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  • 1. Bergström, Eva
    et al.
    Dahlberg, Lena
    Dalarnas forskningsråd.
    Edkvist, Ingela
    Dalarnas forskningsråd.
    Anhörigvårdares vardag: En kunskapsöversikt kring äldres anhöriga2002Report (Other academic)
    Abstract [sv]

    Denna rapport ger en översiktlig presentation av forskningen kring anhörigas insatser och behov av stöd. Dessutom presenteras de stödformer som erbjuds från kommuner och frivilligorganisationer. Därefter redovisas två studier av hur anhöriga upplever olika former av stöd. I den ena studien intervjuas några anhöriga i Vansbro kommun. I den andra studien intervjuas några anhöriga vars närstående deltar i verksamheten vid Gagnefs kommuns centrum för anhörigstöd. De anhöriga delar med sig av sina erfarenheter av olika stödformer och beskriver också vilket stöd de saknar.

  • 2.
    Björn, Catrine
    et al.
    Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University.
    Rissén, Dag
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Wadensten, Barbro
    Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University.
    Josephson, Malin
    Department of Occupational and Environmental Medicine, Uppsala University.
    Goal-setting documents did not facilitate nurses’ work at an operating department – a descriptive qualitative study2014In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800Article in journal (Refereed)
    Abstract [en]

    Both effectiveness and good care is demanded of nurses in a complex environment. The aim of the study was to describe how nurse managers and nurses interpret and are guided by stated goals in their health-care organisation, their own influence over work and obstacles to carry out work in an operating department. A qualitative study, consisting of interviews with nurse managers and nurses, and a description of goal documents and the workplace, were conducted in an operating department in Sweden. The interviews were analysed with manifest content analysis. Work was guided by daily goals for the nurses: to meet the operating schedule and to ensure good-quality patient care. The organisational goals were little known and used. The nurse managers and nurses had limited influence over their work, changes in assignments and in the operating schedule, and unsuitable environmental premises created obstacles in their work. If organisational goals are to guide work there is a need for nurse managers to transform them into understandable, applicable goals and incorporate them into nurses’ daily work. Letting the nurses influence the operating schedule could be one way to overcome obstacles in work. The study also highlights the importance of a functional physical work environment.

  • 3.
    Edkvist, Ingela
    Dalarnas forskningsråd.
    Anhörig 300 i Dalarna: hur gick det?2002Report (Other academic)
  • 4.
    Edkvist, Ingela
    Socialstyrelsen.
    Mellan anhörigskap och släktskap: anhöriga till personer med psykiska funktionshinder berättar2001Report (Other academic)
  • 5.
    Edkvist, Ingela
    Dalarnas forskningsråd.
    Stöd till äldres anhöriga från kommuner och frivilligorganisationer: En kartläggning i Dalarna2000Report (Other academic)
  • 6.
    Edkvist, Ingela
    et al.
    Dalarnas forskningsråd.
    Dahlberg, Lena
    Dalarnas Forskinngsråd.
    "Så säger man inte till doktorn!": Patienters och anhörigas möte med landstinget2003In: Expansion och omprövning: Fyrtio år med Landstinget Dalarna / [ed] Isakcson, Maths; Nilsson, Staffan; Götlind, Anna & Borgert, Leif, Falun: Landstinget Dalarna , 2003, p. 91-106Chapter in book (Other (popular science, discussion, etc.))
  • 7.
    Eriksson, Elin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Häglund, Magnus
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Organisatoriska orsaker till vårdtagares missnöje med vården2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    The health care system is an complex structure with many different actors and professions, who are subject to different management and different conditions. Within this organisation, many situations may arise that can cause dissatisfaction among care recipients.

     

    Aim

    To describe organisational factors in healthcare that cause dissatisfaction with carers, as well as to describe the selection processes for the selected articles' sample groups.

     

    Design

    Literature review based on twelve articles, both quantitative and qualitative, from 2007-2017.

