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  • 1.
    Bergsten, Eva L.
    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.
    Wijk, Katarina
    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. Centre for Research and Development, Region Gävleborg/Uppsala University .
    Hallman, David
    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.
    Implementation of Activity-Based Workplaces (ABW)—The Importance of Participation in Process Activities2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 21, article id 14338Article in journal (Refereed)
    Abstract [en]

    Relocation to new office solutions such as activity-based workplaces (ABW) has increased but satisfaction with the ABW among employees varies, and the importance of participation in the relocation process is unclear. This study aimed to examine the association between employees’ extent of participation in the implementation process activities and satisfaction with the relocation to ABW. Data were collected from 699 employees in a Swedish governmental agency 3-months prior to, 3-months and 9-months after relocation to the ABW. Questionnaires were used to assess participation in process activities and perceived satisfaction with knowledge about working in ABW, office rules, and information and support during the process. Participation in activities was significantly associated with higher overall satisfaction with knowledge, office rules, information and support, and effects were generally more pronounced as the number of attended activities increased. Satisfaction also increased among non-participants, although without reaching the same levels as participants. Our results show the importance to offer and facilitate a high participation in the relocation process activities to obtain satisfaction with a relocation to ABW.

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  • 2.
    Bergsten, Eva L.
    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.
    Wijk, Katarina
    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.
    Hallman, David
    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.
    Implementing Activity-based Workplaces (ABW) and the importance of participating in process activities2019Conference paper (Refereed)
  • 3.
    Bergsten, Eva L.
    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.
    Wijk, Katarina
    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. Centre for Research and Development, Region Gavleborg/Uppsala University; Uppsala University.
    Hallman, David
    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.
    Relocation to activity-based workplaces (ABW) – importance of the implementation process2021In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, article id 11456Article in journal (Refereed)
    Abstract [en]

    Activity-based workplaces (ABW) have been implemented in many organizations to offer office flexibility and decrease facility costs. Evaluations of the ABW implementation process are rare. The study aimed to examine the ABW relocation process of two offices in a Swedish governmental agency and to explore factors that influence the implementation process and satisfaction with it. Qualitative or quantitative data were collected on process variables (context, recruitment, reach, dose delivered, dose received, satisfaction), barriers and facilitators to the process were explored in focus group interviews, and immediate outcomes (perceived knowledge, understanding office rules, satisfying information and support) were measured by questionnaire before and after the relocation. The evaluation showed that recruitment was unsatisfactory and reach insufficient—and participation in activities was thus low for both offices. However, intended changes improved. Unclear aims of ABW, lack of manager support and, lack of communication were some of the reported barriers to participation, while a well-planned process, work groups, and program activities were facilitators. Thus, to increase satisfaction with the relocation, our results suggest that recruitment should be thoroughly planned, taking these factors into account to increase participation. This knowledge may be useful for planning and designing successful ABW relocations and evaluations.

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  • 4.
    Bergsten, Eva L.
    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.
    Wijk, Katarina
    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. Centre for Research and Development, Region Gävleborg/Uppsala University.
    Hallman, David
    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.
    The important process when relocating to activity-based workplaces2022Conference paper (Refereed)
  • 5.
    Bergsten, Eva L.
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Wijk, Katarina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Healthy work - healthy business? A survey of work environment improvements and profitability among small and medium enterprises2010Conference paper (Refereed)
    Abstract [en]

    The aim was to investigate how Swedish small and medium enterprises (SMEs) within the manufacturing industry carry out work environment improvements, and to study if managers consider profitability to be associated with issues in the work environment. Workplace observations and interviews (n=60) with company managers were carried out. Forty-five enterprises were affiliated with an occupational health service, typically in order to get quick access to health care, rather than getting help planning and implementing changes. Fifty-eight managers believed that healthy work environments would have at least some positive effect on company profitability. Incentives for work environment improvements were external, individual and organizational and varied between companies of different sizes. External requirements from The Swedish Work Environment Authority and from established or potential customers were prioritized incentives in SMEs with < 50 employees. Organizational and individual incentives such as incident- and accident reports, productivity, health and sick-leave were prioritized in SMEs with >50 employees. Irrespective of company size, well-being among work-force was consistently mentioned as an important factor for successful business. Small companies urged quick decisions and actions while medium companies had more planned, systematic and organized work environment activities. Deliberate work environment improvements for increased profitability were for instance, changes to eliminate risks, reduce manual work and resolve planning and coordination problems in production that led to stress.

  • 6.
    Björklund, Martin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Djupsjöbacka, Mats
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Wijk, Katarina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Sundelin, Gunnevi
    Institutionen för samhällsmedicin och rehabilitering.
    Gellerstedt, Sten
    LO.
    Minska värken: Åtgärder mot värk i nacke och rygg2010Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Denna skrift vänder sig till dig som har ständig värk i rygg eller nacke, eller som vid flera tillfällen haft en diffus smärta i rygg eller nacke. Här kan du läsa om vilka åtgärder forskare rekommenderar och vad du själv kan göra för att minska värken. Forskningen om vilka åtgärder som hjälper har gjort framsteg och även för dig som haft långvarig värk finns det goda möjligheter att minska smärtan.

  • 7.
    Gill, Peter Edward
    et al.
    University of Gävle, Department of Education and Psychology, Ämnesavdelningen för pedagogik.
    Wijk, Katarina
    University of Gävle, Department of Education and Psychology, Ämnesavdelningen för pedagogik.
    Case study of a healthy eating intervention for Swedish lorry drivers2004In: Health Education Research, ISSN 0268-1153, E-ISSN 1465-3648, Vol. 19, no 3, p. 306-315Article in journal (Refereed)
  • 8.
    Gupta, Sandra Löfving
    et al.
    Uppsala University, Region Gävleborg.
    Wijk, Katarina
    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. Uppsala University; Centre for Research and Development, Region Gävleborg/Uppsala University.
    Warner, Georgina
    Uppsala University.
    Sarkadi, Anna
    Uppsala University.
    Readiness of allied professionals to join the mental health workforce: a qualitative evaluation of trained lay trauma counsellors’ experiences when refugee youth disclose suicidal ideation2021In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 4, article id 1486Article in journal (Refereed)
    Abstract [en]

    The recent refugee crisis presented a huge challenge for the Swedish mental health workforce. Hence, innovative mental health workforce solutions were needed. Unaccompanied refugee minors (URM) are a particularly vulnerable refugee group. Teaching Recovery Techniques (TRT) was introduced as a community-based intervention utilising trained lay counsellors in a stepped model of care for refugee youth experiencing trauma symptoms. Professionals (e.g., teachers, social workers) can deliver the Cognitive Behavioural Therapy-based intervention after a brief training. A point of debate in this workforce solution is the readiness of trained lay counsellors to deal with potentially demanding situations like disclosure of suicidal ideation. This study aimed to explore the TRT trained lay counsellors’ experiences of procedures upon URM’s disclosure of suicidal ideation. Individual semi-structured interviews with TRT trained lay counsellors were conducted, then analysed using systemic text condensation. The analysis revealed four themes: “Importance of safety structures”, “Collaboration is key”, “Let sleeping dogs lie” and “Going the extra mile”. Dealing with suicidal ideation is challenging and feelings of helplessness occur. Adding adequate supervision and specific training on suicidal ideation using role play is recommended. Collaboration between agencies and key stakeholders is essential when targeting refugee mental health in a stepped care model.

