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  • 1.
    Dellve, Lotta
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Andreasson, Jörgen
    KTH.
    Eriksson, Andrea
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Strömgren, Marcus
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Williamsson, Anna
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Nyorientering av svensk sjukvård: Verksamhetstjänande implementeringslogiker bygger mer hållbart engagemang och utveckling - i praktiken2016Report (Other academic)
  • 2. Dellve, Lotta
    et al.
    Andréasson, Jörgen
    KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Ergonomics.
    Jutengren, G.
    Hermansson, J.
    How can support resources support sustainable leadership in healthcare?2018In: Article in journal (Refereed)
  • 3.
    Dellve, Lotta
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Eriksson, Andrea
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    ETT ARBETSMATERIAL FÖR ATT STÖDJA Hållbart och hälsofrämjande ledarskap i vardag och förändring2016Report (Other academic)
  • 4.
    Dellve, Lotta
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Eriksson, Andrea
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Health-Promoting Managerial Work: A Theoretical Framework for a Leadership Program that Supports Knowledge and Capability to Craft Sustainable Work Practices in Daily Practice and During Organizational Change2017In: Societies, E-ISSN 2075-4698, Vol. 7, no 2, article id 12Article in journal (Refereed)
    Abstract [en]

    The aim of this article is to describe a theoretical framework, i.e., theoretical underpinnings and pedagogical principles, for leadership programs that support managers' evidence-based knowledge of health-promoting psychosocial work conditions, as well as their capability to apply, adapt, and craft sustainable managerial work practices. First, the theoretical framing is introduced, i.e., a system theory that integrates key work conditions with a practical perspective on managerial work and organization. Second, pedagogical principles and measures for leaders' training in integrated handling across system levels are described. Last, we present summarized results from an intervention study applying the theoretical framework and pedagogical principles. The complexity of interactions among different factors in a work system, and the variety in possible implementation approaches, presents challenges for the capability of managers to craft sustainable and health-promoting conditions, as well as the evaluation of the program components. Nevertheless, the evaluation reveals the strength of the program, in providing holistic and context-sensitive approaches for how to train and apply an integrative approach for improving the work environment.

  • 5.
    Dellve, Lotta
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Eriksson, Andrea
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Hållbart ledarskap - I vardag och förändring2016Report (Other academic)
  • 6.
    Fallman, Sara L.
    et al.
    KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Ergonomics. Univ Boras, Fac Caring Sci Work Life & Social Welf, Boras, Sweden..
    Jutengren, Goran
    Univ Boras, Fac Caring Sci Work Life & Social Welf, Boras, Sweden..
    Dellve, Lotta
    KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH). Univ Boras, Fac Caring Sci Work Life & Social Welf, Boras, Sweden.;Gothenburg Univ, Dept Sociol & Work Sci, Gothenburg, 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 organisations 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, 1 year apart, from a sample of operational managers (N = 162) at five Swedish hospitals was used to conduct a structural equation model 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.

  • 7.
    Håkansson, Malin
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Waldenstrom, Mans
    Holden, Richard J.
    Department of BioHealth Informatics,Indiana University School of Informatics and Computing, Indianapolis, IN, USA.
    Sustained lean transformation of working conditions: A Swedish longitudinal case study2017In: Human Factors and Ergonomics in Manufacturing, ISSN 1090-8471, E-ISSN 1520-6564, Vol. 27, no 6, p. 268-279Article in journal (Refereed)
    Abstract [en]

    Studies of lean production’s effect on working conditions are mixed but point toward worsened conditions. The aim of this longitudinal study was to assess how lean contributes to transforming work characteristics in a medium-sized specialized industrial family business. A mixed methods approachwas used to combine an external assessment of work characteristics with selfreported employee questionnaires. Favorable psychosocial working conditions were indicated, with role conflicts decreasing over time. The assessment of work provided descriptions of how lean practices contributed to decreased task control due to standardized work and simplified work processes. At the same time, employees still had opportunities to influence their long-term work assignment. There was also a trend toward job enlargement through new, higher-skilled tasks, multiskilling, and extended opportunities to influence work through different continuous improvement activities. The participative lean approach and type of skilled jobs may have contributed to this transformation.

