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- Boström, Maria, 1963, et al.
(författare)
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Risk factors for generally reduced productivity--a prospective cohort study of young adults with neck or upper-extremity musculoskeletal symptoms.
- 2008
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Ingår i: Scandinavian journal of work, environment & health. - : Työterveyslaitos. - 0355-3140 .- 1795-990X. ; 34:2, s. 120-32
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: This study prospectively assessed the importance of individual conditions and computer use during school or work and leisure time as risk factors for self-reported generally reduced productivity due to musculoskeletal complaints among young adults with musculoskeletal symptoms in the neck or upper extremities. METHODS: A cohort of 2914 young adults (18-25 years, vocational school and college or university students) responded to an internet-based questionnaire concerning musculoskeletal symptoms related to individual conditions and computer use during school or work and leisure time that possibly affected general productivity. Prevalence ratios (PR) were used to assess prospective risk factors for generally reduced productivity. RESULTS: The selected study sample (N=1051) had reported neck or upper-extremity symptoms. At baseline, 280 of them reported reduced productivity. A follow-up of the 771 who reported no reduced productivity was carried out after 1 year. Risk factors for self-reported generally reduced productivity for those followed-up were symptoms in two or three locations or dimensions for the upper back or neck and the shoulders, arms, wrists, or hands [PR 2.30, 95% confidence interval (95% CI) 1.40-3.78], symptoms persisting longer than 90 days in the shoulders, arms, wrists, or hands (PR 2.50, 95% CI 1.12-5.58), current symptoms in the shoulders, arms, wrists, or hands (PR 1.78, 95% CI 1.10-2.90) and computer use 8-14 hours/week during leisure time (PR 2.32, 95% CI 1.20-4.47). A stronger relationship was found if three or four risk factors were present. For women, a relationship was found between generally reduced productivity and widespread and current symptoms in the upper extremities. CONCLUSIONS: The main risk factors for generally reduced productivity due to musculoskeletal symptoms among young adults in this study were chronic symptoms in the upper extremities and widespread symptoms in the neck and upper extremities.
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| 2. |
- Ahlstrand, Christina, 1957, et al.
(författare)
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Reliabilitetstestning av Purdue Pegboard® (finmotoriktest).
- 2009
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- I MQ-FAS studien, vars syfte var att ändra muskelspänningsmönstret hos kvinnor med kroniska nackbesvär, ingick ett besticktorkningsmoment som en standardiserad arbetsuppgift i hemmet. För validering av denna besticktorkning har en pilotstudie genomförts, 12 personer torkade bestick vid två tillfällen. I studien, som utfördes av 2 testledare, ingick även ett finmotorikstest (Purdue Pegboard), ansträngningsskattning (Borg RPE-skalan) samt ett frågeformulär. Detta test kan med vissa justeringar troligen vara användbart som ett mått på arbetsförmåga av övre extremiteter vid utförande av arbetssyssla i hemmet, och jämföra individ med sig själv, för att mäta om funktionsnedsättning eller ökning har skett. Dock skall poängteras att detta var en pilotstudie och ytterligare studie av reliabilitet och validitet rekommenderas innan testet används i stor utsträckning för att mäta om funktionsnedsättning eller ökning har skett.
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| 3. |
- Arman, Rebecka, 1976, et al.
(författare)
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Managerial communication through legitimation practices
- 2008
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Ingår i: 3rd Nordic Workshop on Health Management and Organization, Uppsala University, December 4-5.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Purpose – This article examines managerial communication in health care organizations based on in-depth empirical observations of leaders’ everyday activities. Design/methodology/approach – A semi-structured observation study in combination with a qualitative interview study is used to investigate what leaders do and what is characterizing managerial communication. Data was collected shadowing ten leaders for approximately four days each at different hospitals in Sweden. Findings – This study concludes that managerial communication was characterized by three different types of legitimacy practices: a) professional legitimacy building processes, b) administrative legitimacy building processes, and c) organizational legitimacy building processes. Managerial communication through professional legitimacy, administrative legitimacy and organizational legitimacy ordered signification of issues and constructed domination systems in the organizations. Research limitations – This research was designed to describe the local leaders’ activities and experiences in the studied setting. Therefore the data provides access to ten leaders’ everyday activities at different hospitals but not to statistical data based on a larger group of leaders. Practical implications – The research contributes to the knowledge of the relevance of practitioners involved in leadership and managerial communication aimed at improving health care practices. Originality/value – The research focuses on managerial communication in health care organizations based on in-depth empirical observations of leaders’ everyday activities and thus up-dates the knowledge and concepts about what leaders do. Article Type: Research paper. Keywords: leadership, managerial communication, legitimacy practices, health care organization.
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| 4. |
- Brink, Eva, 1952, et al.
