| 1. |
- Anderzén, Ingrid, 1952-, et al.
(författare)
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Psychophylogcal reactions during the first year of a foreign assignment: result from a controlled longitudinal study.
- 1997
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Ingår i: Work & Stress. - : Taylor & Francis. - 0267-8373 .- 1464-5335. ; 11, s. 304-
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Tidskriftsartikel (refereegranskat)abstract
- Previous studies reveal that employees are exposed to several potential stressors during foreign assignments. This prospective multidisciplinary study followed managers (expatriate group) before and during their first year of an international work assignment. Concurrently, a matched reference group that did not relocate was observed. The secretion of the stress-sensitive hormone prolactin increased in the expatriate group during the first year abroad, compared to the reference group. Selfesteem, family relations, language skills, decreased internal locus of control and job promotion explained 32% of the variance in serum prolactin levels. Lower self-esteem and sense of coherence was related to increased serum prolactin. Increased working hours were associated with decreased work satisfaction. Job promotion was not related to work satisfaction. Mental well-being decreased in the expatriate group, compared to the reference group. Individual factors such as a strong sense of coherence and social provision attenuated decreases in mental well-being. A significant increase in cigarette and alcohol consumption was found in the expatriate group during the first year abroad. This study indicates that there are important psychosocial determinants influencing psychophysiological response patterns in expatriates. The present results put into question the generalizability of the ‘culture shock’ syndrome. The results have practical implications for guiding expatriates on time-limited assignments.
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| 2. |
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| 5. |
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| 6. |
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| 7. |
- Bernhard-Oettel, Claudia, et al.
(författare)
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Comparing three alternative types of employment with permanent full-time work : How do employment contract and perceived job conditions relate to health complaints?
- 2005
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 19:4, s. 301-318
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Tidskriftsartikel (refereegranskat)abstract
- Previous research has found alternative employment arrangements to be associated with both impaired and improved well-being. Since such inconsistencies are likely to derive from the type of employment contract as well as the characteristics of the job, this paper compares permanent full time work to alternative employment forms (permanent part time, fixed-term and on-call work) in order to investigate how different employment contracts and perceptions of job conditions relate to individual well-being. This study contributes to the literature by addressing several open questions. Different forms of alternative employment are distinguished and individual background characteristics that might be intertwined with the employment contract are controlled for. Moreover, the scope of this study extends to the effects of perceived job conditions and possible interactive effects with type of employment are tested. Analyses of questionnaire data from 954 Swedish healthcare workers show that perceptions of the job (job insecurity, job control and demands), but not the type of employment contract, predicted health complaints. However, type of employment contract interacted with perceptions of job insecurity, in that insecurity was associated with impaired well-being among permanent full-time workers, while no relationship was found for on-call or core part-time employees. Despite the absence of interactions between employment contract and job demands or job control, it can be concluded that knowledge about the relationship between alternative employment arrangements and the well-being of workers can be enhanced when the combined effects of employment contract and job conditions are studied.
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| 8. |
- Berntson, Erik, et al.
(författare)
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The relationship between perceived employability and subsequent health
- 2007
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Ingår i: Work & Stress. - : Informa UK Limited. - 1464-5335 .- 0267-8373. ; 21:3, s. 279-292
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Tidskriftsartikel (refereegranskat)abstract
- Being capable of getting new employment may enable an employee to cope with turbulent situations or deteriorating job conditions. Individuals who have higher perceived employability are likely to appraise a situation at work more favourably, and consequently experience better health and wellbeing. The aim of the present study was to investigate the relationship between perceived employability and subsequent health, while controlling for baseline health, background factors, and work environment exposures. The study is based on 53 items in the National Working Life Cohort in Sweden from two data collections (2004 and 2005), comprising 1918 individuals. Forced entry hierarchical regression analysis showed that, after controlling for demographics, psychological demands, control, and ergonomic exposures, perceived employability was positively associated with global health and mental well-being, but unrelated to physical complaints. When baseline health status was added, perceived employability was still a significant predictor of two out of three outcome variables. Individuals with higher perceived employability had a tendency to report better health and well-being a year later. It is concluded that how an employee perceives his or her possibilities in regard to acquiring new employment is relevant for well-being at a later stage. Perceived employability, which has been little studied before, is therefore a useful concept in health promotion, both at the individual and at the organizational level.
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| 9. |
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| 10. |
- Björk, Lisa, et al.
(författare)
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I shouldn't have to do this : Illegitimate tasks as a stressor in relation to organizational control and resource deficits
- 2013
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Ingår i: Work & Stress. - : Taylor & Francis. - 0267-8373 .- 1464-5335. ; 27:3, s. 262-277
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Tidskriftsartikel (refereegranskat)abstract
- The performance of tasks that are perceived as unnecessary or unreasonable - illegitimate tasks - represents a new stressor concept that refers to assignments that violate the norms associated with the role requirements of professional work. Research has shown that illegitimate tasks are associated with stress and counterproductive work behaviour. The purpose of this study was to provide insight into the contribution of characteristics of the organization on the prevalence of illegitimate tasks in the work of frontline and middle managers. Using the Bern Illegitimate Task Scale (BITS) in a sample of 440 local government operations managers in 28 different organizations in Sweden, this study supports the theoretical assumptions that illegitimate tasks are positively related to stress and negatively related to satisfaction with work performance. Results further show that 10% of the variance in illegitimate tasks can be attributed to the organization where the managers work. Multilevel referential analysis showed that the more the organization was characterized by competition for resources between units, unfair and arbitrary resource allocation and obscure decisional structure, the more illegitimate tasks managers reported. These results should be valuable for strategic-level management since they indicate that illegitimate tasks can be counteracted by means of the organization of work.
