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Wijk, Katarina
Publications (10 of 27) Show all publications
Halling, B., Lyckström, M. & Wijk, K. (2019). Application of a sense of coherence-based leadership for productivity and health at Scania. International Journal of Human Factors and Ergonomics, 6(2), 179-194
Open this publication in new window or tab >>Application of a sense of coherence-based leadership for productivity and health at Scania
2019 (English)In: International Journal of Human Factors and Ergonomics, ISSN 2045-7804, E-ISSN 2045-7812, Vol. 6, no 2, p. 179-194Article in journal (Refereed) Published
Abstract [en]

The purpose was to explore if sense of coherence (SOC) theory can be used in human factors ergonomics (HFE) practice as a leadership approach to decrease the rate of sick leave and rehabilitation cases and increase work attendance among assembly personnel without impeding productivity. Via three studies carried out at the Swedish truck manufacturer Scania, we investigated the company's key performance indicators and documented meetings with managers during the intervention. The results show that SOC can be used in HFE practice and that productivity, quality and attendance at work increased, while rehabilitation cases decreased. Our conclusion is that a health promotion approach among managers is essential in a lean organisation that aims to reduce waste in the company and optimise human capability and thereby productivity. SOC theory can support the creation of workplaces that are high performing and healthy, starting with concerns for the people creating the output.

Place, publisher, year, edition, pages
InderScience Publishers, 2019
Keywords
leadership; lean; health promotion; productivity; manufacturing; sense of coherence; SOC; Sweden; workplace; job satisfaction; performance; meaningfulness
National Category
Production Engineering, Human Work Science and Ergonomics
Identifiers
urn:nbn:se:hig:diva-30676 (URN)10.1504/IJHFE.2019.102306 (DOI)2-s2.0-8507238726 (Scopus ID)
Available from: 2019-09-23 Created: 2019-09-23 Last updated: 2019-10-10Bibliographically approved
Bergsten, E. L., Wijk, K. & Hallman, D. (2019). Implementing Activity-based Workplaces (ABW) and the importance of participating in process activities. In: : . Paper presented at 10th International Scientific Conference on the Prevention of Work-Related Musculoskeletal Disorders (PREMUS), September 2019, Bologna..
Open this publication in new window or tab >>Implementing Activity-based Workplaces (ABW) and the importance of participating in process activities
2019 (English)Conference paper, Oral presentation only (Refereed)
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-30641 (URN)
Conference
10th International Scientific Conference on the Prevention of Work-Related Musculoskeletal Disorders (PREMUS), September 2019, Bologna.
Available from: 2019-09-10 Created: 2019-09-10 Last updated: 2019-10-04Bibliographically approved
Wijk, K., Åberg Jönsson, F. & Lindberg, M. (2019). Perceived enabling factors and barriers for the implementation of improvements in health care in order to achieve patient-centred care: A case report from Sweden. Paper presented at 2019/09/05. Journal of Evaluation In Clinical Practice
Open this publication in new window or tab >>Perceived enabling factors and barriers for the implementation of improvements in health care in order to achieve patient-centred care: A case report from Sweden
2019 (English)In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753Article in journal (Refereed) Epub ahead of print
Abstract [en]

Abstract Rationale, aim, and objectives More knowledge is needed regarding the complex factors and perceptions that enable the implementation of change in health care. The study aimed to examine the enabling factors and barriers encountered in the implementation of improvements in health care in order to achieve patient-centred care (PCC) and to study if there was a correlation in the extent the improvements were perceived to be implemented and the preconditions that were considered to affect them. Methods Using a mixed method design, data were gathered via a questionnaire and individual interviews with health care personnel, clinic managers, and first-line managers. The data collection and analyses were based on the framework for Promoting Action on Research Implementation in Health Services (PARiHS). Correlations between PCC improvements and preconditions for improvements were performed. Results A high level of involvement, knowledge, and adequate resources were considered important to achieve an implementation of PCC with joint responsibility. Leadership and management need to be explicit and promote continuous follow-up and feedback. Preconditions for improvement had a linear correlation with the perceived level of implementation. Knowledge-related preconditions had greatest impact on implementation. Conclusions The PARiHS framework was appropriate to use since the three components of evidence, context, and facilitation present different important preconditions in the implementation process. Evidence was the highest rated contributor since evidence-based practices in health care are necessary. It is vital that the important role of the context and facilitators is acknowledged in the implementation process to enable a successful implementation of change. There is a need to incorporate a clear strategy involving all levels in the organization. Furthermore, leaders play an important role in the implementation by facilitating communication and support and by having trust in facilitators and health care personnel. The results are applicable to other interventions implementing change in health care.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
health care, implementation, improvements, PARiHS, patient-centred care
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-30629 (URN)10.1111/jep.13272 (DOI)31475435 (PubMedID)2-s2.0-85071485440 (Scopus ID)
Conference
2019/09/05
Note

