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- Dellve, L, et al.
(författare)
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Lean i hälso- och sjukvården
- 2013
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Ingår i: Lean i arbetslivet. - Stockholm : Liber. - 9789147105601 ; , s. 142-161
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 2. |
- Dellve, Lotta, et al.
(författare)
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Preschool Children's Experience and Understanding of Their Soundscape
- 2013
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Ingår i: Qualitative Research in Psychology. - : Informa UK Limited. - 1478-0887 .- 1478-0895. ; 10:1, s. 1-13
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Tidskriftsartikel (refereegranskat)abstract
- Noise may be a serious health problem in preschools. This article explores how preschool-aged children experience, understand, and cope with the soundscape at their preschools. Using a qualitative approach, 36 children (4-6 years old) were interviewed in 11 focus groups. The children related their experience of sound to the consequences the sound had for themselves, their understanding of its source, and their bodily and emotional experience of it. Their perceived trustfulness, comprehensibility, sound descriptions, and manageability of given sounds were interpreted in the model as an expression of uncontrollability. The degree of uncontrollability of sounds accounted for whether children were nondisturbed, disturbed, or distressed by their experience of it. Distressing noise was experienced as both physically and emotionally painful. The children handled such distress by flight, attempting to reduce the hearing sensation, turning to their teachers, and using cognitive strategies. It is important to increase our understanding of how children cope with distressing sounds at preschools.
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| 3. |
- Dellve, Lotta, et al.
(författare)
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Return to work from long-term sick leave : a six-year prospective study of the importance of adjustment latitudes at work and home.
- 2016
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Ingår i: International Archives of Occupational and Environmental Health. - : Springer Science and Business Media LLC. - 0340-0131 .- 1432-1246. ; 89:1, s. 171-179
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The aim was to investigate the long-term importance of adjustment latitude for increased work ability and return to work among female human service workers on long-term sick leave.METHODS: A cohort of female human service workers on long-term sick leave (>60 days) was given a questionnaire four times (0, 6, 12, 60 months). Linear mixed models were used for longitudinal analysis of the repeated measurements of work ability and return to work.RESULTS: Having a higher level of adjustment latitude was associated with both increased work ability and return to work. Adjustments related to work pace were strongly associated with increased work ability, as were adjustments to the work place. Having individual opportunities for taking short breaks and a general acceptance of taking short breaks were associated with increased work ability. At home, a higher level of responsibility for household work was related to increased work ability and return to work. Individuals with possibilities for adjustment latitude, especially pace and place at work, and an acceptance of taking breaks had greater increased work ability over time and a greater work ability compared with individuals who did not have such opportunities.CONCLUSIONS: This study highlights the importance of opportunities for adjustment latitude at work to increase work ability and return to work among female human service workers who have been on long-term sick leave. The results support push and pull theories for individual decision-making on return to work.
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| 4. |
- Dellve, Lotta, 1965-, et al.
(författare)
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Trender av få sjukfrånvarodagar: Betydelser av stödjande arbetsförhållanden, ledarstrategier och organisering av social och organisatorisk arbetsmiljö
- 2020
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Ingår i: Socialmedicinsk Tidskrift. - 0037-833X .- 2000-4192. ; 97:1
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Tidskriftsartikel (refereegranskat)abstract
- Låg sjukfrånvaro mäts ofta på olika sätt och framförallt när nationell statistik eller statistik från arbetsgivarens personalregister används. Därmed har resultaten varierat och få sjukdagar kan indikera både goda arbetsförhållanden och krav på sjuknärvaro. Syftet var att undersöka utvecklingen av låg sjukfrånvaron bland sjuk- och undersköterskor och utforska om enhetsvis utveckling samvarierade med stödjande arbetsförhållanden, ledarstrategier och organisering av social och organisatorisk arbetsmiljö. Mått på få sjukfrånvarodagar undersöktes med data från arbetsgivarens personalregister. Förklaringar till trender undersöktes på enhetsnivå genom chefsenkät under de två första åren. Resultaten visade att majoriteten av anställda på enheter (93 %) inte hade en sjukdag under ett år och att 2 % var sjukskrivna 1-7 dagar. Samvariationerna var svaga men visade betydelser av stödjande ledning, strukturerande ledarstrategi och god samverkan mellan chef och medarbetare för mer balanserad närvaro. Stödjande ledning, närvarande ledarstrategi och stödjande organisatoriska strukturer visade samband med enhetsvis hög förekomst av ingen sjukdag alls.
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| 5. |
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| 6. |
- Fallman, Sara L., et al.
(författare)
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First line nurse managers’ managerial work performance and burnout – a prospective study
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: First line nurse managers have a complex work situation with many competing demands and often low impact on decision-making. This can have impact on their managerial work performance. Nurse managers’ job demands and strain are connected with higher burnout and reduced health.Aim: The aim of this study was to examine the associations between managerial work performance and self-rated health and burnout over time. Method: The study used a prospective design with questionnaire data. Mixed models repeated measures was used to analyze data.Results: A low degree of managerial work performance regarding organization of both daily work and improvement work was associated with a higher degree of burnout as well as self-rated health over time. Low degree of managerial work performance regarding evaluation of daily work was associated with higher degree of burnout over time and lower self-rated health compared to a higher degree of evaluating work, over time.Conclusions: First line nurse managers with low managerial work performance had a higher degree of burnout and lower self-rated health. Thus, it is important to structure support managers with support, training and organizational preconditions.
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| 7. |
- Fallman, Sara L., et al.
