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  • 51.
    Dellve, Lotta
    et al.
    University of Borås, School of Health Science.
    Williamsson, Anna
    Eriksson, Andrea
    Health care professionals’ motivation, engagement and collaboration in organizational developments of processes of care2012Conference paper (Refereed)
  • 52.
    Dellve, Lotta
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    Williamsson, Anna
    KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    Strömgren, Marcus
    KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    Holden, Richard
    University of Indiana, US.
    Eriksson, Andrea
    KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    Lean implementation at different levels in Swedish hospitals: the importance for working conditions and stress2015In: International Journal of Human Factors and Ergonomics, ISSN 2045-7804, E-ISSN 2045-7812, Vol. 3, no 3-4, p. 235-253Article in journal (Refereed)
    Abstract [en]

    Health care organizations in Sweden are recently reorienting toward horizontal organization around care processes.  The aim was to investigate how implementation approaches for improvements of care processes in line with lean production (LP), at strategic and operative levels, in hospitals are associated with the consequences for working conditions and stress-related health among the employees. Five hospitals working with improvements to care processes were tracked: questionnaires to employees (n=1326) and interviews at strategic and operative levels at baseline and follow-up. The process redesign implementation strategies varied between the strategic and operative levels. There were associations between a higher degree of LP at operative level and increased work resources and decreased work demands. Physical, cognitive and mental stress-related symptoms were only weakly associated with strategic or operative LP initiatives. There was evidence of more beneficial or improved working conditions in relation to strategic or operative initiatives, approaches to degree of LP.

  • 53.
    Dellve, Lotta
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. 1KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    Williamsson, Anna
    1KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    Strömgren, Marcus
    1KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    Holden, Richard
    University of Indiana, US.
    Åhlström, Linda
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Andreasson, Jörgen
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. 1KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    Eriksson, Andrea
    1KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    The impact of implementation of lean at hospitals for work conditions and health-related conditions among health care professionals: a three year follow-up2015Conference paper (Refereed)
    Abstract [en]

    Introduction The public sector has during the last decades been struggling with the challenge of how to increase the efficiency, the quality of performance, as well as with problems related to work environment and recruitments. Hospitals have struggled with increased focuses on costumer orientation, rationalizations and care processes redesign, and have often used Lean production (LP) as management model.

    Aim to assess the long-term importance of implementing LP in hospitals for the psychosocial work conditions.  Based on earlier research (e.g. Westgaard & Winkel, 2011), the following hypothesis were tested (1) Strategic large scale  implementation of LP is associated with negative impact on mental health; (2) Implementation of LP is associated with weak negative impact on psychosocial work conditions; (3) The association between implementation of LP and psychosocial conditions is moderated by profession and participatory approaches.

    Method  Five hospitals working with improvements of care processes were studied 2012-2014 using questionnaires to employees (T1 n=1303) and interviews at strategic and operative levels. Analyzes with mixed models repeated measurements were performed. The explaining variables for the models were implementation of lean at strategic resp operative level, and time (T1, T2, T3). The outcome variables were work-related health (SRH, work ability, stress-symptoms) and psychosocial work conditions.

    Results  Physical, cognitive and mental stress-related symptoms were only weakly associated with strategic or operative LP initiatives. There were no overall differences in self rated health and work ability with regard to implementation of LP. A higher degree of LP at operative level was associated with decreased work demands. There was, especially initially, more beneficial or improved working conditions in relation to higher degree of LP at operative levels. The long-term follow-up showed that quantitative demands increased and predictability as well as leadership decreased in the non-lean hospitals. There were different patterns with regard to profession and participatory approaches that will be presented.

  • 54.
    Dellve, Lotta
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Wolmesjö, Maria
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Bremer, Anders
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Chefers stödresurser och ledarutbildning2016In: Ledarskap i äldreomsorgen: Att leda integrerat värdeskapande i en röra av värden och förutsättningar / [ed] Lotta Dellve, Maria Wolmesjö, Borås: Högskolan i Borås, 2016, , p. 9p. 69-76Chapter in book (Other academic)
  • 55.
    Dellve, Lotta
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Wolmesjö, Maria
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Jutengren, Göran
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Hållbara chefs- och ledarskapsstrategier som utvecklar integrerade värden2016Report (Refereed)
  • 56.
    Dellve, Lotta
    et al.
    University of Borås, School of Health Science.
    Wramsten Wilmar, Maria
    Jacobsson, Christian
    Ahlborg, Gunnar Jr
    Ledarskap i vården: att möta media och undvika personfokuserade drev2014Report (Other academic)
    Abstract [sv]

    Frågor om kvalitet, tillgänglighet och effektivitet i vården engagerar många och debatteras ofta i media. Att möta media är idag vanligt för chefer i vården och en viktig del av chefsarbetet. I media kan dock ett komplext problem komma att förenklas till att tillskrivas den ansvarige chefen snarare än t.ex. politiska, ekonomiska och organisatoriska förhållanden och överväganden. Mediebevakningen och debatten kan innehålla mer av en personfokusering än saklig debatt om viktiga frågor. Studier om orsak, förlopp och konsekvenser för en sådan personfokusering har varit få. Under 2011–2013 genomfördes en rad studier som syftade till att få djupare kunskap om hur chefer påverkas av att bli personligt fokuserade i media, vad som kan göras för att förebygga att negativa situationer uppstår och vilket stöd som krävs för att möta intensivt och kritiskt mediafokus. Projektet finansierades av afa försäkring och ett syfte var också att ta fram ett kunskapsunderlag för beredskap och stöd inför, under och efter möte med media. Rapporten har författats av professor Lotta Dellve vid Högskolan i Borås och kth (projektledare), leg. psykolog och doktorand Maria Wramsten Wilmar vid Högskolan Borås, leg. psykolog Christian Jacobsson vid Psykologiska Institutionen Göteborgs Universitet och Gunnar Ahlborg jr, leg. överläkare och docent i arbetsmedicin samt chef för Institutet för Stressmedicin, Västra Götalandsregionen.

  • 57.
    Dellve, Lotta
    et al.
    University of Borås, School of Health Science.
    Wramsten Wilmar, Maria
    Jacobsson, Christian
    Ahlborg, Gunnar jr
    Managers approaches towards media during organizational development processes2012Conference paper (Refereed)
  • 58. Eklöf, M
    et al.
    Pousette, A
    Dellve, Lotta
    [external].
    Skagert, K
    Ahlborg, G
    Utveckling av ett variations- och förändringskänsligt frågeinstrument för mätning av stressorexponering, copingbeteende och copingresurser bland 1:a och 2:a linjens chefer inom offentlig vård och omsorg2010Report (Other academic)
    Abstract [sv]

    Denna rapport börjar med en presentation av projektets bakgrund och syften (kap.1). Därefter presenteras i fyra separata kapitel delprojekt 1: Konstruktion av frågor och svarsskalor, delprojekt 2: Responspsykologisk prövning i en panel populationsrepresentanter, samt delprojekten 3 respektive 4: Pilotstudier i två chefsurval. Delprojektena redovisas var för sig med metoder och resultat. Slutligen förs en allmän diskussion.

