| 1. |
- Röijezon, Ulrik, et al.
(författare)
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Generalised Joint Hypermobility and musculoskeletal pain among professional classical orchestra musicians in Sweden : a pilot study
- 2015
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Konferensbidrag (refereegranskat)abstract
- Aims: The aims were to 1) investigate the presence of Generalised Joint Hypermobility (GJH) and musculoskeletal pain among musicians in professional Swedish symphony and opera orchestras, and 2) investigate associations between GJH and musculoskeletal pain.Methods: A Swedish version of the 5-part questionnaire [1] and the standardised Nordic questionnaire for musculoskeletal pain disorders [2] were included in an ongoing national survey on musculoskeletal health conditions among professional orchestra musicians in Sweden. The data of this report is collected from two orchestras. Seventy-eight musicians (80%) participated, aged 45 ±9.6 years with 41% women.Results: At present, 77 participants completed the 5-part questionnaire, of which 19.5% (28% of the women and 13% of the men) scored two or more on the 5-part questionnaire, which is the criteria for GJH. Pain prevalence during the last 12 months was highest for the neck (73.7%) and lowest for the left and right elbows (15.6% and 16.9%, respectively) (Table 1). Binary logistic regressions revealed that hypermobility was associated with increased risk for pain conditions at the neck (Odds Ratio 5.64, p=0.005) and the left and the right hand (Odds Ratio 1.80, p=0.019 and Odds Ratio 1.68, p=0.032, respectively) (Table 1).Discussion/Conclusion: Previous studies have reported various results regarding hypermobility and association with musculoskeletal pain conditions, including both increased and reduced risk [3- 5]. Our study shows increased risk of pain located to the neck and both hands among musicians with GJH, while no significant increased or decreased risks were seen for the other body parts. However, larger groups of musicians should confirm the influence of GJH on musculoskeletal pain, and whether it differs between men and women and between groups of instruments. The current preliminary results may indicate that GHJ among musicians should be identified and preventive strategies be recommended, e.g., regarding pauses, posture and physical exercises.
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| 2. |
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| 3. |
- Björn, Catrine, 1961-
(författare)
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Attractive Work : Nurses´ work in operating departments, and factors that make it attractive
- 2016
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: Previous studies show that nurse retention is one of the most effective strategies to counteract nursing shortages. Few studies have focused on the crucial resource of registered specialist nurses in operating departments.Aim: The overall aim of this thesis was to gain knowledge on registered specialist nurses’ and assistant nurses’ work in operating departments and on what factors they consider to be important for attractive work. Methods: In Study I, operating room nurses were interviewed regarding their perspective on their work. In Studies II and III, specialist registered nurses and assistant nurses at operating departments in a Swedish county council responded to the Attractive Work Questionnaire. Study IV is a case study with interviews, a review of organisational goal documents and data concerning the number of planned, acute and cancelled operations.Findings: The adaption of the Attractive Work Questionnaire for nurses in operating departments was satisfying. The most important factors for attractive work were: Relationship, Leadership and Status. The factors with the largest discrepancies between their important to work attractiveness and their rating at the nurses’ current work were: Salary, Organisation and Physical Work Environment. It was important for nurses to be able to prepare for and be in control of the different work tasks. However, the daily operating schedule guided the nurses’ work, and changes in the schedule, nurse shortages and the design of the premises constituted obstacles to their work.Conclusion: The Attractive Work Questionnaire provided specific information to management on what to focus on to make work attractive. The majority of the identified attractive factors are already known to be of importance in nurse retention; however, factors requiring more investigation are Equipment, Physical Work Environment and Location (of the workplace). Their work prerequisites did not enable the specialist and assistant nurses to reach what they saw as their daily goals. Regularly occurring activities, such as acute and cancelled operations, were interpreted as obstacles to reaching daily goals.
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| 4. |
- Björn, Catrine, et al.
(författare)
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Goal-setting documents did not facilitate nurses’ work at an operating department – a descriptive qualitative study
- 2014
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Both effectiveness and good care is demanded of nurses in a complex environment. The aim of the study was to describe how nurse managers and nurses interpret and are guided by stated goals in their health-care organisation, their own influence over work and obstacles to carry out work in an operating department. A qualitative study, consisting of interviews with nurse managers and nurses, and a description of goal documents and the workplace, were conducted in an operating department in Sweden. The interviews were analysed with manifest content analysis. Work was guided by daily goals for the nurses: to meet the operating schedule and to ensure good-quality patient care. The organisational goals were little known and used. The nurse managers and nurses had limited influence over their work, changes in assignments and in the operating schedule, and unsuitable environmental premises created obstacles in their work. If organisational goals are to guide work there is a need for nurse managers to transform them into understandable, applicable goals and incorporate them into nurses’ daily work. Letting the nurses influence the operating schedule could be one way to overcome obstacles in work. The study also highlights the importance of a functional physical work environment.
