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  • 1.
    Jobark Wranéus, Therése
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Faculty of Health and Occupational Studies, Department of Public Health and Sport Science, Public Health Science.
    Primärvårdsläkares upplevelser av sin mentala hälsa på vårdcentraler med olika organisationsstrukturer.: En kvantitativ tvärsnittsstudie2019Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The increased ill-health of doctors in primary care is a major problem today with the highest possible reduction in the ability to influence their workplace. Although the individual physician can reduce his or her stress after individual actions, it is not sustainable in the long run. There is a risk that one must have a symptom among employees rather than identifying the underlying problem in the organizational structure. The purpose is to examine perceived health, job demands, control and support, job satisfaction and quality of care among doctors at health centers, and compare whether there is any difference in health centers that triage patients via direct booking to the appropriate institution according to the patient's needs in this study: physiotherapist, compared to health centers who always first book a doctor's time for the patient or refer to a physiotherapist. The method were quantitative, cross-sectional. The questionnaires were: - General Health Questinonnarire, which measures self-assessed mental health, - Demand Control Support Questionnarie, measures perceived control, demands, support, and the questionnaire - Satisfaction Work Questionnarie, which measures job satisfaction and quality of care. The result indicates no significant difference between the two types of health centers on the doctors' perceived health.

  • 2.
    Macassa, Gloria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Public Health and Sport Science, Public Health Science.
    Responsible leadership styles and promotion of stakeholders health2019In: South Eastern European Journal of Public Health, ISSN 2197-5248, Vol. 11Article in journal (Refereed)
    Abstract [en]

    The aim of this short report is to stimulate a conversation on the potential role to be played by responsible leadership in promoting the health and well-being of stakeholders (employees and society at large).

    The report first describes responsible leadership styles and then briefly discusses the potential connection with health promotion within the lens of the wider determinants of health and intersectorial collaboration.

    Integrative responsible leadership and health promotion share a common vision: to alter the economic, environmental, and social contexts in which decisions relating to health and well-being are made, thus affecting health equity.

  • 3.
    Okenwa-Emegwa, Leah
    University of Gävle, Faculty of Health and Occupational Studies, Department of Public Health and Sport Science, Public Health Science. Department of Medicine and Public Health, The Swedish Red Cross University College, Stockholm, Sweden.
    Doctoral theses as a source of knowledge production for IPV prevention: A literature review of doctoral theses at a swedish university2019In: Open Public Health Journal, ISSN 1874-9445, Vol. 12, no 1, p. 145-154Article in journal (Refereed)
    Abstract [en]

    Background: Intimate Partner Violence (IPV) is a pervasive form of Violence Against Women (VAW). IPV has been acknowledged as a human rights violation and a public health problem. Years of research and advocacy have led to a better understanding of the problem including the development of the ecological model for explaining IPV. Although diverse international policies and global advances in women’s rights have contributed to addressing IPV, the problem still persists. IPV is associated with adverse health outcomes, therefore, its prevention is an important aspect of population health promotion. Objective: Considering that doctoral research and theses form an integral aspect of knowledge production, the present study aims to provide a review of doctoral theses on IPV at a Swedish university in order to identify areas of unmet need for future IPV prevention studies. Methods: A search was conducted to identify IPV related thesis stored in the Karolinska Institutet (KI), which is a database where all publications produced at KI are stored. A total of thirteen PhD theses (the earliest published in 2004 and the latest in 2017) met the inclusion criteria and were reviewed. Results: Through their wide range of contexts and contents, these theses provide a global insight into IPV. Findings show that prevalence estimates and risk factors at the individual and relationship levels are well researched. Potential areas of unmet needs include the under-researched nature of risk factors and interventions at the community and societal level as well as underlying issues preventing the healthcare sector from actively playing its role in addressing IPV. Conclusion: Capacity building for the health sector and addressing community and societal level risk factors of IPV are modifiable factors to address IPV and improve population health. 

  • 4.
    Okenwa-Emegwa, Leah
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Public Health and Sport Science, Public Health Science. Department of Medicine and Public Health, The Swedish Red Cross University College, Stockholm, Sweden.
    Saboonchi, Fredrik
    Department of Medicine and Public Health, The Swedish Red Cross University College, Stockholm, Sweden, Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden .
    Mittendorfer-Rutz, Ellenor
    Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
    Helgesson, Magnus
    Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
    Tinghög, Petter
    Department of Medicine and Public Health, The Swedish Red Cross University College, Stockholm, Sweden, Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
    Prevalence and predictors of low future expectations among Syrian refugees resettled in Sweden2019In: Heliyon, ISSN 2405-8440, Vol. 5, no 10, article id e02554Article in journal (Refereed)
    Abstract [en]

    Background

    Future Expectation is important for motivation and wellbeing, however drastic life events such as in refugee situations may result in low expectations. This study aims to investigate the prevalence and determinants of low future expectations among Syrian refugees resettled in Sweden.

