| 1. |
- Boman, Åse, 1957-, et al.
(författare)
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Conceptions of Diabetes and Diabetes Care in Young People With Minority Backgrounds.
- 2015
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Ingår i: Qualitative Health Research. - : SAGE Publications. - 1049-7323 .- 1552-7557. ; 25:1, s. 5-15
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Tidskriftsartikel (refereegranskat)abstract
- Adolescents with type 1 diabetes (T1DM) need stable self-care routines for good metabolic control to minimize future cardiovascular health complications. These routines are demanding, and might be particularly challenging in underprivileged groups. The aim of this study was to gain in-depth knowledge on the experience of adolescents with T1DM and a non-Swedish background regarding factors that might influence their ability to take care of themselves; in particular, factors that might influence diabetes management routines, their social situation, and the support they receive from caregivers. We interviewed 12 adolescents with T1DM and minority backgrounds. The results indicated resources and constraints in the adolescents' social context and in the health care organization. The adolescents developed conceptions that helped to explain and excuse their self-care failures, and their successes. These findings highlight the importance of integrating T1DM as part of the individual's personal prerequisites. We discuss implications for the organization of diabetes care for adolescents.
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| 2. |
- Boman, Åse, 1957-, et al.
(författare)
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Health care to empower self-care in adolescents with type 1 diabetes mellitus and an immigrant minority background
- 2017
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Ingår i: Sage Open medicine. - : SAGE Publications. - 2050-3121 .- 2050-3121. ; 5
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Tidskriftsartikel (refereegranskat)abstract
- Background: The pediatric diabetes team aims to support health, quality of life, and normal growth and development among adolescents with type 1 diabetes mellitus. Adolescents with an immigrant background have been found less successful in self-care. Previous research indicated that adolescents who had integrated the disease as a part of their self-image reasoned differently about their self-care to those who had not. Objective: The aim of this study was to identify elements in the patient–pediatrician consultations that might influence such integration of the disease among adolescents with type 1 diabetes mellitus. Methods: A total of 12 pediatrician–adolescent consultations were video-recorded and analyzed. The adolescents all had an immigrant background. Results: Integration of the disease appeared enabled when responsibility was shared; when hope, autonomy, and emotions were confirmed; and when the pediatrician asked probing questions. Letting objective data dominate the adolescent’s experiences, using risk as a motivator, neutralizing emotions in relation to having diabetes, and confirming forgetfulness, may instead inhibit disease integration. Conclusion: An extended person-centered approach with focus on the adolescent’s experiences of everyday life with a chronic disease and less attention on physical parameters in the pediatrician–adolescent consultations may increase integration of the disease.
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| 3. |
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| 4. |
- Eklöf, Mats, 1953, et al.
(författare)
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Organizational and social-psychological conditions in healthcare and their importance for patient and staff safety. A critical incident study among doctors and nurses
- 2014
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Ingår i: Safety Science. - : Elsevier BV. - 0925-7535. ; 70, s. 211-221
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Tidskriftsartikel (refereegranskat)abstract
- Research on patient safety has indicated that focusing on technologies, routines, control systems, and individual caregiver attributes is not sufficient. The aim of this critical-incident interview study was to identify organizational and social-psychological conditions and processes that Swedish physicians and nurses (n = 36) perceived as important for patient and/or staff safety, and participative safety behavior. Injury due to psychological overload was the most salient type of healthcare worker hazard. Patient and healthcare worker safety went hand in hand. Good patient safety was present when caregivers had good access to their psychological and social capacities. These functions were jeopardized by stress. Our results indicated that quantitative overload, excessive cognitive and emotional complexity, lack of social support and good teamwork, organizational instability, and distrust for and frustration with the way healthcare organizations were managed, caused stress related function impairment in staff, which lead to mistakes and near misses. These aspects also in themselves contributed to risks. Good safety was associated with adequate resources and routines, workplace learning, and supportive unit level managers and colleagues. Features of professional cultures related to ethical norms to offer best possible care for the patient, in spite of insufficient resources, contributed to acceptance of working conditions that could lead to stress and overload.