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| 11. |
- Björk, Lisa, 1981, et al.
(författare)
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I shouldn’t have to do this: Illegitimate tasks as a stressor in relation to organizational control and resource deficits
- 2013
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Ingår i: Work & Stress. - 0267-8373. ; 27:3, s. 262-277
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Tidskriftsartikel (refereegranskat)abstract
- Illegitimate tasks represent a new stressor concept that refers to assignments that violate the norms associated with the role requirements of professional work. Research has shown that Illegitimate tasks are associated with stress and counterproductive work behaviour. The purpose of the present study is to provide insight into the contribution of organizational properties on the prevalence of Illegitimate tasks in operative managerial work. Using the Bern Illegitimate Task Scale (BITS) in a sample of 440 operational local government managers in 28 different organizations, this study supports the theoretical assumptions that Illegitimate tasks are positively related to stress and negatively related to satisfaction with work performance. Results further show that 10% of the variance in Illegitimate tasks can be attributed to the organization where managers work. Multilevel referential analysis shows that the more the organization is characterized by competition for resources between units, unfair and arbitrary resource allocation and obscure decisional structure, the more Illegitimate tasks managers report. These results should be valuable for strategic-level management since they indicate that Illegitimate tasks can be counteracted by means of organization.
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| 12. |
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| 13. |
- Boersma, Katja, et al.
(författare)
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Stability and change in burnout profiles over time : A prospective study in the working population
- 2009
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Ingår i: Work & Stress. - London : Taylor & Francis. - 0267-8373 .- 1464-5335. ; 23:3, s. 264-283
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Tidskriftsartikel (refereegranskat)abstract
- This is a prospective study on the development of burnout in the general Swedish working population from a person-oriented perspective. A large random sample of the general working population (N=1118) was cluster analyzed, using scores on the subscales of the Maslach Burnout Inventory at baseline and at 1-year follow-up. The individual and structural stability of the configurations over time, as well as accompanying changes on work-related and mental health variables were investigated. The results show the occurrence of several different configurations of burnout variables. Scoring patterns with high exhaustion and cynicism reflected burnout; those with a high level of professional efficacy reflected engagement; there were also scoring patterns characterized by only one of the dimensions in the relative absence of others. These patterns show structural, as well as individual stability over time. The risk factors for development of burnout or engagement from clusters with only one burnout characteristic varied according to the cluster. These results give new insights, indicating that the road to burnout may be different for subgroups of different burnout profiles, and that these subgroups may potentially have different risk factors associated with the development of burnout. This is of importance for the development of early interventions.
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| 14. |
- de Lange, Annet H., et al.
(författare)
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Opportunities and challenges in designing and evaluating complex multilevel, multi-stakeholder occupational health interventions in practice
- 2024
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Ingår i: Work & Stress. - : Routledge. - 0267-8373 .- 1464-5335.
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Tidskriftsartikel (refereegranskat)abstract
- Extant research suggests the effectiveness of Occupational Health Psychology (OHP) interventions depends on their design in the broader organisational context. While the field recognises that pre- and posttest evaluation do not sufficiently capture the complex dynamics around OHP interventions, complex multi-level OHP interventions are still scarce in the literature. As established intervention implementation frameworks suggest, it remains difficult to address this complexity in practice. The present position paper re-evaluates lessons learned from two complex European OHP intervention projects, by applying the Integrated Process Evaluation Framework (IPEF) and related theories to bridge the gap between the theoretically recognised complexity and practical challenges. The re-evaluations emphasise that programme-multilevel theories rooted in OHP-perspectives contribute to adequately hypothesising around systemic factors and mechanisms relevant to OHP interventions. Concretely, middle range theories that outline how an intervention’s mechanisms work within a specific context to produce certain outcomes are crucial. Additionally, strategically and actively involving key stakeholders at all levels of the system and across the different intervention phases improves the embedding of OHP interventions in organisations. We elaborate on these insights with seven concrete recommendations for complex OHP intervention research.
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| 15. |
- de Lange, Annet H., et al.
(författare)
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Opportunities and challenges in designing and evaluating complex multilevel, multi-stakeholder occupational health interventions in practice
- 2024
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Ingår i: WORK AND STRESS. - : Routledge. - 0267-8373 .- 1464-5335.
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Tidskriftsartikel (refereegranskat)abstract
- Extant research suggests the effectiveness of Occupational Health Psychology (OHP) interventions depends on their design in the broader organisational context. While the field recognises that pre- and posttest evaluation do not sufficiently capture the complex dynamics around OHP interventions, complex multi-level OHP interventions are still scarce in the literature. As established intervention implementation frameworks suggest, it remains difficult to address this complexity in practice. The present position paper re-evaluates lessons learned from two complex European OHP intervention projects, by applying the Integrated Process Evaluation Framework (IPEF) and related theories to bridge the gap between the theoretically recognised complexity and practical challenges. The re-evaluations emphasise that programme-multilevel theories rooted in OHP-perspectives contribute to adequately hypothesising around systemic factors and mechanisms relevant to OHP interventions. Concretely, middle range theories that outline how an intervention's mechanisms work within a specific context to produce certain outcomes are crucial. Additionally, strategically and actively involving key stakeholders at all levels of the system and across the different intervention phases improves the embedding of OHP interventions in organisations. We elaborate on these insights with seven concrete recommendations for complex OHP intervention research.
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| 16. |
- Fahlén, Göran, et al.