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  • 9.
    Halling, Bengt
    et al.
    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. Ergonomi, KTH .
    Bergman, Mikael
    Fagersta Stainless.
    Wijk, Katarina
    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.
    Intervention för ökad produktivitet och minskad sjukskrivning vid ett svenskt stålföretag2018In: 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 (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.

  • 10.
    Halling, Bengt
    et al.
    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. KTH.
    Bergman, Mikael
    Outokumpu, Sweden.
    Wijk, Katarina
    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. Region Gävleborg; Uppsala University.
    Sense of coherence and lean-based leadership and alterations in sick leave and productivity at a steel wire manufacturing unit2021In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 68, no 4, p. 1211-1220Article in journal (Refereed)
    Abstract [en]

    Managers have an important role in the creation of workplace conditions that prevent sick leave and lead to high performance. In Lean, the assumption is that people are the source for continuous improvements. There is a need for more knowledge about what kind of leadership can help managers in a lean context to create workplace conditions for less sick leave and higher performance.The purpose of this study was to examine how productivity and rate of sick leave changed at a stainless wire manufacturing unit after implementing a new leadership approach based on Sense of Coherence theory (SOC) and lean philosophy.In this case study, interventions coupled with productivity, quality and sick leave evaluations through the company’s key performance indicators were performed. The follow-up was also based on narrative descriptions from the management team in the course of four meetings during the intervention. Notes were taken and analyzed regarding perceived outcomes of the intervention.The results showed that leadership based on SOC and lean philosophy is positively correlated with productivity per worker, as was the amount of yearly production that met the quality specifications. The amount of sick leave decreased during the period of the intervention compared to before the intervention.Changes in management contribute to productivity. Combining Lean tools and Lean philosophy with the Sense of coherence theory (SOC) as a base for leadership can influence productivity and decrease the rate of sick leave. 

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  • 11.
    Halling, Bengt
    et al.
    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. Division of Ergonomics, Royal Institute of Technology, KTH.
    Lyckström, Martin
    Scania CV AB, Södertälje, Sweden.
    Wijk, Katarina
    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. Centre for Research and Development, Region Gävleborg, Gävle, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Application of a sense of coherence-based leadership for productivity and health at Scania2019In: International Journal of Human Factors and Ergonomics, ISSN 2045-7804, E-ISSN 2045-7812, Vol. 6, no 2, p. 179-194Article in journal (Refereed)
    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.

  • 12.
    Halling, Bengt
    et al.
    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. Royal Institute of Technology, Stockholm, Sweden.
    Wijk, Katarina
    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. Department of Public Health Medicine, County Council of Gävleborg, Gävle, Sweden; County Council of Gävleborg, Sweden; Faculty of Educational Science, Uppsala University, Sweden.
    Experienced Barriers to Lean in Swedish Manufacturing and Health Care2013In: International Journal of Lean Thinking, ISSN 2146-0337, Vol. 4, no 2Article in journal (Refereed)
    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.

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  • 13.
    Hallman, David
    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.
    Bergsten, Eva L.
    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.
    Wijk, Katarina
    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.
    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.
    Övergången till aktivitetsbaserade kontor på Trafikverket - Processen och resultatet: En rapport framtagen av Högskolan i Gävle, Avdelningen för arbetshälshälsovetenskap och psykologi2020Report (Other academic)
  • 14.
    Hiswåls, Anne-Sofie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science. Mittuniversitetet, Avdelningen för hälsovetenskap.
    Ghilagaber, Gebrenegus
    Avdelningen för statistikvetenskap, Stockholms Universitet, Department of Statistics, University of Stockholm.
    Walander, Anders
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science. Center for Epidemiology and Community Medicine, Stockholm County Council, Stockholm Sweden.
    Wijk, Katarina
    Samhällsmedicin, Landstinget Gävleborg, Community Medicine, County Council of Gävleborg.
    Öberg, Peter
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Soares, Joaquim
    Mittuniversitetet, Avdelningen för hälsovetenskap, Mid Sweden University, Department of Health Science.
    Macassa, Gloria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science. Mittuniversitetet, Avdelningen för hälsovetenskap.
    Employment Status and Inequalities in Self-Reported Health2014In: Epidemiology, Biostatistics and Public Health, ISSN 2282-2305, E-ISSN 2282-0930, Vol. 11, no 4, p. 1-11Article in journal (Refereed)
    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.

  • 15.
    Hiswåls, Anne-Sofie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science. Mittuniversitetet, Avdelningen för hälsovetenskap.
    Ghilagaber, Gebrenegus
    Stockholms universitet, Statistiska institutionen.
    Wijk, Katarina
    Öberg, Peter
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Soares, Joaquim
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Macassa, Gloria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science. Mittuniversitetet, Institutionen för hälsovetenskap; Karolinska Institutet.
    Employment status and suicidal ideation during economic recession2015In: Health Science Journal, ISSN 1791-809X, Vol. 9, no 1, article id 13Article in journal (Refereed)
    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.

  • 16.
    Hiswåls, Anne-Sofie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science. Mittuniversitetet, Avdelningen för hälsovetenskap.
    Ghilagaber, Gebrenegus
    Avdelningen för statistik, Stockholms universitet, Department of statistics, Stockholm University.
    Wijk, Katarina
    Samhällsmedicin, Landstinget Gävleborg, Community Medicine,Gävleborg County Council .
    Öberg, Peter
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Soares, Joaquim
    Mittuniversitetet, Avdelningen för hälsovetenskap, Mid Sweden University, Department of Health Science .
    Macassa, Gloria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science. Mittuniversitetet, Avdelningen för hälsovetenskap, Mid Sweden University, Department of Health Science .
    Inequalities and Suicide Ideation during Recession Times2014In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 24, no Suppl. 2, p. 361-Article in journal (Other academic)
    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.