  • 59. Eriksson, Andrea
    et al.
    Orvik, Arne
    Dellve, Lotta
    University of Borås, School of Health Science.
    Organisatorisk hälsa och värdebaserat ledarskap: Behovet av systemperspektiv2013In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. Tema Ledarskap, no 6, p. 848-856Article in journal (Refereed)
    Abstract [sv]

    Anställda inom hälso- och sjukvården rapporterar ökade hälsoproblem. Syftet med denna artikel är att ge exempel på systemperspektiv på hälsoutmaningar inom hälso- och sjukvården utifrån begreppen organisatorisk hälsa och värdebaserat ledarskap. En tillämpning av begreppet organisatorisk hälsa inom hälso- och sjukvården innebär att hälsoproblem hos anställda och chefer ses i relation till de värdekonflikter som är kopplade till rådande styrningsideal. Organisatorisk hälsa är ett exempel på ett begrepp som har ett tydligt systemperspektiv och kan definierats som en organisations förmåga att hantera spänningar mellan olika konkurrende värden på ett sätt som gynnar både patienter och anställda, och därmed organisationen som helhet. En tillämpning av begreppet organisatorisk hälsa inom sjukvården skulle kunna hjälpa chefer inom sjukvård att syna de värdekonflikter som finns och kunna bidra till reflektion kring hur dessa värdekonflikter skulle kunna hanteras. Vi menar att ett hälsofrämjande och hållbart ledarskap inom hälso- och sjukvården i större utsträckning kräver ett värdebaserat ledarskap som medvetet, tydligt och öppet hanterar de värdekonflikter som finns i vården.

  • 60. Eriksson, Andrea
    et al.
    Skagert, Katrin
    Dellve, Lotta
    University of Borås, School of Health Science.
    Utveckling av hälsofrämjande ledarskap och medarbetarskap: Erfarenheter av att arbeta med interventioner utifrån ett arbetsmaterial2013In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. Temanummer Ledarskap, no 6, p. 793-798Article in journal (Refereed)
    Abstract [sv]

    Forskning pekar på är att ledarskap har stor betydelse för anställdas välmående och att ledarskapsutveckling därför bör vara huvudfokus för framtida interventioner inom arbetsmiljö- och hälsoarbete. Den här artikeln syftar till att beskriva våra erfarenheter och lärdomar från att arbeta med hälsofrämjande ledarskapsinterventioner. Interventionerna utgår från arbetsmaterialet ”Hälsofrämjande ledarskap och medarbetarskap”. I arbetsmaterialet presenteras olika forskningsbaserade metoder och verktyg som kan användas för analys, reflektion och utveckling av hälso- och arbetsmiljöarbetet på den enskilda arbetsplatsen eller för hela organisationen. Utvärderingar av interventioner utifrån arbetsmaterialet pekar på att chefer som deltagit fått ökade förmågor att vara hälsofrämjande ledare, men att organisatoriskt stöd är avgörande för långsiktigta resultat.

  • 61.
    Eriksson, Andrea
    et al.
    1KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    Strömgren, Marcus
    1KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    Dellve, Lotta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. 1KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    Experiences of implementing OHS driven intervention methods for sustainable leadership in health care2015Conference paper (Refereed)
    Abstract [en]

    Introduction:

    Development processes in health care often narrowly focuses on more efficient work processes even though health care employees’ report an increased strained working environment. Furthermore, Occupational Health Services (OHS) in Sweden have been criticized for not contributing to improved organizational health and for not always having competence on leadership and health. In this context an ongoing research project has developed and implemented OHS-driven leadership interventions on sustainable leadership in health care. The interventions focused on supporting managers to integrate health promoting processes into ongoing quality developments at their workplaces.

    Aim:

    To explore experiences of the implementation of g different kind of OHS-driven methods for sustainable leadership within health care. The aim includes analyzing key actors’ and managers’ experiences of the content and different forms of intervention methods, as well conditions important for a successful implementation.

    Method:

    Researches developed in a first step a working material on sustainable leadership as well as five different intervention methods including web-based methods in collaboration with practitioners. Represents from OHS were given education on leading interventions based on the developed material. In a second step leadership interventions were implemented at 32 different workplaces within health and elderly care. Qualitative interviews with key actors and managers were performed for studying the implementation process. Latent and manifest content analysis was applied.

    Results and Conclusions:

    A dedicated and functional collaboration between OHS and Human Resources, as well as with the researchers, was one important success factor for the implementation of the interventions. Support from and collaboration between researchers and different strategic key actors within the participating health care organizations was further more critical for succeeding with the interventions. Web-based interventions required more engaged managers compared to interventions with physical meetings. In-depth results comparing the implementation of different interventions methods in the different organizational context will be presented at the conference.

  • 62. Eriksson, Andrea
    et al.
    Williamsson, Anna
    Dellve, Lotta
    University of Borås, School of Health Science.
    Implementation of the organizational concept lean: a case study of two Swedish hospitals2012Conference paper (Refereed)
  • 63. Eriksson, Andrea
    et al.
    Williamsson, Anna
    Dellve, Lotta
    University of Borås, School of Health Science.
    Motivation and strategies for why and how to implement the organizational concept lean: a case study of a Swedish hospital2012In: NES 2012 Proceedings, NES, Stockholm, 19-22 Augusti, 2012Conference paper (Refereed)
    Abstract [en]

    Health care professionals' enggements in health care development processes have considerable impact on the outcomes of such processes. Particulary doctors' willingness to become involved is central to success from organizational developement projects in health care. The aim is to gain deeper understanding of how health care professionals view their motives and engagement in organizational healthcare developments, an it's importance for collaboration and participation in implementation of lean processes. A conceptual model of physicians' engagement has been described from qualitative interviews. Thereafter an instrument has been developed to be used to assess preconditions for implementation of organizational developments.

  • 64. Eriksson, Andrea
    et al.
    Williamsson, Anna
    Dellve, Lotta
    University of Borås, School of Health Science.
    Three Swedish hospitals’ lean strategies and their contribution to organizational development.2014Conference paper (Refereed)
  • 65. Gustafsson, E
    et al.
    Dellve, Lotta
    [external].
    Edlund, M
    Hagberg, M
    The use of information technology among young adults: experience, attitudes and health beliefs2003In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 23, no 6, p. 565-570Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore attitudes, coherence and health beliefs among young adults, related to their use and experience of information technology (IT). A qualitative approach was used and the data were collected through individual thematised interviews with 25 young IT users, aged 18–24. The interviews were analysed in line with the grounded theory method with a constructivist approach. The main findings were the young adults’ experience of the two sides of being social, efficient and independent here and now. They described almost unlimited opportunities in connection with IT, but they also had misgivings, and perceived risks regarding IT use. Feelings of freedom and being efficient were countered by feelings of restrictions on living space and of intangibility. Knowledge concerning these attitudes, coherence and health beliefs can be considered when designing epidemiological and ergonomic studies aimed at risk identification.

