| 1. |
- Asplund, Sofia, et al.
(författare)
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Self-rated exhaustion disorder and associated health-related factors among municipal employees in rural areas of northern Sweden
- 2021
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Ingår i: International Archives of Occupational and Environmental Health. - : Springer. - 0340-0131 .- 1432-1246. ; , s. 659-668
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The aims of this study among municipal employees in rural areas of northern Sweden were to assess the prevalence of self-rated exhaustion disorder (s-ED), describe plausible between-group differences in self-reported health-related factors among employees with or without s-ED, and identify health-related factors associated with s-ED.METHODS: In a cross-sectional study, data were collected from 1093 municipal employees (76.1% women) in two rural areas using an instrument measuring s-ED and health variables drawn from the Modern Worklife Questionnaire (MWQ), the Perceived Stress Scale (PSS), and the National Board of Health and Welfare's questions about physical activity. Comparisons were made between an s-ED and a non-s-ED group. Health-related factors associated with s-ED were identified through a logistic regression.RESULTS: Self-rated exhaustion disorder was reported by 21.5% of the participants. Health-related factors associated with s-ED were cognitive problems, sleep problems, depressive symptoms, high stress, poor self-rated health, and stomach problems. There was no statistically significant difference in the prevalence of participants who met the criteria of physical activity among s-ED and non-s-ED group.CONCLUSION: Findings from this study suggest that s-ED is more common among municipal employees in rural areas than in other working populations in Sweden. Several health-related factors were associated with s-ED. Regular use of a self-rated instrument in evaluating the organizational and social work environment can identify people at risk of developing exhaustion disorder and requiring long-term sick leave.
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| 2. |
- Ericson-Lidman, Eva, et al.
(författare)
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Assessments of stress of conscience, perceptions of conscience, burnout, and social support before and after implementation of a participatory action-research-based intervention
- 2017
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Ingår i: Clinical Nursing Research. - : SAGE Publications. - 1054-7738 .- 1552-3799. ; 26:2, s. 205-223
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Tidskriftsartikel (refereegranskat)abstract
- Interventions aiming to constructively address stress of conscience are rare. The aim of the study was to compare assessments of stress of conscience, perceptions of conscience, burnout, and social support among health care personnel (HCP) working in municipal residential care of older adults, before and after participation in a participatory action research (PAR) intervention aiming to learn to constructively deal with troubled conscience. Questionnaire data were collected at baseline and at follow-up (1-year interval; n = 29). Descriptive statistics and nonparametric statistical tests were used to make comparisons between baseline and follow-up. HCP gave significantly higher scores to the question, "Are your work achievements appreciated by your immediate superior?" at follow-up compared with baseline. No significant differences in levels of stress of conscience and burnout at follow-up were found. The results suggested that a PAR intervention aiming to learn HCP to deal with their troubled conscience in difficult situations could be partially successful.
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| 3. |
- Ericson-Lidman, Eva, et al.
(författare)
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Being closely connected to health care providers experiencing burnout : putting one's life on hold to help.
- 2010
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Ingår i: Journal of Family Nursing. - : SAGE Publications. - 1074-8407 .- 1552-549X. ; 16:1, s. 101-123
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Tidskriftsartikel (refereegranskat)abstract
- Being closely connected to a person experiencing illness may be a trying experience.This study aimed to illuminate meanings of being closely connected to health care providers experiencing burnout. Ten interviews were conducted with five people closely connected (i.e., family members or supportive friends) to health care providers recovering from burnout. The interviews were tape-recorded and transcribed verbatim, and the resulting text was interpreted using a phenomenological-hermeneutic method. One consequence of being closely connected to health care providers experiencing burnout is putting one's life on hold to help. In facing an almost unmanageable burden, those closely connected revealed their own suffering, emphasizing their need for support. Health care professionals need to be aware that those who are closely connected to a person experiencing burnout may lack knowledge about burnout and its related challenges. It is to be hoped such knowledge would allow significant others to better support the person experiencing burnout and promote their own health.
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| 4. |
- Ericson-Lidman, Eva, et al.