(författare)
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The effort-reward imbalance model of psychosocial stress at the workplace : a comparison of ERI exposure assessment using two estimation methods
- 2004
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Ingår i: Work & Stress. - Abingdon : Taylor & Francis. - 0267-8373 .- 1464-5335. ; 18:1, s. 81-88
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Tidskriftsartikel (refereegranskat)abstract
- It is not unusual for old data to be used in epidemiological studies. Recently developed instruments for measuring work-related stress did not exist when the data collection was carried out. Therefore, approximate questions are sometimes used. An apparent problem is the lack of validation of proxy questions. The aim of this study was to compare the original questions for measuring Effort-Reward Imbalance (ERI) with approximate questions. The study population corresponded with a subgroup in the WOLF-n (WOrk, Lipids, Fibrinogen-north) cohort study of cardiovascular risk in a working population in the north of Sweden: 655 men and 178 women. The agreement in exposure between the original and the approximate ERI single questions was relatively low throughout, whereas the correlation between the ERI subscales and the ERI ratios was reasonable. The latter agreement between the original and the approximate ERI ratio indicates that the approximate measures might have been useful in the past. Yet, whenever possible the implementation of the original questionnaire in study protocols is recommended since a complete measurement of ERI might help to further improve the internal consistency and the predictive validity of this exposure to effort-reward imbalance.
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| 17. |
- Fältén, Rebecca, et al.
(författare)
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How are organisational conditions related to illegitimate tasks among managers and their subordinates in the public sector? A Swedish study
- 2024
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Ingår i: Work & Stress. - 0267-8373 .- 1464-5335.
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Tidskriftsartikel (refereegranskat)abstract
- Illegitimate tasks violate the norms of what is considered part of the employee's work role and have been found to harm individuals, groups and organisations. The purpose of this study was to investigate the relationship between key organisational conditions - span of control, recruitment needs, administrative support and organisational changes - and the prevalence of unnecessary and unreasonable illegitimate tasks experienced by managers and their subordinates. Data were collected from a sample comprising 80 managers and 863 subordinates in a Swedish municipality using questionnaires to assess their perceptions of illegitimate tasks. Organisational conditions were collected from the human resources register in the municipality. Multilevel analysis results reveal a positive association between the size of workgroups and illegitimate tasks; the more subordinates per workgroup, the more unnecessary and unreasonable tasks managers reported and the more unreasonable tasks the subordinates reported. These findings hold practical implications for organisations because they indicate that illegitimate tasks can be reduced by decreasing the number of employees in larger workgroups.
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| 18. |
- Hansson, Ann-Sophie, et al.
(författare)
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Organizational Change, Health and Sick Leave among Health Care Employees : A Longitudinal Study Measuring Stress Markers, Individual and Work Site Factors
- 2008
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 22:1, s. 69-80
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Tidskriftsartikel (refereegranskat)abstract
- This controlled longitudinal study was conducted to investigate the effects of organizational change on employees' self-reported health, work satisfaction, work-related exhaustion, stress, and sick leave. The population consisted of 226 employees at T1 and 198 at T2, divided into a study group affected by organizational changes, and a reference group not affected by them. Group differences for the outcome measures self-rated health (SRH), work satisfaction, work-related exhaustion, and hormones associated with stress were analysed using a two-factor ANOVA design for repeated measurements. Our findings showed no significant differences, either across time or between groups for SRH, work satisfaction, and work-related exhaustion. However, we did find significant change across time and between groups for the recovery hormone DHEA-S. Days of sick leave increased by 7% for employees in the study group and by 2% in the reference group. Serum cortisol showed significantly decreased levels across time but not between groups. The decreased recovery potential in the study group might have long-term health implications. The study points to the importance of looking at the impact of organizational change on employee well-being from a number of perspectives, such as self-reported health parameters, registered sick-leave data, and biological stress markers.
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| 19. |
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| 20. |
- Harter Griep, R, et al.
(författare)
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Beyond simple approaches to studying the association between work characteristics and absenteeism : Combining the DCS and ERI models
- 2010
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 24:2, s. 179-195
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Tidskriftsartikel (refereegranskat)abstract
- The Demand-Control-Support (DCS) and the Effort-Reward Imbalance (ERI) models assess different psychosocial factors. This study investigates whether a combination of these models increases their ability to predict sickness absence, as compared to results based on each model separately. A cross-sectional study with nursing personnel (N = 1307) in Brazil was performed. Regression analyses were conducted in three stages: analysis of each scale of the models and sickness absences; assessment of the independent association of each model with sickness absences; assessment of the associations of three combinations of models/scales with sickness absences: DC and social support (SS), ERI and overcommitment, and DC and ERI. As regards comparisons between the stress models, ERI was shown to be independently associated with short (up to 9 days) and long (10 days or more) spells of absenteeism. The same result held true for low social support. The combinations DC-ERI and DC-SS were better predictors for short spells than each model/scale separately, whereas for long spells, the combination DC-SS was the best predictor. ERI seems to be a good instrument for predicting absenteeism if used alone, whereas DC performed better when combined with ERI or SS. An improved risk estimation of sickness absences by combining information from the two models was observed.
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| 21. |
- Hasson, Henna, et al.