     

    Main results

    The main problem area for patients was accessibility. Waiting times of various kinds were common: waiting to get an appointment, long time in the waiting room, waiting for treatment, and more. Specific to primary care were difficulties in getting appointments at all, and perceptions in patients that primary care could not help them with their problems. Dissatisfaction with the physical care environment was mentioned mainly in the form of understaffing and unavailability of hospital beds, but there were also other complaints related to the physical environment. Lack of coordination between different actors cause discontent in some patients, for instance due to poor continuity of care.

     

    Conclusions

    There are a number of reasons for care recipients’ dissatisfaction that have their foundation in the health care organization. Focusing on the patient's emotions, the nurse can help the patient in developing and improving the handling of the problematic situation and the feelings that arise. This is facilitated by the nurse having knowledge of how the organisation is structured, and understanding of its complexity. This knowledge and understanding is also a good prerequisite for organisational improvement.

  • 8.
    Eriksson, Eva
    et al.
    University of Gävle, Department of Education and Psychology.
    Nilsson, Therese
    University of Gävle, Department of Education and Psychology.
    Attitydundersökning bland vårdtagare i Gävleborgs län angående en integrativ hälsomottaging2009Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
  • 9.
    Hagerman, Heidi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Institutionen för folkhälso- och vårdvetenskap, Uppsala universitet.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Institutionen för folkhälso- och vårdvetenskap, Uppsala universitet.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Institutionen för folkhälso- och vårdvetenskap, Uppsala universitet.
    Wadensten, Barbro
    Institutionen för folkhälso- och vårdvetenskap, Uppsala universitet.
    Manliga första-linjenschefers upplevelser av sin arbetssituation i äldreomsorgen – med utgångspunkt i empowerment2018In: FALF KONFERENS 2018 Arbetet – problem eller potential för en hållbar livsmiljö?   10-12 juni 2018 Gävle: Program och Abstracts, 2018, p. 143-Conference paper (Other academic)
    Abstract [en]

    Bakgrund

    Den svenska äldreomsorgen blir allt mer ansträngande att arbeta inom. Stora organisa-toriska förändringar har lett till att arbetet upplevs som oroligt och stressfullt. Den administrativa rollen har ökat och första-linjens chefers möjligheter att delta i det dagliga arbetet har minskat. För att klara av de allt högre krav som ställs är det viktigt att cheferna känner att de har goda strukturella förutsättningar (empowerment), handlingsutrymme och känner att de har kontroll över sitt arbete.

    Syfte

    Att beskriva manliga första-linjens chefers upplevelser av sin arbetssituation i äldreomsorgen.

    Metod

    Semi-strukturerade intervjuer gjordes med fjorton manliga första-linjens chefer i äldreomsorgen i Sverige från hösten 2010 till våren 2011. Intervjuguiden var inspirerad av teorier om empowerment. Tolv chefer arbetade inom kommunal äldreomsorg och två chefer inom privat äldreomsorg. Deltagarna valdes utifrån ett ändamålsenligt urval med förhoppningen om att ge en variation i sina skildringar. De hade arbetat som chefer mellan 0.5-35 år. Intervjuerna varade mellan 1-2.5 timmar och materialet analyserades med kvalitativ innehållsanalys. Två teman och fem subteman skapades.

    Resultat

    Det första temat handlade om när organisatoriska krav var i balans med chefernas upplevda chefsansvar och strukturella förutsättningar. Där beskrevs upplevelserna av att vara ensam men inte utelämnad, att ha frihet inom givna ramar samt en känsla av tillfredsställelse och stimulans i arbetet. Det andra temat handlade om när organisatoriska krav var i obalans med chefernas upplevda chefsansvar och strukturella förutsättningar. Detta tema beskrev chefernas känsla av frustration och en känsla av uppgivenhet. Sammantaget upplevde de manliga första-linjens cheferna att arbetssituationen var både utmanande, komplex och föränderlig. Cheferna behövde bättre tillgång till strukturella förutsättningar, speciellt i form av resurser, stöd och information. Utmaningarna sågs dock som en ständig drivkraft för cheferna. De beskrev att deras arbete var ”mödan värt” även om de ibland upplevde arbetssituationen som negativ. Slutsatsen i studien var att cheferna upplevde sitt arbete som en positiv utmaning även om de beskrev brister i sitt stöd.