Funding: Region Gävleborg

Available from: 2019-09-05 Created: 2019-09-05 Last updated: 2019-10-04Bibliographically approved
Wijk, K., Åberg Jönsson, F. & Lindberg, M. (2019). Perceived enabling factors and barriers for the implementation of improvements in health care in order to achieve patient‐centred care: A case report from Sweden. Journal of Evaluation In Clinical Practice
Open this publication in new window or tab >>Perceived enabling factors and barriers for the implementation of improvements in health care in order to achieve patient‐centred care: A case report from Sweden
2019 (English)In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753Article in journal (Refereed) Epub ahead of print
Abstract [en]

Rationale, aim, and objectives

More knowledge is needed regarding the complex factors and perceptions that enable the implementation of change in health care. The study aimed to examine the enabling factors and barriers encountered in the implementation of improvements in health care in order to achieve patient‐centred care (PCC) and to study if there was a correlation in the extent the improvements were perceived to be implemented and the preconditions that were considered to affect them.

Methods

Using a mixed method design, data were gathered via a questionnaire and individual interviews with health care personnel, clinic managers, and first‐line managers. The data collection and analyses were based on the framework for Promoting Action on Research Implementation in Health Services (PARiHS). Correlations between PCC improvements and preconditions for improvements were performed.

Results

A high level of involvement, knowledge, and adequate resources were considered important to achieve an implementation of PCC with joint responsibility. Leadership and management need to be explicit and promote continuous follow‐up and feedback. Preconditions for improvement had a linear correlation with the perceived level of implementation. Knowledge‐related preconditions had greatest impact on implementation.

Conclusions

The PARiHS framework was appropriate to use since the three components of evidence, context, and facilitation present different important preconditions in the implementation process. Evidence was the highest rated contributor since evidence‐based practices in health care are necessary. It is vital that the important role of the context and facilitators is acknowledged in the implementation process to enable a successful implementation of change. There is a need to incorporate a clear strategy involving all levels in the organization. Furthermore, leaders play an important role in the implementation by facilitating communication and support and by having trust in facilitators and health care personnel. The results are applicable to other interventions implementing change in health care.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-30762 (URN)10.1111/jep.13272 (DOI)000484718900001 ()
Note

Funding: Region Gävleborg

Available from: 2019-10-09 Created: 2019-10-09 Last updated: 2019-10-09Bibliographically approved
Halling, B., Bergman, M. & Wijk, K. (2018). Intervention för ökad produktivitet och minskad sjukskrivning vid ett svenskt stålföretag. In: Lindberg, Per (Ed.), FALF KONFERENS 2018 Arbetet – problem eller potential för en hållbar livsmiljö?   10-12 juni 2018 Gävle: Program och abstracts. Paper presented at FALF 2018 konferens 'Arbetet - problem eller potential för en hållbar livsmiljö?', 10-12 juni 2018, Gävle (pp. 49). Gävle: Gävle University Press
Open this publication in new window or tab >>Intervention för ökad produktivitet och minskad sjukskrivning vid ett svenskt stålföretag
2018 (Swedish)In: FALF KONFERENS 2018 Arbetet – problem eller potential för en hållbar livsmiljö?   10-12 juni 2018 Gävle: Program och abstracts / [ed] Lindberg, Per, Gävle: Gävle University Press , 2018, p. 49-Conference paper, Oral presentation with published abstract (Refereed)
Abstract [sv]

Bakgrund

Vid Fagersta stainless produktionsenhet för dragen tråd vidareförädlas rostfri valsad tråd till dragen tråd som sedan kan användas för tillverkning av olika produkter. Vid produk-tionsenhet för dragen tråd hade de under en längre tid haft lönsamhetsproblem och hög sjukfrånvaro och företagets ledning ansåg att något måste göras för att ändra detta. En ny produktionschef och tre produktionsledare anställdes med uppdraget att vända den negativa situationen. Beslut togs om en intervention som påbörjades år 2015.