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| 5. |
- Björn, Catrine, et al.
(författare)
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Prominent attractive qualities of nurses’ work in operating room departments : a questionnaire study
- 2015
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Ingår i: Work. - 1051-9815 .- 1875-9270. ; 52:4, s. 877-889
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The shortage of nurses in operating room departments (ORs) in Sweden and other countries can lead to reduced capacity and quality in healthcare, as well as more intense work for those on the job. Little is known about what nurses in ORs perceive as crucial for their workplace to be attractive.OBJECTIVE: To capture attractive qualities of nurses work in ORs and to adapt the Attractive Work Questionnaire (AWQ).METHODS: The AWQ, rating attractive qualities of work, were completed by 147 (68%) nurses in four Swedish ORs. Principal Component Analyses were performed to determine the underlying structure of the data.RESULTS: The factors in the area Work conditions were: relations, leadership, equipment, salary, organisation, physical work environment, location, and working hours; in the area Work content: mental work, autonomy and work rate; and in the area Job satisfaction: status and acknowledgement. The Principal Component Analysis showed consistency with the original AWQ. Cronbach’s alpha varied between 0.57-0.90.CONCLUSIONS: The AWQ captured attractive qualities for nurses in ORs, some less discussed regarding nurse retention, i.e. equipment, physical work environment and location. The results suggest that the questionnaire is reliable and valid and can be a useful tool in identifying attractive work.
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| 6. |
- Björn, Catrine, et al.
(författare)
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Significant factors for work attractiveness and how these differ from the current work situation among operating department nurses
- 2016
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 25:1-2, s. 109-116
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Tidskriftsartikel (refereegranskat)abstract
- AIMS AND OBJECTIVES: The aim was to examine significant factors for work attractiveness and how these differ from the current work situation among operating department nurses. A second objective was to examine the associations between age, gender, length of employment, work engagement, work ability, self-rated health indicators and attractiveness of the current work situation.BACKGROUND: The attractiveness of work is rarely taken into account in research on nurse retention. To expand this knowledge, it is relevant to examine factors that make work attractive and their associations with related concepts.DESIGN: Correlational, cross-sectional survey using a convenience sample.METHODS: Questionnaires were answered by 147 nurses in four operating departments in Sweden. Correlation and regression analyses were conducted.RESULTS: The nurses rated the significance of all factors of work attractiveness higher than they rated those factors in their current work situation; salary, organisation and physical work environment had the largest differences. The most significant attractive factors were relationships, leadership and status. A statistically significant positive correlation between work engagement and attractive work was found. In the multiple regression model, the independent variables work engagement and older age significantly predicted work attractiveness.CONCLUSIONS: Several factors should be considered in the effort to increase work attractiveness in operating departments and thereby to encourage nurse retention. Positive aspects of work seem to unite work engagement and attractive work, while work ability and self-rated health indicators are other important dimensions in nurse retention.RELEVANCE TO CLINICAL PRACTICE: The great discrepancies between the significance of attractive factors and the current work situation in salary, organisation and physical work environment suggest ways in which work attractiveness may be increased. To discover exactly what needs to be improved may require a deeper look into the construct of the examined factors.
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| 7. |
- Björn, Catrine, et al.
(författare)
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The opportunities and obstacles nurses have in carrying out their work : a case study in an operating department in Sweden
- 2017
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Ingår i: Perioperative Care and Operating Room Management. - : Elsevier BV. - 2405-6030. ; 6, s. 1-6
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Tidskriftsartikel (refereegranskat)abstract
- Background To improve working conditions and counteract nursing shortages, more knowledge is needed about the opportunities nurses have to carry out their work and what guide nurses’ work. The aim of this study was to use the ARIA guide to identify the opportunities and obstacles in nurse managers, registered specialist nurses and non-registered assistant nurses work in an operating department. Methods A descriptive case study design was performed in an operating department, comprising structured individual and group interviews according to work content analyses with nurse managers, registered specialist nurses and assistant nurses. Interviews were analysed in terms of predetermined aspects regarding working conditions and criteria for performance obstacles. Extracts from documents stating goals and registered data supplemented the interviews. Results The findings show that the daily surgery schedule, not the goal documents, guided daily work. An over-optimistic surgery schedule with unplanned changes and cancellations, over which the nurses had very little influence, as well as the time required to locate necessary equipment that was spread throughout the ward, resulted in nurses rushing through medical records and other preparations rather than preparing calmly for surgery. Although the registered specialist nurses and assistant nurses considered quality of care to be highly important, no standardised evaluations on quality of care were performed. Conclusion The study reveals the importance of a functioning physical work environment including storage, technical equipment supplies, and the positioning of technical equipment in operating rooms, in order for registered specialist and assistant nurses to perform their tasks well. Due to goal incongruence and performance obstacles, the nurses were often unable to reach their daily goals. Involving registered specialist nurses in the process of planning of the surgery schedule could facilitate their work to better match the prerequisites in the physical work environment and among available staff. In order for the Operating Department Goal Document to guide work, goals must be transformed into understandable, realistic, applicable and evaluable aims, and incorporated into daily work.