  • 17.
    Johansson, Nina
    et al.
    Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Sarkadi, Anna
    Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Feldman, Inna
    Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Price, Anna M. H.
    Centre for Community Child Health, Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, VIC, Australia.
    Goldfeld, Sharon
    Centre for Community Child Health, Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, VIC, Australia.
    Salonen, Tapio
    Department of Social Work, Malmö University, Malmö, Sweden.
    Wijk, Katarina
    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. Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Centre for Research and Development, Uppsala University, Gävle, Region Gävleborg, Sweden.
    Isaksson, David
    Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Uppsala, Sweden.
    Kolic, Emir
    Konsument Gästrikland Budget and Debt Counselling Service, Gävle, Sweden.
    Stenquist, Sara
    Konsument Gästrikland Budget and Debt Counselling Service, Gävle, Sweden.
    Elg, Maria
    Sandviken Municipality, Sandviken, Sweden.
    Lönn, Ewa
    Sandviken Municipality, Sandviken, Sweden.
    Wennelin, Josefine
    Gävle Municipality, Gävle, Sweden.
    Lindström, Linda
    Helsingborg Municipality, Helsingborg, Sweden.
    Medina, Mirelle
    Public Contributor, Sandviken, Sweden.
    Åberg, Sofie
    Public Contributor, Sandviken, Sweden.
    Viklund, Jessica
    Public Contributor, Sandviken, Sweden.
    Warner, Georgina
    Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Ameliorating Child poverty through Connecting Economic Services with child health Services (ACCESS): study protocol for a randomised controlled trial of the healthier wealthier families model in Sweden2022In: BMC Public Health, E-ISSN 1471-2458, Vol. 22, no 1, article id 2181Article in journal (Refereed)
    Abstract [en]

    Background: Sweden is often held up as an example of a country with low child deprivation; yet, rates of relative deprivation are rising. Every municipality in Sweden is required to provide free, timely and accessible budget and debt counselling under the Social Services Act. The services have been encouraged to perform preventative practice with families; however, this has not been realised. The Healthier Wealthier Families (HWF) model embeds universal screening for economic hardship into child health services and creates a referral pathway to economic support services. Given the universal child health system in Sweden, which is freely available and has excellent coverage of the child population, implementation of the HWF model has potential to support families to access the freely available municipal budget and debt counselling and ultimately improve rates of child deprivation in Sweden.

    Methods/design: We will conduct a two-arm randomised waitlist-control superiority trial to examine the effectiveness and cost-effectiveness of the HWF model in the Sweden. A longitudinal follow-up with the cohort will explore whether any effects are maintained in the longer-term.

    Discussion: HWF is a collaborative and sustainable model that could maximise the effectiveness of current services to address child deprivation in Sweden. The study outlined in this protocol is the first effectiveness evaluation of the HWF model in Sweden and is a crucial step before HWF can be recommended for national implementation within the child health services.

    Trial registration: Clinicaltrials.gov; NCT05511961. Prospectively registered on 23 August 2022. https://clinicaltrials.gov/ct2/show/NCT05511961.

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  • 18.
    Karlsson, Thomas
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Nordlöf, Hasse
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Wijk, Katarina
    Samhällsmedicin Gävleborg, Landstinget i Gävleborg.
    Företagsledares uppfattningar om arbetsmiljöprioritering och dess samband med framgång2012In: Makt, Myter och Motstridigheter: Utmaningar i dagens arbetsliv, Karlstad: Karlstad Universitet , 2012, p. 19-19Conference paper (Refereed)
    Abstract [en]

    The management and prioritization of the work environment is crucial to the achievement of any potential benefits resulting from a good work environment. Managers from successful, micro- or small-sized companies responded to a questionnaire in which they rated the prioritization of seven work environment areas and to what extent they perceived that a relationship exists between a good work environment and corporate success. The results showed that Communication & Interaction was perceived as the highest prioritized area and that the mangers perceived a relationship between a good work environment and corporate success.

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    FALF2012_Thomas Karlsson
  • 19.
    Karlsson, Thomas
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Nordlöf, Hasse
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Wijk, Katarina
    Samhällsmedicin Gävleborg, Landstinget i Gävleborg.
    Manager perceptions of work environment prioritization and its relation to success2012In: Proceedings NES2012: Ergonomics for sustainability and growth / [ed] Ann-Beth Antonsson, Göran M Hägg, Stockholm, Sweden: KTH Royal Institute of Technology, School of Technology and Health, Division of Ergonomics , 2012Conference paper (Refereed)
    Abstract [en]

    The management and prioritization of the work environment is crucial to the achievement of any potential benefits resulting from a good work environment. Managers from successful, micro- or small-sized companies responded to a questionnaire in which they rated the prioritization of seven work environment areas, ranked six company interests, and rated to what extent they perceived that a relationship exists between a good work environment and corporate success. The results showed that Communication & Interaction was perceived as the highest prioritized area, that Profitability was the highest ranked company interest, and that the mangers perceived a relationship between a good work environment and corporate success.

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    NES2012_Thomas Karlsson
  • 20.
    Karlsson, Thomas
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Wijk, Katarina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Bänziger, Tanja
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    A description of work environment management in succesful companies2011In: Wellbeing and Innovations Through Ergonomics: Proceedings of NES2011, September 18-21, 2011, Oulu, Finland / [ed] Juha Lindfors, Merja Savolainen & Seppo Väyrynen, Nordic Ergonomics Society , 2011, p. 460-465Conference paper (Refereed)
    Abstract [en]

    A good work environment can support companies' competitiveness, but many managers mostly associate ergonomics with occupational health and safety. In the process of managing the work environment and creating a good working environment, company managers have a central role. This article investigated managers' own descriptions of the work environment management (WEM). The study group consisted of successful companies (n=142) in a county of Sweden. The managers' descriptions were categorised into nine categories. The most frequently described category was “PhysicalFactors at work”, followed by “Manuals and Standardisation”, and “EmployeeInvolvement and Interaction”.

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    NES2011_Full Paper_181_Karlsson
  • 21.
    Lindberg, Maria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Uppsala universitet.
    Skytt, Bernice
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Uppsala universitet.
    Lindberg, Magnus
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Wijk, Katarina
    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. Uppsala universitet.
    Strömberg, Annika
    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.
    A complex challenge with unclear improvement: the need for involvement, contextualization and facilitation when managers implement a leadership model2023In: Leadership in Health Services, ISSN 1751-1879, E-ISSN 1751-1887, Vol. 36, no 2, p. 236-246Article in journal (Refereed)
    Abstract [en]

    Purpose

    Management and leadership in health care are described as complex and challenging, and the span of control is known to be a key component in the manager’s job demands. The implementation of change can be a challenge in health care, and managers often have roles as implementation leaders. Little attention has been given to how managers perceive the process of implementation. Thus, this study aims to explore second-line managers’ perceptions of, prerequisites for and experiences from the implementation of changes in their manager’s work conditions.