  • 10.
    Hagerman, Heidi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Högberg, Hans
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Skytt, Bernice
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Wadensten, Barbro
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Nursing Department, Medicine and Health College, Lishui University, Lishui, China.
    Empowerment and performance of managers and subordinates in elderly care: a longitudinal and multilevel study2017In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 25, no 8, p. 647-656Article in journal (Refereed)
    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.

  • 11.
    Högberg, Jim
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Jakobsson, Matilda
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskor med symtom på psykisk utmattning och deras upplevelser av sin vardag på arbetsplatsen: En beskrivande litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Psykisk ohälsa är ett av de folkhälsoproblem som ökar mest i Sverige. En särskilt drabbad arbetsgrupp har visat sig vara vård- och omsorgspersonal. Stress kan leda till utmattningssyndrom som bidrar till långtidssjukskrivningar. Maslach Burnout Inventory är ett vedertaget mätinstrument som används för att skatta upplevelse av utmattning i tre dimensioner. Syftet med föreliggande litteraturstudie var att beskriva hur sjuksköterskor med symtom på psykisk utmattning upplever sin vardag på arbetsplatsen.

    Föreliggande studie är en beskrivande litteraturstudie vars resultat vilar på tio vetenskapliga artiklar med kvantitativ ansats. Underlaget inhämtades via databassökningar i Pubmed och Cinahl.

    Resultatet visade att sjuksköterskor upplever måttliga till höga nivåer av psykisk utmattning på arbetsplatsen. Viktiga faktorer visade sig vara ålder och erfarenhet samt arbetsplatsens omständigheter. Erfarenheten hade positiv inverkan på utmattningsnivåerna, där sjuksköterskor med högre utbildning skattade lägre enligt MBI. Stöd från ledningen och organisationen samt en funktionell arbetsmiljö påverkade upplevelserna positivt.

    En slutsats är att flertal sjuksköterskor världen över upplever psykisk utmattning. Detta är anmärkningsvärt då vetskap om denna problematik funnits i över tre decennier. Sjuksköterskeprofessionens hälsa bör komma i första rummet ur ett samhällsperspektiv. Vidare  forskning bör förslagsvis bedrivas i Sverige, för att säkerställa att en god vårdkvalité upprätthålls.

     

    Nyckelord: Utmattningssyndrom, Sjuksköterska, Upplevelse, MBI.

  • 12.
    Johansson, Malin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies.
    Karlsson, Rosie
    University of Gävle, Faculty of Health and Occupational Studies.
    Behandling av övervikt och fetma2010Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Obesity and overweight are growing public health problems in Sweden, which is why the authors find it interesting to investigate which methods of treatment that are used. This descriptive study opens with a review of previous studies and definitions of relevant concepts. Thereafter, the focus question is treated qualitatively through semi structured interviews with six persons: two patients suffering from obesity, a doctor, a dietician, a student nurse and a diabetics nurse. On the basis of the interviews it is concluded that methods of treatment used in Sweden to fight obesity and overweight include cognitive therapy, surgery and medication. It appears that cognitive therapy is the most common, that surgery – in both the short and the long run – is the most effective and that medication is used with caution due to the risk of severe side effects. However, a majority of the interviewed report that they in several cases combine the three methods of treatment; for example, surgery is often both preceeded and followed by cognitive therapy. The study at hand closes with suggestions on ways in which consecutive studies could investigate how the most commonly used method of treatment, cognitive therapy, could be optimized and/or supplemented. The authors propose the hypothesis that cognitive therapy should be executed closely linked to the patient’s behavioural pattern, and suggests a quantitative observational study to test this hypothesis.