(författare)
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An organizational- level occupational health intervention: Employee perceptions of exposure to changes, and psychosocial outcomes
- 2014
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Ingår i: Work & Stress. - : Informa UK Limited. - 1464-5335 .- 0267-8373. ; 28:2, s. 179-197
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Tidskriftsartikel (refereegranskat)abstract
- This study aimed to investigate the association between employees' perceptions of their exposure to an organizational-level occupational health intervention and its psychosocial outcomes. Participants were employees of an insurance firm (N = 1084) in Quebec, Canada. The intervention was designed to reduce adverse psychosocial work factors (high psychological demands, low decision latitude, low social support and low rewards). Departmental managers were responsible for implementing changes to reduce exposure to these factors. Employees' perceptions of exposure to the intervention and its impact on their work were measured in 2007 through questionnaires. Psychological demands, decision latitude, social support and rewards measured in 2005 and 2007 were used to assess outcomes. Employees who perceived that they had been exposed to the intervention changes showed more improvement in outcomes than those who did not perceive changes. The greatest differences in outcomes were found in those participants who perceived that workplace changes had improved their work situation as compared to those who perceived the changes as neutral or negative. The results suggest that measurement of employee-perceived impact of each intervention change on their work situation may be even more important than actual exposure, and should be included in the measurement of exposure to organization-level interventions.
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| 22. |
- Härenstam, Annika, et al.
(författare)
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Patterns of working and living conditions : a holistic, multivariate approach to occupational health studies
- 2003
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 17:1, s. 73-92
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Tidskriftsartikel (refereegranskat)abstract
- The objective of the study was to develop a multivariate approach to occupational health studies that is: capable of identifying groups with similar working conditions; relevant for studies of associations between working and living conditions and health; and an appropriate basis for preventive actions. Data at the individual level were obtained through measurements, observations, interviews and questionnaires, and at the organizational level, through interviews with managers. Cluster analyses were applied with the purpose of identifying groups of individuals with small, within-group differences. Eighty work sites and a sample of employees at each site were strategically selected. The study group comprised 203 men and women, and was characterized by large variation. The final analysis produced eight clusters of individuals, denoted according to their best-defining characteristic, i.e. 'decent', 'boundary-less', 'locked', 'exposed', 'heavy and monotonous', 'changed', 'mobile' and 'restrained'. The clusters differed with regard to 'what' characterized working conditions, 'where' on the labour market they were found, and 'who' clustered in these groups. The holistic approach revealed conditions that were important for health and had higher explanatory power in relation to ill-health than applying socio-economic groupings or the demand-control-support model. It showed how psychosocial, ergonomic-physical and occupational hygiene factors combine and interact to create settings with different risks of ill-health. The chosen strategy is recommended for future occupational health studies and is particularly suitable as guidance for preventive actions relevant to specific clusters of working and living conditions.
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| 23. |
- Härenstam, Annika, 1949, et al.
(författare)
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Patterns of working and living conditions. A person-oriented, multivariate approach for occupational health studies
- 2003
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Ingår i: Work & Stress. - 0267-8373. ; 17:1, s. 73-92
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Tidskriftsartikel (refereegranskat)abstract
- The objective of the study was to develop a multivariate approach to occupational health studies that is: capable of identifying groups with similar working conditions; relevant for studies of associations between working and living conditions and health; and an appropriate basis for preventive actions. Data at the individual level were obtained through measurements, observations, interviews and questionnaires, and at the organizational level, through interviews with managers. Cluster analyses were applied with the purpose of identifying groups of individuals with small, within-group differences. Eighty work sites and a sample of employees at each site were strategically selected. The study group comprised 203 men and women, and was characterized by large variation. The final analysis produced eight clusters of individuals, denoted according to their best-defining characteristic, i.e. ‘decent’, ‘boundary-less’, ‘locked’, ‘exposed’, ‘heavy and monotonous’, ‘changed’, ‘mobile’ and ‘restrained’. The clusters differed with regard to ‘what’ characterized working conditions, ‘where’ on the labour market they were found, and ‘who’ clustered in these groups. The holistic approach revealed conditions that were important for health and had higher explanatory power in relation to illhealth than applying socio-economic groupings or the demand-control-support model. It showed how psychosocial, ergonomic-physical and occupational hygiene factors combine and interact to create settings with different risks of ill-health. The chosen strategy is recommended for future occupational health studies and is particularly suitable as guidance for preventive actions relevant to specific clusters of working and living conditions.
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| 24. |
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| 25. |
- Johansson Hanse, Jan, 1954, et al.
(författare)
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Sense of Coherence and Ill Health Among the Unemployed and Re-employed After Closure of an Assembly Plant
- 1999
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Ingår i: Work and Stress. - 0267-8373 .- 1464-5335. ; 13:3, s. 204-222
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate the relationship between employment status, ill health and sense of coherence (SOC). A cross-sectional sample of the former workers at the closed down Volvo Kalmar plant in Sweden was used. A questionnaire was mailed to all identified subjects 2 years after the closure of the plant. Responses were obtained from 344 persons, of whom 173were re-employed and 92were unemployed. They answered the questionnaire anonymously on background variables, SOC and ill health (physical and psychological symptoms). A notable difference was found between the re-employed and unemployed, where the unemployed reported symptoms significantly more often as well as a significantly weaker SOC. The main finding in a four-cell model indicated that unemployment had a rather low impact on symptoms in the presence of a strong SOC. Structural equation modelling (SEM) was performed with simultaneous analysis of the unemployed and reemployed. The SEM analysis indicated that SOC seemed to have a greater impact on psychological symptoms among unemployed compared with re-employed persons. However, it should be noted that the present study does not allow for the determination of cause-effect relationships. A comment: This publication is authored together with a senior research competency within psychology with whom Engström have had long time cooperation procedures.