  • 8.
    Håkansson, Malin
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Holden, R. J.
    Department of BioHealth Informatics, Indiana University School of Informatics and Computing, Indianapolis, IN, USA.
    Eriksson, Andrea
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Dellve, L.
    University of Gothenburg, Department of Sociology and Work science.
    Managerial practices that support lean and socially sustainable working conditions2017In: Nordic Journal of Working Life Studies, ISSN 2245-0157, E-ISSN 2245-0157, Vol. 7, no 3, p. 63-84Article in journal (Refereed)
    Abstract [en]

    Despite decades of using lean, there is little knowledge of how lean managerial practices affect working conditions. Thus, the aim of this study was to investigate in what ways managerial practices support socially sustainable working conditions (SSWCs) during a lean transformation. A mixed methods approach was used in this multiyear case study in a midsize Swedish manufacturing company. Assessment of work characteristics was combined with employee questionnaires and interviews with managers. Four practices were identified as instrumental for SSWCs: 1) a coherent lean approach with clear direction, 2) a value-creating leadership style comprising a participatorypromoting and caring leadership approach with joint focus on production and well-being, 3) conscious involvement of employees in a stepwise fashion, and 4) a focus on promoting meaningful jobs and health, aided by work environment management. Thus, managerial practices actively supporting important job resources as an integral part of the lean system seemed to support SSWCs.

  • 9.
    Schmidt, Lisa
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics. IVL Svenska Miljöinstitutet.
    Gunnarsson, Kristina
    Uppsala Universitet.
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Antonsson, Ann-Beth
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics. IVL Svenska Miljöinstitutet.
    Utilizing occupational health services in small-scale enterprises: a 10-year perspective2016In: Small Enterprise Research: The Journal of SEAANZ, ISSN 1321-5906, Vol. 23, no 2, p. 101-115Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore how small-scale enterprises (SSEs) utilize occupational health services (OHS) and how the possibility of OHS providers to support occupational health and safety management (OHSM) has developed over a 10-year period. Qualitative interviews were carried out with four OHS providers and their SSE clients, with follow-up interviews being conducted with three of the four OHS providers and their clients after 10 years. The decade saw a change in market conditions for the OHS providers with each becoming larger and developing more effective marketing tools. Despite these changes, the OHS providers had not developed more collaborative or closer relationships with their small enterprise clients. Rather than increasing, the utilization of OHS had declined, with health examinations remaining the most purchased service. In addition, the three OHS providers had not improved their support for OHSM in small enterprises during the decade.

  • 10.
    Strömgren, Marcus
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Eriksson, Andrea
    KTH, School of Technology and Health (STH), Ergonomics (Closed 20130701).
    Hälsofrämjande arbetsmiljö–en framgångsfaktor för god vård2017In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 94, no 2, p. 175-188Article, review/survey (Refereed)
    Abstract [en]

    Work environment issues in health care have importance not only for employees but also for patients. The aim of this article is to describe important conditions for a health-promoting work environment, the significance of this for health care service, and how health-promoting work conditions can be developed. The results from our, as well as from others’, previous research show that employees’ work environment, health and engagement are critical for the improvements of quality of care and patient safety. Important factors are social capital (i.e. recognition, reciprocity and trust between humans), as well as practice-oriented approaches to developments based in system theory perspectives. The social capital can be compared to the fuel in a cycle creating work satisfaction, engagement and new ways of working and a practice-oriented and a servant leadership facilitates the development and the sustainability of this cycle.

  • 11.
    Williamsson, Anna
    et al.
    KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Ergonomics.
    Dellve, Lotta
    Karltun, Anette
    Nurses’ use of visual management in hospitals - a longitudinal, quantitative study on its implications on systems performance and working conditions2019In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, no 4, p. 760-771Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to examine potential benefits provided by dailyvisual management tool use and explore its association with systems performanceand working conditions among hospital nurses.Background: Visual management tools used in everyday work and improvementwork in health care theoretically contribute to shared understanding of complexwork systems and provide certain user benefits. Cognitive load, miscommunicationwithin and between professional groups, and pressure to engage in care processredesign add to nurses’ strained working conditions.Design: Quantitative longitudinal.Methods: Questionnaires were distributed at T0, (N = 948, 66% response rate), T1(N = 900, 70% response rate), and T2 (N = 621, 72% response rate) to nurses atfive hospitals. Three groups of users (daily users, start users, and non‐daily users)were compared by means T1–T2 (significance tested with Wilcoxon signed ranktest) and by mixed model repeated measures T0, T1, T2.Results: Daily use associated to better overview of work, collaboration, social capital,and clinical engagement. Job resources were rated higher by daily users. Mentalstress increased and development opportunities decreased over time among nondailyusers. There were associations between use and perceptions of systems performance,though the differences between groups were small.Conclusion: This study specifically explores visual management tool use in the hospitalsetting, which contributes to research by broadening the understanding of cognitive,social, and emotional benefits provided by visual management tool use. Dailyuse was associated to positive working conditions, small but positive differences insystems performance, and indicated a buffering effect on nurses’ mental stress.

  • 12.
    Williamsson, Anna
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Karltun, Anette
    Jönköping University.
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics. University of Gothenburg.
    Visual management; condition or consequence to social capital and clinical engagement among nurses?2017Conference paper (Refereed)
1 - 12 of 12
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  • ieee
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