    Design/methodology/approach

    A grounded theory–based qualitative design was used. Data were collected from a purposive sample of nine second-line managers by individual semi-structured interviews. The three stages of initial coding, focus codes and axial coding were used in data analysis.

    Findings

    Three thematic areas were identified: engagement, facilitation and achievement. The second-line managers’ descriptions suggest that the change work entails a complex challenge with an unclear result. Involvement, consideration for the context and facilitation are needed to be able to conduct a cohesive implementation process.

    Originality/value

    This study findings outline that to succeed when implementing change in complex organizations, it is crucial that managers at different levels are involved in the entire process, and that there are prerequisites established for the facilitation and achievement of goals during the planning, implementation and follow-up.

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  • 22.
    Lindberg, Maria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Centre for Research and Development, Region Gavleborg/Uppsala University; .
    Sving, Eva
    Centre for Research and Development, Region Gavleborg/Uppsala University.
    Wijk, Katarina
    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. Centre for Research and Development, Region Gavleborg/Uppsala University.
    Kartläggning av patientsäkerhets engagemang, baslinjemätning som grund för planering av intervention på arbetsplats med syfte att ge hälso- och sjukvårdsanställda förutsättningar försäkrare vård2019Conference paper (Other academic)
  • 23.
    Macassa, Gloria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Public Health and Sport Science, Public Health Science. EPI Unit—Instituto de Saúde Pública, Universidade do Porto, Portugal; Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto, Portugal .
    McGrath, Cormac
    Department of Education, Stockholm University, Stockholm, Sweden.
    Wijk, Katarina
    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. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Rashid, Mamunur
    University of Gävle, Faculty of Health and Occupational Studies, Department of Public Health and Sport Science, Public Health Science.
    Hiswåls, Anne-Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Public Health and Sport Science, Public Health Science.
    Soares, Joaquim
    Department of Health Sciences, Mid-Sweden University, Sundsvall, Sweden; Department of Psychology, Universidade Europeia, 1500-210 Lisbon, Portugal.
    The association between fear of crime, educational attainment, and health2023In: Epidemiologia, E-ISSN 2673-3986, Vol. 4, no 2, p. 148-162Article in journal (Refereed)
    Abstract [en]

    Fear of crime is an important public health problem that impacts people’s quality oflife, health, and wellbeing, and causes mental health ailments (e.g., anxiety). This study aimed todetermine whether there was an association between fear of crime, educational attainment, andself-rated health and anxiety among women residing in a county in east-central Sweden. A sample(n = 3002) of women aged 18–84 years surveyed in the Health on Equal Terms survey carried outin 2018 was included in the study. Bivariate and multivariate regression analysis was performedon the relationship between the composite variables fear of crime, educational attainment, andself-rated health and anxiety. Women with primary education or similar who reported fear of crimehad increased odds of poor health (odds ratio (OR) 3.17; 95% confidence interval (CI) 2.40–4.18)compared with women with primary education/similar and no fear of crime (OR 2.90; CI 1.90–3.20).A statistically significant relationship persisted in the multivariate analysis after controlling forother covariates, although the odds were reduced (OR 1.70; CI 1.14–2.53 and 1.73; CI 1.21–2.48,respectively). Similarly, in the bivariate analysis, women who reported fear of crime and whoonly had primary education had statistically significant odds of anxiety (OR 2.12; CI 1.64–2.74); thesignificance was removed, and the odds were reduced (OR 1.30; CI 0.93–1.82) after adjusting fordemographic, socioeconomic, and health-related covariates. Women with only primary educationor similar who reported fear of crime had higher odds of poor health and anxiety compared withthose with university education or similar, with and without fear of crime. Future studies (includinglongitudinal ones) are warranted—on the one hand, to understand possible mechanisms of therelationship between educational attainment and fear of crime and its consequences to health, and onthe other, to explore low-educated women’s own perceptions regarding factors underlining their fearof crime (qualitative studies).

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  • 24.
    Macassa, Gloria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Public Health and Sport Science, Public Health Science. EPIUnit–Instituto de Saude Publica, Universidade do Porto, Rua das Taipas 135, 4050-600 Porto, Portugal;Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Rua das Taipas 135, 4050-600 Porto, Portugal.
    Wijk, Katarina
    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. Centre for Research and Development, Uppsala University, Region Gävleborg, 80187 Gävle, Sweden; Department of Public Health and Caring Sciences, Uppsala University, 75123 Uppsala, Sweden.
    Rashid, Mamunur
    University of Gävle, Faculty of Health and Occupational Studies, Department of Public Health and Sport Science, Public Health Science.
    Hiswåls, Anne-Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Public Health and Sport Science, Public Health Science.
    Daca, Chanvo
    Department of Cooperation, Ministry of Health, Directorate of Planning and Cooperation, Avenida Eduardo Mondlane, Maputo P.O. Box 264, Mozambique.
    Soares, Joaquim
    Department of Health Sciences, Mid-Sweden University, Holmgatan 10, 85170 Sundsvall, Sweden;Department of Psychology, Universidade Europeia, Estrada da Correia nº53, 1500-210 Lisbon, Portugal.
    Interpersonal violence is associated with self-reported stress, anxiety and depression among men in east-central Sweden: Results of a population-based survey2023In: Medicina, ISSN 1010-660X, E-ISSN 1648-9144, Vol. 59, no 2, article id 235Article in journal (Refereed)
    Abstract [en]

    Background and Objectives: Interpersonal violence is a social and public health problem globally, and though it is related to poor health outcomes across all genders, most research has been directed towards violence against women. As a result, the health consequences of men’s victimization may be underreported and unaddressed. The purpose of this study was to assess the relationship between interpersonal violence and the psychological health outcomes of self-reported stress, anxiety, and depression among men. Materials and Methods: The study used data from the male sample (n = 2597) of the 2018 Health on Equal Terms Survey conducted in Gävleborg County in East-Central Sweden. Regression analysis was carried out to study the relationship between interpersonal violence and self-reported stress, anxiety, and depression. Results: The bivariate analysis showed that there was a statistically significant association between interpersonal violence and self-reported stress (OR 2.35; CI 1.45–3.81), anxiety (OR 1.54; CI 1.06–2.25), and depression (OR 2.30; CI 1.48–3.57). Controlling for other variables in the multivariate analysis removed the statistically significant relationship and reduced the odds ratios for stress (OR 1.46; CI 0.57–3.74), anxiety (OR 0.86; 0.40–1.84), and depression (OR 1.40; CI 0.67–3.32) respectively. Conclusions: The study found that interpersonal violence among men was associated with stress, anxiety and depression which was largely explained by demographic, socioeconomic, and health/behavior-related factors. The findings suggest the need for longitudinal studies to assess causal links between male victimization and psychological health outcomes at the county level.

