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  • 1. Ahlstrom, L.
    et al.
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics. University of Borås, Sweden.
    Hagberg, M.
    Ahlberg, K.
    Women with Neck Pain on Long-Term Sick Leave — Approaches Used in the Return to Work Process: A Qualitative Study2016In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, p. 1-14Article in journal (Refereed)
    Abstract [en]

    Purpose There are difficulties in the process of return to work (RTW) from long-term sick leave, both in general and regarding sick leave because of neck pain in particular. Neck pain is difficult to assess, problematic to rehabilitate, and hard to cure; and it is not always easy to decide whether the pain is work-related. The outcome of RTW could be dependent upon individuals’ approaches, defensive or offensive behaviors, and choices related to their self-efficacy. The aim of this study was to identify approaches used in the RTW process among women with neck pain on long-term sick leave from human service organizations. Methods This is a qualitative descriptive study based on grounded theory. A Swedish cohort of 207 women with a history of long-term sick leave with neck pain from human service organizations answered open-ended written questions at 0, 6, and 12 months, and 6 years; and 16 women were interviewed. Results Individuals expressed their coping approaches in terms of fluctuating in work status over time: either as a strategy or as a consequence. Periods of sick leave were interwoven with periods of work. The women were either controlling the interaction or struggling in the interaction with stakeholders. Conclusions Return to work outcomes may be improved if the fluctuating work status over time is taken into account in the design of rehabilitation efforts for women with a history of long-term sick leave and with chronical musculoskeletal conditions.

  • 2.
    Ahlstrom, L
    et al.
    Sahlgrenska Akademin.
    Hagberg, M
    Sahlgrenska Akademin.
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Ergonomics.
    Workplace Rehabilitation and Supportive Conditions at Work: A Prospective Study2013In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 23, no 2, p. 248-260Article in journal (Refereed)
    Abstract [en]

    Purpose To investigate the impact of rehabilitation measures on work ability and return to work (RTW), specifically the association between workplace rehabilitation/supportive conditions at work and work ability and RTW over time, among women on long-term sick leave. Methods Questionnaire data were collected (baseline, 6 and 12 months) from a cohort of women (n = 324). Linear mixed models were used for longitudinal analysis of the repeated measurements of work ability index (WAI), work ability score and working degree. These analyses were performed with different models; the explanatory variables for each model were workplace rehabilitation, supportive conditions at work and time. Results The individuals provided with workplace rehabilitation and supportive conditions (e.g. influence at work, possibilities for development, degree of freedom at work, meaning of work, quality of leadership, social support, sense of community and work satisfaction) had significantly increased WAI and work ability score over time. These individuals scored higher work ability compared to those individuals having workplace rehabilitation without supportive conditions, or neither. Additionally, among the individuals provided with workplace rehabilitation and supportive conditions, working degree increased significantly more over time compared to those individuals with no workplace rehabilitation and no supportive conditions. Conclusion The results highlight the importance of integrating workplace rehabilitation with supportive conditions at work in order to increase work ability and improve the RTW process for women on long-term sick leave.

  • 3.
    Ahlstrom, Linda
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Grimby-Ekman, Anna
    Sahlgrenska akademin, Göteborgs universitet.
    Hagberg, Mats
    Sahlgrenska akademin, Göteborgs universitet.
    Dellve, Lotta
    Sahlgrenska akademin, Göteborgs universitet.
    Measures of work ability and association with sick leave, symptoms and health: A prospective study of female workers on long term sick leave2010In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 36, no 5, p. 404-412Article in journal (Refereed)
  • 4.
    Ahlstrom, Linda
    et al.
    Högskolan Borås.
    Larsson Fallman, Sara
    Högskolan Borås.
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics. Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Return to work from long-term sick leave: a five-year prospective study of the importance of adjustment latitudes at work and home2014Conference paper (Other academic)
    Abstract [en]

    Background

    Adjustment latitude among employees, i.e. adjusting work to individual’s health capacity, has been associated with successful return to work (RTW) in cross-sectional studies. The aim is to investigate the long-term importance of adjustment latitude at the workplace and at home, as well as attitudes (own and colleagues) for increased work ability (WA), working degree (WD) and health-related quality of life (HRQoL) among female human service workers (HSW) on long-term sick leave in Sweden.