  • 66. Holden, Richard
    et al.
    Eriksson, Andrea
    Andreasson, Jörgen
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Williamsson, Anna
    Dellve, Lotta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Healthcare workers' perceptions of lean: A context-sensitive, mixed methods study in three Swedish hospitals2015In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 47, p. 181-192Article in journal (Refereed)
    Abstract [en]

    As the application of lean in healthcare expands, further research is needed in at least two areas: first, on the role of context in shaping lean and its consequences and second, on how healthcare workers perceive lean. Accordingly, this context-sensitive, mixed methods study addressed how hospital workers' perceptions of lean varied across contexts in three Swedish hospitals. Registered nurses and physicians at the hospitals and across units differing in acuity completed standardized surveys (N = 236, 57% response rate) about their perceptions of hospital-wide lean implementation. Perceptions varied by: hospital context, with one hospital's employees reporting the least favorable perceptions; unit acuity, with higher-acuity units reporting more favorable perceptions; and professional role, with nurses reporting more favorable perceptions than physicians. Individual interviews, group interviews, and observations provided insight about these dissimilar contexts and possible explanations for context-specific variability. Findings are discussed with respect to strategies for implementing lean in healthcare; the importance of attending to levels, context, and worker consequences of lean; and directions for future research.

  • 67. Holmberg, Kristina
    et al.
    Ekbladh, Elin
    Hensing, Gunnel
    Dellve, Lotta
    University of Borås, School of Health Science.
    The combination of work organizational climate and individual work commitment predicts return to work in women but not in men2013In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 55, no 2, p. 121-127Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE:: To analyze if the combination of organizational climate and work commitment can predict return to work (RTW). METHODS:: This prospective Swedish study was based on 2285 participants, 19 to 64 years old, consecutively selected from the employed population, newly sick-listed for more than 14 days. Data were collected in 2008 through postal questionnaire and from register data. RESULTS:: Among women, the combination of good organizational climate and fair work commitment predicted an early RTW with an adjusted relative risk of 2.05 (1.32 to 3.18). Among men, none of the adjusted variables or combinations of variables was found significantly to predict RTW. CONCLUSIONS:: This study demonstrated the importance of integrative effects of organizational climate and individual work commitment on RTW among women. These factors did not predict RTW in men. More research is needed to understand the RTW process among men.

  • 68. Holmgren, K
    et al.
    Hensing, G
    Dellve, Lotta
    [external].
    The association between poor organizational climate and high work commitments, and sickness absence in a general population of women and men2010In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 52, no 12, p. 1179-1185Article in journal (Refereed)
    Abstract [en]

    To investigate the association between organizational climate and work commitment, and sickness absence in a general population of workers and consecutively selected employed sick-listed. METHODS: Questionnaire data used in this cross-sectional study consisted of two cohorts: (1) randomly selected individuals in a general working population cohort (2763) and (2) consecutively selected employed sick-listed cohort (3044) for more than 14 days over 2 months. RESULTS: Poor organizational climate was associated with increased odds of belonging to the employed sick-listed cohort among both women and men, while high work commitments were associated with increased odds only among women. The increased adjusted odds ratio for the combinations of poor organizational climate and high work commitment was 1.80 (confidence interval 1.36 to 2.37) among women and 2.74 (confidence interval 1.84 to 4.08) among men. CONCLUSIONS: These results support the magnitude of combining organizational climate and work commitment.

  • 69. Ijeh, C
    et al.
    Thiringer, G
    Dellve, Lotta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. [external].
    Uppfattningar om orsaker till bestående arbetsoförmåga [Questionnaire among health personnel on early retirement. Four out of five consider their illness an occupational injury]2003In: Läkartidningen, ISSN 0023-7205, Vol. 100, no 13, p. 1144-1147Article in journal (Refereed)
  • 70. Kihlman, A
    et al.
    Tengelin, E
    Eklöf, M
    Dellve, Lotta
    [external].
    Chefers i sjukvårdsmiljö: Avgränsningar och kommunikation av egen stress2010Report (Other academic)
    Abstract [sv]

    I utvecklingen av hälsofrämjande sjukhusorganisationer har första linjens chefer en nyckelroll genom sitt verksamhetsnära och integrerade ansvar för verksamhet, ekonomi och personal. Denna rapport syftar till att bidra till utvecklingen av hållbara stödstrukturer för att stärka chefernas egna arbetsvillkor och deras möjligheter att balansera engagemang och stress i arbetet. Delstudierna beskriver chefers (a) förhållningssätt för avgränsning av chefsarbetet, (b) upplevda möjligheter att kom... mer municera egen stress och problem i organisationen samt (c) förslag på hur chefers stress kan hanteras och tidiga tecken på utmattning bevakas i sjukvårdsorganisationer. Varje delstudie inleddes med kvalitativa djupintervjuer (n=10, n=6). Därefter diskuterades resultaten med första linjens chefer (n=71) i 13 fokusgrupper avseende åtgärder och förändringar. Delstudie 1. Strategier för avgränsning av chefsarbetet mellan arbetsuppgifter och livssfärer var mer eller mindre flexibla, fasta eller genomsläppliga. De präglades av varierande egenkontroll och anpassning till situationen, till andras behov eller till egna. Strategierna var ofta outtalade och skapade genom erfarenhet varför det fanns önskemål om utvecklat stöd i avgränsning som möjliggör långsiktigt arbete under svåravgränsade, föränderliga arbetsförhållanden. Delstudie 2. Kommunikation av egen stress inom organisationen hindrades av att systemet uppfattades premiera nedtystande av problembeskrivningar. Bland chefer fanns rädsla för att uppfattas som om man misslyckats med sitt uppdrag om man kommunicerade sin stress och därigenom riskera att förlora i anseende och utvecklingsmöjligheter. Den egna chefen ansågs som lämpligaste kanalen för att bevaka och fånga upp stress hos chefer. Enkäter och andra mätsystem förutsätter att data tas omhand i ett öppet klimat och att något görs åt problem. Fokusgrupperna. Stödstrukturer som kan stärka chefernas egna arbetsvillkor och möjligheter att balansera engagemang och stress i arbetet rör:  Möjligheter för kommunikation av stress och problembeskrivningar genom utvecklade chef-till-chefsamtal, belöning av att kommunikation av problembeskrivningar i linjen, dialogbaserade utvecklingsarbeten för att arbeta med värderingar och kultur samt en översyn över rekryteringsprocesser i praktiken.  Insatser för att öka självkännedom och handlingsberedskap genom handledning, forum för återkommande samtal med chefskollegor samt hälsosamtal med företagshälsovården som fokuserar hållbarhet i chefskapet  Tydlighet om ansvar, resurser och riktliner för chefsansvar i organisationen, utvecklat direktstöd av resursfunktioner till chefer samt rekryteringsprocess som genomsyras av hälsofrämjande synsätt 42 Resultat från rapporten kan användas som kunskapsunderlag vid utformning av policy och handlingsplaner för att förebygga, upptäcka och åtgärda stress och utmattning hos chefer.

