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- Berthelsen, Hanne, Odont.Dr. MPH, Docent i ledarskap och organisation
(author)
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Att arbeta inom människobehandlande organisationer
- 2022
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In: Plats för vem?. - Lund : Nordic Academic Press. - 9789189361317 ; , s. 261-281
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Book chapter (other academic/artistic)
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- Berthelsen, Hanne, Odont.Dr. MPH, Docent i ledarskap och organisation, et al.
(author)
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Leadership, work environment and caries prevention - what is good for the staff, is also good for the patients
- 2023
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In: Acta Odontologica Scandinavica. - : Taylor & Francis Group. - 0001-6357 .- 1502-3850. ; 81:3, s. 196-201
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Journal article (peer-reviewed)abstract
- Objectives: Dental caries is a health problem that can be prevented. The aim of this study is to analyse if the quality of leadership, in Swedish Public Dental Health clinics, influences the extent to which patients with caries receive preventive care, and if any such effect is mediated through a collaborative work climate, clear role expectations and a low average level of burnout among staff.Methods: The multilevel cross-sectional design includes work environment data from surveys of 75 general public dental clinics, register-based data on preventive measures provided to 5398 patients who received a dental filling due to a caries diagnosis, and patient demographics. Using a multilevel path analysis with logistic regression, we tested a model with one direct and three indirect pathways, controlling for the potential confounding effect of patient demographic factors.Results: Leadership quality, as assessed by the staff at the clinic, was associated with increased odds of patients with caries receiving prevention, controlling for patient demographic factors. Leadership quality was also positively related to a collaborative work climate, clear role expectations and a low average level of burnout among staff. Against expectations, however, no indirect effect from leadership quality on prevention through the other work environment factors was found.Conclusions: In conclusion, the quality of leadership in Swedish Public Dental Health clinics was positively related to a good work environment for staff and to delivery of preventive care to patients experiencing caries.
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- Berthelsen, Hanne, Odont.Dr. MPH, Docent i ledarskap och organisation, et al.
(author)
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Utveckling av gränsvärden för bedömning av arbetsmiljörisker med hjälp av en kort version av Psychosocial Safety Climate Scale (PSC-4)
- 2021
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In: FALF 2021.
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Conference paper (other academic/artistic)abstract
- Bakgrund Sedan föreskriften Organisatorisk och social arbetsmiljö (AFS 2015:4) introducerades har fokus riktats på betydelsen av organisatoriska förutsättningar för en hälsosam arbetsmiljö. Till skillnad från bedömning och mätning av fysiska arbetsmiljörisker, är de organisatoriska och psykosociala arbetsmiljörisker svårare att hantera. Ett relevant teoretiskt begrepp i sammanhanget är Psychosocial Safety Climate – PSC), som kan definieras som medarbetarnas delade uppfattningar om organisationens riktlinjer, praxis och procedurer för att skydda deras psykologiska hälsa och säkerhet. Med hjälp av PSC skalan undersöks hur medarbetarna upplever att den högsta ledningen 1) engagerar sig, 2) prioriterar, 3) kommunicerar och 4) involverar medarbetarna, i psykosociala arbetsmiljöfrågor. Forskning visar att PSC kan predicera arbetsmiljöfaktorer såsom känslomässiga och kvantitativa jobbkrav, mobbing, inflytande och utvecklingsmöjligheten, som i sin tur påverkar till exempel medarbetarnas arbetsengagemang, stress-, utmattnings- och depressionssymptom. Medan den tidigare forskningen huvudsakligen har bedrivits i Australien, bidrar den aktuella studien med att undersöka tillförlitligheten och användbarheten av den korta versionen av PSC-4 i den svenska kontexten. Syfte Syftet med studien är att presentera en kort svensk version av Psychosocial Safety Climate (PSC-4, Dollard, 2019) samt hur PSC-4 kan användas för att identifiera risknivåer i den organisatoriska och sociala arbetsmiljön. MetodStudien är baserad på en enkätundersökning som genomfördes bland ett slumpmässigt urval av anställda i åldern 25–65 år (N = 2847) samt enkätdata från ett icke-slumpmässigt urval av 94 arbetsplatser (N = 3066). Som kriterier för utveckling av gränsvärden för PSC-4 risknivåer användes organisationers upplevda efterlevnad av arbetsmiljöföreskrifter.Resultat Resultaten visade att PSC-4 hade relevanta samband med andra arbetsmiljöfaktorer såsom kvantitativa krav, ledarskapskvalitet, engagemang i organisationen, arbetsengagemang, arbetstillfredsställelse samt stress och utbrändhet. Vidare framstår PSC-4 som en valid och användbar verktyg för att kunna identifiera risknivåer i relation till hur arbetsmiljöarbetet 2 praktiseras på svenska arbetsplatser. PSC-4 värden över 12 indikerar en god arbetsmiljöpraktik med låg risknivå, medan PSC-4 värden ≤ 8 indikerar bristande arbetsmiljöpraktik med hög risknivå. Värden mellan 12 och 8 indikerar otillräcklig arbetsmiljöpraktik med måttlig risknivå. Arbetsplatser med hög risk rekommenderas att sätta till åtgärder omedelbart, medan de med måttlig risknivå bör ge det systematiska arbetsmiljöarbete mer uppmärksamhet. Sammanfattningsvis, den svenska versionen av PSC4 kan betraktas som en valid och tillförlitlig instrument för både forskning och praktisk användning för riskbedömning på arbetsplatser.