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| 26. |
- Johansson Hanse, Jan, 1954
(författare)
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The impact of VDU use and psychosocial factors at work on musculoskeletal shoulder symptoms among white-collar workers
- 2002
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Ingår i: Work & Stress. - 0267-8373. ; 16:2, s. 121-126
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Tidskriftsartikel (refereegranskat)abstract
- This investigation of white-collar workers (n= 201) in Swedish industrial environments focused on an empirical examination of the relationships between work with visual display units (VDUs), psychosocial factors (skill discretion, appraised work load, job satisfaction), physical work load and musculoskeletal shoulder symptoms. This cross-sectional study was based upon questionnaire surveys carried out at industrial companies. The prevalence of shoulder symptoms during the previous year was 39%. Nearly one-half of the participants reported that they used a VDU for at least 4 h/day (`high VDU use’). High VDU use was related to increased Prevalence Odds Ratio (POR) for shoulder symptoms. After adjustment for physical work load, significant PORs were found in groups with high VDU use in combination with low job satisfaction (POR= 4.8) or high appraised work load (POR= 3.5), compared to groups with low VDU use in combination with high job satisfaction or low work load (reference groups).
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| 27. |
- Knutsson, Anders, et al.
(författare)
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The healthy-worker effect : Self-selection among Swedish shift workers
- 1992
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 6:2, s. 163-167
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Tidskriftsartikel (refereegranskat)abstract
- This paper reports a study on the 'healthy-worker effect' related to shift work. The study sample comprised 53 male applicants for blue-collar jobs. The subjects who applied for shift work (m = 30) did not differ from those who applied for day work (n = 23) regarding previous illnesses or current symptoms. However, data on self-reported sleep behaviour indicated that a higher percentage of prospective shift workers had a less rigid sleep pattern than did prospective day workers. The results suggest that there might be a self-selection to shift work by individuals with specific sleep behaviours that might facilitate future coping with odd work hours.
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| 28. |
- Lawoko, S, et al.
(författare)
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Violence towards psychiatric staff: A comparison of gender, job and environmentalcharacteristics in England and Sweden
- 2004
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 18:1, s. 39-55
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Tidskriftsartikel (refereegranskat)abstract
- Workplace violence is receiving increasing attention world-wide, and studies suggest that, for example, nurses and women may be more abused at work than psychiatrists and men. However, there is a lack of cross-cultural data on the topic. Further, relatively few studies have addressed the influence of environmental factors in the occurrence of violence and within a cross-cultural context. The present study compares among other things the nature of violence encountered by female/male staff (nurses and psychiatrists) in Sweden and England. Psychiatric personnel from England (301 nurses; 74 psychiatrists) and Sweden (745 nurses; 306 psychiatrists) were assessed cross-sectionally by means of a questionnaire covering various areas (e.g. nature of violence). The univariate analyses showed an association between being abused and male gender, young age, being British and a nurse, physical and psychological strain. The multivariate logistic regression confirmed that British nurses and male nurses were the main risk group for exposure to violence. Further, the multivariate analysis indicated that the odds of being abused increased with increasing age, physical strain and dissatisfaction with quality of care. Interventions thus need to be sensitive to gender differences, societal context, professional roles and interactions between them. Further, clinical supervision and team functioning, organizational and environmentally friendly settings may help to reduce violence in mental health care.
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| 29. |
- Leineweber, Constanze, 1973-, et al.
(författare)
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Trajectories of effort-reward imbalance in Swedish workers : Differences in demographic and work-related factors and associations with health
- 2020
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 34:3, s. 238-258
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to identify trajectories of effort-reward imbalance (ERI), to examine these with respect to demographic (age, gender, socio-economic position) and work-related (employment contract, work hours, shift work, sector) factors, and to investigate associations with different health indicators (self-rated health, depressive symptoms, migraine, sickness absence). The study used four waves of data (N = 6702), collected biennially within the Swedish Longitudinal Occupational Survey of Health (SLOSH). Using latent class growth modelling, we identified four trajectories: a stable low imbalance trajectory, which comprised 90% of all participants, and three change trajectories including a decreasing trajectory (4% of the participants), an inverted U-shaped trajectory and an increasing imbalance trajectory, both in 3% of the participants. Results indicate that a sizeable proportion of Swedish employees’ experience imbalance between efforts and rewards at work. The most favourable trajectory comprised relatively more men and was characterised by better work-related characteristics than the less favourable ERI trajectories. All change trajectories were dominated by women and employees in the public sector. Health developments followed ERI trajectories, such that less favourable trajectories associated with impaired health and more favourable trajectories associated with better health. Sickness absence increased among all ERI trajectories, most so for the decreasing and increasing ERI trajectory.
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| 30. |
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| 31. |
- Lundmark, Robert, et al.
(författare)
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Leading for change : line managers' influence on the outcomes of an occupational health intervention
- 2017
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Ingår i: Work & Stress. - : Taylor & Francis. - 0267-8373 .- 1464-5335. ; 31:3, s. 276-296
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Tidskriftsartikel (refereegranskat)abstract
- Line managers may play a central role in the success of occupational health interventions. However, few studies have focussed on the relationship between line managers' behaviours and the outcomes of occupational health interventions. We examined the influence of both line managers' attitudes and actions towards an intervention as well as their transformational leadership on the expected outcomes of the intervention (i.e. employee self-rated health and work ability). The intervention consisted of the implementation and use of a web-based system for occupational health management. A sample of 180 employees provided data for the analysis. Self-rated health and work ability were measured at the baseline (Time 1) and follow-up (Time 3), while employee ratings of line managers' attitudes and actions, and transformational leadership were measured during the intervention process (Time 2). The results revealed that line managers' attitudes and actions positively predicted changes in both self-rated health and work ability. The influence of transformational leadership was indirect and mediated through line managers' attitudes and actions towards the intervention. Based on the results, we suggest using process measures that include aspects of both line managers' attitudes and actions as well as their transformational leadership in future process evaluation.