Interventionen

Samtlig personal vid produktionsenheten (n=46, inkluderande en produktionschef, tre produktions-ledare samt operatörer) genomgick utbildning under våren 2015 vid Human Lean Center, Högskolan i Gävle. Utbildningen bestod av en teoretisk och en praktisk del. Utbildningens teoretiska del handlade om hälsa och hälsofrämjande samt Lean filosofi. Utbildningens praktiska del innebar att montera trampbilar vid taktad monteringslina med hjälp av Lean metoder och ett hälsofrämjande perspektiv utgående från att arbete skall vara meningsfullt, begripligt och hanterbart. Kunskapen från utbildningen omsattes sedan vid Fagersta stainless produktionsenhet för dragen tråd genom att fyra förändringar gen-omfördes. 1. Skapa möjlighet för arbetsledarna att tillbringa tid på produktionsgolvet för att stödja produktionspersonalen. 2. Introduktion av ”whiteboardmöten” för information vid början av alla skift. 3. Byggandet av gemensam lunchplats. 4. Standardiserat arbets-sätt vid avvikelser.

Metod

Resultatet av interventionen mättes av Fagersta stainless med företagets system för upp-följning av produktivitet mätt i producerat ton stål per arbetare och sjukskrivningar mätta i procent av förlorad arbetstid i förhållande till möjlig arbetstid. Mätningar gjordes för år 2014, året före interventionen och för åren 2015-2017.

Resultat

Resultatet efter interventionen visar att Produktivitet per arbetare ökade för åren 2015-2017. År 2014 som var året före interventionen var produktiviteten per arbetare 158,3 ton. År 2015 ökade den med 24,9%, 2016 ökade produktiviteten per arbetare med 3,6% och för 2017 var ökningen 11,4%. Under samma tid åren 2015-2017 som produktiviteten ökade så minskade sjukskrivningar. 2014 året före interventionen uppgick sjukskriv-ningarna till 15% av total möjlig tid för arbete (100%). År 2015 sjönk sjukskrivningarna till 7% och 2016 sjönk de till 3% för att 2017 sjunka ytterligare till 2,5%.

Slutsats

Genom att kombinera hälsofrämjande teorier och Lean filosofi som delar i en utbildning med teoretiska och praktiska moment kan en kunskapsgrund läggas för en kontext-anpassad intervention som kan resultera i ökad produktivitet per arbetare samtidigt som sjukskrivningar kan minska. Verksamheter som vill öka produktivitet och samtidigt minska sjukskrivningar bör överväga att kombinera Lean filosofi med hälsofrämjande teori som strategi.

Place, publisher, year, edition, pages
Gävle: Gävle University Press, 2018
National Category
Occupational Health and Environmental Health Other Social Sciences
Identifiers
urn:nbn:se:hig:diva-28855 (URN)978-91-88145-28-4 (ISBN)
Conference
FALF 2018 konferens 'Arbetet - problem eller potential för en hållbar livsmiljö?', 10-12 juni 2018, Gävle
Available from: 2018-12-17 Created: 2018-12-17 Last updated: 2018-12-17Bibliographically approved
Hiswåls, A.-S., Ghilagaber, G., Wijk, K., Öberg, P., Soares, J. & Macassa, G. (2015). Employment status and suicidal ideation during economic recession. Health Science Journal, 9(1), Article ID 13.
Open this publication in new window or tab >>Employment status and suicidal ideation during economic recession
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2015 (English)In: Health Science Journal, ISSN 1791-809X, Vol. 9, no 1, article id 13Article in journal (Refereed) Published
Abstract [en]

Objective: Suicide is a public health problem and an important indicator of severe mental ill-health. Thus, identifying risk factors for suicidal ideation is a public health priority. The aim of this study was to examine the relationship between employment status and suicidal ideation in Gävleborg County. Method: The study used data from the 2010 Health in Equal Terms survey, a cross-sectional survey carried out in Gävleborg County in Sweden. A total of 4,245 individuals, aged 16–65 years were included in the analyses. Descriptive and logistic regression analyses were carried out to assess the relationship between employment status and suicidal ideation Results: Individuals outside the labour market had odds of suicidal ideation of 4.21 (CI 3.14-5.64) compared to their employed counterparts. Controlling for other covariates, reduced the risk from 4.21(CI 3.14-5.64) in model I, to 1.73 (CI 1.16- 2.57) in model IV, but remained statistically significant. In addition, other variables were associated with suicidal ideation. Conclusion: There was a statistically significant association between being out of work and suicidal ideation. The association was explained partly by demographic, socio-economic and self-reported psychological variables. Results of the study suggest the need for primary prevention strategies among those out of the labour market, especially during times of economic hardship.