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- Burr, H., et al.
(author)
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The demand–control model as a predictor of depressive symptoms—interaction and differential subscale effects : Prospective analyses of 2212 German employees
- 2021
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In: International Journal of Environmental Research and Public Health. - : MDPI. - 1661-7827 .- 1660-4601. ; 18:16
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Journal article (peer-reviewed)abstract
- Testing assumptions of the widely used demand–control (DC) model in occupational psychosocial epidemiology, we investigated (a) interaction, i.e., whether the combined effect of low job control and high psychological demands on depressive symptoms was stronger than the sum of their single effects (i.e., superadditivity) and (b) whether subscales of psychological demands and job control had similar associations with depressive symptoms. Logistic longitudinal regression analyses of the 5-year cohort of the German Study of Mental Health at Work (S-MGA) 2011/12–2017 of 2212 employees were conducted. The observed combined effect of low job control and high psychological demands on depressive symptoms did not indicate interaction (RERI = −0.26, 95% CI = −0.91; 0.40). When dichotomizing subscales at the median, differential effects of subscales were not found. When dividing subscales into categories based on value ranges, differential effects for job control subscales (namely, decision authority and skill discretion) were found (p = 0.04). This study does not support all assumptions of the DC model: (1) it corroborates previous studies not finding an interaction of psychological demands and job control; and (2) signs of differential subscale effects were found regarding job control. Too few prospective studies have been carried out regarding differential subscale effects.
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- Cowen Forssell, Rebecka, et al.
(author)
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Work-related cyber mistreatment from guardians, members of the public, and pupils in the context of educational work : From incivility to aggression
- 2024
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In: Teaching and Teacher Education. - 0742-051X .- 1879-2480. ; 145, s. 1-10
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Journal article (peer-reviewed)abstract
- This study explores the nature of work-related cyber mistreatment from guardians, pupils, and members of the public as experienced by educational workers. Thematic analysis of data collected by semi-structured interviews with 31 teachers and principals resulted in two overarching themes; directly addressed cyber mistreatment in email and unwanted negative exposure on social media. The data spans over different types of cyber mistreatment, ranging from cyber incivility to cyberaggression. Educational workers typically feel powerless when exposed to mistreatment, and require support to manage these complex, novel, and distressing situations.
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- Farley, Samuel, et al.
(author)
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Predictors of work-related cyberaggression in a random sample of the Swedish working population
- 2024
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In: International Journal of Workplace Health Management. - : Emerald Group Publishing Limited. - 1753-8351 .- 1753-836X. ; 17:1, s. 57-71
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Journal article (peer-reviewed)abstract
- Purpose: With greater numbers of employees using computer-mediated communication, cyberaggression is becoming a more pressing problem for employees and their organizations. However, while a growing body of research illustrates its harmful effects, little is known about the factors that drive its occurrence. The authors therefore sought to identify factors that increase the risk of cyberaggression among employees.Design/methodology/approach: A random sample of the Swedish working population (N = 11,556) was surveyed via Statistics Sweden (SCB), which produced a final sample of N = 2,847 (response rate = 24.6%).Findings: Logistic regression analysis showed that emotionally demanding work, availability expectations, low perceived work quality, public sector work and being in a managerial position were related to higher levels of experienced cyberaggression. In addition, exploratory analyses indicated that some of these factors were more strongly related to cyberaggression enacted by organizational insiders compared to organizational outsiders.Originality/value: Together, the authors' findings suggest that situational factors are stronger antecedents of cyberaggression victimization than personal factors. This has implications for organizations, as practical steps can be taken to reduce cyberaggression among employees.
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- Forssell, Rebecka, et al.