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| 32. |
- M. Gavelin, Hanna, 1982-, et al.
(författare)
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Cognitive function in clinical burnout: A systematic review and meta-analysis
- 2022
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Ingår i: Work & Stress. - : Taylor & Francis. - 0267-8373 .- 1464-5335. ; 36:1, s. 86-104
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Forskningsöversikt (refereegranskat)abstract
- Clinical burnout has been associated with impaired cognitive functioning; however, inconsistent findings have been reported regarding the pattern and magnitude of cognitive deficits. The aim of this systematic review and multivariate meta-analysis was to assess cognitive function in clinical burnout as compared to healthy controls and identify the pattern and severity of cognitive dysfunction across cognitive domains. We identified 17 studies encompassing 730 patients with clinical burnout and 649 healthy controls. Clinical burnout was associated with impaired performance in episodic memory (g = −0.36, 95% CI −0.57 to −0.15), short-term and working memory (g = −0.36, 95% CI −0.52 to −0.20), executive function (g = −0.39, 95% CI −0.55 to −0.23), attention and processing speed (g = −0.43, 95% CI −0.57 to −0.29) and fluency (g = −0.53, 95% CI −1.04 to −0.03). There were no differences between patients and controls in crystallized (k = 6 studies) and visuospatial abilities (k = 4). Our findings suggest that clinical burnout is associated with cognitive impairment across multiple cognitive domains. Cognitive dysfunction needs to be considered in the clinical and occupational health management of burnout to optimise rehabilitation and support return-to-work.
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| 33. |
- Nielsen, Karina, et al.
(författare)
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What about me? The impact of employee change agents’ person-role fit on their job satisfaction during organisational change
- 2021
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 35:1, s. 57-73
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Tidskriftsartikel (refereegranskat)abstract
- Organisational changes do not always achieve their intended outcomes and have been found to have negative consequences on employee wellbeing. It has been argued that this is because change processes need to support employees adopting the change. In the present study, we study an organisational change aimed to improve employee capacity to provide eHealth services. To support the change, employees were appointed change agents and trained in running seminars to facilitate the change. Using Person-Job fit as our theoretical framework, we proposed that change agents who perceived they possess the necessary competencies to deal with the change agent role (Person-Role fit) would feel more efficacious in this role and be more satisfied with their jobs post-change. We suggested that role-specific self-efficacy mediated the relationship between person-role fit and job satisfaction and that the most dissatisfied pre-change would perceive the greatest improvements in job satisfaction. Using a paired t-test, repeated measures analyses and mixed methods mediation testing, we found that change agents (N = 110) reported increased job satisfaction post-change. Change agents who were dissatisfied with their jobs pre-change, but perceived a good fit to the change agent role, reported the greatest improvements in job satisfaction. No significant results were found for self-efficacy.
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| 34. |
- Nielsen, Karina, et al.
(författare)
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Workplace resources to improve both employee well-being and performance : A systematic review and meta-analysis
- 2017
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 31:2, s. 101-120
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Forskningsöversikt (refereegranskat)abstract
- Organisations are becoming increasingly aware of the importance of employees in gaining and maintaining competitive advantage. The happy worker-productive worker thesis suggests that workers who experience high levels of well-being also perform well and vice versa; however, organisations need to know how to ensure such happy and productive workers. The present review and meta-analysis identifies workplace resources at the individual, the group, the leader, and the organisational levels that are related to both employee well-being and organisational performance. We examine which types of resources are most important in predicting both employee well-being and performance. We identified 84 quantitative studies published in print and online from 2003 to November 2015. Resources at either of the four levels were related to both employee well-being and performance. We found no significant differences in employee well-being and organisational performance between the four levels of workplace resources, suggesting that interventions may focus on any of these levels. Cross-sectional studies showed stronger relationships with well-being and performance than longitudinal studies. Studies using objective performance ratings provided weaker relationships between resources and performance than self-rated and leader/third-party-rated studies.
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| 35. |
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| 36. |
- Näswall, Katharina, et al.
(författare)
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Is work affecting my health? : Appraisals of how work affects health as a mediator in the relationship between working conditions and work-related attitudes
- 2014
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 28:4, s. 342-361
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Tidskriftsartikel (refereegranskat)abstract
- This study investigates the role of appraisals by employees of how work is affecting their health, or could end up affecting it in the future. The study tests a model of health appraisals as a mediator of the effect of demands and control on employee attitudes (job satisfaction, organizational commitment and turnover intentions). This was investigated in a sample of employees in a Swedish white-collar organization, who participated in three waves of a longitudinal study conducted in 2007, 2008 and 2009; a final sample of 292 employees participated at all three waves. The results indicate that employee appraisals of how work affects their health have an important role in how working conditions relate to subsequent work-related attitudes. The study supports the importance of including employee appraisals when studying the effects of working conditions.
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| 37. |
- Näswall, Katharina, et al.
(författare)
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The moderating role of personality characteristics on the relation between job insecurity and strain
- 2005
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 19:1, s. 37-49
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Tidskriftsartikel (refereegranskat)abstract
- The experience of job insecurity has been linked to several different outcomes, such as negative attitudes towards work and the organization, turnover intention, as well as health complaints. However, since the strength of these effects have been found to vary across studies, it is vital to identify factors that could influence the relationships. The present study examines the moderating role of three personality characteristics (negative affectivity, positive affectivity, and external locus of control) on the relation between job insecurity and outcomes (mental health complaints, job dissatisfaction, and job-induced tension). Data from 400 nurses at a Swedish acute care hospital (response rate 71%; 91% women, aged 20-68 years) showed that both job insecurity and personality were related to strain. Also, the data indicated some buffering effect of personality. Despite the gender bias of the sample, the study provides additional support for the notion that job insecurity affects strain even after controlling for individual characteristics. The study also expands the literature on job insecurity by pointing out the influence of personality characteristics on the relationship between stressors and strain.