  • 13.
    Kaltenbrunner, Monica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bengtsson, Lars
    University of Gävle, Faculty of Engineering and Sustainable Development, Department of Industrial Development, IT and Land Management, Industrial economics. University of Gävle, Center for Logistics and Innovative Production.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Nursing Department, Medicine and Health College, Lishui University, Lishui Shi, China.
    A questionnaire measuring staff perceptions of Lean adoption in healthcare: development and psychometric testing2017In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 17, no 1, article id 235Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:

    During the past decade, the concept of Lean has spread rapidly within the healthcare sector, but there is a lack of instruments that can measure staff's perceptions of Lean adoption. Thus, the aim of the present study was to develop a questionnaire measuring Lean in healthcare, based on Liker's description of Lean, by adapting an existing instrument developed for the service sector.

    METHODS:

    A mixed-method design was used. Initially, items from the service sector instrument were categorized according to Liker's 14 principles describing Lean within four domains: philosophy, processes, people and partners and problem-solving. Items were lacking for three of Liker's principles and were therefore developed de novo. Think-aloud interviews were conducted with 12 healthcare staff from different professions to contextualize and examine the face validity of the questionnaire prototype. Thereafter, the adjusted questionnaire's psychometric properties were assessed on the basis of a cross-sectional survey among 386 staff working in primary care.

    RESULTS:

    The think-aloud interviews led to adjustments in the questionnaire to better suit a healthcare context, and the number of items was reduced. Confirmatory factor analysis of the adjusted questionnaire showed a generally acceptable correspondence with Liker's description of Lean. Internal consistency, measured using Cronbach's alpha, for the factors in Liker's description of Lean was 0.60 for the factor people and partners, and over 0.70 for the three other factors. Test-retest reliability measured by the intra-class correlation coefficient ranged from 0.77 to 0.88 for the four factors.

    CONCLUSIONS:

    We designed a questionnaire capturing staff's perceptions of Lean adoption in healthcare on the basis of Liker's description. This Lean in Healthcare Questionnaire (LiHcQ) showed generally acceptable psychometric properties, which supports its usability for measuring Lean adoption in healthcare. We suggest that further research focus on verifying the usability of LiHcQ in other healthcare settings, and on adjusting the instrument if needed.

  • 14.
    Kaltenbrunner Nykvist, Monica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bengtsson, Lars
    University of Gävle, Faculty of Engineering and Sustainable Development, Department of Industrial Development, IT and Land Management, Industrial economics. University of Gävle, Center for Logistics and Innovative Production.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Towards a Questionnaire to Measure Lean in Health Care2014In: 8th NOVO Symposium, Sustainable health care production systems - Abstract book / [ed] Kasper Edwards och Jørgen Winkel, Lyngby: Danmarks Tekniske Universitet, DTU, 2014, p. 19-20Conference paper (Refereed)
    Abstract [en]

    The rapid spread of Lean implementation within the health care sector has made it urgent to evaluate the effects of Lean on productivity, working conditions and health. Therefor an instrument is needed to measure Lean in primary care. The aim with this research is to find an instrument that captures the character of Lean. A literature search was conducted in Academic Search Elite, WileyOnlineLibrary, PubMed, Cinahl, PsycInfo, JSTOR, ScienceDirect, Emerald and Scopus. Keywords used were reflecting Lean and measurement and the search resulted in 7933 hits. Included were articles that presented an instrument that had the possibilities to distinguish between high or low Lean adoption. Malmbrandt and Åhlstöm´s (2014) instrument fulfilled criteria and was chosen. The original instrument was firstly translated to Swedish. A back translation was made by a bilingual authorized translator. The prototype will be tested among health care professions in Sweden using the think aloud method (TA) with the aim to explore how the participants perceive and interpret the Swedish version (Collins 2003). Immediately afterwards, they will be interviewed about how they interprets specific expressions in the questionnaire. After every round of 5-15 interviews the prototype will be adjusted and when saturation is reached the TA will terminate. After psychometric tests the finalized Swedish version of the instrument is to be used in a longitudinal study to describe status of Lean and how Lean correlate with the health of primary health care staff, there working conditions and productivity over time.

