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Sökning: WFRF:(Lagerström Monica)

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  • Dellve, Lotta, 1965, et al. (författare)
  • Rehabilitation of home care workers: supportive factors and obstacles prior to disability pension due to musculoskeletal disorders.
  • 2002
  • Ingår i: Journal of occupational rehabilitation. - : Springer Science and Business Media LLC. - 1053-0487 .- 1573-3688. ; 12:2, s. 55-64
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to retrospectively explore the prevalence of rehabilitation actions, supportive factors, and obstacles for rehabilitation among home care workers with musculoskeletal disorders, especially focusing on aspects related to occupational rehabilitation. All home care workers in Sweden whose disability pension was approved in 1997 and 1998 because of a musculoskeletal disorder, were selected (n = 373). Data, covering aspects of the rehabilitation process and conditions in working life 5 and 15 years prior to their disability pension, were collected from a questionnaire. The majority considered that the disorder leading to a disability pension was caused by their work, but only one-third of them had their occupational disorder formally approved. Only one-third of the study group received occupational rehabilitation. However, an approved occupational disorder was related to higher prevalence of occupational rehabilitation. In the age group 60-65, few home care workers received rehabilitation. The majority perceived good support from their supervisor and working team, but no support with regard to lowering physical demands. Modification and reduction of physical demands might improve both sustained work ability in home care work and the outcome of the rehabilitation.
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  • Dellve, Lotta, 1965, et al. (författare)
  • Work-system risk factors for permanent work disability among home-care workers: a case-control study.
  • 2003
  • Ingår i: International archives of occupational and environmental health. - : Springer Science and Business Media LLC. - 0340-0131 .- 1432-1246. ; 76:3, s. 216-24
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVE: There is a growing need for home-care services in western societies. As home-care workers show high levels of absence related to poor health it is important that we broaden our knowledge about what factors in the work system contribute to this. The aim of this study was to explore and estimate the impact of the work system on permanent work disability and its relative importance compared with home-life risks among home-care workers. METHODS: The cases (617 subjects) were all home-care workers in Sweden, whose disability pension was approved in 1997 or 1998. The controls (771 subjects) were home-care workers still working. We used a questionnaire to gain situation-specific information on working life and home life 5 and 15 years before disability pension entitlement. RESULTS: The most important risk factors in the work system were poor ergonomic/lifting conditions, time pressure and lack of professional caring technique. Fifteen years prior to disability pension entitlement, insufficient management (odds ratio (OR) 95%, CI 2.6[1.6;4.2]) and relational problems at work were also risk factors. Five years before disability pension entitlement, poor organisational support (4.1 [2.5;6.7]), opportunities for co-working and working climate (3.5 [2.4;5.2]) were also strongly related to a persisting work ability. The magnitude of exposure to a number of risk factors had an increased effect (highest 13.8 [5.6-33.8]). The strongest risk factor in home life was little opportunity to rest from work (4.9 [3.0;8.0]). The risk factors in working life were robust to the inclusion of the grouped risk factors of home life. CONCLUSIONS: The conclusion was that risk factors related to the work system are, alone, strongly related to permanent work disability among home-care workers. Also, exposure to several of the risk factors constitutes a notably strong risk for permanent work disability.
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  • Fochsen, G, et al. (författare)
  • Predictors of leaving nursing care: a longitudinal study among Swedish nursing personnel.
  • 2006
  • Ingår i: Occupational and environmental medicine. - : BMJ. - 1470-7926 .- 1351-0711. ; 63:3, s. 198-201
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVES: Despite extensive research on turnover among nursing personnel very little is known about the impact of physical workload and health on leaving. The aim of this study was to find predictors for leaving nursing care with special reference to physical working conditions and musculoskeletal problems. METHODS: This study is based on longitudinal data from a survey of nursing personnel who were employed at various county hospitals in Sweden from 1992-95. A self administrated follow up questionnaire was used to identify their present position in the labour market. The response rate was 73% (n = 1095). RESULTS: The results showed that nursing personnel reporting musculoskeletal problems of the neck/shoulder or knees and those who had limited use of transfer devices were more likely to leave nursing care. CONCLUSIONS: The study highlights the importance of taking musculoskeletal problems and use of transfer devices into consideration in order to retain nursing personnel.
