| 1. |
- Hägglund, Karin, et al.
(författare)
-
Assistant nurses working in care of older people : associations with sustainable work ability
- 2011
-
Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 25:2, s. 325-332
-
Tidskriftsartikel (refereegranskat)abstract
- Indicators of health have shown improvements in the Swedish working population during the past decades, but with the exception of low-skilled women. Earlier research has shown that assistant nurses belong to an occupational group, which has the lowest share of individuals with long-term health in the total Swedish workforce. Sick leave research has mostly focused on determining risk factors for the development of diseases and dysfunctions. In the process of acquiring knowledge about mechanisms for sick leave, it has become obvious that there is also a need to focus on what contributes to work ability. The aim in this study was to explore what promotes sustainable work ability in female assistant nurses working in care of older people. Associations between factors related to work, health, lifestyle and sustainable work ability were investigated in a cross-sectional nested case-control study in a cohort of 366 female assistant nurses. Data were collected in self-reports in a questionnaire. Odds ratios were calculated, and a multiple logistic regression analysis was performed with sustainable work ability as the dependent variable. Sustainable work ability was associated with good self-rated health, a BMI < 30, ability to sleep well, recuperation, low stress level, support from family and friends, being over 25 years of age at birth of the first child, and control over one's own life in the >= 50 age group. In the logistic regression analysis, the significant associations were good self-rated health, being over 25 years of age at the birth of the first child and recuperation. In conclusion, the study showed that self-rated health and factors in private life are important for assistant nurse's sustainable work ability over time. The results from this study could be applied in health promotion work for employees in the care sector to strengthen and enhance sustainable work ability.
|
|
| 2. |
|
|
| 3. |
- Larsson, Robert, et al.
(författare)
-
Hälsofrämjande insatser i ett arbetsgivar- och arbetstagarperspektiv : en jämförande studie inom kommunal vård- och omsorg
- 2012
-
Konferensbidrag (refereegranskat)abstract
- Tidigare forskning har visat på samband mellan olika arbetsorganisatoriska faktorer och anställdas hälsa. Dessutom framkommer att både individinriktade och organisatoriskt inriktade hälsoinsatser har betydelse för arbetsrelaterad hälsa. Ett annat resultat som tydliggörs i forskningsöversikter är att hälsointerventioner på arbetsplatsen bör ha en bred ansats, där individinriktade och organisatoriska insatser kombineras, för att vara som mest effektivt. Samtidigt finns det kunskapsluckor gällande vilken typ av hälsoinsatser som arbetsgivare erbjuder sina anställa och i vilken utsträckning utbudet utnyttjas. Arbetsgivares organisatoriska stöd för hälsoarbete är ett annat område som behöver belysas vidare. Avsikten med denna studie är därför att undersöka vilka hälsoinsatser som erbjuds vård- och omsorgspersonal i ett urval av svenska kommuner samt hur det överensstämmer med personalens uppfattningar om arbetsgivarens insatser samt den egna hälsan.Mer specifikt är syftet med studien att undersöka: (1) arbetsgivarens utbud av hälsofrämjande insatser, (2) sambanden mellan olika typer av hälsofrämjande insatser och självskattad hälsa bland de anställda, (3) sambanden mellan arbetsgivarnas och arbetstagarnas uppfattningar av det hälsofrämjande arbetet. Studien genomfördes genom enkäter till förvaltningschefen respektive arbetstagarna inom vård- och omsorg i ett slumpmässigt urval av 60 av Sveriges 290 kommuner. Arbetsgivarenkäten omfattade: 1) arbetsorganisation 2) verksamhetsstyrning 3) hälso- och arbetsmiljöarbete samt 4) företagshälsovård. Dessa data analyserades sedan i förhållande till tidigare insamlade aggregerade enkätdata från 9 