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  • Norström, FredrikUmeå University,Umeå universitet,Institutionen för epidemiologi och global hälsa (author)

How does the distribution of work tasks among home care personnel relate to workload and health-related quality of life?

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • Springer,2023
  • electronicrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:umu-212245
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-212245URI
  • https://doi.org/10.1007/s00420-023-01997-2DOI
  • https://lup.lub.lu.se/record/2ee5e8d2-e1b7-4d40-b467-a71c0c10f858URI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

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  • Background: The work for Swedish home care workers is challenging with a variety of support and healthcare tasks for home care recipients. The aim of our study is to investigate how these tasks relate to workload and health-related quality of life among home care workers in Sweden. We also explore staff preferences concerning work distribution.Methods: A cross-sectional study was conducted in 16 municipalities in Northern Sweden. Questionnaires with validated instruments to measure workload (QPSNordic) and health-related quality of life (EQ-5D), were responded by 1154 (~ 58%) of approximately 2000 invited home care workers. EQ-5D responses were translated to a Quality-adjusted life-year (QALY) score. For 15 different work task areas, personnel provided their present and preferred allocation. Absolute risk differences were calculated with propensity score weighting.Results: Statistically significantly more or fewer problems differences were observed for: higher workloads were higher among those whose daily work included responding to personal alarms (8.4%), running errands outside the home (14%), rehabilitation (13%) and help with bathing (11%). Apart from rehabilitation, there were statistically significantly more (8–10%) problems with anxiety/depression for these tasks. QALY scores were lower among those whose daily work included food distribution (0.034) and higher for daily meal preparation (0.031), both explained by pain/discomfort dimension. Personnel preferred to, amongst other, spend less time responding to personal alarms, and more time providing social support.Conclusion: The redistribution of work tasks is likely to reduce workload and improve the health of personnel. Our study provides an understanding of how such redistribution could be undertaken.

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  • Zingmark, MagnusUmeå University,Lund University,Lunds universitet,Umeå universitet,Institutionen för epidemiologi och global hälsa,Municipality of Östersund, Health and Social Care Administration, Östersund, Sweden; Department of Health Sciences, Lund University, Lund, Sweden,Aktivt och hälsosamt åldrande,Forskargrupper vid Lunds universitet,Active and Healthy Ageing Research Group,Lund University Research Groups(Swepub:lu)ma6232zi (author)
  • Pettersson-Strömbäck, Anita,1965-Umeå University,Umeå universitet,Institutionen för psykologi(Swepub:umu)anpe0002 (author)
  • Sahlen, Klas-Göran,1957-Umeå University,Umeå universitet,Institutionen för epidemiologi och global hälsa(Swepub:umu)klsa0001 (author)
  • Öhrling, MalinUmeå University,Umeå universitet,Institutionen för epidemiologi och global hälsa(Swepub:umu)maan0122 (author)
  • Bölenius, KarinUmeå University,Umeå universitet,Institutionen för omvårdnad(Swepub:umu)kanbos00 (author)
  • Umeå universitetInstitutionen för epidemiologi och global hälsa (creator_code:org_t)

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  • In:International Archives of Occupational and Environmental Health: Springer96:8, s. 1167-11810340-01311432-1246

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