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  • 25.
    Macassa, Gloria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science. Epidemiology Unit-ISPUP, University of Porto, Portugal.
    Winersjö, Rocio
    Swedish Board of Health and Social Welfare, Sweden.
    Wijk, Katarina
    Department of Research, Gävleborg Region, Sweden.
    MacGrath, Cormac
    LIME, Karolinska Institute, Sweden.
    Ahmadi, Nader
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Soares, Joaquim
    Department of Public Health, Mid-Sweden University, Sweden.
    Fear of crime and its relationships to self-reported health and stress among men2017In: Journal of Public Health Research, ISSN 2279-9028, E-ISSN 2279-9036, Vol. 6, no 3, p. 169-174, article id 1010Article in journal (Refereed)
    Abstract [en]

    Background: Fear of crime is a growing social and public health problem globally, including in developed countries such as Sweden. This study investigated the impact of fear of crime on self-reported health and stress among men living in Gävleborg County.Design and Methods: The study used data collected from 2993 men through a cross sectional survey in the 2014 Health in Equal Terms survey. Descriptive and logistic regression analyses were carried out to study the relationship between fear of crime and self-reported health and stress. Results: There was a statistically significant association between fear of crime and self-reported poor health and stress among men residing in Gävleborg County. In the bivariate analysis, men who reported fear of crime had odds of 1.98 (CI 1.47- 2.66) and 2.23 (CI 1.45-3.41) respectively. Adjusting for demographic, social and economic variables in the multivariate analysis only reduced the odds ratio for self-reported poor health to 1.52 (CI 1.05-2.21) but not for self-reported stress with odds of 2.22 (1.27-3.86). Conclusions: Fear of crime among men was statistically significantly associated with self-reported poor health and stress in Gävleborg County. However, the statistically significant relationship remained even after accounting for demographic, social and economic factors, which warrants further research to better understand the role played by other variables.

  • 26.
    Nordlöf, Hasse
    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.
    Wiitavaara, Birgitta
    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.
    Winblad, Ulrika
    Institutionen för folkhälso- och vårdvetenskap, Uppsala universitet.
    Wijk, Katarina
    Samhällsmedicin, Landstinget Gävleborg. Institutionen för pedagogik, didaktik och utbildningsstudier, Uppsala universitet.
    Westerling, Ragnar
    Institutionen för folkhälso- och vårdvetenskap, Uppsala universitet.
    A description of reasons for risk-taking at a large steel manufacturing company2013In: Ergonomics for equality: Nordic Ergonomics Society (NES), Reykjavík, Iceland, 11-14 august 2013, 2013Conference paper (Refereed)
    Abstract [en]

    Introduction: Risk-taking in an industrial work environment is a serious matter since it involves the risk for bodily injuries and in worst case death. The aim of this study was to investigate reasons for risk-taking at a large steel manufacturing company in Sweden which employs about 1000 people.

    Methods: Ten focus group interviews were conducted, each consisting of about 6–8 workers. The situation of safety at work was discussed in a semi-structured manner, letting the employees themselves explain the reasons behind risk-taking. The interviews were analyzed with qualitative content analysis.

    Results: Reasons for risk-taking were formed into the following six aspects: 1.Being new-at-work. 2.Being tired. 3.Being nonchalant to the safety risks. 4.Working on routine and being “blind-to-flaws”. 5.Too little staff to do the job. 6.To stress, hurry, and work faster in order to save time. Conclusion: One’s state-of-the-day and external work environment circumstances affects risk-taking.

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  • 27.
    Nordlöf, Hasse
    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.
    Wiitavaara, Birgitta
    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.
    Winblad, Ulrika
    Institutionen för folkhälso- och vårdvetenskap, Uppsala universitet.
    Wijk, Katarina
    Samhällsmedicin, Landstinget Gävleborg. Institutionen för pedagogik, didaktik och utbildningsstudier, Uppsala universitet.
    Westerling, Ragnar
    Institutionen för folkhälso- och vårdvetenskap, Uppsala universitet.
    En beskrivning av anledningar till risktagande vid ett stort stålindustriföretag2013Conference paper (Other academic)
    Abstract [sv]

    Introduktion: Risktagande i en industriell arbetsmiljö är allvarligt eftersom det involverar risk för kroppsskada eller i värsta fall död. Syftet med föreliggande studie var att undersöka anledningar till risktagande, beskrivna av arbetare. Studien genomfördes i samarbete med ett stort svenskt stålindustriföretag med cirka 1000 anställda på den berörda orten.

    Metod: Studien hade en kvalitativ och beskrivande studiedesign. Datainsamlingen bestod av tio fokusgruppintervjuer med ca 6–8 arbetare per grupp och deltagarna var anställda i produktionen. Deltagarna rekryterades från samtliga av företagets fem huvudavdelningar för att få ett urval med maximal variation, och det slumpades fram vilka skiftlag som tillfrågades att delta. Intervjuerna hade en längd av 75 minuter och spelades in digitalt med en diktafon. Säkerhet på arbetet diskuterades på ett semi-strukturerat sätt, genom att låta arbetarna själva berätta och förklara anledningar till risktagande. Under intervjuerna lades betoningen på följdfrågor där deltagarna ombads att utveckla sina svar och använda egna exempel. Därutöver samlades bakgrundsdata in om deltagarna genom att de fyllde i ett kort frågeformulär. Intervjuerna transkriberades ordagrant och analyserades med kvalitativ innehållsanalys.

    Resultat: Anledningar till risktagande formades till följande sex aspekter: 1.Att vara ny på jobbet. 2.Att vara trött. 3.Att vara nonchalant inför riskerna. 4.Att arbeta på rutin och vara ”hemmablind”. 5.Att det finns för lite personal för att göra jobbet. 6.Att stressa, skynda sig och arbeta fortare för att spara tid. Ett incitament för anställda att riskera sin egen säkerhet kan till exempel vara att inte använda de avsedda verktygen för att snabbt få igång produktionen igen om ett stopp inträffar. Arbetarna upplevde att ledningen inte vill att produktionen ska gå långsamt, vilket dock användandet av rätt verktyg kan medföra. De upplevde också att ledningen inte vill att tillfälliga personalreduceringar skall påverka produktionstakten. Slutsats: Dels individens dagsform och dels yttre omständigheter i arbetsmiljön påverkar risktagandet.