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  • Kjellberg, Katarina, et al. (författare)
  • Work technique of nurses in patient transfer tasks and associations with personal factors.
  • 2003
  • Ingår i: Scandinavian journal of work, environment & health. - : Scandinavian Journal of Work, Environment and Health. - 0355-3140 .- 1795-990X. ; 29:6, s. 468-77
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVES: Back disorders among nursing personnel are associated with the worktask of assisting patients during transfers. The objectives of the study were to explore the work technique applied by nursing personnel in patient transfer tasks and to determine whether different personal factors were associated with work technique safety. METHODS: The work technique used by 102 nurses to perform two common patient transfer tasks in orthopedic wards, transfer higher up in bed and transfer from bed to wheelchair, was examined with the use of video recordings and an observation instrument. A work technique score was calculated for each performed transfer. It indicated the level of musculoskeletal safety and hazard for the nurse. The participants also filled out a questionnaire concerning different personal factors. RESULTS: A variety of strategies was used by the nurses to perform the transfer tasks. Being older and suffering from low-back symptoms were factors associated with the use of poor work technique in both tasks. There was also an association between male gender and poor technique in transferring patients from bed to wheelchair. CONCLUSIONS: The results indicate an association between poor work techniques and low-back symptoms. Special attention should be paid to older nurses, nurses with low-back problems, and possibly also to male nurses when training programs on patient transfer technique are designed, as these groups seem to apply comparatively poor work techniques in patient transfer tasks.
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  • Lagerström, Monica (författare)
  • Pre- and perinatal factors in long-term development : behavioral and intellectual performance for boys and girls at school age as related to birth weight and gestational age, with special regard to maternal hormone levels and smoking during pregnancy
  • 1991
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The aim of the present work was to investigate long-term intellectual and behavioral development in relation to pre- and perinatal factors, with emphasis on birth weight and gestational age, for boys and girls at school age. The first part of the work consists of a short-term longitudinal clinical study of pregnant women in risk pregnancies. The women were continuously monitored from pregnancy week 16-17 until about four days post-partum with, among other tests, investigations of maternal serum hormone levels. The results indicated that the maternal hormone balance was affected by smoking depending upon the sex of the fetus, and that differences in maternal hormone patterns were related to pre-term and to small-for-gestational age (SGA) deliveries. The second part of the work consists of long-term longitudinal studies where cognitive and behavioral development of children at the ages of 10-13 years were related to pre- and perinatal factors. The subjects consisted of two representative samples, and one clinically defined sample, namely; a) the research project Individual Development and Adjustment, b) the research Project Metropolitan, and c) children born to mothers who had participated in a clinical study during their pregnancy. The results indicated that children who were SGA tended to have suboptimal intelligence and scholastic performance which was less pronounced for appropriate-for-gestational age (AGA) children. There were sex-related differences in intelligence, scholastic performance, and behavior related to pre- and perinatal factors. The low birth weight girls showed more behavior disorders and poorer scholastic performance than did normal birth weight girls. Girls born to smoking mothers had lower scores in WISC verbal tests than did girls of non-smoking mothers. These findings were not obtained for the corresponding groups of boys. Maternal serum hormone levels (hCG and hPL) during pregnancy were correlated to outcome of WISC test scores for SGA girls at the age of 10 years. The findings might emphasize a vulnerability in the fetus as related to sex of fetus, which might have farreaching implications. Disparity in maturity between infants born AGA and SGA, and consequences of early or late onset of SGA during pregnancy were discussed, as well as medically-at-risk childrens’ parental socioeconomic situation.
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  • Lagerström, Monica, et al. (författare)
  • Striving for Balance Between Family and Work Demands Among Iranian Nurses
  • 2010
  • Ingår i: Nursing Science Quarterly. - : SAGE Publications. - 0894-3184 .- 1552-7409. ; 23:2, s. 166-172
  • Tidskriftsartikel (refereegranskat)abstract
    • The study reported here explored Iranian nurses' experience of managing work and family roles. Grounded theory method guided the data collection and data analysis from both individual and focus group interviews. Five categories emerged: family role, working conditions, seeking support, perceiving dissatisfaction, and perceiving threats to health. The core concept that emerged was striving for balance between family and work demands. In the work family role the Iranian nurses faced significant pressures, and they mostly relied on their own capabilities to create balance, often neglecting their own needs. This resulted in perceived dissatisfaction and health threats.
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