  • 71.
    Larsson, Sara
    et al.
    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.
    Jutengren, Göran
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Dellve, Lotta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Department of Sociology and Work Science, Gothenburg University, Sweden.
    The impact of restricted decision making autonomy on health care managers’ health and work performance2019In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 27, no 4, p. 706-714Article in journal (Refereed)
    Abstract [en]

    AIM:

    The aim of this study was to investigate how restricted decision making autonomy and conflicting demands impact operational managers' work performance and health.

    BACKGROUND:

    Managers at operational level (first and second-line managers') in health care organizations are commonly exposed to strain in their work situation with high demands and a challenging work context. Although they play an important role, the knowledge about the causal associations between stressful job demands and their consequences is limited.

    METHODS:

    A prospective design with questionnaire data collected at two points in time, one year apart, from a sample of operational managers (N = 162) at five Swedish hospitals was used to conduct a structural equation model (SEM) analysis with cross-lagged paths.

    RESULTS:

    Restricted decision making autonomy was negatively associated with both the managers' health and their managerial work performance over time.

    CONCLUSIONS:

    Health care managers' work performance and health may be sustained by the top management allowing them a higher degree of autonomy in their decision making.

    IMPLICATIONS FOR NURSING MANAGEMENT:

    This study suggests that nursing leaders should create the circumstances for operational managers' to have higher levels of autonomy in their area of responsibility and the freedom to prioritize their managerial workload. 

  • 72. Lindgren, Åsa
    et al.
    Bååthe, Fredrik
    Dellve, Lotta
    University of Borås, School of Health Science.
    Why risk professional fulfilment: a grounded theory of physician engagement in healthcare development2013In: International Journal of Health Planning and Management, ISSN 0749-6753, E-ISSN 1099-1751, Vol. 28, no 2, p. 138-157Article in journal (Refereed)
    Abstract [en]

    The need for trans-professional collaboration when developing healthcare has been stressed by practitioners and researchers. Because physicians have considerable impact on this process, their willingness to become involved is central to this issue. OBJECTIVE: This study aims to gain a deeper understanding of how physicians view their engagement in healthcare development. METHOD: Using a grounded theory approach, the study developed a conceptual model based on empirical data from qualitative interviews with physicians working at a hospital (n = 25). RESULTS: A continual striving for experiences of usefulness and progress, conceptualized as 'striving for professional fulfilment' (the core category), emerged as a central motivational drive for physician engagement in healthcare development. Such experiences were gained when achieving meaningful results, having impact, learning to see the greater context and fulfilling the perceived doctor role. Reinforcing organizational preconditions that facilitated physician engagement in healthcare development were workplace continuity, effective strategies and procedures, role clarity regarding participation in development and opportunities to gain knowledge about organization and development. Two opposite role-taking tendencies emerged: upholding a traditional doctor role with high autonomy in relation to organization and management, clinical work serving as the main source of fulfilment, or approaching a more complete 'employeeship' role in which organizational engagement also provides a sense of fulfilment. CONCLUSION: Experiencing professional fulfilment from participation in healthcare development is crucial for sustainable physician engagement in such activities.

  • 73. Lindgren, Åsa
    et al.
    Tengelin, Ellinor
    Dellve, Lotta
    University of Borås, School of Health Science.
    Utformning av ett webbaserat verktyg för stresshantering2012Report (Other academic)
  • 74. Löve, J
    et al.
    Dellve, Lotta
    [external].
    Eklöf, M
    Hagberg, M
    Inequalities in maintenance of health and performance between young adult women and men in higher education2009In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 19, no 2, p. 168-174Article in journal (Refereed)
    Abstract [en]

    Background: Because of ageing populations, most high-income countries are facing an imminent scarcity of labour. Maintenance of health and performance in young adults therefore becomes a crucial prerequisite for sustainable societies. One major obstruction to this accomplishment is the striking health inequalities between young women and young men. Previously these inequalities have mainly been studied in a cross-sectional way, focusing on ill-health. In this study, we compared the prevalence of maintained health and performance between young adult women and men and the predictors for this outcome. Methods: The cohort consisted of 1266 participants from a homogenous sample of university students in Sweden. A combined assessment of self-rated ‘very good’ health and un-impaired performance took place at three time points (i.e. maintained health and performance). Potential predictors covered stable conditions in health-related behaviours, conditions at work/school and work-home interference. Results: Young women had less maintained health and performance than young men. No major differences in predictors were found. However, there was a tendency for psychosocial factors to be the most important predictors, especially in women. Conclusions: That young women had less maintained health and performance in a homogenous sample beyond well-known differentiating factors suggests explanations other than observable structural differences between the sexes. This was also indicated by the importance attached to perceived demands, and work-home interference, especially in women. The combination of less scheduled, and more unscheduled, schoolwork (i.e. time-flexibility) negatively affected the maintenance of health and performance in our study population, suggesting a focus for future studies.

  • 75. Löve, J
    et al.
    Grimby-Ekman, A
    Eklöf, M
    Hagberg, M
    Dellve, Lotta
    [external].
    "Pushing Oneself Too Hard": Performance-Based Self-Esteem as a Predictor of Sickness Presenteeism Among Young Adult Women and Men-A Cohort Study2010In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 56, no 6, p. 603-609Article in journal (Refereed)
    Abstract [en]

    Objective: To examine whether young adults with highly performance-based self-esteem (PBSE) were present at work/studies when ill more frequently than were others. Methods: By using data from a Swedish cohort of young adults aged 20 to 25 years (n = 5582 at baseline), we examined the association between PBSE and sickness presenteeism (SP) >5 times/yr (retrospectively at 1-year follow-up). Results: PBSE was a predictor of SP even when adjusting for general health, psychological demands, physical demands, economic problems, and main occupation. A synergy effect was also observed between PBSE and environmental and personal factors in relation to SP. The effect of PBSE on SP was four times higher among individuals with poor health, compared to individuals with good health. Conclusions: These results provide support for the role of personality characteristics as a predictor of frequent SP.

