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- Bergström, Kamilla
(författare)
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Arbejdsglæde : perspektiver på ledelse og positive faktorer i arbejdet
- 2013
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Formålet med oplæget er, med danske og svenske tandlæger som eksempel, at diskutere de emotionelle aspekter i arbejdet med mennesker, der kan bidrage til arbejdsglæde og hvordan disse aspekter kan påvirkes af de vilkår, arbejdet udfolder sig i. At arbejde direkte på eller med mennesker handler i høj grad om, at kunne skabe gode interaktioner og relationer den sundhedsprofessionelle og patienten i mellem. Den gode relation kan være et mål i sig selv og/eller være et sekundært mål, for at gøre andre ting lettere. En god relation påvirker ikke kun behandlingsresultatet og oplevelsen for patienten, men også den sundhedsprofessionelles arbejdsglæde. For mange der arbejder direkte med mennesker er det netop relationerne til patienterne, der kan skabe en indre længerevarende arbejdsglæde. Arbejdet udfolder sig altid i en konkret organisatorisk kontekst, som bestemmer de muligheder den sundhedsprofessionelle har for sit arbejde. De vilkår og krav som arbejdet indebærer, påvirker derved hvad den sundhedsprofessionelle reelt gør i selve interaktionen med patienten. Denne kan bl.a. gennem emotionelt arbejde forsøge at påvirke patientens følelser og oplevelser i en given retning, indenfor visse rammer. Vilkårene og kravene til den sundhedsprofessionelles handlemuligheder for at skabe gode relationer, udfordres bl.a. af en tendens til øget markedstænkning i velfærdsydelser. De værdier markedstænkningen bygger på, adskiller sig på flere måder fra den faglige forståelse som de sundhedsprofessionelles har, hvilket kan gøre det emotionelle arbejde i selve interaktionen, udfordrende at navigere i. Hvordan vi får enderne til at mødes og samtidigt bevarer arbejdsgløden, er emnet til diskussion.
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- Bergström, Kamilla, et al.
(författare)
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Emotion work in dentistry : a descriptive and theoretical overview
- 2012
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction The emotional aspects of work for dentists are little researched. Emotion work is a part of the intervention toolkit of the dentist for example emotional contagion or persuasion of the patient or a way to make other thing easier. As a condition of human service work, the emotional aspects can be a source to burnout because of frequent contradictory emotional demands from the organization, patient, and the dentist self. However, the emotional aspects of work can also be a source to positive inner experiences. Eudaimonic and hedonic rewards can arise from the interaction with patients, and thereby potentially enhance satisfaction and fulfillment of work. Material and methods A questionnaire was developed covering the multidimensional concept of good work, including perceptions of emotion work. A total of 1835 dentists randomly sampled from the dental associations were sent a questionnaire in November 2008. Because emotion work in dentistry has little previous research, a theoretical overview and conceptualization for dentistry were created. Principal components analysis (PCA) was used to reduce measures of emotion work. Covariance between the indices and variables were grouped as setting, work and person. Results The average net response rate was 68% (n = 1226). Three dimensions were theoretically relevant in the dental context: Emotion work, emotional labor and emotional work can all influence the dentist in different ways. PCA of the questions showed unidimensional solutions and six indices were created: Patient relations values, emotional support, emotional display, emotional dissonance, emotional hedonic rewards and emotional eudaimonic rewards stable over gender and nationality. Conclusion Emotion work is a considerable part of being a professional dentist. It is requirement of work as well as constituting the balance between being dentist and person. Potentially, emotion work can influence the dentists’ perceptions of work in a positive way. The emotional aspects of work should be investigated more closely as a central component of work environment and job satisfaction.
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- Bergström, Kamilla, et al.
(författare)
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EXPLORING POSITIVE PERCEPTIONS OF DENTAL WORK IN SWEDEN AND DENMARK
- 2009
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Objectives: Dentistry is an example of human service work, involving cognitively, emotionally and technically demanding tasks. These tasks are potentially implicative of negative as well as positive personal effects. The aim was to study work enjoyment, satisfaction with work, and good working life, comparing Danish and Swedish general dental practitioners. Materials and methods: In 2008, a questionnaire was sent to a randomly selected sample of practicing dentists in Sweden (n=900) and Denmark (n=937). The study was approved by the Swedish regional ethical board. Distribution analysis and Mann-Whitney U test were used for comparison between the groups Swedes/Danes, private-/public practitioners, and dentists with/without management responsibility. Results: Response rate was 68%, whereas 51% were Swedes and 49% Danes. Sixty percent had management responsibility and 40% had not. Further, 58% were private and 37% were public practitioners. Frequency analysis showed that almost three fourths of the dentists experienced a high or a very high degree of (1) work enjoyment (73%), (2) of satisfaction with their work as a whole (72%) and (3) of a good working life (74%). The items (1) and (2) showed differences between all three groups: Danes, private practitioners and dentists with management responsibility scored higher than their counterparts (p≤0.05). Item (3) showed similar results (p≤0.05), except for the comparison Danes/Swedes, which was non-significant. Conclusions: The initial results corroborate that Danish and Swedish dentists have positive perceptions of their work. The differences between the three groups are to be further studied to track potential correlations promoting positive perceptions of work. Funding: The Swedish Council for Working Life and Social Research, Malmö University, The Danish Dental Association.