(författare)
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Burnout : co-workers' perceptions of signs preceding workmates' burnout
- 2007
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Ingår i: Journal of Advanced Nursing. - : Wiley-Blackwell Publishing Inc.. - 0309-2402 .- 1365-2648. ; 60:2, s. 199-208
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Tidskriftsartikel (refereegranskat)abstract
- Aim: This paper is a report of a study to describe co‐workers’ perceptions of signs preceding workmates’ burnout.Background: Burnout engenders emotional and economic suffering, both individual and societal. It is therefore important to learn to recognize early signs to prevent burnout and co‐workers, who have opportunities to recognize such signs, are valuable resources in this context.Method: Fifteen interviews were conducted with nursing and medical staff in Sweden who had worked with a person who developed burnout. The interviews took place in 2004 and were analysed using a thematic content analysis. The narratives were obtained when co‐workers already knew that their workmates were on sick leave because of burnout or had left their employment after sick leave because of burnout.Findings: The findings show that co‐workers retrospectively recalled a multiplicity of signs. They perceived that the people concerned were struggling to manage alone, showing self‐sacrifice, struggling to achieve unattainable goals, becoming distanced and isolated, and showing signs of falling apart.Conclusions: Some of the signs preceding workmates’ burnout may be difficult to interpret as signs of burnout, because they may be regarded as qualities which are to some extent encouraged in the prevailing culture. The findings provide a complex picture of these signs that will hopefully increase our awareness of and ability to recognize such signs to facilitate the possibilities of our helping in time. The sub‐themes and themes in the present study may also serve as a basis for supervisors involved in supporting clinical staff.
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| 5. |
- Ericson-Lidman, Eva, et al.
(författare)
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Care providers learning to deal with troubled conscience through participatory action research
- 2013
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Ingår i: Action Research. - : Sage Publications. - 1476-7503 .- 1741-2617. ; 11:4, s. 386-402
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to identify a process to assist care providers in dealing constructively with their troubled conscience generated by a difficult situation in elderly care relating to spitting behaviour. Our idea was, with help from participatory action research (PAR), that sharing and reflecting with others upon the voice of conscience, may support care providers to find ways to deal constructively with troubled conscience. Care providers in municipal elderly care participated in intervention sessions over one year, and with support from PAR, they were able to learn to ease the burden of a troubled conscience. They dealt with their troubled conscience constructively by sharing their thoughts and feelings, and gaining more knowledge about behavioural symptoms. They were trying to take relevant measures when caring for the resident, and perceiving the behaviour as unintentional. In this study PAR contributes with increased understanding of the necessity to listen to one's conscience and of the possibility of using conscience as a driving force, to develop clinical practice. This contribution of PAR may in the long run increase quality of care and work-related health.
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| 6. |
- Ericson-Lidman, Eva, et al.
(författare)
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Care providers' troubled conscience related to an implementation of a time management system in residential care for older people : a participatory action research study
- 2020
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Ingår i: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 34:3, s. 745-753
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Tidskriftsartikel (refereegranskat)abstract
- Background: Care providers in residential care for older people often refer to time shortage, a problem that may generate troubled conscience.Aim: The aim of the study was to describe a PAR process to assist care providers in municipal residential care for older people to constructively deal with their troubled conscience related to an implemented time management system.Method: This intervention study was carried out with 14 care providers and their manager in residential care for older people with the support of participatory action research (PAR). The recorded PAR sessions were transcribed and compiled with inspiration from content analysis.Ethical considerations: The participants were given oral and written information and gave their written informed consent.Findings: The PAR process was found to empower the participants to form their own structure of the practical professional planning, adapted to the residents needs and to their daily work. In this process, participants used their troubled conscience as a driving force and as an asset.Conclusion: Instead of launching change without any deeper information, it is important to carefully prepare, involve and inform those who are going to execute the change. Meeting places should be arranged wherein care providers have the opportunity to share and reflect on challenging situations that can generate troubled conscience, especially when comprehensive changes in their work are going to be implemented.
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| 7. |
- Ericson-Lidman, Eva, et al.