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| 5. |
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| 6. |
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| 7. |
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| 8. |
- Larsman, Pernilla, 1976, et al.
(författare)
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Adolescents' risk perceptions in relation to risk behavior with long-term health consequences; antecedents and outcomes: A literature review
- 2012
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Ingår i: Safety Science. - : Elsevier BV. - 0925-7535. ; 50:9, s. 1740-1748
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Tidskriftsartikel (refereegranskat)abstract
- There is a need for a systematic literature review focusing on adolescents' risk perceptions in relation to risk behavior with long-term health consequences with delayed onset. The aim of this literature review was to review the results of such empirical studies, and to interpret these results from a general risk psychology perspective. Special focus was on factors influencing adolescents' risk perceptions, and on the risk perceptions - risk behavior relationship. Literature searches were conducted in the PsycInfo, PubMed, and Cinahl databases. In total 51 journal articles were included in the review. Evidence, although inconsistent, was found for age, ethnicity, socioeconomic status, close exposure to negative outcome, perceived control, and knowledge, stereotyping and misconceptions as covariates of risk perceptions. Evidence was found both for a negative and a positive association between risk perceptions and risk behavior. The results suggest that the adolescent's risk perception, knowledge, perceived control (response- and self-efficacy) as well as benefits and costs of health behavior must be well balanced. Any agent, such as care providers, aiming at encouraging adolescents to take active responsibility for their long term health, must be able to determine each young person's status regarding these issues concomitantly, in order not to evoke risk denial, exaggerated unrealistic optimism, or impaired mental wellbeing. (C) 2012 Elsevier Ltd. All rights reserved. RAHAM SCS, 1995, HEALTH EDUCATION RESEARCH, V10, P155
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| 9. |
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| 10. |
- Pousette, Anders, 1959, et al.
(författare)
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Intervention för förbättrat säkerhetsledarskap
- 2013
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Ingår i: FALF 2013. Arbetslivets föränderlighet: Individ-, organisations-, och metodperspektiv.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 11. |
- Pousette, Anders, 1959, et al.
(författare)
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The relationship between patient safety climate and occupational safety climate in healthcare – A multi-level investigation
- 2017
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Ingår i: Journal of Safety Research. - : Elsevier BV. - 0022-4375. ; 61, s. 187-198
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Patient safety climate/culture is attracting increasing research interest, but there is little research on its relation with organizational climates regarding other target domains. The aim of this study was to investigate the relationship between patient safety climate and occupational safety climate in healthcare. Method: The climates were assessed using two questionnaires:Hospital Survey on Patient Safety Culture and Nordic Occupational Safety Climate Questionnaire. The final sample consisted of 1154 nurses, 886 assistant nurses, and 324 physicians, organized in 150 work units, within hospitals (117 units), primary healthcare (5 units) and elderly care (28 units) in western Sweden, which represented 56% of the original sample contacted. Results: Within each type of safety climate, two global dimensions were confirmed in a higher order factor analysis; one with an external focus relative the own unit, and one with an internal focus. Two methods were used to estimate the covariation between the global climate dimensions, in order to minimize the influence of bias from common method variance. First multilevel analysis was used for partitioning variances and covariances in a within unit part (individual level) and a between unit part (unit level). Second, a split sample technique was used to calculate unit level correlations based on aggregated observations from different respondents. Both methods showed associations similar in strength between the patient safety climate and the occupational safety climate domains. Conclusions: The results indicated that patient safety climate and occupational safety climate are strongly positively related at the unit level, and that the same organizational processes may be important for the development of both types of organizational climate. Practical applications: Safety improvement interventions should not be separated in different organizational processes, but be planned so that both patient safety and staff safety are considered concomitantly.
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| 12. |
- Stave, Christina, et al.