270 anställda beträffande hälsa, sjukfrånvaro samt uppfattningar om det hälsofrämjande arbetet i samma kommuner. Alla analyser genomfördes på kommunnivå med metoder för icke-parametrisk statistik.Resultaten visar att individuellt inriktade hälsofrämjande insatser är mer vanligt förekommande (finns i c:a 80% av kommunerna) än organisatoriskt inriktade insatser (finns i c:a 50% av kommunerna). Båda typerna av åtgärder är dock relaterade till ett bättre hälsoläge bland personalen. Kommuner med ett bredare utbud av individinriktade hälsofrämjande åtgärder har bättre hälsa bland personalen. Det finns också en överensstämmelse mellan arbetsgivarnas och arbetstagarnas rapportering av utbudet. Av de organisatoriska insatserna så kan förekomsten av särskilt utsedda resurspersoner för hälsoarbete (hälsosamordnare, hälsoombud/ friskvårdsinspiratör) samt genomförandet av lokala hälsoprojekt relateras till de anställdas hälsa. Däremot finns det inget samband mellan detta organisatoriska stöd och hur nöjda arbetstagarna är med arbetsgivarens insatser. Vidare kunde inte chefsstöd för hälso- och arbetsmiljöarbetet relateras till de anställdas hälsa. Det samma gäller förekomsten av mer generella policys och faktorer i organisationsstrukturen.Denna studie bidrar med kunskap om utbudet av hälsofrämjande insatser samt olika kommunala arbetsgivares sätt att organisera hälso- och arbetsmiljöarbete. Resultaten om att individinriktade insatser är mer vanligt förekommande än organisatoriska insatser överensstämmer med tidigare forskning. Samtidigt kan både individinriktade insatser och organisatoriska insatser relateras till de anställdas hälsa. Dessutom har arbetsgivare med ett mer ambitiöst utbud av insatser ett bättre hälsoläge bland de anställda. Resultaten visar att det finns anledning för arbetsgivare att implementera såväl individinriktade som organisatoriskt inriktade insatser. Resultaten är i linje med teorier om hälsofrämjande arbetsplatser, men har tidigare inte belysts i någon större utsträckning bland ett större antal arbetsgivare i offentlig sektor.
|
|
| 4. |
|
|
| 5. |
- Larsson, Robert, et al.
(författare)
-
Workplace health promotion and employee health in Swedish municipal social care organizations
- 2014
-
Ingår i: Journal of Public Health. - : Springer Berlin/Heidelberg. - 2198-1833 .- 1613-2238. ; 22:3, s. 235-244
-
Tidskriftsartikel (refereegranskat)abstract
- AimThe aim of this explorative study was to investigate the employers’ management characteristics, their provision of workplace health promotion (WHP) measures, and employee satisfaction with WHP in relation to employee health in Swedish municipal social care organizations.Subjects and methodsA cross-sectional design was used, and questionnaires were sent to top managers (representing the employer) and employees in a nationwide random sample of 60 of the 290 municipal organizations for the social care of elderly and disabled people in Sweden. The questionnaire data from the 60 managers were linked to aggregated employee data concerning self-rated health and satisfaction with WHP from a representative sample of 8,082 employees in the same organizations. All analyses were performed at the organizational level using independent t-test, Spearman’s rank correlation and multiple linear regression analysis.ResultsIn the multivariate analysis, the organizational WHP index (i.e. local WHP projects and WHP coordinators), individual WHP index (i.e. health profile assessment, fitness activities and medical check-up), and the level of employees’ satisfied with WHP were associated with employee health (F = 9.64, p < 0.001, adjusted R2 = 0.48). General organizational and management characteristics were, however, not statistically related to employee health.ConclusionThe results suggest that the provision of individual-directed and organizational-directed health-specific measures were related to employee health in Swedish municipal social care organizations and, therefore, can be part of a comprehensive approach to address WHP.
|
|
| 6. |
- Lumley, Mark A., et al.