(författare)
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Managerial approaches for maintaining low levels of sick leave: A qualitative study
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Aim: The aim of this study was to identify first line managers’ approaches for maintaining low levels of sick leave among health care employees.Introduction: One challenge in health care is the high level of sick leave among employees. High work demands and conflicting pressures characterize the work situation of both employees and first line managers, with potential negative effects on work-related health.Method: First line managers at units with low and/or decreasing sick leave were interviewed. Thematic content analysis was used to analyze the data.Results: The managers took a holistic approach in meeting their employees’ broader needs and they were balancing high organizational demands through insubordination. To keep sick leave rate low, they created possibilities for the employees to influence their own working life through a present, visible and trustful leadership.Conclusion: Managers responsible for units with low sick leave had a holistic approach in their focus on their employees, and prioritized needs of their employees before organizational demands from top-management.Implications for nursing management: First line managers in health care can have impact on sick leave among their employees. They are in a position to create good working conditions for their employees, despite pressure from their superiors.
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| 8. |
- Fallman, Sara L., et al.
(författare)
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Managerial approaches for maintaining low levels of sick leave: A qualitative study
- 2022
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Ingår i: Journal of Nursing Management. - : Hindawi Limited. - 0966-0429 .- 1365-2834. ; 30:7, s. 3546-3552
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Tidskriftsartikel (refereegranskat)abstract
- Aim The aim of this study was to identify first-line managers' approaches for maintaining low levels of sick leave among health care employees. Introduction One challenge in health care is the high level of sick leave among employees. High work demands and conflicting pressures characterize the work situation of both employees and first-line managers, with potential negative effects on work-related health. Method First-line managers at units with low and/or decreasing sick leave were interviewed. Thematic analysis was used to analyse the data. Results The managers took a holistic approach in meeting their employees' broader needs, and they were balancing high organisational demands through insubordination. To keep sick leave rate low, they created possibilities for the employees to influence their own working life through a present, visible and trustful leadership. Conclusion Managers responsible for units with low sick leave seemed to utilize a holistic approach with focus on their employees and prioritized needs of their employees before organisational demands from top management. Implications for nursing management First-line managers in health care can have impact on sick leave among their employees and create good working conditions, despite pressure from their superiors.
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| 9. |
- Fallman, Sara L.
(författare)
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Organizational flexibility and health among line managers and employees in health care
- 2020
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: Line mangers’ and employees, registered nurses and assistant nurses’, in health care often have a demanding work situation. Sick leave illness and lack of competent staff is a problem. There is a lack of studies on working conditions, such as flexibility and restricted control, from an organizational perspective, (i.e. working conditions formed on a higher level aiming to influence the whole organization) with health care organizations in explicit focus.Aim: The overall aim was to expand knowledge about how working conditions with specific focus on flexibility and restricted control over work, impact on health and work performance among first and second line managers and employees within health care. In Study I the aim was to generate knowledgeabout the importance of adjustment latitude at work and at home for return to work or regaining work ability for female HSO workers on long-term sick leave. In Study II, the aim was to investigate how restricted decision-making autonomy and conflicting demands impact operational managers’ work performance and health. In Study III, the aim was to examine the associations between managerial work performance and self-rated health or burnout among first line nurse managers. In Study IV, the aim was to identify first line managers’ approaches for maintaining low levels of sick leave among healthcare employees.Method: Both qualitative and quantitative methods have been used. Studies I–III employed a quantitative longitudinal design of questionnaire data. In Study I, data from a 6-year study was used. Study II is based on data collected at two points in time, approximately one year apart. The analyses in Study III were performed using data from three points in time, approximately one year apart. Study IV, used a qualitative approach in analyses of interviews with first line managers responsible for units with low sick leave among the employees.Results: The results show the importance of having working conditions that allowed for a flexible work situation and a favorable adjustment latitude among employees. The result showed employee who had more opportunitiesto make adjustment latitudes at work had higher degree of work ability and a higher degree of return to work than those who had fever possibilities for adjustments. First line managers responsible for units with low sick leave among the employees were flexible, and had a holistic approach to meet the employees’ needs for flexible working conditions. Inversely, restricted control in form of top-down control and low control over the own work was associated with lower health, higher degree of burnout and lower ability to perform work.Conclusions: Organizational flexibility from superiors and top management is important for health because it shapes working conditions that support and facilitate individual line managers and employees’ capability to perform theirwork. In specific, higher opportunities for adjustments of pace and place of work are important for employees’ health. Line managers’ work performancemay be supported by higher organizational flexibility in decision-making while restricted control over work conditions were associated with lower health. A holistic approach in relation to the employees’ needs seems to have positive impact on lower sick leave.
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| 10. |
- Fallman, Sara L., et al.
(författare)
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The impact of restricted decision-making autonomy on health care managers' health and work performance
- 2019
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Ingår i: Journal of Nursing Management. - : WILEY. - 0966-0429 .- 1365-2834. ; 27:4, s. 706-714
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Tidskriftsartikel (refereegranskat)abstract
- Aim The aim of this study was to investigate how restricted decision-making autonomy and conflicting demands impact operational managers' work performance and health. Background Managers at operational level (first- and second-line managers') in health care organisations are commonly exposed to strain in their work situation with high demands and a challenging work context. Although they play an important role, the knowledge about the causal associations between stressful job demands and their consequences is limited. Methods A prospective design with questionnaire data collected at two points in time, 1 year apart, from a sample of operational managers (N = 162) at five Swedish hospitals was used to conduct a structural equation model analysis with cross-lagged paths. Results Restricted decision-making autonomy was negatively associated with both the managers' health and their managerial work performance over time. Conclusions Health care managers' work performance and health may be sustained by the top management allowing them a higher degree of autonomy in their decision-making. Implications for nursing management This study suggests that nursing leaders should create the circumstances for operational managers' to have higher levels of autonomy in their area of responsibility and the freedom to prioritize their managerial workload.
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