(författare)
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Caring for people with dementia disease (DD) and working in a private not-for-profit residential care facility for people with DD
- 2014
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Ingår i: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 28:2, s. 337-346
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Tidskriftsartikel (refereegranskat)abstract
- Caring for people with dementia and working in dementia care is described as having both rewarding and unpleasant aspects and has been studied to a minor extent. This study aims to explore care providers' narrated experiences of caring for people with dementia disease (DD) and working in a private not-for-profit residential care facility for people with DD. Nine care providers were interviewed about their experiences, the interviews were recorded, transcribed and analysed using thematic analysis. The analysis revealed that participants were struggling to perform person-centred care, which meant trying to see the person behind the disease, dealing with troublesome situations in the daily care, a two-edged interaction with relatives, feelings of shortcomings and troubled conscience, and the need for improvements in dementia care. The analysis also revealed an ambiguous work situation, which meant a challenging value base, the differently judged work environment, feelings of job satisfaction and the need for a functional leadership and management. The results illuminate participants' positive as well as negative experiences and have identified areas requiring improvements. It seems of great importance to strive for a supportive and attendant leadership, a leadership which aims to empower care providers in their difficult work. Using conscience as a driving force together in the work group may benefit care providers' health.
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| 8. |
- Ericson-Lidman, Eva, et al.
(författare)
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Change agents’ experiences of implementing a new organizational culture in residential care for older people : a qualitative study
- 2021
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Ingår i: Nordic journal of nursing research. - : Sage Publications. - 2057-1585 .- 2057-1593. ; 41:3, s. 149-157
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Tidskriftsartikel (refereegranskat)abstract
- Culture change in organizations may affect employees and change agents are often a forgotten resource; their perspective is often overlooked in research. The aim of the study was to illuminate experiences of being a change agent in order to improve residential care of older people. Interviews were performed with 15 change agents who participated in a large culture transformation in residential care for older people. The study followed COREQ guidelines and content analysis was used to interpret the text. The analysis revealed that the change agents felt chosen when they accepted the challenge to become a change agent, but they also felt that transferring the message to co-workers was demanding. Conflicting demands about measuring care and aggravating circumstances to implement change were described. The results indicate that change agents benefit from preparation for the role itself as they have a great responsibility on their shoulders. In making the process more successful, all co-workers should be involved in the change process from the beginning.
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| 9. |
- Ericson-Lidman, Eva, et al.
(författare)
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Dealing with troubled conscience by using participatory action research in residential care of older people in Sweden
- 2014
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Objective: To illuminate an intervention process to assist care providers in municipal care of older people to constructively deal with their troubled conscience generated from their perceived shortcomings about not providing sufficient activities for residents. Method: The study design was grounded in participatory action research (PAR). Twelve care providers and their manager participated in 12 PAR-sessions, guided with inspiration from the three basic phases, look, think and act.Result: Participants wanted to learn more about a difficult care situation that generated troubled conscience; perceptions of not providing sufficient activities for residents. Together with researchers they brainstormed about and described the problem in a deeper way. Participants formulated actions taken to gain increased understanding about meaningful activities, that is, they inventoried their knowledge and their learning needs (phases 'look' and 'think'). When learning needs were fulfilled, they decided what was possible and meaningful to act on and how to do so (phase 'act'). Actions taken were continuously evaluated and revised with new actions implemented. By sharing their experiences, participants confirmed in one another and became aware of what types of activities were meaningful for residents and actions were taken to provide such activities. The importance of being attentive and rely on residents’ responses, to provide person-centered activities, was satisfying for residents and eased participants' troubled conscience.Conclusion: PAR contributed, through reflection and learning, with increased understanding of the necessity to listen to one’s conscience and to use conscience as a driving force to improve quality of care.
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| 10. |
- Ericson-Lidman, Eva, et al.
(författare)
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Dealing with troubled conscience in municipal care of older people
- 2013
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Ingår i: Nursing Ethics. - : Sage Publications. - 0969-7330 .- 1477-0989. ; 20:3, s. 300-311
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Tidskriftsartikel (refereegranskat)abstract
- Troubled conscience may jeopardize the health of health-care personnel and, hence, the quality of care provided. Learning more about how personnel deal with their troubled conscience therefore seems important. The aim of this study was to describe personnel's experiences of how they deal with troubled conscience generated in their daily work in municipal care of older people. Interviews were conducted with 20 care providers and analysed with a thematic content analysis. The findings show that in order to deal with troubled conscience, personnel dialogued with themselves and with others. They took measures in a direction they perceived to be correct, and they expressed a need for distancing and re-energizing. It is of importance to share situations that generate troubled conscience in order to find ways to deal with them. Reconsidering one's ways of dealing with troubled conscience may give care providers an opportunity to reach consensus within themselves.
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