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  • 28.
    Nordlöf, Hasse
    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.
    Wiitavaara, Birgitta
    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.
    Winblad, Ulrika
    Institutionen för folkhälso- och vårdvetenskap, Uppsala universitet.
    Wijk, Katarina
    Samhällsmedicin, Landstinget Gävleborg; Institutionen för pedagogik, didaktik och utbildningsstudier, Uppsala universitet.
    Westerling, Ragnar
    Institutionen för folkhälso- och vårdvetenskap, Uppsala universitet.
    Safety culture and reasons for risk-taking at a large steel-manufacturing company: Investigating the worker perspective2015In: Safety Science, ISSN 0925-7535, E-ISSN 1879-1042, Vol. 73, p. 126-135Article in journal (Refereed)
    Abstract [en]

    Workers in the steel-manufacturing industry face many safety risks due to the nature of the job. How well safety procedures and regulations are followed within an organization is considered to be influenced by the reigning culture of the organization. The aim of this study was to investigate and describe safety culture and risk-taking at a large steel-manufacturing company in Sweden by exploring workers’ experiences and perceptions of safety and risks. Ten focus group interviews were conducted with a total of 66 workers. In the interviews, the situation of safety at work was discussed in a semi-structured manner. The material was analyzed inductively using qualitative content analysis. The analysis resulted in a thorough description of safety culture and risk-taking at the company, based on the following five main categories: 1. Acceptance of risks, one simply has to accept the safety risks of the work environment, 2. Individual responsibility for safety, the responsibility for safe procedures rests to the largest extent on the individual, 3. Trade-off between productivity and safety, these are conflicting entities, wanting to produce as well as wanting to work safely, 4. Importance of communication, it is needed for safety actions to be effective, and 5. State-of-the-day and external conditions, an interplay between these factors affect risk-taking. In sociotechnical systems theory it is acknowledged that there are interactions between social and technical factors in organizations. The findings of this study are interpreted to be in line with a sociotechnical understanding of safety culture and risk-taking.

  • 29.
    Nordlöf, Hasse
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Wijk, Katarina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Do small- and medium-sized enterprises differ in their work environment priorities?2011In: Wellbeing and innovations through ergonomics: Nordic Ergonomics Society (NES), Oulu, Finland, 18-21 september 2011, Nordic Ergonomics Society , 2011, p. 1-6Conference paper (Refereed)
    Abstract [en]

    Companies differ to what extent they attend to their work environments, despite that every employer is obliged to follow the national legislations on occupational, health and safety (OHS). Earlier evidence suggests that small and larger companies significantly differ in quality in how they handle their OHS activities. This study used questionnaire data from 106 small- and medium-sized companies. The findings were contrary to what could be expected, since no significant differences between company sizes were found. It is important to consider if it is factual or perceptual differences that’s being compared when examining companies’ work environment management.

  • 30.
    Nordlöf, Hasse
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Wijk, Katarina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Uppfattningar om prioritering av arbetsmiljön i små och medelstora tillverkande företag2010In: Arbetsliv i förändring: Forum för arbetslivsforskning (FALF), Malmö, 19-21 maj 2010, 2010Conference paper (Other academic)
    Abstract [sv]

    Bakgrund: Inom forskningen råder det konsensus om att det finns signifikanta skillnader mellan hur små företag och större sköter om arbetet med arbetshälsa och säkerhet (Champoux & Brun, 2003; Lin & Mills, 2001; Hinze, 1988; Wilson, 200; Holmes, 1999). Ålder och kön anses vara karaktäristika som påverkar attityder kring miljö och miljöarbete (McKevier & Gadenne, 2005). Denna studie undersöker små och medelstora företags uppfattningar om hur arbetsmiljön prioriteras, enligt vad tillfrågade på företagen anser. Hur lika/olika är små och medelstora företag vid jämförelse, och spelar åldersgrupper eller kön hos respondenterna in i hur företagens prioritering av arbetsmiljön uppfattas?

    Metod: Företag med 10-49 anställda definieras som små företag, och 50-249 anställda som medelstora företag. Samtliga företag i dessa storleksgrupper, i ett län i Mellansverige, sysslandes med tillverkning, tillfrågades att besvara en enkät med 42 frågor om arbetsmiljön, där graden av prioritering av arbetsmiljön uppskattades på en skala (VAS, visual analogue scale). Två representanter per företag tillfrågades, företagsledare och skyddsombud, svarsfrekvensen var 60%, med 184 små företag och 63 medelstora. Svaren analyserades med det icke-parametriska testet Kruskal-Wallis i grupper om företagsstorlek, respondenternas ålder samt kön.

    Preliminära resultat: Resultaten visade att uppfattningarna kring prioritering av arbetsmiljön var övervägande lika då företagsstorlek jämfördes, i 5 av 42 frågor skiljde sig små och medelstora företag åt (p-värde <0.05, kruskall-wallis). Beträffande uppfattningarna bland åldersgrupperna (<35, 36-50, 51<) skiljde sig den äldsta åldersgruppen mot de andra två, i 12 av 42 frågor (p-värde <0.05, kruskall-wallis). I vidare analyser visade det sig också att uppfattningarna i åldergrupperna 36-50 och 51< i små företag skiljde sig åt mot motsvarande åldersgrupper i medelstora företag, i 8 av 42 frågor för åldersgruppen 36-50 i små företag, och 12 av 42 frågor för åldersgruppen 51< i små företag (p-värde <0.05, kruskall-wallis). Inga skillnader i uppfattningar mellan könen påträffades.

    Sammantaget visar det sig att inom små företag skiljer det sig mellan åldersgrupper i uppfattningar om prioritering av arbetsmiljön, där de yngsta (>35) inte uppfattar någon fråga högre prioriterad än någon av de två äldre åldersgrupperna, de medelålders (36-50) uppfattar hög prioritering på några områden som kan sammanfattas med orden – samspel och kommunikation, och de äldsta (50<) uppfattar hög prioritering på några områden som kan sammanfattas med orden – rutiner, kommunikation och förebyggande.

  • 31.
    Nordlöf, Hasse
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Wijk, Katarina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Lindberg, Per
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    A comparison of managers’ and safety delegates’ perceptions of work environment priorities in the manufacturing industry2012In: Human Factors and Ergonomics in Manufacturing, ISSN 1090-8471, E-ISSN 1520-6564, Vol. 22, no 3, p. 235-247Article in journal (Refereed)
    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.

  • 32.
    Nordlöf, Hasse
    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.
    Wijk, Katarina
    Samhällsmedicin, Landstinget Gävleborg; Institutionen för pedagogik, didaktik och utbildningsstudier, Uppsala universitet.
    Westergren, Karl-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.
    Perceptions of work environment priorities: Are there any differences by company size? — An ecological study2015In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 52, no 3, p. 697-706Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Earlier studies suggest that the quality of handling occupational health and safety (OHS) activities differs between companies of different sizes. Company size is a proxy variable for other variables affecting OHS performance.

    OBJECTIVE: The objective of this study was to investigate if there is an association between company size and perceptions of work environment prioritizations.