(författare)
-
The Relationship of Chronic and Momentary Work Stress to Cardiac Reactivity in Female Managers : Feasibility of a Smart Phone-Assisted Assessment System
- 2014
-
Ingår i: Psychosomatic Medicine. - : Lippincott Williams & Wilkins. - 0033-3174 .- 1534-7796. ; 76:7, s. 512-518
-
Tidskriftsartikel (refereegranskat)abstract
- Objectives: To evaluate a wireless smart phone-assisted (SPA) system that assesses ongoing heart rate (HR) and HR-triggered participant reports of momentary stress when HR is elevated during daily life. This SPA system was used to determine the independent and interactive roles of chronic and momentary work stress on HR reactivity among female managers. Methods: A sample of 40 female managers reported their chronic work stress and wore the SPA system during a regular workday. They provided multiple reports of their momentary stress, both when triggered by increased HR and at random times. Relationships among chronic stress, momentary stress, and HR were analyzed with hierarchical linear modeling. Results: Both chronic work stress (b = 0.08, standard error [SE] = 0.03, p = .003) and momentary work stress (b = 1.25, SE = 0.62, p = .052) independently predicted greater HR reactivity, adjusting for baseline HR, age, smoking, caffeine, alcohol use, and momentary physical activity levels. More importantly, chronic and momentary stress significantly interacted (b = 1.00, SE = 0.04, p = .036); high momentary stress predicted elevated HR only in the context of high chronic stress. Conclusions: Female managers who experience chronic work stress displayed elevated cardiac reactivity during momentary stress at work. The joint assessment of chronic stress and momentary stress and their relationship to physiological functioning during work clarifies the potential health risks associated with work stress. Moreover, this wireless SPA system captures the immediate subjective context of individuals when physiological arousal occurs, which may lead to tailored stress management programs in the workplace.
|
|
| 7. |
-
Perspektiv på kvinnors hälsa i arbetslivet
- 2011. - 1
-
Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- Vägen till jämställdhet är lång och än har vi inte nått målet. Den politiska viljan och de sociala normer som styr mäns och kvinnors vardagsliv är ännu inte riktigt i fas. Den könsuppdelade arbetsmarknaden i Sverige betyder lägre löner för kvinnor och mer deltid. Det här skapar ett beroendeförhållande till en partner som har inkomster från ett heltidsarbete eller till bidragsberoende.
|
|
| 8. |
- Rydholm Hedman, Ann-Marie, et al.
(författare)
-
Older people living at home : associations between falls and health complaints in men and women
- 2013
-
Ingår i: Journal of Clinical Nursing. - : John Wiley & Sons. - 0962-1067 .- 1365-2702. ; 22:19-20, s. 2945-2952
-
Tidskriftsartikel (refereegranskat)abstract
- Aims and objectivesTo investigate the associations between self-reported falls and health complaints, among persons aged 75 years and older living at home, and to investigate gender differences in the associations.BackgroundThere are several studies concerned with risk factors for falling, and others related to health complaints, but not many with associations between falls and health complaints. There are some inconsistent data of incidence and gender-related differences in falling.DesignCase–control community-based study.MethodsIn total, 1243 persons living in two municipal districts in Sweden answered a questionnaire. Odds ratios (OR) and regression models with 95% confidence interval (CI) were used to determine the associations between self-reported falls and different health complaints.ResultsThe adjusted (multivariate) linear regression showed that urinary incontinence, self-rated health and tiredness were significantly associated with falls for both men and women living at home. The gender-related differences in falling were associated with the variables such as self-rated health for men and tiredness and pain in the hands, elbows, legs or knees for women.ConclusionAn association is evident between falls and urinary incontinence, poor self-rated health and tiredness for older persons living at home. Gender differences in falls show an association with poor self-rated health, tiredness and pain in the hands, elbows, legs or knees.Relevance to clinical practiceAs older people are expected to live in their own homes as long as possible, more knowledge is required about what determines the risk of falling. Nurses in community care are recommended to use assessment tools that include urinary incontinence in order to detect the risk of falling.
|
|
| 9. |
|
|
| 10. |
- Sandmark, Helene, et al.
(författare)
-
Dynamic Stress Management : Self-Help through Holistic System Design
- 2013. - vol 3
-
Ingår i: User-Driven Healthcare. - : IGI Global. - 9781466627710 ; , s. 1469-1486
-
Bokkapitel (refereegranskat)abstract
- Different kinds of applications for self-help are available on the Internet today. Some aim to intervene with users' life patterns such as negative stress exposure. It is not always an easy task to manage stressful life situations and to develop and maintain healthy living. It involves learning how to balance perceived demands from working and personal life, and to question underlying thoughts and beliefs. E-health communities can assist in this process through continuous interactions between community members. However, previous studies have shown that combining knowledge of health experts and the experiences of peers can create a good synergy. The question is how these findings can be applied to the area of stress management. In this chapter, the authors present a web-based self-help system for stress management based on a holistic view of actors and their different types of support. The system offers the user information in the form of research and real life stories, practical exercises (both text- and video-based), and the opportunity to interact with health experts and peers, all in an integrated way.
|
|