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- Bergström, Kamilla
(författare)
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Job satisfaction and emotional work tasks : dentists in Sweden and Denmark
- 2014
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Avhandlingen består av två studier som utgår från projektet ”Det goda arbetet”. Det överordnade syftet med projektet Det Goda Arbetet var att använda tandvård som ett exempel på ett arbete där relationerna med patienterna utgör arbetets kärna. Denna typ av arbete (även kallat människovårdande arbete) har speciella psykosociala arbetsmiljövillkor och känslomässiga krav som måste tas hänsyn till vid organisering av arbetet. Syftet med den första studien var att beskriva bakgrunden och utvecklingen av frågeformuläret ’Svenska och Danska tandläkares uppfattning av ’Det Goda Arbetet’ och att skapa ett mått för generell arbetstillfredsställelse, applicerat på fyra organisatoriska miljöer. Syftet med den andra studien var att introducera konceptet emotionellt arbete i tandvård genom att ge en teoretisk överblick av de emotionella aspekterna av arbetet, villkoren under vilka arbetet utförs och de potentiella effekterna på tandläkarnas välbefinnande. I kappan har kompletterande resultat från projektet Det Goda Arbetet inkluderats i syfte att ge en empirisk illustration av hur tandläkare upplever de emotionella faktorer som relaterar till patient-interaktionen och deras arbetsglädje. Data från 1226 danska och svenska verksamma tandläkare samlades in i November 2008 med en svarsprocent på 68 %. Ett additivt index skapades för att mäta generell arbetstillfredsställelse, och resultaten visade statistiska skillnader i tandläkarnas uppfattning mellan de olika organisatoriska miljöerna (Svenska offentliga/privata och Danska offentliga/privata). De danska offentliga tandläkarna hade den högsta graden av generell arbetstillfredsställelse medan de svenska offentliga hade den lägsta graden. En möjlig förklaring till detta kan vara att danska offentliga tandläkare skiljer sig från de andra tre grupperna i karakteristika vad gäller både tandläkare och patienter. Den låga graden av generell arbetstillfredsställelse hos de offentliga svenska tandläkarna kan möjligtvis vara en effekt av New Public Management-tänkande i sättet att organisera tandvård. Tilläggsresultaten visade att de svenska offentliga tandläkarna hade mycket mindre energi till sina privatliv i jämförelse med de andra tre grupperna och bara hälften av dem förväntade sig att fortsätta arbeta som nu fram till pensionen. Att arbeta med eller på människor handlar mycket om att skapa goda interaktioner och relationer mellan vårdgivaren och patienten. Goda patientrelationer kan vara ett primärt- och/eller sekundärt mål för att göra andra saker, som t.ex. den kliniska behandlingen, lättare. För många vårdgivare är relationerna med patienterna en arena där de kan leva ut sin potential som människor och kan upplevas som en bestående inre glädje av arbetet, kallat eudaimonia. I patientrelationen utför tandläkaren emotionellt arbete som ett sätt att intervenera med patienten för att vägleda denne i en bestämd riktning. Tandläkare har uttalade emotionella arbetsuppgifter i sina interaktioner med patienterna, emellertid har dessa emotionella aspekter av arbetet hitintills varit ett försummat forskningsområde inom odontologin. De emotionella arbetsuppgifterna är betingade eftersom att tandläkarens incitament inte är endimensionella och därför kräver de en hel del emotionell flexibilitet, uppmärksamhet och reflektion av tandläkaren. Påverkan från marknadskrafter och managerialism på de professionella värdena inom tandvård kan av tandläkaren uppfattas som motstridande och utmana villkoren för emotionellt arbete och tandläkarnas välbefinnande. Denna forskning syftar till att starka och uppmuntra olika nivåer av tandvård till att ytterligare undersöka, förstå och stötta dynamiken i de emotionella aspekterna av arbetet för att skapa en hållbar arbetsmiljö där värden och logik kan uppfattas som kompatibla med tandvårdens professionella värden.
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- Bergström, Kamilla, et al.