(author)
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Negotiating for influence and resources : A study of Swedish teachers' and principals' experiences of aggressive emails from parents
- 2024
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In: Educational Management Administration & Leadership. - : Sage Publications. - 1741-1432 .- 1741-1440.
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Journal article (peer-reviewed)abstract
- This article focuses on teachers’ and principals’ experiences of aggressive emails in home–school collaborations with parents. Semi-structured interviews with 31 teachers and principals from primary, lower and upper secondary schools in Sweden were conducted. Three categories were identified in the material which illuminate the phenomenon of cyberaggression towards principals and teachers from parents: ‘aggressive emails as reactions to principals and teachers’ performances’, ‘aggressive emails as a way of imposing power’ and ‘aggressive emails as a source of anxiety, loss of joy, and decreased focus on core tasks’. The study concludes that cyberaggression in emails from parents is centred around the act of negotiating and that email communication opens up spaces for negotiation to take place. The study also concludes that email cyberaggression tends to be instrumental in character, intended to result in a specific outcome rather than to cause harm. However, cyberaggression influences professional practice and can create a vicious circle of administrative obligation.
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- Jakobsson, Jenny, 1975-, et al.
(author)
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Exploring workplace violence on surgical wards in Sweden : a cross-sectional study
- 2023
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In: BMC Nursing. - : BioMed Central (BMC). - 1472-6955. ; 22:1
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Journal article (peer-reviewed)abstract
- BACKGROUND: Workplace violence is a global threat to healthcare professionals' occupational health and safety and the situation has worsened during the COVID-19 pandemic. This study aimed to explore workplace violence directed against assistant and registered nurses working on surgical wards in Sweden.METHODS: This cross-sectional study was conducted in April 2022. Using a convenience sampling procedure, 198 assistant and registered nurses responded to an online questionnaire developed for this specific study. The questionnaire comprised 52 items and included, among other items, subscales from validated and previously used instruments. Data analysis included descriptive statistics, the chi-square test, and independent-samples t-test.RESULTS: The most frequently reported type of workplace violence was humiliation (28.8%), followed by physical violence (24.2%), threats (17.7%), and unwanted sexual attention (12.1%). Patients and patients' visitors were reported as the main perpetrators of all kinds of exposure. Additionally, one third of the respondents had experienced humiliation from colleagues. Both threats and humiliation showed negative associations with work motivation and health (p < 0.05). Respondents classified as working in a high- or moderate-risk environment were more frequently exposed to threats (p = 0.025) and humiliation (p = 0.003). Meanwhile, half of the respondents were unaware of any action plans or training regarding workplace violence. However, of those who indicated that they had been exposed to workplace violence, the majority had received quite a lot or a lot of support, mainly from colleagues (range 70.8-80.8%).CONCLUSION: Despite a high prevalence of workplace violence, and especially of humiliating acts, there appeared to be low preparedness within the hospital organizations to prevent and/or handle such incidents. To improve these conditions, hospital organizations should place more emphasis on preventive measures as part of their systematic work environment management. To help inform such initiatives, it is suggested that future research should focus on the identification of suitable measures regarding different types of incidents, perpetrators, and settings.
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- Jakobsson, Jenny, 1975-, et al.
(author)
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Workplace violence from the perspective of hospital ward managers in Sweden : A qualitative study
- 2022
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In: Journal of Nursing Management. - : John Wiley & Sons. - 0966-0429 .- 1365-2834. ; 30:6, s. 1523-1529
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Journal article (peer-reviewed)abstract
- AIM: The aims of the study are to explore workplace violence perpetrated by patients or visitors from the perspective of hospital ward managers and to describe how ward managers perceive their leadership role and manage related incidents.BACKGROUND: Few studies focus on workplace violence from the perspective of ward managers even though they are the closest managers to the operational staff.METHOD: Fifteen semistructured interviews were analysed using qualitative content analysis.RESULTS: Four categories emerged: the face of workplace violence, a two-fold assignment, strive towards readiness to act, and managing incidents.CONCLUSION: While the most common acts of workplace violence are considered less serious and related to patients' medical conditions or dissatisfied visitors, hospital organizations focus on serious but rarely occurring incidents. Consequently, ward managers have limited opportunities to ensure a safe work environment on an everyday basis.IMPLICATIONS FOR NURSING MANAGEMENT: To support ward managers' occupational safety and health management, workplace violence prevention and management should be acknowledged as an important responsibility for senior management in hospitals. It is important to identify incidents that most likely will occur at the wards and to create strategies related to those incidents. Strategies could include risk assessments, prevention, evaluation, education and reflection combined with, for example, scenario training.
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