(författare)
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An intervention method for occupational safety in farming : evaluation of the effect and process
- 2007
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Ingår i: Applied Ergonomics. - : Elsevier BV. - 0003-6870 .- 1872-9126. ; 38
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Tidskriftsartikel (refereegranskat)abstract
- In order to increase safety in Swedish farming an intervention methodology to influence attitudes and behaviour was tested. Eightyeight farmers and farm workers in nine groups gathered on seven occasions during 1 year. The basic concept was to create socially supportive networks and encourage discussions and reflection, focusing on risk manageability. Six of the groups made structured incident/accident analyses. Three of the latter groups also received information on risks and accident consequences. Effects were evaluated in a pre-post questionnaire using six-graded scales. A significant increase in safety activity and significant reduction in stress and risk acceptance was observed in the total sample. Risk perception and perceived risk manageability did not change. Analysing incidents/accidents, but not receiving information, showed a more positive outcome. Qualitative data indicated good feasibility and that the long duration of the intervention was perceived as necessary. The socially supportive network was reported as beneficial for the change process. © 2006 Elsevier Ltd. All rights reserved.
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| 13. |
- Törner, Marianne, 1953, et al.
(författare)
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Hälsa och framgång! Organisationsklimat för hälsa, säkerhet, innovation och effektivitet
- 2015
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- För att en konkurrensutsatt organisation ska vara framgångsrik på längre sikt så måste den hålla god effektivitet och produktivitet för att klara lönsamheten i global konkurrens, och upprätthålla god kvalitet inom ramen för hårt begränsade resurser. Men god effektivitet just nu är inte tillräckligt. Långsiktig framgång kräver också att man kan erbjuda goda arbetsförhållanden så att de anställda mår bra och inte kommer till skada, trivs med arbetet och är motiverade att göra ett bra jobb efter bästa förmåga. Dessutom måste organisationen vara innovativ, så att den kan ligga i framkant beträffande nya idéer och innovationer som kan tas i bruk för att utveckla verksamhet och produkter. Dessa mål kan kopplas till olika domänspecifika typer av organisationsklimat, exempelvis innovativitet, där ett sådant klimat utgörs av gemensamma perceptioner av hur organisationen värderar den specifika domänen, t.ex. innovativitet. Olika organisatoriska värden kan vara motsägelsefulla, såsom beskrivs i Competing values framework (CVF) (Quinn & Rohrbaugh, 1983). Detta gäller därmed även domänspecifika klimat. Exempelvis kan risktagande och ett klimat som stöder risktagande gynna innovatititet, medan det kan vara negativt för säkerheten eller den kortsiktiga effektiviteten. Organisationers framhävande av betydelsen att samtidigt nå olika typer av mål kan därför upplevas som paradoxala och ge upphov till målkonflikter. Lewis (2000) underströk betydelsen av att kunna hantera paradoxer i organisationer och föreslog transcendens som ett sätt för detta, d.v.s. ett andra ordningens tänkande där förhärskande antaganden undersöks för att konstruera ett ackommoderande perspektiv på motsatser. I detta projekt undersökte vi hur säkerhetsklimat, arbetshälsoklimat, innovativt klimat, produktionseffektivitetsklimat och formellt klimat, representerande de fyra kvadranterna i Competing values framework, relaterade till fyra essentiella organisatoriska utfall: anställdas hälsa och säkerhet, team effektivitet och innovationer. Vi undersökte även om ett ”G-faktorklimat” kunde identifieras som grep över de domänspecifika klimaten och som predicerade samtliga fyra utfall. Om så var fallet var ett tredje syfte att undersöka om denna klimat-G-faktor kunde ersättas av en G-faktor som indikerades av ett urval klimatfrågor som identifierats att representera innehållet i begreppet Perceived Organizational Support (POS), d.v.s. anställdas perceptioner att organisationen uppskattar deras bidrag och bryr sig om deras hälsa och välbefinnande (Eisenberger, Huntington, Hutchison, & Sowa, 1986). Om ett POS-relaterat G-faktorklimat identifierades ville vi undersöka om det hade betydande prediktivt värde för utfallen anställdas hälsa och säkerhet, team effektivitet och innovationer. Projektet genomfördes som en enkätstudie till fyra stora företag i Sverige, två inom gruvnäring och två inom bygg och anläggning. 