(författare)
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Constructing grounded theory : A practical guide through qualitative analysis
- 2006
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Järfälla : CoAction Publishing. - 1748-2623 .- 1748-2631. ; 1:3, s. 188-192
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Recension (refereegranskat)abstract
- BOOK REVIEW: Constructing grounded theory. A practical guide through qualitative analysis Kathy Charmaz, 2006, 208 pp. London: Sage. ISBN 2005928035
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| 6. |
- Dellve, Lotta, 1965, et al.
(författare)
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A stepwise qualitative approach to support a balanced time-use among health care leaders
- 2008
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Ingår i: The 5th Nordic Interdisciplinary Conference on Qualitative Methods in the Service of Health, Stavanger.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background Stress among health care leaders may have impact of quality of care, leaders' turnover and employee stress. The need for leader support is well recognized, but there are few empirical studies about qualities, implementation and effect. Aim To develop leadership support, to handle central challenges, defined by leaders themselves. This presentation focus on methodological challenges in the stepwise development and implementing of a support program. Method (a) Qualitative in-depth interviews, and focus-groups of challenges and needed support, analysed by constructivist grounded theory. A central challenge was their time-use, i.e. working hours and time-allocation between strategic, employeeship and administrative tasks. (b) A model for observation and intervention of time-use and leadership practice was developed: each leader was shadowed during four days incl daily interviews and "calender interview" of self-reported activities. The intervention involved mirroring the leaders' everyday activities and encouraging reflective communication of their experienced challenges in a group setting. Follow-up of observation after three months. Results Two leadership strategies were used to meet different logics and demands; (a) leadership by separating the logics and fragmenting them into different spaces of time. Here, leaders strived to define, structure, divide and allocate tasks. (b) leadership by integrating different logics by the currentness of solutions and a proactive leadership style that shaped the basis for participative employeeship. Additionally, compound identities, loyalty commitments and interests shape conditions for increased or maintained influence. Strategies to achieve legitimacy were either to retaining clinical skills and a strong occupational identity or taking a full leadership role.
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| 7. |
- Dellve, Lotta, 1965, et al.
(författare)
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Assessment of long-term work attendance within human service organisations.
- 2007
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Ingår i: Work: A Journal of Prevention, Assessment and Rehabilitation. - : IOS Press. - 1051-9815 .- 1875-9270. ; 29:2, s. 71-80
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Tidskriftsartikel (refereegranskat)abstract
- Terms and theories of work attendance vary according to their use and focus. This paper analyzes long-term work attendance in relation to social, psychosocial, and health-related factors. Register-based and questionnaire-based data covering 3,804 human service organisation workers over a three-year period were analyzed at individual and work-unit level. The results showed positive relationships between work attendance and male gender, high income, work commitment, job satisfaction, and having positive feelings towards work. High work attendance combined with work commitment, stress, or pain did not show any negative long-term effects upon short-term or long-term sick leave. Instead, work attendance seemed to be more associated with stable patterns of behaviour. Register-based measures of work attendance (at most 4-7 days of sick leave per worker per year) may be a useful tool in managing psychosocial work environment and related behaviour, but their inability to encompass information regarding individual health and disease must be borne in mind.
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| 8. |
- Dellve, Lotta, 1965, et al.
(författare)
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Health care leaders’ stress, fragmentation of work and time-use strategies
- 2008
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Ingår i: International Symposium Activity 2008, May 12-14, 2008, Helsinki, Finland.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: The complex nature of the psychosocial work environment with its trend of increasing occupational stress creates challenges for today’s health care leaders (HCL). Health, work ability and performance among health care workers have been related to leadership qualities and strategies. While, leaders own stress has been qualitatively related to fragmentation of work, compound identities and loyalty commitments. However, most of earlier studies are based on interviews or questionnaires, and few on observations. This study was conducted within a research program with the purpose to understand and support sustainable leadership in health care organizations. Adopting the Mintzberg structured observational method of leaders’ activities and behavior in combination with interviews and stress-indicators, we investigated what HCL really do at work and what kind of leadership activities that were related to stress. The further aim was to develop a method for support in sustainable time-use, sustainable from the perspective of leadership practice (quality and performance) and individual health among leaders. Method: Strategically selected HCL (n=10) were observed during one week each. Stress was measured by continuous heart-rate and the stress-energy scale (4 times a day). The HCL were also interviewed at the end of the days as well as in-depth after the observation period. Results: The result from the observations show that stress was observed in relation to frequently being interrupted (causing a fragmentation in their work). While, low stress was observed during uninterrupted times of administrative work (24% of their working time). In comparison with studies of other leaders, HCL had more and shorter activities. In total, 2 473 activities was observed during a week (3-14 activities/h). Most, 59% of their working time comprised of meetings (scheduled and unscheduled), especially with their subordinates (73%) and <1% with their own superior. Little time was used for preparation and reflection (1-9%) and there was almost no time between the activities. The method for support in sustainable time-use comprise a shorter observation, mirroring and own reflection and, group-wise mirroring to increase insight of alternative strategies.
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