()37393472 (PubMedID)2-s2.0-85180303562 (Scopus ID)
Available from: 2023-07-03 Created: 2023-07-03 Last updated: 2024-02-09Bibliographically approved
Eriksson, E., Jordal, M., Hjelm, K. & Engström, M. (2023). Job satisfaction and wellbeing among migrant care workers in nursing homes: An integrative review. Nursing Open, 10(6), 3486-3505
Open this publication in new window or tab >>Job satisfaction and wellbeing among migrant care workers in nursing homes: An integrative review
2023 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 10, no 6, p. 3486-3505Article in journal (Refereed) Published
Abstract [en]

Aim

To systematically analyse and synthesize studies investigating job satisfaction (including turnover and turnover intention) and wellbeing (physical, social and psychological including work stress, acculturation stress and sick leave) among migrant care workers in nursing homes.

Design

An integrated review was conducted.

Methods

Joanna Briggs Institute's manual guided the analysis of qualitative data (n = 31). Quantitative data (n = 17) were summarized and integrated with the qualitative findings.

Results

Migrants described high job demands, limited control and social support, and stress possibly related to acculturation. Although, compared to natives (born in the country), inconsistent results were reported about wellbeing and job satisfaction, migrant care workers reported enjoying the relational aspects of work and feeling pride when providing care. A satisfying work environment for migrant care workers enables them enjoying working in elderly care with pride.Public ContributionHelp managers to promote an inclusive working life in line with the United Nations Sustainable Development Goal number 8.

Place, publisher, year, edition, pages
Wiley, 2023
Keywords
elderly care; intention to leave; job satisfaction; long-term care; migration; nursing home; wellbeing
National Category
Health Sciences
Research subject
Health-Promoting Work, Inkluderande arbetsliv
Identifiers
urn:nbn:se:hig:diva-40923 (URN)10.1002/nop2.1611 (DOI)000913876800001 ()36658244 (PubMedID)2-s2.0-85146938533 (Scopus ID)
Funder
University of Gävle
Available from: 2023-01-26 Created: 2023-01-26 Last updated: 2023-12-05Bibliographically approved
Xu, L., Lou, Y., Willmer, M. & Engström, M. (2023). Nursing Students' Self-rated Nurse Professional Competence at the End of an International Collaborative Education Program and Follow-up 1 Year Later. Nurse Educator, 48(5), e141-e146
Open this publication in new window or tab >>Nursing Students' Self-rated Nurse Professional Competence at the End of an International Collaborative Education Program and Follow-up 1 Year Later
2023 (English)In: Nurse Educator, ISSN 0363-3624, E-ISSN 1538-9855, Vol. 48, no 5, p. e141-e146Article in journal (Refereed) Published
Abstract [en]

Background: International collaborative programs and student active learning are encouraged; yet, little is known about them.

Purpose: To compare nursing students' self-rated nurse professional competence (NPC) and general self-efficacy between those enrolled in an international collaborative program, which focused on student active learning, and those enrolled in a traditional lecture-based program at the end of graduation and 1 year later.

Methods: This prospective comparative study distributed a questionnaire to 137 nursing students enrolled in the 2 bachelor-level programs at a university in southeastern China.

Results: At the end of graduation, students enrolled in the international collaborative program reported higher scores for NPC factors, medical and technical care and general self-efficacy, than those enrolled in the traditional lecture-based program. One year later, they reported higher scores for total NPC, value-based nursing care, medical and technical care, care pedagogics, documentation and administration of nursing care, and general self-efficacy than others.

Conclusion: This study found that the nursing students enrolled in the international collaborative program reported higher self-rated competence.

Place, publisher, year, edition, pages
Wolters Kluwer, 2023
National Category
Health Sciences
Research subject
Health-Promoting Work, Inkluderande arbetsliv
Identifiers
urn:nbn:se:hig:diva-41161 (URN)10.1097/nne.0000000000001391 (DOI)001054219300001 ()36916984 (PubMedID)2-s2.0-85168782248 (Scopus ID)
Available from: 2023-03-19 Created: 2023-03-19 Last updated: 2023-12-06Bibliographically approved
Projects
Arbetsmiljö och hälsa bland personal i äldreomsorgen: en modell för validering och lärande med stöd av IKT hos personal som saknar formell kompetens [100062]; University of GävleÄldreomsorgens vårdare och ledare; samspelet mellan strukturella förutsättningar, chef- ledarskap, arbetssituation och personalens hälsa [110043]; University of GävleThe Intervention CAN-Work-S: Facilitating Work Participation among Cancer Survivors During their Entire Professional Career [2021-01546_Forte]; University of Gävle
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-9912-5350

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