  • 15.
    Kaltenbrunner Nykvist, Monica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.
    Bengtsson, Lars
    University of Gävle, Faculty of Engineering and Sustainable Development, Department of Industrial Management, Industrial Design and Mechanical Engineering, Industrial Management. University of Gävle, Center for Logistics and Innovative Production.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.
    Högberg, Hans
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Staff perception of Lean, care-giving, thriving and exhaustion: a longitudinal study in primary care2019In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963Article in journal (Other academic)
  • 16. Kaminsky, Elenor
    et al.
    Carlsson, Marianne
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Uppsala, Sweden .
    Holmström, Inger K
    Larsson, Jan
    Fredriksson, Mio
    Goals of telephone nursing work - the managers' perspectives: a qualitative study on Swedish Healthcare Direct2014In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 14, p. 188-Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Swedish Healthcare Direct (SHD) receives 6 million calls yearly and aims at increased public sense of security and healthcare efficiency. Little is known about what SHD managers perceive as the primary goals of telephone nursing (TN) work and how the organisation matches goals of health promotion and equitable healthcare, so important in Swedish healthcare legislation. The aim of the study was to explore and describe what the SHD managers perceive as the goals of TN work and how the managers view health promotion and implementation of equitable healthcare with gender as example at SHD.

    METHODS: The study was qualitative using an exploratory and descriptive design. All 23 managers employed at SHD were interviewed and data analysis used deductive directed content analysis.

    RESULTS: The findings reveal four themes describing the goals of TN work as recommended by the SHD managers. These are: 'create feelings of trust', 'achieve patient safety', 'assess, refer and give advice', and 'teach the caller'. Most of the managers stated that health promotion should not be included in the goals, whereas equitable healthcare was viewed as an important issue. Varying suggestions for implementing equitable healthcare were given.

    CONCLUSIONS: The interviewed managers mainly echoed the organisational goals of TN work. The managers' expressed goal of teaching lacked the caller learning components highlighted by telenurses in previous research. The fact that health promotion was not seen as important indicates a need for SHD to clarify its goals as the organisation is part of the Swedish healthcare system, where health promotion should always permeate work. Time used for health promotion and dialogues in a gender equitable manner at SHD is well invested as it will save time elsewhere in the health care system, thereby facing one of the challenges of European health systems.

  • 17.
    Löhman, Marie
    University of Gävle, Department of Caring Sciences and Sociology.
    Inflytande och delaktighet: Del 1 Införande av arbetsrotation på mottagningsenheten vid Bollnäs sjukhus1998Report (Other academic)
  • 18.
    Löhman, Marie
    University of Gävle, Department of Caring Sciences and Sociology.
    Inflytande och delaktighet: Del 2 Utvecklingsarbete vid Södertulls hälsocentral1999Report (Other academic)
  • 19.
    Löhman, Marie
    University of Gävle, Department of Caring Sciences and Sociology.
    USU-projektet: utbildning-samverkan-utveckling. D. 1, Samarbete mellan primärvård och hemtjänst i Ovanåkers kommun2000Report (Other academic)
    Abstract [en]

    The USU-project which stands for development, cooperation and education is a cooperating project including the local medical care centre and the old age care centre in the city of Ovanåker. Great demand for medical and personal care as well as demands to effect economies require new methods of working with elderly and sick people in the future. The thrust is to make it possible for all fellow workers in the field of action to participate in a common process in purpose to analyse the needs of care as well as the needs of development in the future. The project mainly focus on quality, efficiency and pleasure in one's work. An external evaluator was connected to the project in purpose to describe how the staff as well as those in need of professional care experience the field of action today and to which extent they will experience any development connected to the project in the future. This report, which is the first of two, describes what have been done in the project workduring 1999 and how the staff and the patients experience the old age care today. The data have been collected during the period of January to June 1999. Observations and interviews have been done with bosses, other fellow-workers and people in need of professional care. The results show that the staff as well as the patients has a very positive opinion about both the medical and the social care in the city of Ovanåker. The results also shows that there are fields of development which are important to pay attention to in a vision of the future. The fields are for example development of the leadership in the field of social care, development of the competence and responsibility in the teams of social care and further development of the cooperation between the social and the medical care. For instance through meetings for individual care planning, common group meetings and further training.

