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- Arvidsson, Lisa
(författare)
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Healthcare personnel's working conditions relationship to risk behaviours for organism transmission
- 2021
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: Healthcare personnel (HCP) often experience undesirable working conditions. Risk behaviours for organism transmission can lead to healthcare associated infections and risk behaviours has been described to be influenced by working conditions. Research is lacking regarding HCPs working conditions and its relation to risk behaviours for organism transmission which this thesis aims to investigate. Methods: Study I had a mixed-methods convergent design. Observations and interviews were performed with 79 HCP, i.e., registered nurses (RNs) and assistant nurses (ANs). First-line managers were interviewed about the unit´s overall working conditions. The qualitative and quantitative data were analysed separately and then merged. Study II was a cross-sectional study with 417 RNs and ANs. The questionnaire included: self-efficacy to aseptic care, structural empowerment (SE), work engagement (WE) and work-related stress (WRS). Correlational analysis and group comparisons were performed. Results: In Study I risk behaviours frequently occurred regardless of measurable and perceived working conditions. The HCP described e.g. staffing levels and interruptions to influence risk behaviours. In the statistical analyses, risk behaviours were more frequent in interrupted activities and when the HCP worked together. In Study II the HCP rated high levels of self-efficacy to aseptic care. Differences were found between self-efficacy and some of the grouped working condition variables and definite but small relationships were found between self-efficacy to aseptic care and SE/WE/WRS. Conclusion: The HCP rated high levels of self-efficacy to aseptic care, but on the other hand, risk behaviours frequently occurred irrespective of working conditions. Healthcare managers are responsible for HCPs work environment and should continuously work to promote sufficient working conditions and to increase HCPs understanding of risk behaviours, which consequently also promote patient safety.
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| 2. |
- Lidman, Linda, 1978-
(författare)
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Employee-driven innovation in the public sector : At the intersection of innovation support and workplace conditions
- 2023
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim of this thesis is to contribute knowledge about employee-driven innovation (EDI), with a particular focus on conditions in the workplace when innovation support is introduced in municipal contexts. The thesis is based on 23 qualitative interviews with managers, employees, and innovation coaches from three municipal sites in Sweden where innovation support has been implemented. The four included studies examine how innovation support is set up, what role first-line managers play, what drives employees to engage in EDI, and the outcomes of innovation work in the studied cases.The thesis’ results show how innovation support was set up as parallel structures operating independently from regular municipal operations, which made it difficult for employees and managers to connect and integrate innovation work with everyday work. Furthermore, the results show how the studied municipalities did not define clear objectives for working with innovation, which in turn resulted in a multitude of inextricably linked negative effects for the innovation support operations, the managers, the employees, and the outcome of the innovation work. In addition, the study results demonstrate the importance of providing rich environments for learning and innovation in the workplace, to consider and support employee engagement in public sector innovation and to support the entire innovation process, including the implementation phase. The first conclusion drawn is that employee-driven innovation work happens at the intersection of innovation support and current workplace conditions. This implies that support measures need to be integrated into employees’ everyday work to create favourable conditions for EDI. The second conclusion is that it is imperative for municipal organisations intending to support EDI to define objectives for working with innovation and to anchor and communicate these objectives throughout the organisation.
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