The role of managerial leadership in sickness absence in health and social care: antecedent or moderator in the association between psychosocial working conditions and register-based sickness absence? A longitudinal study based on a swedish cohort

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Stengård, JohannaStockholms universitet,Stressforskningsinstitutet,Stockholm Univ, Stress Res Inst, Dept Psychol, SE-10691 Stockholm, Sweden. (author)

The role of managerial leadership in sickness absence in health and social care : antecedent or moderator in the association between psychosocial working conditions and register-based sickness absence? A longitudinal study based on a swedish cohort

Article/chapterEnglish2021

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2021-12-04
BioMed Central (BMC),2021
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LIBRIS-ID:oai:DiVA.org:uu-462208
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-462208URI
https://doi.org/10.1186/s12889-021-12236-zDOI
https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-201418URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:148263036URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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BackgroundThe prevalence of sickness absence is particularly high among employees in health and social care, where psychosocial work stressors are pertinent. Managerial leadership is known to affect sickness absence rates, but the role leadership plays in relation to sickness absence is not fully understood; that is, whether poor leadership (i) is associated with sickness absence directly, (ii) is associated with sickness absence indirectly through the establishment of poor psychosocial working conditions, or (iii) whether good leadership rather has a buffering role in the association between work stressors and sickness absence.MethodsFour biennial waves from the Swedish Longitudinal Occupational Survey of Health (SLOSH, 2010–2016, N=2333) were used. Autoregressive cross-lagged analyses within a multilevel structural equation modelling (MSEM) framework were conducted to test hypotheses i)–iii), targeting managerial leadership, register-based sickness absence and psychosocial work stressors (high psychological demands, poor decision authority and exposure to workplace violence).ResultsA direct association was found between poor leadership and sickness absence two years later, but no associations were found between leadership and the psychosocial work stressors. Finally, only in cases of poor leadership was there a statistically significant association between workplace violence and sickness absence.ConclusionsPoor managerial leadership may increase the risk of sickness absence among health and social care workers in two ways: first, directly and, second, by increasing the link between workplace violence and sickness absence.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Arbetsmedicin och miljömedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Occupational Health and Environmental Health hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
Leadership
Sickness absence
Psychological demands
Decision authority
Workplace violence
Longitudinal
Mediation
Moderator

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Persitera, ParaskeviStockholms universitet,Stressforskningsinstitutet,Stockholm Univ, Stress Res Inst, Dept Psychol, SE-10691 Stockholm, Sweden.(Swepub:su)pperi (author)
Johansson, GunKarolinska Institutet (author)
Nyberg, AnnaStockholms universitet,Uppsala universitet,Jämlik hälsa och arbetsliv,Livsstil och rehabilitering vid långvarig sjukdom,Stockholm Univ, Stress Res Inst, Dept Psychol, SE-10691 Stockholm, Sweden,Stressforskningsinstitutet,Uppsala University, Sweden(Swepub:su)annyb (author)
Stockholms universitetStressforskningsinstitutet (creator_code:org_t)

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In:BMC Public Health: BioMed Central (BMC)21:11471-2458

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