Keywords
Employment status; Health inequalities; Suicidal ideation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hig:diva-18964 (URN)2-s2.0-84926348708 (Scopus ID)
Available from: 2015-02-03 Created: 2015-02-10 Last updated: 2018-12-03Bibliographically approved
Hiswåls, A.-S., Ghilagaber, G., Walander, A., Wijk, K., Öberg, P., Soares, J. & Macassa, G. (2014). Employment Status and Inequalities in Self-Reported Health. Epidemiology, Biostatistics and Public Health, 11(4), 1-11
Open this publication in new window or tab >>Employment Status and Inequalities in Self-Reported Health
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2014 (English)In: Epidemiology, Biostatistics and Public Health, ISSN 2282-2305, E-ISSN 2282-0930, Vol. 11, no 4, p. 1-11Article in journal (Refereed) Published
Abstract [en]

Background: The aim of this study was to investigate the impact of employment status on self-reported health in gävleborg county.

Methods: The study used data from the 2010 health in equal terms survey, a cross-sectional survey carried out in gävleborg county in sweden. a total of 4,245 individuals, aged 16–65 years were included in the analyses. descriptive and logistic regression analyses were used to assess the relationship between employment status and self-reported health

Results: Individuals outside the labour market had odds of poor health of 2.64 (cl 2.28–3.05) compared to their employed counterparts. controlling for other covariates reduced the risk slightly to 2.10 (1.69-2.60), but remained statistically significant. In addition, other variables were associated with self-reported poor health.

Conclusions: This study found a statistically significant association between being outside the labour market and poor self-reported health. The relation was explained partially by socio-economic and demographic variables. More studies, in particular longitudinal, are needed to further investigate the observed relationships. Policy-makers within the gävleborg county need to pay attention to the health status of those out of work, especially during times of combined economic and labour market fluctuations.

Results of the study suggest the need to pay attention to the health status of those outside the labour market, especially during times of economic hardship.

National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-17472 (URN)10.2427/10006 (DOI)2-s2.0-84919763977 (Scopus ID)
Available from: 2014-09-07 Created: 2014-09-08 Last updated: 2018-12-03Bibliographically approved
Hiswåls, A.-S., Ghilagaber, G., Wijk, K., Öberg, P., Soares, J. & Macassa, G. (2014). Inequalities and Suicide Ideation during Recession Times. Paper presented at The 7th European Public Health Conference (EUPHA), Glasgow November 19-22 2014. European Journal of Public Health, 24(Suppl. 2), 361
Open this publication in new window or tab >>Inequalities and Suicide Ideation during Recession Times
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2014 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 24, no Suppl. 2, p. 361-Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background

Suicide behaviour is a serious public health problem as it imposes economic and human costs to individuals, families and communities. Available evidence from some European countries indicates a significant rise in suicides related to economic recession. However, the debate continues regarding the role of unemployment in the reported suicide rates. In Sweden, very few studies have investigated the relationship between suicide behaviours and employment status in the context of the recent economic crisis although unemployment increased nationally and across different counties.

The aim of this study was to examine the relationship between employment status and suicide ideation in Gävleborg, Sweden.

Methods

The study used data from a cross-sectional survey, Health in Equal terms, carried out in Gävleborg County in Sweden, 2010. A total of 4245 individuals, aged 16–65 years were included in the analysis. The relationship between employment status and suicide ideation was assessed using descriptive and logistic regression analyses.

Results

People who were not working had odds of suicide ideation of 4.21 (95% Cl 3.14–5.64) as compared to those employed. Controlling for other covariates reduced the risk to 1.73 (95% CI 1.16-2.57) but remained statistically significant. In addition variables like anxiety, self-reported stress and young age were also associated with suicide ideation. However among the covariates, people who reported anxiety had the highest odds of suicide ideation.

Conclusions

This study found a statistically significant association between being out of work and suicide ideation. The association was largely explained by self-reported stress, anxiety, socioeconomic and demographic variables.