    Methods

    A cohort of female HSW (n=324) on long-term sick leave (>60 day) received a questionnaire at four times (0, 6, 12, 60 months). Prevalence ratios (PR) were used to examine possible relationships between explanatory factors and outcomes. Linear mixed models were used for longitudinal analysis of the repeated measurements of WA Score (0-10), WD (0-100%) and HRQoL (0-100). Analyses were performed with different models; the explanatory variables for each model were adjustment latitude, attitudes towards breaks at work, shared or single household and amount of household work.

    Result

    Having more adjustment latitude at work was associated with both increased WA and RTW compared to having few adjustment latitude opportunities. Adjustments related to working-pace were strongly associated with increased WD (PR 3.29(95%CI=1.71-6.26)), as were adjustments to working-place. Having opportunities to take short breaks at work, and a general acceptance at work to take short breaks was associated with increased WA. At home, a higher responsibility for household work (PR 1.98(95%CI=1.33-2.95)) was related to increased WA and RTW. Individuals with possibilities for adjustment latitude, especially pace and place, at work, and an acceptance to take breaks at work, increased in WA score significantly more over time and had higher WA score compared with individuals not having such opportunities at work. These prospective results were similar for the outcome WD and HRQoL.

    Conclusions

    The results highlight the importance of possibilities for adjustment latitude at work and at home, as well as accepting attitudes to take short breaks to increase WA and RTW among female human service workers previously on long-term sick leave.

  • 5.
    Andreasson, Jörgen
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Ahlstrom, Linda
    Eriksson, Andrea
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    The importance of healthcare managers’ organizational preconditions and support resources for their appraisal of planned change and its outcomes2017In: Journal of Hospital Administration, ISSN 1927-6990, E-ISSN 1927-7008, Vol. 6, no 1Article in journal (Refereed)
    Abstract [en]

    Background: Healthcare managers are expected to lead and manage planned organizational change intended to improve healthcare process quality. However, their complex working conditions offer limited decision control, and healthcare managers often feel ill prepared and inadequately supported to perform their duties. Healthcare managers have previously described their need for organizational support, but we lack knowledge of the preconditions and resources that help managers implement planned change.Methods: This prospective cohort study examined healthcare managers at three Swedish hospitals implementing lean production and two Swedish hospitals implementing their own improvement model. Questionnaire data from 2012, 2103, and 2014 were used in following up. We used t-tests and a linear mixed model design in analysing the data.Results: Healthcare managers who perceived strong support from managers, employees, colleagues, and the organization and managers with the longest managerial experience had the least negative appraisal of change. Managers who perceived strong support from employees, management, and the organizational structure perceived higher levels of healthcare process quality.Conclusions: Long managerial experience and strong support from managers, employees, and the organization are important formanagers’ appraisal of, work on, and successful implementation of planned change. Top management must therefore ensure that the healthcare managers have sufficient managerial experience and support before they delegate to them the responsibility to implement planned change.

  • 6.
    Andreasson, Jörgen
    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.
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Health care managers' views on and approaches to implementing models for improving care processes2016In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 24, no 2Article in journal (Refereed)
    Abstract [en]

    Aim: To develop a deeper understanding of health-care managers' views on and approaches to the implementation of models for improving care processes. Background: In health care, there are difficulties in implementing models for improving care processes that have been decided on by upper management. Leadership approaches to this implementation can affect the outcome. Method: In-depth interviews with first- and second-line managers in Swedish hospitals were conducted and analysed using grounded theory. Results: 'Coaching for participation' emerged as a central theme for managers in handling top-down initiated process development. The vertical approach in this coaching addresses how managers attempt to sustain unit integrity through adapting and translating orders from top management. The horizontal approach in the coaching refers to managers' strategies for motivating and engaging their employees in implementation work. Conclusion and implications for nursing management: Implementation models for improving care processes require a coaching leadership built on close manager-employee interaction, mindfulness regarding the pace of change at the unit level, managers with the competence to share responsibility with their teams and engaged employees with the competence to share responsibility for improving the care processes, and organisational structures that support process-oriented work. Implications for nursing management are the importance of giving nurse managers knowledge of change management.