894 av 1366 utvalda produktionsarbetare (65%), fördelade på 146 arbetsgrupper, besvarade enkäten. Eftersom organisationsklimat är ett socialt gemensamt fenomen gjordes samtliga analyser på arbetsgruppsnivå. Resultaten visade att en högre-ordningens G-faktor förklarade en substantiell mängd av den gemensamma variationen i de domänspecifika organisationsklimaten. Innehållet i G-faktorn kunde delvis representeras av POS. POS-G-faktorn predicerade utfallen anställdas sjukfrånvaro, olyckserfarenhet, team effektivitet och innovationer i likartad grad som de domänspecifika klimaten. Resultaten indikerar att POS representerar ett högre-ordningens organisationsklimat, och är en prediktor för centrala organisatoriska utfall. Att som en överordnad ledningsprincip erbjuda organisatoriskt stöd kan hjälpa de anställda att sammanjämka viktiga men synbarligen konflikterande organisatoriska mål. Som sådant kan POS underlätta hantering av paradoxer i organisationer genom transcendens (Lewis, 2000). Utvecklingen av POS understöds i en organisation som, genom sin ledning och sina organisatoriska strukturer, på ett övertygande och genuint sätt visar att man respekterar och värderar sina medarbetare genom att visa omsorg om dessas välbefinnande, och som visar uppskattning för medarbetarnas bidrag genom att inbjuda till delaktighet och ge stöd för medarbetarna att utföra sitt arbete väl. Vi menar att en sådan organisation erbjuder en källa för god självkänsla och bidrar till att fylla medarbetarnas existentiella behov av mål och mening. En sådan psykosocial miljö understödja även utvecklingen av tillitsfulla gruppklimat och ger aktörerna tillgång till såväl egna som kollektiva resurser och möjlighet och motivation att fullt ut utnyttja en bred repertoar av ageranden för att utföra sitt arbete på ett sätt som är tillfredsställande för såväl den anställda själv, som för organisationen.
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| 14. |
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| 15. |
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| 16. |
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| 17. |
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| 18. |
- Törner, Marianne, 1953, et al.
(författare)
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Säkerhetskultur i vård och omsorg - Hinder och stöd
- 2014
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- De flesta som arbetar inom vård och omsorg kan nog instämma i att förbättrad patientsäkerhet är en viktig fråga av flera skäl. Skador i vården innebär ett betydande lidande för drabbade patienter och deras anhöriga. Dessutom kostar de mycket pengar. En undersökning som presenterades av Sveriges kommuner och landsting 2013 visade att vårdskador inom svensk slutenvård för vuxna kostar mellan sex och åtta miljader kronor per år, pengar som kunnat användas till annat inom den redan ekonomiskt hårt pressade vården. Eftersom vårdskador även innebär ett allvarligt arbetsmiljöproblem finns skäl att sträva efter att de ska minska även för personalens skull. Personal som varit delaktig i att en vårdskada uppstått mår ofta mycket dåligt och ofta under lång tid. Ett annat betydande arbetsmiljöproblem inom vård och omsorg är skador som drabbar personalen själv. Forskargruppen Säkerhet, organisation och ledarskap vid Enheten för Arbets- och miljömedicin, Göteborgs universitet, genomförde 2010-2012 ett forsknings- och utvecklingsprojekt kring säkerhetskultur i vården. Syftet med projektet var att klarlägga vilka förhållanden som bidrar till god säkerhet för såväl patienter som personal, liksom vilka som motverkar sådan säkerhet. Förhållanden på både organisatorisk och individuell nivå studerades. Denna rapport är tänkt att fungera som underlag i arbetet med att stärka säkerheten i vården. Förhoppningen är att projektets resultat ska komma till användning för att utveckla såväl kvalitet som effektivitet i svensk vård och äldreomsorg till nytta för både anställda, patienter och äldreomsorgstagare. Målgrupp för denna rapport är framförallt chefer och beslutsfattare inom vård- och omsorgssektorn, fackliga förtroendepersoner och stabspersoner med ansvar för kvalitets- och säkerhetsutveckling.
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| 19. |
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| 20. |
- Dyreborg, J, et al.