  • 76. Löve, J
    et al.
    Hagberg, M
    Dellve, Lotta
    University of Borås, School of Health Science. [external].
    Balancing extensive ambition and a context overflowing with opportunities and demands: A grounded theory on stress and recovery among highly educated working young women entering male-dominated occupational areas2011In: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677, Vol. 6, no 3Article in journal (Refereed)
    Abstract [en]

    Several factors underline the issue of stress-related health among young highly educated women. Major societal changes might provide more new challenges with considerably changed and expanded roles than were expected by earlier generations, especially among women. The quantity of young women with higher education has also increased threefold in Sweden in less than two decades and there are a growing number of young women that hereby break with traditional gender positions and enter new occupational areas traditionally dominated by men. The research questions in the present study were: “What is the main concern, regarding stress and recovery, among young highly educated working women breaking with traditional gender positions and entering male-dominated occupational areas?” and “How do they handle this concern?” We conducted open-ended interviews with 20 informants, aged 23-29 years. The results showed that the synergy between highly ambitious individuals and a context overflowing with opportunities and demands ended up in the informants’ constantly striving to find a balance in daily life (main concern). This concern refers to the respondents experiencing a constant overload of ambiguity and that they easily became entangled in a loop of stress and dysfunctional coping behavior, threatening the balance between stress and sufficient recovery. In order to handle this concern, the respondents used different strategies in balancing extensive ambition and a context overflowing with opportunities and demands (core category). This preliminary theoretical model deepens our understanding of how the increasing numbers of highly educated young women face complex living conditions endangering their possibility of maintaining health and work ability.

  • 77. Morberg, Siv
    et al.
    Lagerström, Monica
    Dellve, Lotta
    University of Borås, School of Health Science.
    The school nursing profession in relation to Bourdieu's concepts of capital, habitus and field.2012In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, no 2, p. 355-362Article in journal (Refereed)
    Abstract [en]

    AIM: The aim was to define the work and professional role of school nurses, in terms of Bourdieu's key concepts of capital and habitus. METHOD: A qualitative study with a deductive approach, based on data from six focus-group interviews with 24 school nurses and 15 individual interviews with school nurses. Thus, a total of 39 school nurses participated in the study. The data were analysed using content analysis. RESULTS: The results explain, in terms of Bourdieu's key concepts of capital and habitus, how school nurses experience their work in the educational setting. A model including different aspects of school nurses' work is shown. CONCLUSION: The new Swedish Education Act focuses on promoting students' general health, so that they are able to reach their academic potential. In this task, the school nurse is to be one of a group of several professionals working together. The present study shows how school nurses experience their professional role and their work in relation to Bourdieu's concepts of capital, habitus and field. To strengthen the school nursing profession, school nurses need to show their competence in promoting students' health.

  • 78. Persson Waye, K
    et al.
    van Kamp, I
    Dellve, L
    University of Borås, School of Health Science.
    Validation of a questionnaire measuring preschool children's reactions to and coping with noise in a repeated measurement design2013In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 3, no 5Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: The aim of the study was to explore and describe the reliability and validity of an instrument to measure preschool children's reactions to and coping with indoor noise at preschools or day care centres. DESIGN: Data were derived from an acoustical before and after intervention study providing repeated measurements. SETTING: The study was performed at seven preschools in Mölndal, Sweden. PARTICIPANTS: Children were recruited from these preschools and the final sample comprised 61 and 59 preschool children aged 4-5 years, with a response rate of 98% and 48% girls and 52% boys. Two children were excluded from analysis because they fell outside the age range. PRIMARY AND SECONDARY OUTCOME MEASURES: The instrument was developed based on a qualitative study performed in Swedish preschools. Questions pertained to preschool children's perception of noise when at school, their bodily and emotional reactions to it, non-specific symptoms and the coping strategies used by them to diminish the detrimental effects of the noise. RESULTS: Confirmative factor analysis yielded a three-factor model fitted to 10 items pertaining to angry reactions, symptoms and coping. The model fit was moderate to good (standardised root mean square residual=0.08, 0.12; adjusted goodness of fit=0.97/0.91) in the before and after conditions, respectively. The scales showed moderate to good reliability in terms of internal consistency, with an α ranging between 0.52 and 0.67, and was stronger in the before condition. Concurrent validity was strongest for symptoms by comparing groups based on bodily reaction (general and sound specific). CONCLUSIONS: Young children's emotional and bodily reactions to coping with noise can be reliably measured with this instrument. Like adults and older children, young children are able to distinguish between emotional reactions, bodily reactions, coping and unwell-being. Future research on larger groups of preschool children is needed to further refine the questions, in particular the questions pertaining to well-being.

  • 79. Persson Wayne, K
    et al.
    Agge, A
    Samuelsson, L
    Dellve, Lotta
    [external].
    Methods for assessing preschool children's perception and experience of their soundscape. (Invited paper)2006Conference paper (Refereed)
    Abstract [en]

    Previous investigations indicate that noise may be a serious health problem in preparatory schools. The high sound pressure levels originate mainly from the children’s own activities indoors. Little is known of how preschool children (1-6 years) are affected. To gain a deeper understanding of how preschool-aged children recognize, communicate, perceive and are affected by the soundscape at their preparatory school. This, in order to develop a questionnaire assessing possible adverse effects on children. 36 children (4-6 years old) were interviewed in 18 focus-groups. The interviews were analysed with grounded theory. The children described their experience of sounds related to which consequences the sound had for themselves, the type of sound, their understanding of its source and the communicability of the “sound”. Children described physical symptoms, i.e. pain in ears, stomach, head and also feeling sick. Sounds described as “screaming, crying and angering noise” was experienced as disturbing and threatening. They handled this by avoiding strategies, e.g. withdrawal and “holding their ears”. Squeaking, creaking and scratching noise was described as unexpected and as a physical experience. Background sounds were often non-reflected, unknown sounds, not easy to communicate. Based on the findings a questionnaire was developed.

  • 80.
    Rydström, Ingela
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Dalheim Englund, Ann-Charlotte
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Dellve, Lotta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Ahlstrom, Linda
    Importance of social capital at the workplace for return to work among women with a history of long-term sick leave: a cohort study.2017In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, ISSN ISSN 1472-6955, Vol. 14, no 16Article in journal (Refereed)
    Abstract [en]

    Background

    The workplace is an essential source of social capital for many people; it provides mutual support and gives meaning to life. However, few prospective studies have thoroughly investigated the importance of aspects of social capital in the workplace. The aim of this study was to investigate the associations between aspects of social capital (social support, sense of community, and quality of leadership) at the workplace, and work ability, working degree, and vitality among women with a history of long-term sick leave from human service organizations.

    Methods

    A longitudinal cohort study was performed among women with a history of long-term sick leave. The study started in 2005, and the women were followed up at 6 months, 1 year, and 6 years using self-reported questionnaires (baseline n = 283). Linear mixed models were used for longitudinal analysis of the repeated measurements of prospective degree of work ability, working degree, and vitality. Analyses were performed with different models; the explanatory variables for each model were social support, sense of community, and quality of leadership and time.

    Results

    Social capital in terms of quality of leadership (being good at solving conflicts and giving high priority to job satisfaction), sense of community (co-operation between colleagues) and social support (help and support from immediate superiors and colleagues) increased the women’s work ability score (WAS) as well as working degree over time. Additionally, social capital in terms of quality of leadership increased the women’s vitality score over time.