  • 20.
    Mikaelsson, Lars-Åke
    et al.
    Department of Ecotechnology and Sustainable Building, Mid Sweden University, Östersund, Sweden.
    Larsson, Johan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Integrated planning for sustainable building production: an evolution over three decades2017In: Journal of Civil Engineering and Management, ISSN 1392-3730, E-ISSN 1822-3605, Vol. 23, no 2, p. 319-326Article, review/survey (Refereed)
    Abstract [en]

    This paper reviews the authors'€™ work on Integrated Planning (IP) as a construction site management tool. IP integrates the different planning skills used by site managers, construction workers and craftspersons into an interactive group which manages a production planning process from the earliest stages to the end of a building project. The studies reviewed in this paper, performed over the last three decades, tested, longitudinally evaluated and refined the IP model for use in modern sustainable building sites. The refined model, Integrated Planning for Sustainable Building Production (SBP), includes the factors: leadership, health and safety, quality management and environmental management.

  • 21.
    Priebe, Stefan
    et al.
    Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK .
    Matanov, Alexandra
    Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK .
    Schor, Ruth
    Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK .
    Straßmayr, Christa
    Ludwig Boltzmann Institute for Social Psychiatry, Vienna, Austria.
    Barros, Henrique
    Department of Hygiene and Epidemiology, University of Porto Medical School, Porto, Portugal.
    Barry, Margareth M
    Health Promotion Research Centre, National University of Ireland Galway, Galway, Ireland .
    Díaz-Olalla, José Manuel
    Madrid Salud, Madrid, Spain .
    Gabor, Edina
    National Institute for Health Development, Budapest, Hungary.
    Greacen, Tim
    Laboratoire de recherche, Etablissement Public de Santé Maison Blanche, Paris, France.
    Holcnerová, Petra
    Department of Psychiatry, 1st Faculty of Medicine, Charles University, Prague, Czech Republic .
    Kluge, Ulrike
    Clinic for Psychiatry and Psychotherapy, Charité, University Medicine Berlin, Berlin, Germany.
    Lorant, Vincent
    Institute of Health and Society (IRSS), Université Catholique de Louvain, Bruxelles, Belgium.
    Moskalewicz, Jasec
    Institute of Psychiatry and Neurology, Warsaw, Poland.
    Schene, Aart H
    Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
    Macassa, Gloria
    Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden.
    Gaddini, Andrea
    Laziosanità ASP - Public Health Agency, Lazio Region, Rome, Italy.
    Good practice in mental health care for socially marginalised groups in Europe: a qualitative study of expert views in 14 countries2012In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 12, p. -Article Number: 248Article in journal (Refereed)
    Abstract [en]

    Background: Socially marginalised groups tend to have higher rates of mental disorders than the general population and can be difficult to engage in health care. Providing mental health care for these groups represents a particular challenge, and evidence on good practice is required. This study explored the experiences and views of experts in 14 European countries regarding mental health care for six socially marginalised groups: long-term unemployed; street sex workers; homeless; refugees/asylum seekers; irregular migrants and members of the travelling communities.      

    Methods: Two highly deprived areas were selected in the capital cities of 14 countries, and experts were interviewed for each of the six marginalised groups. Semi-structured interviews with case vignettes were conducted to explore experiences of good practice and analysed using thematic analysis.      

    Results: In a total of 154 interviews, four components of good practice were identified across all six groups: a) establishing outreach programmes to identify and engage with individuals with mental disorders; b) facilitating access to services that provide different aspects of health care, including mental health care, and thus reducing the need for further referrals; c) strengthening the collaboration and co-ordination between different services; and d) disseminating information on services both to marginalised groups and to practitioners in the area.      