    Methods

    A random sample of 1215 Syrian refugees resettled in Sweden responded to questionnaire. Weighted analyses and adjusted relative risks were conducted to determine the prevalences and predictors of low future expectations. Synergy index was calculated for low social support and depression in relation to low expectations.

    Results

    The prevalences of low future expectations for labour market, social and economic intergration were 10.9%, 13.4% and 14.1% respectively. Longer stay in Sweden, being older, low social support and depression were associated with low future expectations. The simultaneous presence of depression and low social support had a synergistic effect on low social expectation.

    Discussions

    Understanding and addressing factors related to low future expectations among refugees may be useful for facilitating their labour market, social and economic integration.

  • 5.
    Patomella, Ann-Helen
    et al.
    Karolinska institutet.
    Guidetti, Susanne
    Karolinska institutet.
    Mälstam, Emelie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Public Health and Sport Science, Public Health Science. Karolinska institutet.
    Eriksson, Christina
    Karolinska institutet.
    Bergström, Aileen
    Karolinska institutet.
    Åkesson, Elisabet
    Karolinska institutet.
    Kottorp, Anders
    Karolinska institutet; Malmö högskola.
    Asaba, Eric
    Karolinska institutet.
    Primary prevention of stroke: randomised controlled pilot trial protocol on engaging everyday activities promoting health2019In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, no 11, article id e031984Article in journal (Refereed)
    Abstract [en]

    Introduction Stroke is a globally common disease that has detrimental effects on the individual and, more broadly, on society. Lifestyle change can contribute to reducing risk factors for stroke. Although a healthy lifestyle has direct benefits, sustaining and incorporating healthy activities into everyday life is a challenge. Engaging everyday activities have the potential to support lifestyle change and to promote sustainable activity patterns. Current healthcare is failing to reduce modifiable risk factors in people at risk, and in addition to current practice, there is a need for systematic and efficient non-pharmacological and non-surgical stroke-prevention strategies. The aim of the pilot study was to increase knowledge about the effects of a prevention programme and its feasibility to promote sustainable and healthy activity patterns among persons at risk of stroke.Methods and analysis The proposed pilot study will be a two-armed randomised, assessor-blinded, parallel pilot trial. The study will include feasibility data, investigating acceptability and delivery of the intervention. Persons at risk of stroke (n=60) will be included in a mobile phone-supported prevention programme. The 10-week programme will be conducted at primary healthcare clinics, combining group meetings and online resources to support self-management of lifestyle change. Main outcomes are stroke risk, lifestyle habits and healthy activity patterns. Assessments will be performed at baseline and at follow-up (immediately following the end of the programme and at 6 and 12 months). Effects of the programme will be analysed using inferential statistics. Feasibility will be analysed using both qualitative and quantitative methods.Ethics and dissemination The study has been approved by the Regional Ethical Review Board in Stockholm, Sweden, being granted reference numbers 2015/834-31, 2016/2203-32 and 2019/01444. Study results will be disseminated through peer-review journals and presentations to mixed audiences at regional and international conferences.Trial registration number NCT03730701.

  • 6.
    Stål, Frida
    University of Gävle, Faculty of Health and Occupational Studies, Department of Public Health and Sport Science, Public Health Science.
    Verkställande direktörers föreställningar om ansvarsfullt ledarskap och deras uppfattningar om socialt ansvar för intressenters hälsa2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this thesis was to investigate CEO´s understanding of Responsible Leadership and their perceptions of Social Responsibility for stakeholders health.

    Semi-structured qualitative interviews were carried out among a purposive sample of ten CEO´s representing a variety of sectors. Content analysis was conducted to identify patterns and categories in the data. 

    Four categories were identified in the data. The interviewed CEO´s perceptions of the role of responsible leader were to contribute, inclusiveness, create a community and structure. Their understanding of CSR and stakeholder´s health and well-being was largely limited to their own organization (internal stakeholders). Although they could see that their activities affected other stakeholders, it was not their first priority.

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