    Conclusions

    A sustainable return-to-work process among individuals with a history of long-term sick leave, going in and out of work participation, could be supported with social support, good quality of leadership, and a sense of community at the workplace. The responsibility for the rehabilitation process can not be reduced to an individual problem, but ought to include all stakeholders involved in the process, such as managers, colleagues, health care services, and the social security agency.

  • 81. Skagert, K
    et al.
    Dellve, Lotta
    [external].
    Eklöf, M
    Ljung, T
    Pousette, A
    Ahlborg Jr, G
    Ledarskap och stress i politiskt styrd verksamhet. Balanserande förhållningssätt och strategier2004Report (Other academic)
    Abstract [sv]

    Institutet för stressmedicin (ISM) bildades 2002 genom en gemensam satsning av regeringen, Västra Götalandsregionen (VGR) och Försäkringskassan i Västra Götalands län (FK). I samarbetsavtalet mellan VGR och FK slås fast att ett övergripande mål för ISM:s verksamhet är att genom forskning öka kunskapen om den stressrelaterade ohälsan och hur den kan förebyggas. I första hand ska insatserna inriktas på de båda huvudmännens egna anställda. Mot denna bakgrund var det naturligt att ett av institutets större projekt kommit att inriktas mot stressförebyggande och hälsofrämjande ledarskap i dessa politiskt styrda organisationer. Detta är den första delstudien, som syftar till att få fördjupad kunskap om chefers stressbelastning, föreställningar och strategier när det gäller att hantera psykosociala arbetsmiljöproblem. Det är vår förhoppning att den kommer att ligga till grund för diskussioner, i första hand med intressenter inom VGR och FK, om ledarutveckling och interventionsstudier som kan bidra till förbättringar av den psykosociala arbetsmiljön för chefer och deras medarbetare. Den här aktuella projektgruppen har bildats genom samverkan mellan forskare vid ISM, Avdelningen för Yrkesmedicin vid Sahlgrenska akademin och Arbetslivsinstitutet Väst. Projektets fokus ligger på chefer inom de politiskt styrda organisationerna VGR och FK. Det anknyter på ett tvärvetenskapligt sätt till flera genomförda, pågående och planerade forskningsprojekt som bedrivs av medlemmar i forskargruppen. Den flervetenskapliga sammansättningen av projektgruppen har upplevts som mycket fruktbar under hela forskningsprocessen.

  • 82. Skagert, Katrin
    et al.
    Ahlborg jr, Gunnar
    Bergman, Caroline
    Dellve, Lotta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Hultberg, Annemarie
    Hälsofrämjande i praktiken2015In: Article in journal (Refereed)
  • 83. Skagert, Katrin
    et al.
    Dellve, Lotta
    University of Borås, School of Health Science.
    Ahlborg, Gunnar jr
    A prospective study of managers' turnover and health in a healthcare organization.2012In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 20, no 7, p. 889-899Article in journal (Refereed)
    Abstract [en]

    AIMS: To assess turnover and health of Swedish healthcare managers, and identify important supporting factors relating to work and individual resources. BACKGROUND: Individual managers' own sustainability in terms of turnover and health may be influenced by managerial working conditions and individual resources. METHODS: A 4-year prospective questionnaire study of 216 healthcare managers. Turnover and indicators of good health (healthy work attendance and no burnout) were related to work factors and individual resources using Cox regressions with constant time at risk. RESULTS: Forty per cent of the healthcare managers had left after 4 years. Fifty-two per cent had a healthy work attendance record and the proportion with no burnout had increased. Experiencing moderate/high job control was a predictor of remaining in the managerial position. Good health was predicted by having energy left for domestic work and being thoroughly rested after sleep. CONCLUSIONS: Managerial turnover seems high in Swedish healthcare and linked to working conditions, while sustained health are linked to individual resources. IMPLICATIONS FOR NURSING MANAGEMENT: Healthcare organizations should focus not only on developing individuals in their managerial role but also on strengthening the conditions that allow managers to exercise their leadership and to ensuring that the managers most suitable for their posts do not leave.

  • 84. Strömberg, Marcus
    et al.
    Eriksson, Andrea
    Dellve, Lotta
    University of Borås, School of Health Science.
    Health promoting leadership: a structure to build capacity of health in a healthcare organization2014Conference paper (Refereed)
  • 85. Strömgren, Marcus
    et al.
    Eriksson, Andrea
    Bergman, David
    Dellve, Lotta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Social capital among healthcare professionals: A prospective study of its importance for job satisfaction, work engagement and engagement in clinical improvements.2016In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 53Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Social capital can be an important resource to facilitate the needed improvements in quality of care and efficiency in hospitals.

    OBJECTIVES: To assess the importance of social capital (recognition, vertical trust, horizontal trust and reciprocity) for job satisfaction, work engagement and engagement in clinical improvements.

    DESIGN: A prospective cohort design was used.

    SETTINGS: Intensive care units and emergency, surgical and medical units at five Swedish hospitals with ongoing development of their processes of care.

    PARTICIPANTS: Healthcare professionals (physicians, registered nurses, assistant nurses) at five Swedish midsize hospitals.

    METHODS: The participants answered a questionnaire at two occasions, NN=1602 at baseline and NN=1548 at one-year follow-up. Mean hospital response rate was 53% at baseline and 59% at follow-up. Univariate, multivariate and logistic regression analyses were performed, and the prospective analysis was based on 477 respondents.

    RESULTS: Social capital was associated with healthcare professionals' general work engagement and job satisfaction. Analysis showed positive associations between all measured aspects of social capital and engagement in clinical improvements of patient safety and quality of care. The prospective analysis showed that increased social capital predicted increased job satisfaction, work engagement and engagement in clinical improvements of patient safety.

    CONCLUSION: Social capital is strongly related to job satisfaction and active engagement with clinical improvements. The findings contribute to a deeper knowledge of social capital as a predictive factor that influences patient safety and health among healthcare staff.

  • 86.
    Strömgren, Marcus
    et al.
    1KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    Åhlström, Linda
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Eriksson, Andrea
    1KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    Dellve, Lotta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. 1KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    The importance of Leadership for workplace social capital among healthcare professionals2015Conference paper (Refereed)
    Abstract [en]

    Introduction

    Social capital, operationalized as perceived trust, reciprocity and recognition has in earlier research shown to be important for employees´ job satisfaction and to health care staffs´ engagement in clinical improvements of patient safety and quality of care as well as job satisfaction, health and wellbeing. Since social capital has an impact, it is of interest to investigate which factors that influence workplace social capital. Research findings shows that leadership has great importance to staffs´ health and wellbeing, and affects a number of factors in the work environment factors as job satisfaction and work engagement. If and how leadership is associated with social capital is rarely described in previous research. However the few studies performed indicate that there are associated correlations between leadership and social capital, and leadership quality and social capital. Leadership within healthcare sector has been in focus when working with redesign of care processes and it would be of interest to investigate the role of leadership and the quality of leadership with respect to social capital. The aim was to assess the importance of leadership for workplace social capital in hospital settings.