    METHODS: Data from 106 small- and medium-sized Swedish manufacturing companies was collected. One manager and one safety delegate at each company rated different aspects of their companies' work environment prioritizations with a 43-item questionnaire. Ratings were aggregated to a summary statistic for each company before analysis.

    RESULTS: No significant differences in perceptions of priority were found to be associated with company sizes. This is in contrast to earlier studies of objective differences. The respondents in small companies, however, showed significantly greater consensus in their ratings.

    CONCLUSIONS: Company size does not appear to be associated with perceptions of work environment prioritizations. Company size is an important proxy variable to study in order to understand what factors enable and obstruct safe and healthy workplaces. The work presented here should be viewed as an initial exploration to serve as direction for future academic work.

  • 33.
    Wijk, Katarina
    University of Gävle, Department of Education and Psychology, Ämnesavdelningen för pedagogik.
    Constructing Risk-Taking Youth: Extrapolating Theories of Health Education and Constructed Determinants of Risk-Taking among Youth in Preventive Sexual Health Education Interventions2002Licentiate thesis, monograph (Other academic)
  • 34.
    Wijk, Katarina
    University of Gävle, Department of Education and Psychology, Ämnesavdelningen för pedagogik.
    Planning and Implementing Health Interventions -: Extrapolating Theories of Health Education and Constructed Determinants of Risk-Taking2003Doctoral thesis, monograph (Other scientific)
  • 35.
    Wijk, Katarina
    University of Gävle, Centre for Musculoskeletal Research.
    Work values among male and female students2009In: Proceedings of the 17th World Congress on Ergonomics, 2009Conference paper (Refereed)
  • 36.
    Wijk, Katarina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Work values among Swedish male and female students2011Report (Other academic)
    Abstract [en]

    The aim was to provide an overview of the different values that make for an ideal work situation for people currently studying at different educational levels in Sweden, and between males and females (n=190). A questionnaire measuring eight Index of work values were used. Results show that social relations was the index having the highest mean rating for both males and females, followed by work and health, and working conditions. Significant difference between genders could be seen in the Index social relations, work and health, working conditions, and altruism. The single question that received the highest mean score was; to have a fair and understanding boss. The results can contribute to an understanding of how to design workplaces that attract young people and, thus, optimize well-being.

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  • 37.
    Wijk, Katarina
    et al.
    Centre for Research and Development, Region Gavleborg/Uppsala University, Gävle, Sweden.
    Bergsten, Eva L.
    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.
    Hallman, David
    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.
    Perceptions of facilitating factors and barriers when implementing activity based workplaces before and after implementation, with particularly regard to Sense of Coherence2019Conference paper (Refereed)
  • 38.
    Wijk, Katarina
    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. Centre for Research and Development, Region Gavleborg/Uppsala University; Uppsala University.
    Bergsten, Eva L.
    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.
    Hallman, David
    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.
    Sense of coherence, health, well-being, and work satisfaction before and after implementing activity-based workplaces2020In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 14, article id 5250Article in journal (Refereed)
    Abstract [en]

    Activity-based workplaces (ABWs) are implemented with possible implications for health, well-being, and work satisfaction in the workplace. Drawing on the theoretical framework, i.e., sense of coherence (SOC), the aim was to investigate how indicators pf SOC&mdash;meaningfulness, manageability and comprehensibility&mdash;are associated with, or function as barriers or facilitators for, health, well-being and work satisfaction during relocation to an ABW. We followed the implementation of ABWs at the Swedish Transport Administration (2018&ndash;2019). Questionnaires were administered before (n = 536), 3 months (n = 409) and 9 months (n = 373) after relocation. Focus group interviews (15) were conducted before and after. Data were analyzed using repeated measures ANOVA and content analysis. Relocation to an ABW was associated with a reduced work satisfaction (physical p &lt; 0.001; psychosocial p &lt; 0.001), and minor changes in health and occupational well-being during relocation (p &gt; 0.001). The reduction in work satisfaction was smaller among employees with high meaningfulness in the relocation process (p &lt; 0.001). All SOC indicators were positively associated with overall health, well-being and work satisfaction (p &lt; 0.001). Interviews suggested that meaningfulness was facilitated by participation in the presented activities and that communication before relocation was crucial. The results indicate that organizations implementing ABWs should promote perceived meaningfulness in the process to mitigate possible declines in satisfaction with the physical and psychosocial work environment.

  • 39.
    Wijk, Katarina
    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.
    Bergsten, Eva L.
    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.
    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.
    Hallman, David
    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.
    Individual determinants of satisfaction with the work environment after relocation to activity-based workplaces: a prospective study2023In: PLOS ONE, E-ISSN 1932-6203, Vol. 18, no 3, article id e0281771Article in journal (Refereed)
    Abstract [en]

    Relocation to activity-based workplaces influences work environment satisfaction, but individual determinants of changes in satisfaction remain unknown. The aim of the present study was to determine whether age, gender, education, occupational position, or office type before relocation can predict work environment satisfaction among employees and managers relocated to activity-based offices. Respondents (n=422) rated work environment satisfaction three months before and nine months after relocation. The findings indicate that, on average, satisfaction decreased after relocation, while for some workers it increased. Occupational position and office type at baseline predicted changes in satisfaction with the work environment; specifically, managers and those working in open-plan offices before relocation reported a smaller decline in satisfaction after relocation, compared to those relocating from private offices. Participants with no university education were more satisfied with the physical and psychosocial work environment in activity-based workplaces than those with a university degree. 

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  • 40.
    Wijk, Katarina
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Bergsten, Eva L.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Tigerfors, A-M
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences. University of Gävle, Centre for Musculoskeletal Research.
    Incentives for work environment improvements at manufacturing companies from a manager perspective2011Conference paper (Refereed)
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  • 41.
    Wijk, Katarina
    et al.
    University of Gävle, Department of Education and Psychology, Ämnesavdelningen för pedagogik.
    Gävert, Malin
    Hälsofrämjande verksamhet på arbetsplats: en formativ utvärdering av implementeringsfasen2005Report (Other academic)
  • 42.
    Wijk, Katarina
    et al.
    University of Gävle, Department of Education and Psychology, Ämnesavdelningen för pedagogik.
    Halling, Bengt
    University of Gävle, Department of Education and Psychology, Ämnesavdelningen för pedagogik.
    Att väcka den björn som sover: reflektion över planering och implementering av en hälsointervention på en arbetsplats2006Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Artikeln problematiserar planering och implementering av pedagogisk hälsointervention på arbetsplats, utifrån en fallstudie på en arbetsplats. Handhavanden och motsättningar i interventionsarbetet reflekteras. Interventionen var teoretiskt förankrad i Social Learning Theory, varvid miljö, beteende och personella faktorer beaktades vid planering och implementering. Syftet med artikeln är att illustrera en formativ process genom att reflektera över praktik och teori i interventionsarbetet. Konkreta exempel på hur emperi från arbetsplatsen har väglett val av strategier i interventionsarbetet, presenteras.