(författare)
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Safety Interventions for the Prevention of Accidents at Work: A Systematic Review
- 2022
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Ingår i: Campbell Systematic Reviews. - : Wiley. - 1891-1803. ; 18:2, s. 2849-57
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Forskningsöversikt (refereegranskat)abstract
- Background: Limited knowledge regarding the relative effectiveness of workplace accident prevention approaches creates barriers to informed decision‐making by policy makers, public health practitioners, workplace, and worker advocates. Objectives: The objective of this review was to assess the effectiveness of broad categories of safety interventions in preventing accidents at work. The review aims to compare effects of safety interventions to no intervention, usual activities, or alternative intervention, and if possible, to examine which constituent components of safety intervention programs contribute more strongly to preventing accidents at work in a given setting or context. Date Sources: Studies were identified through electronic bibliographic searches, government policy databanks, and Internet search engines. The last search was carried out on July 9, 2015. Gray literature were identified by searching OSH ROM and Google. No language or date restrictions were applied. Searches done between February and July of 2015 included PubMed (1966), Embase (1980), CINAHL (1981), OSH ROM (NIOSHTIC 1977, HSELINE 1977, CIS‐DOC 1974), PsycINFO (1806), EconLit (1969), Web of Science (1969), and ProQuest (1861); dates represent initial availability of each database. Websites of pertinent institutions (NIOSH, Perosh) were also searched. Study Eligibility Criteria, Participants, and Interventions: Included studies had to focus on accidents at work, include an evaluation of a safety intervention, and have used injuries at work, or a relevant proxy, as an outcome measure. Experimental, quasi‐experimental, and observational study designs were utilized, including randomized controlled trials (RCTs), controlled before and after (CBA) studies, and observational designs using serial measures (interrupted time series, retrospective cohort designs, and before and after studies using multiple measures). Interventions were classified by approach at the individual or group level, and broad categories based on the prevention approach including modification of: • Attitudes (through information and persuasive campaign messaging). • Behaviors (through training, incentives, goal setting, feedback/coaching). • Physiological condition (by physical training). • Climate/norms/culture (by coaching, feedback, modification of safety management/leadership). • Structural conditions (including physical environment, engineering, legislation and enforcement, sectorial‐level norms). When combined approaches were used, interventions were termed “multifaceted,” and when an approach(es) is applied to more than one organizational level (e.g., individual, group, and/or organization), it is termed “across levels.” Study Appraisal and Synthesis Methods: Narrative report review captured industry (NACE), work setting, participant characteristics, theoretical basis for approach, intervention fidelity, research design, risk of bias, contextual detail, outcomes measures and results. Additional items were extracted for studies with serial measures including approaches to improve internal validity, assessments of reasonable statistical approaches (Effective Practice of Organization of Care [EPOC] criteria) and overall inference. Random‐effects inverse variance weighted meta‐ analytic methods were used to synthesize odds ratios, rate ratios, or standardized mean differences for the outcomes for RCT and CBA studies with low or moderate levels of heterogeneity. For studies with greater heterogeneity and those using serial measures, we relied on narrative analyses to synthesize findings. Results: In total 100 original studies were included for synthesis analysis, including 16 RCT study designs, 30 CBA study designs, and 54 studies using serial measures (ITS study designs). These studies represented 120 cases of safety interventions. The number of participants included 31,971,908 individuals in 59 safety interventions, 417,693 groups/firms in 35 safety interventions, and 15,505 injuries in 17 safety interventions. Out of the 59 safety interventions, two were evaluating national prevention measures, which alone accounted for 31,667,110 individuals. The remaining nine safety interventions used other types of measures, such as safety exposure, safety observations, gloves or claim rates. Strong evidence supports greater effects being achieved with safety interventions directed toward the group or organization level rather than individual behavior change. Engineering controls are more effective at reducing injuries than other approaches, particularly when engineered changes can be introduced without requiring “decision‐to‐use” by workplaces. Multifaceted approaches combining intervention elements on the organizational level, or across levels, provided moderate to strong effects, in particular when engineering controls were included. Interventions based on firm epidemiologic evidence of causality and a strong conceptual approach were more effective. Effects that are more modest were observed (in short follow‐up) for safety climate interventions, using techniques such as feedback or leadership training to improve safety communication. There