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| 8. |
- Björn, Catrine, et al.
(författare)
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Unclear goals and performance obstacles in a surgical department in Sweden, A case study
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Background: To improve working conditions and counteract nursing shortages, more knowledge is needed about the goals that guide nurses’ work, and the opportunities nurses have to carry out their work well. The aim of this study is to describe how nurse managers, registered specialist nurses and non-registered assistant nurses interpret stated organisational goals and their own daily goals, and to identify performance obstacles for nurses in a surgical department. Methods: A descriptive case study design was performed in a surgical department, comprising structured individual and group interviews according to work content analyses with nurse managers, registered specialist nurses and assistant nurses. Interviews were analysed in terms of predetermined aspects regarding working conditions and criteria for performance obstacles. Extracts from documents stating goals and registered data supplemented the interviews.Results: The findings show that the daily surgery schedule, not the goal documents, guided daily work. An over-optimistic surgery schedule with unplanned changes and cancellations, over which the nurses had very little influence, as well as the time required to locate necessary equipment that was spread throughout the ward, resulted in nurses rushing through medical records and other preparations rather than preparing calmly for surgery. Although the registered specialist nurses and assistant nurses considered quality of care to be highly important, no standardised evaluations on quality of care were performed.Conclusion: Due to goal incongruence and performance obstacles, the nurses were often unable to reach their daily goals. Involving registered specialist nurses in the schedule-planning process could facilitate their work to better match the requirements of the physical work environment and the staff availability. In order for the Surgical Department Goal Document to guide work, goals must be transformed into understandable, realistic, applicable and evaluable aims, and incorporated into daily work.The study also reveals the importance of a functioning physical work environment including storage, technical equipment supplies, and the positioning of technical equipment in operating rooms, in order for registered specialist and assistant nurses to perform their tasks well.
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| 9. |
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| 10. |
- Johansson, Sara, et al.
(författare)
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Musculoskeletal pain, work posture and physical activity among professional symphony and opera musicians in Sweden
- 2015
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Konferensbidrag (refereegranskat)abstract
- Aims: The objectives were to 1) investigate the point prevalence and the one year prevalence of musculoskeletal symptoms among professional classical orchestra musicians, 2) estimate the work posture regarding standing vs. sitting, and the physical activity among the musicians, and 3) investigate associations between pain and gender, work posture, and physical activity.Methods: The study is part of an ongoing national survey investigating the health situation among Swedish professional orchestra musicians. The data were collected from two orchestras. Seventy-eight musicians (80%) participated, aged 45 ±9.6 years with 41% women.Result: Ninety-one percent of the musicians reported pain during the last 12 months; 80% at more than one site. For both men and women the most frequently reported problem within the last year was neck pain (figure 1). While 96% of the musicians had a seated work posture all or most of the time in the orchestra, work posture was more diverse while practicing alone (figure 2). In total 73% (for females 67%; for males 77%) of the musicians fulfilled the Nordic recommendations for physical activity. Binominal logistic regressions including pain prevalence during last 12 months and gender, work posture, and physical activity were significant for hip pain (p=0.020) with gender (Odds ratio 4.9, p=0.007) as significant predictor, and knee pain (p=0.035) with work posture (Odds ratio 0.517, p=0.046) as significant predictor.Conclusion: In harmony with previous studies [1-2], the majority of the examined orchestra musicians experienced pain at some time point during a year. While almost all musicians play in a sitting position during orchestra rehearsals and concerts, playing posture varied more when practicing alone. Regression models including gender, work posture and physical activity revealed that 1) women were more prone to hip pain compared to men, 2) an association between knee pain and standing posture, while 3) no impact was found for physical activity in these preliminary results.
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