     

    Materials and methods

    This study was a longitudinal cohort study. Questionnaires to physicians, nurses, assistant nurses at five Swedish midsize hospitals was used to collect data (T0, n=865, T1, n=908). Bivariate, multivariate analyses was used and a mixed model repeated measurement for the longitudinal analyses (n=477) were performed.

     

    Results

    Relationship between staffs perceived quality of leadership and staffs´ social capital was found (R = 0.58, p-value <0.0001). Results of the analysis showed significant differences in levels of social capital between the groups of low, medium and high levels in quality of leadership. The differences between the groups sustained over time where the group with high levels in quality of leadership remained higher in levels of social capital than the other groups. Same pattern were seen in the other groups.

     

    Conclusion

    Leadership quality were related to-, had importance for- and influenced workplace social capital among health care staff.

  • 87.
    Sundström, Malin
    et al.
    University of Borås, Faculty of Textiles, Engineering and Business.
    Ericsson, Dag
    University of Borås, Faculty of Textiles, Engineering and Business.
    Oudhuis, Margaretha (Editor)
    University of Borås, Faculty of Textiles, Engineering and Business.
    Dellve, Lotta (Editor)
    University of Borås, Faculty of Textiles, Engineering and Business. University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    DETALJHANDEL I FÖRÄNDRING: Konsumentinsikt, värdenät och nya affärsmodeller2015Report (Refereed)
    Abstract [sv]

    Detaljhandeln är en bransch som ofta genomgår förändringar eftersom den agerar på en snabb- rörlig konsumentmarknad. Managementfrågor inom handeln tar därför sin utgångspunkt i hur efterfrågan och köpvanor ser ut och syftar traditionellt till att styra upp företagens affärsmo- deller, butiksformat och koncept. Den här texten beskriver en detaljhandel i förändring där förändringsmotorn är digitalisering och bränslet är konsumenters beteende. Författarna belyser viktiga förändringar som nya värdenät och affärsmodeller och ger praktiska exempel på före- tag som anpassat sig till en sådan verlighet. Det handlar om att hantera transformering, att gå från att vara del av en traditionell värdekedja till att bli motor i ett innovativt nätverk där före- tag samverkar utan tydliga produktionsgränser mellan tillverkare, transportör, grossist och återförsäljare. Butikerna får på så sätt en helt ny och innovativ roll där en viktig lärdom är att tänka ”utifrån och in” och att ständigt fokusera på vad konsumenterna tillverkare till konsu- ment.vill ha.

    Det växer alltid fram nya trender i samhället och digitaliseringen är en av de mest markanta i modern tid. Konsumenter vill kunna välja mellan att hämta varorna i en butik, få dem hem- sända eller levererade var som helst och när som helst. De vill också kunna returnera varor till butik eller annat inlämningsställe på ett enkelt sätt. Nyckelorden är enkelhet, flexibilitet, be- kvämlighet och transparens, vilket ökar kraven på helhetssyn och styrning. I den här rapporten tydliggörs dessa krav och sammanfattas i behovet av samarbete, gemensam utveckling och innovation i hela nätverket.

  • 88. Szucs, Stefan
    et al.
    Dellve, Lotta
    University of Borås, School of Health Science.
    Jutengren, Göran
    University of Borås, School of Health Science.
    Pathways of reorganization, leadership and long-term sickness absence due to mental diagnosis among local government public sector employees in Sweden 1998-2012.2014Conference paper (Refereed)
  • 89. Thomée, S
    et al.
    Dellve, Lotta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. [external].
    Härenstam, A
    Hagberg, M
    Perceived connections between information and communication technology use and mental symptoms among young adults: a qualitative study2010In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 10, no 66Article in journal (Refereed)
    Abstract [en]

    Background Prospective associations have been found between high use of information and communication technology (ICT) and reported mental symptoms among young adult university students, but the causal mechanisms are unclear. Our aim was to explore possible explanations for associations between high ICT use and symptoms of depression, sleep disorders, and stress among young adults in order to propose a model of possible pathways to mental health effects that can be tested epidemiologically. Methods We conducted a qualitative interview study with 16 women and 16 men (21-28 years), recruited from a cohort of university students on the basis of reporting high computer (n = 28) or mobile phone (n = 20) use at baseline and reporting mental symptoms at the one-year follow-up. Semi-structured interviews were performed, with open-ended questions about possible connections between the use of computers and mobile phones, and stress, depression, and sleep disturbances. The interview data were analyzed with qualitative content analysis and summarized in a model. Results Central factors appearing to explain high quantitative ICT use were personal dependency, and demands for achievement and availability originating from the domains of work, study, social life, and individual aspirations. Consequences included mental overload, neglect of other activities and personal needs, time pressure, role conflicts, guilt feelings, social isolation, physical symptoms, worry about electromagnetic radiation, and economic problems. Qualitative aspects (destructive communication and information) were also reported, with consequences including vulnerability, misunderstandings, altered values, and feelings of inadequacy. User problems were a source of frustration. Altered ICT use as an effect of mental symptoms was reported, as well as possible positive effects of ICT on mental health. Conclusions The concepts and ideas of the young adults with high ICT use and mental symptoms generated a model of possible paths for associations between ICT exposure and mental symptoms. Demands for achievement and availability as well as personal dependency were major causes of high ICT exposure but also direct sources of stress and mental symptoms. The proposed model shows that factors in different domains may have an impact and should be considered in epidemiological and intervention studies.

  • 90. Waye, Kerstin Persson
    et al.
    van Kamp, Irene
    Nielsen, Katrin
    Dellve, Lotta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Reliability and validity of instruments to measure pre- school children's reaction to and coping with noise2011Conference paper (Refereed)
  • 91. Wikström, E
    et al.
    Dellve, Lotta
    [external].
    Arman, R
    Tengelin, E
    Chefers tidsanvändning och stress i sjukvården2011Report (Other academic)
  • 92. Wikström, E
    et al.
    Tengelin, E
    Arman, R
    Dellve, Lotta
    [external].
    Regulating time commitments in healthcare organizations: managers’ boundary approaches at work and in life2011In: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 25, no 5, p. 578-599Article in journal (Refereed)
    Abstract [en]