    Conclusions: Experts across Europe hold similar views on what constitutes good practice in mental health care for marginalised groups. Care may be improved through better service organisation, coordination and information.      

      

  • 22.
    Rezagholi, Mahmoud
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Differential Socio-Economic Effects of Work Environmental Risk Faktors2016In: Journal of Health & Medical Economics, Vol. 2, no 2, article id 9Article in journal (Refereed)
    Abstract [en]

    Efficient resource allocation in the management of occupational health and safety (OHS) in the workplace requires access to information about the effects of different psychosocial and physical risk factors in the workplace on lost working hours and reduced productivity. The present article aims to help the OHS policy-makers in their decisions on allocating economic and human resources to deal with different environmental risk factors and their socio-economic consequences in the workplace. The socio-economic consequences refer substantially to missed and unproductive working hours due to sickness absences and sickness presenteeism respectively. The methodologies employed to fulfil the purpose of this study included methods to estimate marginal effects of different risk factors on lost working hours and labour productivity. The empirical results of the study showed that the psychosocial and physical dimensions of the work environment of the Swedish company Sandvik Materials Technology had different socio-economic impacts in terms of lost working hours and labour productivity. The psychosocial work environment had the greatest impacts, particularly on reducing work ability and work interest among workers and on work-related disorders among female workers. 

  • 23.
    Söderström, Rebecca
    et al.
    University of Gävle, Faculty of Health and Occupational Studies.
    Örling, Linda
    University of Gävle, Faculty of Health and Occupational Studies.
    Företags syn på hälsofrämjande arbete i arbetslivet: – en kvalitativ studie av fem privata och fem offentliga företag i Gävle2011Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [en]

    The workplace has a direct impact on the physical, psychological, economic and social well-being of the workers. A healthy workplace leads to increased health among the employees which also makes the employees more productive (Källestål, 2004). A poor working environment can have negative consequences for individuals, companies and society (SOU, 2009:47).This is a qualitative study that investigates companies’ view of health promotion and how they practice health promotion in working life. Five private and five public companies, with representatives from the management were interviewed. The result showed that the companies looked at health promotion as means to support and create opportunities for the health of the employees. Ergonomics and work environment were the main drivers linked to health promotion. All companies had efforts for health promotion and the foremost was health care contributions which were offered annually. However, it appeared that few workers took advantage of it. Leadership proved to be very important for a healthy workplace. The companies´ visions for health promotion were that they would be an attractive workplace and that they wanted the employees to feel good at work. This was important because the companies wanted to benefit the business as well as the workers. The result agrees well with the literature, but it was unexpected that the companies would have such a broad view of health and health promotion.

  • 24.
    Söderström, Rebecca
    et al.
    University of Gävle, Faculty of Health and Occupational Studies.
    Örling, Linda
    University of Gävle, Faculty of Health and Occupational Studies.
    Företags syn på hälsofrämjande arbete i arbetslivet: en kvalitativ studie om fem privata och fem offentliga företag i Gävle2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The workplace has a direct impact on the physical, psychological, economic and social well-being of the workers. A healthy workplace leads to increased health among the employees which also makes the employees more productive (Källestål, 2004). A poor working environment can have negative consequences for individuals, companies and society (SOU, 2009:47). This is a qualitative study that investigates companies’ view of health promotion and how they practice health promotion in working life. Five private and five public companies, with representatives from the management were interviewed. The result showed that the companies looked at health promotion as means to support and create opportunities for the health of the employees. Ergonomics and work environment were the main drivers linked to health promotion. All companies had efforts for health promotion and the foremost was health care contributions which were offered annually. However, it appeared that few workers took advantage of it. Leadership proved to be very important for a healthy workplace. The companies´ visions for health promotion were that they would be an attractive workplace and that they wanted the employees to feel good at work. This was important because the companies wanted to benefit the business as well as the workers. The result agrees well with the literature, but it was unexpected that the companies would have such a broad view of health and health promotion.

1 - 24 of 24
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