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| 38. |
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| 39. |
- Pousette, Anders, 1959, et al.
(författare)
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Job characteristics as predictors of ill-health and sickness absenteeism in different occupational types – a multigroup structural equation modelling approach
- 2002
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Ingår i: Work & Stress. - 0267-8373. ; 16:3, s. 229-250
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Tidskriftsartikel (refereegranskat)abstract
- The objective of the present study was to test for multigroup invariance in measurement models and structural models between job characteristics, psychosocial intervening variables, health outcomes and sickness absenteeism. Four types of occupation were represented in the study: blue-collar workers ( n = 241), white-collar workers ( n = 209), elderly-care workers ( n = 338) and child-care workers ( n = 336). A first-order, six-factor multigroup confirmatory factor analysis model (i.e. measurement model) composed of two perceived job characteristics ( job autonomy and skill discretion), appraised workload, job satisfaction, stress-related ill-health and sickness absenteeism provided a good model fit. Invariance tests showed that the six-factor model fits well for all occupations. A partially recursive mediated multigroup structural model showed both similarities and differences across occupations as regards the relationships between independent latent variables ( job autonomy, skill discretion), intervening latent variables (appraised workload, job satisfaction) and dependent latent variables (stressrelated ill-health, sickness absenteeism). By comparing a generic model with occupation-specific models across occupations, this study showed that occupation-specific models were more plausible. The results indicate that it is important to examine different occupational contexts in detail to better understand how certain psychosocial factors at work influence strain in different occupations. Since job characteristics can potentially be amended, the findings have important implications for the differentiation of prevention and intervention in different occupations.
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| 40. |
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| 41. |
- Rissén, Dag, et al.
(författare)
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Psychophysiological stress reactions, trapezius muscle activity, and neck and shoulder pain among female cashiers before and after introduction of job rotation
- 2002
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 16:2, s. 127-137
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to evaluate the effects of the introduction of a job rotation model on supermarket cashiers, with respect to psychophysiological stress reactions, muscle activity of the trapezius muscle (which covers the upper back, the neck and the shoulder), and musculoskeletal symptoms in the neck and shoulders. Thirty-one female cashiers were investigated before and after job rotation was introduced. Before the reorganization the participants were only performing cash register work at the checkout counters. After the reorganization they shifted between cash register work and work in different departments in the supermarket. At follow-up the participants, all right-handed, had a significantly lower diastolic blood pressure, and surface electromyography (EMG) showed a significantly decreased muscle activity in the trapezius muscle on the left side. Musculoskeletal symptoms of the neck and shoulders were only partly changed, and there was no change in prevalence of musculoskeletal pain, which was around 70%. From questionnaires, but not from self-ratings during work, it was found that the introduction of job rotation had been experienced as positive in several regards, although the perceptions of stress and hurry were the same at follow-up.
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| 42. |
- Rosander, Michael, 1965-, et al.
(författare)
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Workplace bullying and mental health problems in balanced and gender-dominated workplaces
- 2023
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Ingår i: Work & Stress. - : Taylor & Francis Ltd. - 0267-8373 .- 1464-5335. ; 37:3, s. 325-344
-
Tidskriftsartikel (refereegranskat)abstract
- We investigate risks of exposure to workplace bullying and related mental health outcomes for men and women when being in a gender minority as opposed to working in a gender-balanced working environment or when belonging to a gender majority. Based on a social identity perspective, we tested hypotheses about the risks of bullying and differences in the increase in mental health problems in a probability sample of the Swedish workforce in a prospective design. The results showed an increased risk of bullying and an increase in mental health problems as an outcome for men when in a gender minority, however, there were no corresponding risks for women. The risks for men were most obvious for person-related negative acts and for anxiety as an outcome. Social identity may clarify why a minority might be more at risk as well as the outcome it may lead to. Deviating from the group prototype may be perceived as a threat to the group alienating the target and opening up for sanctions. The observed gender differences may further be understood using social role theory. Men in female-dominated workplaces may deviate more from the expected traditional gender role and may be more susceptible to sanctions and suffer graver consequences as a result. The outcomes may be more severe if exposed to person-related acts compared to acts related to ones work.
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| 43. |
- Rosander, Michael, et al.
(författare)
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Workplace bullying in a group context: are victim reports of working conditions representative for others at the workplace?
- 2023
-
Ingår i: Work & Stress. - : TAYLOR & FRANCIS LTD. - 0267-8373 .- 1464-5335.
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Tidskriftsartikel (refereegranskat)abstract
- Previous research on psychosocial working conditions as risk factors of workplace bullying builds on the underlying assumption that targets subjective reports of their psychosocial working conditions are shared by their non-bullied colleagues. This study investigates differences in perceptions of such conditions by comparing the ratings from targets of bullying, witnesses, and non-witnesses in groups with at least one target, and groups free from bullying. We also examine if known work-related risk factors predict a group level estimate of bullying with the targets excluded from the analyses. Data included 2215 employees in 195 work groups from Sweden. Targets of bullying perceived the psychosocial working conditions more negatively compared to non-exposed colleagues. In addition, non-exposed in work groups with at least one target reported their working conditions more negatively than those working in groups free from bullying. Associations between examined working conditions and group levels of bullying were significant even when the targets were excluded from the analyses, albeit less strong. The results show that working conditions are risk factors of bullying, but also indicate that previous studies may have overestimated the associations. Future research should consider differences in perceptions of targets and non-targets when investigating work-related risk factors of bullying.