Policy-makers within the County need to pay attention to the health status of those out of work, especially during times of combined economic and labour market fluctuations.

Key messages

  • Suicide ideation was more common among people out of labor force in Gävleborg County, Sweden.

  • Further studies are needed to investigate suicide ideation among unemployed persons during times of economic and labor market insecurity.

National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-17925 (URN)10.1093/eurpub/cku166.155 (DOI)
Conference
The 7th European Public Health Conference (EUPHA), Glasgow November 19-22 2014
Available from: 2014-11-10 Created: 2014-11-10 Last updated: 2018-12-03Bibliographically approved
Halling, B. & Wijk, K. (2013). Experienced Barriers to Lean in Swedish Manufacturing and Health Care. International Journal of Lean Thinking, 4(2)
Open this publication in new window or tab >>Experienced Barriers to Lean in Swedish Manufacturing and Health Care
2013 (English)In: International Journal of Lean Thinking, ISSN 2146-0337, Vol. 4, no 2Article in journal (Refereed) Published
Abstract [en]

A B S T R A C T  

Purpose: The purpose is to compare similarities and divergences in how the concepts of Lean and barriers to Lean are described by key informants at a production unit in a large manufacturing company and two emergency health care units in Sweden.

Design/methodology/approach: Data was collected via semi-structured interviews and analyzed with the constant comparative method (CCM) and Porras and Robertson’s

(1992) change model.

Findings: In both organizations, the view of Lean changed from a toolbox to a human behavior view. Eight barriers were experienced in both organizations. Three barriers

were unique to manufacturing or to health care, respectively. Nine barriers were elements of social factors;five were elements of organizing arrangements.

Research limitations/implications: Only people practically involved and responsible for the implementation at the two organizations participated in the study.

Practical implications: Persons responsible for implementing Lean should consider organizational arrangements and social factors in order to limit barriers to

successful implementation.

Originality/value: Most research on Lean has been about successful Lean implementations. This study focuses on how Lean is viewed and what barriers personnel in

manufacturing and health care have experienced. In comparing the barriers to Lean experienced in the two groups, common, archetypical, and unique barriers for manufacturing and health care can be identified, thus contributing to knowledge about barriers to Lean implementation.

National Category
Engineering and Technology
Identifiers
urn:nbn:se:hig:diva-16117 (URN)
Available from: 2014-01-21 Created: 2014-01-21 Last updated: 2018-12-03Bibliographically approved
Nordlöf, H., Wijk, K. & Lindberg, P. (2012). A comparison of managers’ and safety delegates’ perceptions of work environment priorities in the manufacturing industry. Human Factors and Ergonomics in Manufacturing, 22(3), 235-247
Open this publication in new window or tab >>A comparison of managers’ and safety delegates’ perceptions of work environment priorities in the manufacturing industry
2012 (English)In: Human Factors and Ergonomics in Manufacturing, ISSN 1090-8471, E-ISSN 1520-6564, Vol. 22, no 3, p. 235-247Article in journal (Refereed) Published
Abstract [en]

This study investigated the attention and priority accorded to factors of work environment within manufacturing companies, as perceived by managers and safety delegates at small- and medium-sized enterprises. Representatives from 142 Swedish manufacturing companies answered a 43-item questionnaire covering seven areas of the work environment and a priority-ranking question of company interests. Respondents (n = 249) rated the present situation and the situation one year earlier, using a visual analogue scale. The findings showed that both managers and safety delegates ranked profitability as the main company interest. Respondents rated the priorities of the work environment currently as higher than one year earlier (p = <0.05). Managers rated the priorities of the work environment higher than did the safety delegates (p = <0.05). We conclude that the two professional roles, managers and safety delegates, differ in their perceptions as of to which extent different work environment factors are being attended to.

Keywords
Occupational health and safety (OHS), Workplace, Small- and medium-sized enterprises (SMEs), Profitability, Professional roles
National Category
Social Sciences Work Sciences Production Engineering, Human Work Science and Ergonomics
Identifiers
urn:nbn:se:hig:diva-7701 (URN)10.1002/hfm.20263 (DOI)000303194700005 ()2-s2.0-84860676039 (Scopus ID)
Projects
Ergopriset
Available from: 2010-10-05 Created: 2010-10-05 Last updated: 2018-03-13Bibliographically approved
Organisations

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