was limited evidence for a strong effect at medium‐term with more intense counselling approaches. Evidence supports regulation/legislation as contributing to the prevention of accidents at work, but with lower effect sizes. Enforcement appears to work more consistently, but with smaller effects. In general, the results were consistent with previous systematic reviews of specific types of safety interventions, although the effectiveness of economic incentives to prevent accidents at work was not consistent with our results, and effectiveness of physiological safety intervention was only consistent to some extent. Limitations: Acute musculoskeletal injuries and injuries from more long‐time workplace exposures were not always clearly distinguished in research reports. In some studies acute and chronic exposures were mixed, resulting in inevitable misclassification. Of note, the classification of these events also remains problematic in clinical medicine. It was not possible to conduct meta‐analyses on all types of interventions (due to variability in approach, context, and participants). The findings presented for most intervention types are from limited sources, and assessment of publication bias was not possible. These issues are not surprising, given the breadth of the field of occupational safety. To incorporate studies using serial measures, which provide the only source of information for some safety interventions such as legislation, we took a systematic, grounded approach to their review. Rather than requiring more stringent, specific criteria for inclusion of ITS studies, we chose to assess how investigators justified their approach to design and analyses, based on the context in which they were working. We sought to identify measures taken to improve external validity of studies, reasonable statistical inference, as well as an overall appropriate inferential process. We found the process useful and enlightening. Given the new approach, we may have failed to extract points others may find relevant. Similarly, to facilitate the broad nature of this review, we used a novel categorization of safety interventions, which is likely to evolve with additional use. The broad scope of this review and the time and resources available did not allow for contacting authors of original papers or seeking translation of non‐English manuscripts, resulting in a few cases where we did not have sufficient information that may have been possible to obtain from the authors. Conclusions and Implications of Key Findings: Our synthesis of the relative effectiveness of workplace safety interventions is in accordance with the Public Health Hierarchy of Hazard Control. Specifically, more effective interventions eliminate risk at the source of the hazard through engineering solutions or the separation of workers from hazards; effects were greater when these control measures worked independently of worker “decision‐to‐use” at the worksite. Interventions based on firm epidemiological evidence of causality and clear theoretical bases for the intervention approach were more effective in preventing injuries. Less effective behavioral approaches were often directed at the prevention of all workplace injuries through a common pathway, such as introducing safety training, without explicitly addressing specific hazards. We caution that this does not mean that training does not play an essential function in worker safety, but rather that it is not effective in the absence of other efforts. Due to the potential to reach large groups of workers through regulation and enforcement, these interventions with relatively modest effects, could have large population‐based effects.
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| 21. |
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| 22. |
- Gadolin, Christian, 1987-, et al.
(författare)
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How do healthcare unit managers promote nurses' perceived organizational support, and which working conditions enable them to do so? : A mixed methods approach
- 2022
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Ingår i: Scandinavian Journal of Psychology. - : John Wiley & Sons. - 0036-5564 .- 1467-9450. ; 63:6, s. 648-657
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Tidskriftsartikel (refereegranskat)abstract
- Healthcare unit managers are pivotal to promote nurses' Perceived Organizational Support and hence to ensure nurses' health and well-being, as well as high-quality care. Despite this fact, there is a dearth of studies addressing how healthcare unit managers act and organize their work to promote nurses' Perceived Organizational Support and which working conditions enable them to do so. Through a mixed methods approach, comprising qualitative interviews and quantitative surveys among healthcare unit managers and nurses, this paper underscores that healthcare unit managers' availability to their nursing staff was essential for their ability to promote nurses' Perceived Organizational Support, and that responsive support from the care unit managers' superior management, administration, and managerial colleagues constituted enabling working conditions. Superior manager support strongly promoted the care unit manager's own Perceived Organizational Support, which, in turn, was positively correlated with nurses' organizational climate of Perceived Organizational Support.
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| 23. |
- Gadolin, Christian, 1987, et al.