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| 44. |
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| 45. |
- Simonsen Abildgaard, Johan, et al.
(författare)
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Can job insecurity be managed? Evaluating an organizational-level intervention addressing the negative effects of restructuring
- 2018
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 32:2, s. 105-123
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Tidskriftsartikel (refereegranskat)abstract
- Although downsizing and reorganisation are recognised as serious threats to the psychological well-being of employees, intervention strategies for addressing these events are limited. This study evaluated the effects of a participatory organisational-level intervention in which employees and managers chose to address the psychosocial consequences, specifically job insecurity, of restructuring. The intervention was conducted among postal service letter carriers in Denmark and was evaluated based on quantitative and qualitative data. Using interviews (N = 24) and observations, the programme theory of the intervention and to what extent the intervention had been implemented were assessed. Using survey data (N = 238), repeated measures ANOVAs were conducted to test for differences in the development of job insecurity between the intervention group and a comparison group. The results indicate that the intervention group had a significantly smaller increase in one dimension of job insecurity as compared to the comparison group. Therefore, we conclude that employees’ experiencing of job insecurity, which typically follows in the wake of restructuring, can be addressed by planned efforts at the workplace level.
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| 46. |
- Soares, Joaquim, 1947-, et al.
(författare)
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The nature, extent and determinants of violence against psychiatric personnel
- 2000
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 14:2, s. 105-120-
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Tidskriftsartikel (refereegranskat)abstract
- Violence against psychiatric staff seems to be on the increase. Such abuse can lead to mental health consequences for the staff and a reluctance to be closely involved with patients. Few Swedish investigations have examined violence against mental nurses and psychiatrists, or undertaken comparative studies between them. In this study we examined the extent, nature and determinants (i.e. risk factors) of violence against psychiatric nurses (n = 731) and psychiatrists (n = 320) working in the eight health care districts of Stockholm. These caregivers were assessed cross-sectionally by means of a questionnaire covering various areas (e.g. violence and work environment). The majority of the participants (85%) reported having been exposed to violence during their careers, with 57% being victimized in the past 12 months. Physical violence was common, and factors such as negative attitudes to work and diminished sense of autonomy were associated with an increased vulnerability to violence. Nurses and psychiatrists did not differ in violence variables. In spite of the weaknesses of the design (cross-sectional self-selecting sample), this study corroborates previous findings and identifies personal factors associated with violence that have received little attention in the literature (e.g. lack of respect for the organization of care).
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| 47. |
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| 48. |
- Stengård, Johanna, et al.
(författare)
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Stuck in a job : Being “locked-in” or at risk of becoming locked-in at the workplace and well-being over time
- 2016
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Ingår i: Work & Stress. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 30:2, s. 152-172
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Tidskriftsartikel (refereegranskat)abstract
- In this study, being “locked-in” at the workplace is conceptualized as being in a non-preferred workplace while at the same time perceiving low employability. The aim of the study was to investigate how being locked-in or at risk of becoming locked-in (being in a non-preferred workplace yet currently satisfied, combined with perceiving low employability) relates to well-being (subjective health and depressive symptoms). The hypotheses were tested in a Swedish longitudinal sample (T1 in 2010 and T2 in 2012) of permanent employees (N = 3491). The results showed that stability with regard to locked-in-related status (being non-locked-in, at risk of becoming locked-in, or locked-in at both T1 and T2) was related to significant and stable differences in well-being. The non-locked-in status was associated with better well-being than being at risk of becoming locked-in. Moreover, those at risk of becoming locked-in showed better well-being than those with stable locked-in status. Changes towards non-locked-in were accompanied by significant improvements in well-being, and changes towards locked-in were associated with impairments in well-being. The relationships that were found could not be attributed to differences in demographic variables and occupational preference. The findings indicate that being locked-in is detrimental to well-being. This has implications for preventative interventions.
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| 49. |
- Tafvelin, Susanne, 1975-, et al.
(författare)
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Leading well is a matter of resources : Leader vigour and peer support augments the relationship between transformational leadership and burnout
- 2019
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Ingår i: Work & Stress. - : TAYLOR & FRANCIS LTD. - 0267-8373 .- 1464-5335. ; 33:2, s. 156-172
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Tidskriftsartikel (refereegranskat)abstract
- Although studies suggest that transformational leaders play an important role in employee health and well-being, the relationship between transformational leadership and employee burnout remains unclear. One reason may be that moderators may play an important role. Building on conservation of resources theory, we examined if leaders' perceptions of internal and external resources in terms of vigour and peer support augmented the relationship between transformational leadership and employee burnout in a sample of municipality workers and their leaders in Sweden (N = 217). Multilevel analyses over two time points revealed that both vigour and peer support enhance this relationship, such that when leaders experience high levels of vigour or peer support, the negative relationship between transformational leadership behaviours and employee burnout was strengthened. Our findings suggest that both personal and contextual resources may help leaders to better engage in transformational leadership, which is important in order to protect employees from burning out.
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| 50. |
- THEORELL, T, et al.
(författare)
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ENDOCRINE MARKERS DURING A JOB INTERVENTION
- 1995
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Ingår i: WORK AND STRESS. - : Informa UK Limited. - 0267-8373 .- 1464-5335. ; 9:1, s. 67-76
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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