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  • 43.
    Wijk, Katarina
    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.
    Lindberg, Per
    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.
    Divergences in descriptions of the internal work environment management, between employees and the management, a case study2013Report (Other academic)
    Abstract [en]

    The aim of the case study was to critically compare the descriptions of employees and managers of how the work environment is prioritised in a medium-sized Swedish retailer belonging to an international group. The study is based upon a questionnaire study of employees (n=55), and on interviews with people in leading positions with partial responsibility for the work environment at the company (n=6) as well as with the local safety delegate (n=1). The results show that the driving forces behind the work environment are, according to respondents, finances, legislation, trademarks and the attitudes of the upper management. The on-going work environment management is described differently in terms of its form and content by employees and persons in leading positions.

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    Divergencies 2013 Wijk Lindberg
  • 44.
    Wijk, Katarina
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Explicit and implicit change theories behind ergonomic interventions in working life2010In: Proceedings of the Premus 2010 conference (Seventh International Conference on Prevention of Work-Related Musculoskeletal Disorders) August 29-September 2, Angers, France, 2010, p. 240-Conference paper (Refereed)
  • 45.
    Wijk, Katarina
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Explicit and implicit theories of change when designing and implementing preventive ergonomics interventions: a systematic literature review2011In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 37, no 5, p. 363-375Article in journal (Refereed)
    Abstract [en]

    Objective In contrast to several previous papers dealing with the structure and effects of ergonomics interventions, this systematic literature review focuses on the theories concerning change processes upon which these interventions – implicitly or explicitly – have been based.

    Methods In a systematic search of 13 literature databases, 30 peer-reviewed intervention studies published between 2000–2007 were identified that provided sufficient information for the change process theory to be identified.

    Results Thirteen studies referred to an explicit theory of change, the most common being participatory theory, while in 17 studies, the change theory could only be discerned indirectly from the described intervention strategy. Twenty-five studies explained the reason for choosing their strategy, with a clear reference to theory or previous research, whereas five provided only a weak background. Four categories of intervention strategies for change were identified: (i) changes targeting the individual, (ii) changes focusing on the work environment, (iii) changes relying on interactions between people, and (iv) structural and organizational changes.

    Conclusions A strikingly small proportion of ergonomics intervention studies have explained the theory behind the expected change process. A better awareness of the assumptions about change processes embedded in intervention strategies – whether implicit or explicit – may help in identifying and examining those ideas and processes that promote or restrict successful implementation. Such knowledge, in turn, can contribute to the development of interventions that are thoughtfully designed and effectively implemented.

  • 46.
    Wijk, Katarina
    et al.
    University of Gävle, Centre for Musculoskeletal Research.
    Nordlöf, Hasse
    University of Gävle, Centre for Musculoskeletal Research.
    Lönsamhet i en god arbetsmiljö (poster)2009In: Arbetet i människors liv: Forum för arbetslivsforskning (FALF), Göteborg, 13-14 maj 2009, Göteborg, 2009Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Presentation av de övergripande frågeställningarna från delstudier i ett pågående tvärvetenskapligt forskningsprojekt vid Centrum för belastningsskadeforskning (CBF), Högskolan i Gävle. Inom projektet studeras bl.a. tillvägagångssätt för arbetsmiljöarbete, hur arbetsmiljön prioriteras samt arbetsmiljöarbete och lönsamhet/varumärke. Inom projektet har även Ergopriset tagits fram, för att årligen uppmärksamma ett företag som med ergonomiska principer strävat efter att förbättra lönsamheten.

    Utställare är forskningsledare fil dr Katarina Wijk och projektmedarbetare Hasse Nordlöf.

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  • 47.
    Wijk, Katarina
    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. Centre for Research and Development, Region Gavleborg/Uppsala University.
    Åberg Jönsson, Fredrik
    Centre for Research and Development, Region Gavleborg/Uppsala University.
    Lindberg, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Centre for Research and Development, Region Gavleborg/Uppsala University.
    Enabled and perceived factors for implementing improvements in health care in order to achieve patient centered care, a case report from Sweden: Möjliggörande och upplevda faktorer för implementering av förbättringsarbete i hälso- och sjukvården för att uppnå patient-centrerad vård, en fallstudie2019Conference paper (Other academic)
  • 48.
    Wijk, Katarina
    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. Centre for Research and Development, Region Gävleborg/Uppsala University, Gävle, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Åberg Jönsson, Fredrik
    Centre for Research and Development, Region Gävleborg/Uppsala University, Gävle, Sweden.
    Lindberg, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Centre for Research and Development, Region Gävleborg/Uppsala University, Gävle, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Perceived enabling factors and barriers for the implementation of improvements in health care in order to achieve patient-centred care: A case report from Sweden2020In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 26, no 3, p. 791-800Article in journal (Refereed)
    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.

  • 49.
    Wikström, Per Arne
    et al.
    University of Gävle, Centre for Musculoskeletal Research.
    Wijk, Katarina
    University of Gävle, Centre for Musculoskeletal Research.
    Perceptions about work environment and profitability among successful enterprises2009In: Proceedings at conference "Understanding small enterprises", Denmark, 2009Conference paper (Other academic)
  • 50.
    Wirkkala, Maarit
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Wijk, Katarina
    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.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Larsson, Agneta C
    Department of Physiology and Pharmacology, Karolinska Institute.
    Turnover intentions in healthcare staff2023Conference paper (Other academic)
    Abstract [en]

    Introduction Turnover intentions (TI) in healthcare staff relate to high workload and high emotional exhaustion. Nurses have higher TI than other healthcare professionals. Few studies have focused on TI in healthcare staff as a group within the Job Demand-Resources (JD-R) theory.

    Aim To investigate healthcare staffs’ TI in relation to JD-R theory and relationships with staff wellbeing.

    Method A cross-sectional correlational and comparative study using a survey to healthcare staff in Sweden, in 2022. The survey contained questions of work environment, wellbeing and TI. Data were analysed with SPSS.

    Results The survey had 416 responders from different professions (response rate 31%). Fourteen percent rated their TI as high. High TI related to high emotional exhaustion. Moderate relationships were seen between high TI and high job demands/low resources. Weak relationships were seen between high TI and high workload and low satisfaction with given care. TI was also related to age, but no differences were seen for gender or level of education. 

    Conclusions The results resemble earlier research regarding TI, stress and burnout. The results suggest that high demands and low resources are related to healthcare staffs’ TI. More studies with similar design are needed to confirm and broaden the results.

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