(författare)
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Managing health care under heavy stress: Effects of the COVID-19 pandemic on care unit managers’ ability to support the nurses—A mixed-methods approach
- 2022
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Ingår i: Journal of Nursing Management. - : Hindawi Limited. - 0966-0429 .- 1365-2834. ; 30:8, s. 4080-4089
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Tidskriftsartikel (refereegranskat)abstract
- Aim(s): This study aims to investigate care unit managers’ perceptions of how the COVID-19 pandemic influenced their ability to support the nurses. Background: The COVID-19 pandemic placed extreme pressure on health care organizations. More knowledge regarding how the pandemic influenced care unit managers’ ability to support nurses is central to ensuring high-quality health care in future crises. Method(s): A mixed-methods study in Swedish hospitals with a survey (n = 128) and interviews (n = 20) with care unit managers. Results: Approximately half of the managers reported having spent more time available to and supporting the nurses. Availability was positively predicted by their perceived organizational support while negatively by their job demands. These job demands concerned meeting staff anxiety and managing organizational restructuring. Full focus on direct patient care and strong professional and social support were important job resources. Conclusion(s): For care unit managers to effectively support the nurses during a crisis, they need proficient job resources and moderate job demands. Managers’ perceived organizational support positively affects the quality of their crisis leadership. Creating arenas in which staff collegiality can form and develop is beneficial for the ability to meet future crises. Implications for Nursing Management: This study specifies important job resources that should be acknowledged and reinforced to strengthen the ability of care unit managers to actively support the nurses during a crisis.
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| 24. |
- Gadolin, Christian, 1987-, et al.
(författare)
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Preconditions for nurses' perceived organizational support in healthcare : a qualitative explorative study
- 2021
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Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 35:9, s. 281-297
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The purpose of this paper is to inductively explore the context-specific preconditions for nurses' perceived organizational support (POS) in healthcare organizations. Design/methodology/approach: A qualitative interview study was performed, based on the critical incident technique (CIT), with 24 registered nurses in different specialities of hospital care. Findings: The nurses perceived three actors as essential for their POS: the first-line manager, the overarching organization and their college. The preconditions affecting the nurses’ perceptions of organizational support were supportive structuring and structures at work, as well as individual recognition and professional acknowledgement. Originality/value: Previous studies of POS have mostly had a quantitative outset. In this paper, context-specific preconditions for nurses' POS are described in depth, enabled by the qualitative approach of the study. The findings may be used to guide healthcare organizations and managers aiming to foster nurses' POS, and thereby, benefit nurses' well-being and retention, as well as healthcare quality and efficiency.
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| 25. |
- Grill, Martin, 1979, et al.
(författare)
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APPROACHING SAFETY IN THE SWEDISH AND DANISH CONSTRUCTION INDUSTRY: PROFESSIONALS’ PERCEPTIONS OF SAFETY CULTURE DIFFERENCES
- 2015
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Ingår i: Safety Science Monitor. - 1443-8844. ; 19:2
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Tidskriftsartikel (refereegranskat)abstract
- Background: Persistent high accident rates in the construction industry motivate research to improve the understanding of underlying factors affecting safety behaviour and safety outcomes. The Scandinavian countries of Sweden and Denmark are culturally similar but with a considerable difference in accidents rates, especially in construction, and as such offer an opportunity to explore organizational and managerial issues related to safety outcomes. Methods: Semi-structured interviews were carried out with five construction managers and four construction workers in Danish and Swedish construction industry. The transcripts were analysed using semantic thematic analysis. Results: Seven safety related themes were distinguished, conveying safety culture differences between Swedish and Danish construction industry concerning: participatory or directive management; challenge or obey; compliance or non-compliance; cooperation or conflict; caution or cockiness; planning management; and employment security. Interconnections between the thematic areas revealed patterns of interaction between managers and employees, interpreted as process models of participatory and directive safety cultures. Conclusion: This study identifies seven factors perceived by the professionals as related to lower occupational accident rates in the construction industry. Engaging in participatory management, promoting long-term planning and long-term tenures, encouraging cooperation, cautiousness and compliance to rules as well as challenging authorities, were described as connected to successful safety management. These factors may guide further research in the field, as well as safety managers and officials engaged in decreasing accident rates in the construction industry in Scandinavia and elsewhere.
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