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Managerial approaches for maintaining low levels of sick leave: A qualitative study
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. School of Engineering Sciences in Chemistry, Biotechnology, and Health, KTH Royal Institute of Technology, Stockholm, Sweden.ORCID iD: 0000-0002-3325-4184
Department of Sociology and Work Science, Gothenburg University, Gothenburg, Sweden.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
2022 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aim

The aim of this study was to identify first-line managers' approaches for maintaining low levels of sick leave among health care employees.

Introduction

One challenge in health care is the high level of sick leave among employees. High work demands and conflicting pressures characterize the work situation of both employees and first-line managers, with potential negative effects on work-related health.

Method

First-line managers at units with low and/or decreasing sick leave were interviewed. Thematic analysis was used to analyse the data.

Results

The managers took a holistic approach in meeting their employees' broader needs, and they were balancing high organisational demands through insubordination. To keep sick leave rate low, they created possibilities for the employees to influence their own working life through a present, visible and trustful leadership.

Conclusion

Managers responsible for units with low sick leave seemed to utilize a holistic approach with focus on their employees and prioritized needs of their employees before organisational demands from top management. Implications for nursing management First-line managers in health care can have impact on sick leave among their employees and create good working conditions, despite pressure from their superiors.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022.
Keywords [en]
employee, first-line manager, flexibility, health care, sick leave, WORKING-CONDITIONS, NURSE MANAGERS, HEALTH, CARE, LEADERSHIP, SATISFACTION, ABSENTEEISM, ABSENCE, IMPACT, LIFE
National Category
Work Sciences Business Administration Social Work
Identifiers
URN: urn:nbn:se:hb:diva-27965DOI: 10.1111/jonm.13678ISI: 000802159000001PubMedID: 35560674Scopus ID: 2-s2.0-85130896396OAI: oai:DiVA.org:hb-27965DiVA, id: diva2:1665452
Available from: 2022-06-07 Created: 2022-06-07 Last updated: 2022-11-24Bibliographically approved

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Fallman, Sara L.Kullén Engström, Agneta

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