    The purpose of this paper is to explore managers' boundary setting in order to better understand their handling of time commitment to work activities, stress, and recovery during everyday work and at home. DESIGN/METHODOLOGY/APPROACH: The paper has qualitatively-driven, mixed method design including observational data, individual interviews, and focus group discussions. Data were analyzed according to Charmaz' view on constructivist grounded theory. FINDINGS: A first step in boundary setting was to recognize areas with conflicting expectations and inexhaustible needs. Second, strategies were formed through negotiating the handling of managerial time commitment, resulting in boundary-setting, but also boundary-dissolving, approaches. The continuous process of individual recognition and negotiation could work as a form of proactive coping, provided that it was acknowledged and questioned. RESEARCH LIMITATIONS/IMPLICATIONS: These findings suggest that recognition of perceived boundary challenges can affect stress and coping. It would therefore be interesting to more accurately assess stress, coping, and health status among managers by means of other methodologies (e.g. physiological assessments). PRACTICAL IMPLICATIONS: In regulating managers' work assignments, work-related stress and recovery, it seems important to: acknowledge boundary work as an ever-present dilemma requiring continuous negotiation; and encourage individuals and organizations to recognize conflicting perspectives inherent in the leadership assignment, in order to decrease harmful negotiations between them. Such awareness would benefit more sustainable management of healthcare practice. ORIGINALITY/VALUE: This paper highlights how managers can handle ever-present boundary dilemmas in the healthcare sector by regulating their time commitments in various ways.

  • 93. Wikström, Ewa
    et al.
    Arman, Rebecka
    Dellve, Lotta
    University of Borås, School of Health Science.
    Vad gör chefer med sin tid och hur kan tid och engagemang hanteras på2013In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. Tema Ledarskap, no 6, p. 830-837Article in journal (Refereed)
    Abstract [sv]

    En studie om chefers tidsanvändning har genomförts med syftet att undersöka hur man kan understödja mer hållbar tidsanvändning och hållbart engagemang. Chefer hade många korta aktiviteter och många möten men kommunicerade sällan med sin egen chef på tu man hand. Arbetet präglades av ständiga förhandlingar, prioriteringar och omprioriteringar. Om chefer inte har enskild tid för att kommunicera med sin överordnade får det konsekvenser avseende att kunna göra välavvägda och acceptabla prioriteringar och i förlängningen för legitimiteten i ledarskapet. Vården och dess chefer har mycket att vinna på att utveckla kommunikationen om vardagsarbetetes dilemman. Utifrån våra resultat har ett studiematerial utvecklats som syftar till att stödja chefer och ledningsgrupper i det vardagliga arbetet avseende hållbart ledarskap, chefskap och tidsanvändning

  • 94. Williamsson, Anna
    et al.
    Eriksson, Andrea
    Dellve, Lotta
    University of Borås, School of Health Science.
    The organization and work practice of change agents in health care organizations; effects on health care professionals’ engagement and participation in improvement work.2014Conference paper (Refereed)
  • 95.
    Williamsson, Anna
    et al.
    1KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    Karltun, Anette
    Jönköping University.
    Dellve, Lotta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. 1KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden.
    Visual management in hospitals during organizational developments - benefits and contributions for working conditions and efficacy2015Conference paper (Refereed)
    Abstract [en]

    Introduction

    Many hospitals choose to use certain tools related to lean, such as visual management (VM) during organizational development (OD) and daily processes. By using VM in the strategic planning process and depending on what is visualized in what stage of the planning process, different cognitive, social and emotional benefits may be gained. Research on VM in healthcare has so far concerned case studies of VM in surgical departments or during OD, and there is a lack of studies with rich empirical data. The aim of this paper was to explore VM use at hospital units undergoing OD; the main VM focus, and the benefits and perceived VM contributions concerning working conditions and efficacy.

    Material and Methods

    Photos of VM (120) at 16 units were taken during 2013-2015 and categorized by content analysis into VM focus and main content. A questionnaire concerning use of and perceived VM contributions in daily work (regarding; a) overview work, b) focus important information, c) detection of improvement opportunities) as well as working conditions, efficacy and quality of care was distributed to registered nurses and assistant nurses at five hospitals (21 units) at two occasions, 2013 (N=926) and 2014 (N=632). Comparative analysis’ within and between higher and lower use units were conducted.

    Results

    Content analysis of the photos showed three main VM foci; results, flow and improvements.  Five of the 21 units were considered to have higher VM and 16 units had lower. In comparative analysis, higher VM was associated with higher predictability and influence as well as with cognitive and social benefits of importance when participating in OD. Higher VM was also associated with higher degree of goal monitoring and evaluation, patient flow and efficacy in health care service.

    Conclusions

    Daily use of VM in hospitals undergoing OD had importance for employees’ working conditions as well as  perception of OD; overview of work, focus on results,  detection of improvement opportunities and outcomes in terms of patient flow and efficacy.

  • 96. Williamsson, Anna
    et al.
    Karltun, Annette
    Dellve, Lotta
    University of Borås, School of Health Science.
    Visualizing improvements of care processes- a contribution to shared understanding and engagement, or cognitive strain?2014Conference paper (Refereed)
  • 97.
    Wolmesjö, Maria
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Dellve, Lotta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Mjuk styrning ger hållbara ledare2019In: Kommunal ekonomi, ISSN 0282-0099, no 5, p. 37-38Article in journal (Refereed)
  • 98.
    Wolmesjö, Maria
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Dellve, Lotta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Bhattacharjee, Anindo
    Bringin Policy into Practice: Models of Value Integrated Eldercare in India and Sweden2019Conference paper (Refereed)
  • 99.
    Wolmesjö, Maria
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Dellve, Lotta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Bhattacharjee, Anindo
    Biswas, Urmi
    Bringing Policy into Practice in India and Sweden2019Conference paper (Refereed)
  • 100. Wramsten Wilmar, Maria
    et al.
    Ahlborg, Gunnar
    Jacobsson, Christian
    Dellve, Lotta
    University of Borås, School of Health Science.
    Healthcare managers in negative media focus: a qualitative study of personification processes and their consequences2014In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 14, no 8Article in journal (Refereed)
    Abstract [en]

    Background Over the last decade healthcare management and managers have increasingly been in focus in public debate. The purpose of the present study was to gain a deeper understanding of how prolonged, unfavorable media focus can influence both the individual as a person and his or her managerial practice in the healthcare organization. Methods In-depth interviews (n = 49) with 24 managers and their superiors, or subordinate human resources/information professionals, and partners were analyzed using a grounded theory approach.Results The conceptual model explains how perceived uncertainties related to the managerial role influence personification and its negative consequences. The role ambiguities comprised challenges regarding the separation of individual identity from the professional function, the interaction with intra-organizational support and political play, and the understanding and acceptance of roles in society. A higher degree of uncertainty in role ambiguity increased both personification and the personal reaction to intense media pressure. Three types of reactions were related to the feeling of being infringed: avoidance and narrow-mindedness; being hard on self, on subordinates, and/or family members; and resignation and dejection. The results are discussed so as to elucidate the importance of support from others within the organization when under media scrutiny. Conclusions The degree of personification seems to determine the personal consequences as well as the consequences for their managerial practice. Organizational support for managers appearing in the media would probably be beneficial for both the manager and the organization.

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