(författare)
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Organizational affiliation and overall job satisfaction among Danish and Swedish dentists
- 2009
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Ingår i: Abstract book.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Objectives: Good work in dentistry concerns the manual skills as well as the patient relation. The ability to provide quality care in dentistry is not only dependent on individual resources but also on work organization, which can affect the job satisfaction. This study aims to describe dentists in different organizational settings in Sweden and Denmark and the relation to their overall job satisfaction. Materials and methods: In 2008, a questionnaire was sent to a random proportionally stratified sample of practicing dentists in Sweden (n=898) and Denmark (n=937). The study was approved by the Swedish regional ethical board. Principal Component Analysis (PCA) was used on three items aiming to measure overall job satisfaction; (1) work fulfillment, (2) satisfaction with the work as a whole, and (3) the perception of having a good working life. Kruskal-Wallis tests were used to compare the overall job satisfaction between Swedish and Danish private and public practitioners. Results: The response rate was 68%, whereas 51% were Swedes and 49% Danes, 62% were women and 32% men. Further, 61% were private and 39% were public practitioners. PCA on the three items showed a one factor solution with 78% variance explained. The PCA was stable when splitting the sample as to gender and organizational affiliation. An index for overall job satisfaction was established, having a Cronbach’s alpha 0.86. The overall job satisfaction means (range 3-15) for the four subgroups were; Swedish public (11.0) and private (11.8) practitioners and Danish public (11.9) and private (11.8) practitioners. Statistically significant differences were found between the groups (P< 0.001). Conclusions: The average response rate was reasonably satisfactory. The PCA showed an index of overall job satisfaction as a measure of eudaimonic work life elements as well as more practical contentment with work. The initial results showed that Danish and Swedish dentists have a high overall job satisfaction. The Swedish public practitioners had the lowest overall job satisfaction compared to the other groups. The results are to be further analyzed as to more specific organizational differences. Funding: The Swedish Council for Working Life and Social Research, Malmö University, The Danish Dental Association.
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| 8. |
- Bergström, Kamilla, et al.
(författare)
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Overall job satisfaction among dentists in Sweden and Denmark : A comparative study, measuring positive aspects of work
- 2010
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Ingår i: Acta Odontologica Scandinavica. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 68:6, s. 344-353
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Tidskriftsartikel (refereegranskat)abstract
- Objective. Human service work differs from industrial work, which should be considered when organizing work. Previous research has shown organizational differences in the perceptions of work, often with a focus on negative aspects. The aim of this study was to analyse the overall job satisfaction among private- and public-practising dentists in Sweden and Denmark. This also implied a description of the questionnaire Swedish and Danish Dentists' Perceptions of Good Work about opportunities and positive and rewarding aspects of work. Material and methods. A questionnaire covering the multidimensional concept of good work was developed. A total of 1835 dentists randomly sampled from the dental associations were sent a questionnaire in November 2008. A special non-response study was performed. Principal components analysis (PCA) was used to create a measure of overall job satisfaction, comparing four organizational subgroups. Results. The average net response rate was 68% (n = 1226). The special non-response study of the Danish private practitioners showed more males, managers and dentists with more working hours than the respondents. PCA of three satisfaction questions showed a stable one-factor solution. There were differences in job satisfaction, with Danish public dentists ranked highest in overall job satisfaction and Swedish public dentists lowest. Conclusions. There were organizational differences in the perception of job satisfaction. Further analysis of how the human service is organized in the different groups is needed.
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- Berthelsen, Hanne, et al.
(författare)
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Collegial Support and Community with Trust in Swedish and Danish dentistry
- 2011
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Ingår i: Acta Odontologica Scandinavica. - : Informa Healthcare. - 0001-6357 .- 1502-3850. ; 69:6, s. 343-354
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Tidskriftsartikel (refereegranskat)abstract
- Objectives. The aim of the study was to better understand the associations between work factors and professional support among dentists (Collegial Support) as well as the sense of being part of a work community characterized by trust (Community with Trust). Methods. A questionnaire was sent to 1835 general dental practitioners, randomly selected from the members of dental associations in Sweden and Denmark in 2008. The response rate was 68%. Two models with the outcome variables Collegial Support and being part of a Community with Trust were built using multiple hierarchical linear regression. Demographic background factors, work factors, managerial factors and factors relating to objectives and to values characterizing climate of the practice were all introduced as blocks into the models. Results. A different pattern emerged for Collegial Support than for Community with Trust, indicating different underlying mechanisms. The main results were: (I) Female, married/cohabitant, collegial network outside the practice, common breaks, formalized managerial education of leader and a climate characterized by professional values, which were positively associated with Collegial Support, while number of years as a dentist and being managerially responsible were negatively associated. (II) Common breaks, decision authority and a climate characterized by professional values were positively associated with Community with Trust. Conclusion. A professionally-oriented practice climate and having common breaks at work were strongly associated with both outcome variables. The study underlined the importance of managing dentistry in a way which respects the professional ethos of dentists.
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