  • 7.
    Arman, Rebecka
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Dellve, Lotta
    Sahlgrenska akademin, Göteborgs universitet.
    Wikström, Ewa
    Sahlgrenska akademin, Göteborgs universitet.
    Törnström, Linda
    Sahlgrenska akademin, Göteborgs universitet.
    What health care managers do: Applying Mintzberg’s structured observation method2009In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 17, no 6, p. 718-729Article in journal (Refereed)
    Abstract [en]

     Aim The aim of the present study was to explore and describe what characterizes first-and second-line health care managers' use of time. Background Many Swedish health care managers experience difficulties managing their time. Methods Structured and unstructured observations were used. Ten first-and second-line managers in different health care settings were studied in detail from 3.5 and 4 days each. Duration and frequency of different types of work activities were analysed. Results The individual variation was considerable. The managers' days consisted to a large degree of short activities (<9 minutes). On average, nearly half of the managers' time was spent in meetings. Most of the managers' time was spent with subordinates and <1% was spent alone with their superiors. Sixteen per cent of their time was spent on administration and only a small fraction on explicit strategic work. Conclusions The individual variations in time use patterns suggest the possibility of interventions to support changes in time use patterns. Implications for nursing management A reliable description of what managers do paves the way for analyses of what they should do to be effective.

  • 8. Arman, Rebecka
    et al.
    Wikström, Ewa
    Tengelin, Ellinor
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Work activities and stress among managers in health care2012In: The Work of Managers: Towards a Practice Theory of Management / [ed] Tengblad, Sten, Oxford: Oxford University Press, 2012, 1Chapter in book (Other academic)
    Abstract [en]

    This chapter reports on the work activities, time-use patterns, and stress patterns of ten health care managers in Sweden. The qualitative and quantitative evidence reveals the fragmentation in their nine-hour working days where each activity, on average, lasts only ten minutes. The time-use patterns vary individually though some patterns are related to position and unit type. Activities deal with the coexisting and competing logics of employeeship, administration, and strategy and risk handling. None of the managers’ approaches for handling the multiple legitimation processes and delimiting their workload boundaries really challenges the complexity of the coexistence of the multiple logics or the boundlessness of their working hours. Using biophysical measures, the research finds that stress reported by the managers is caused by (a) interruptions during challenging tasks and (b) personal situations such as private dilemmas and conflict-loaded or ineffective meetings. It is important to acknowledge managers’ fragmented working situation and to recognize that management should be seen as collective process, or as part of an administrative system.

  • 9. Bergman, Caroline
    et al.
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics. University of Borås, Sweden.
    Skagert, Katrin
    Exploring communication processes in workplace meetings: A mixed methods study in a Swedish healthcare organization2016In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 54, no 3, p. 533-541Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: An efficient team and a good organizational climate not only improve employee health but also the health and safety of the patients. Building up trust, a good organizational climate and a healthy workplace requires effective communication processes. In Sweden, workplace meetings as settings for communication processes are regulated by a collective labor agreement. However, little is known about how these meetings are organized in which communication processes can be strengthened. OBJECTIVE: The aim of this study was to explore communication processes during workplace meetings in a Swedish healthcare organization. METHODS: A qualitatively driven, mixed methods design was used with data collected by observations, interviews, focus group interviews and mirroring feedback seminars. Data were analyzed using descriptive statistics and conventional content analysis. RESULTS: The communication flow and the organization of the observed meetings varied in terms of physical setting, frequency, time allocated and duration. The topics for the workplace meetings were mainly functional with a focus on clinical processes. Overall, the meetings were viewed not only as an opportunity to communicate information top down but also a means by which employees could influence decision-making and development at the workplace. CONCLUSIONS: Workplace meetings have very distinct health-promoting value. It emerged that information and the opportunity to influence decisions related to workplace development are important to the workers. These aspects also affect the outcome of the care provided.

  • 10.
    Boström, Maria
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Dellve, Lotta
    Sahlgrenska akademin, Göteborgs universitet.
    Thomée, Sara
    Sahlgrenska akademin, Göteborgs universitet.
    Hagberg, Mats
    Sahlgrenska akademin, Göteborgs universitet.
    Risk factor for decreased performance among young adults2008In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 34, no 2, p. 120-132Article in journal (Refereed)
  • 11. Brink, Eva
    et al.
    Dellve, Lotta
    Sahlgrenska akademin, Göteborgs universitet.
    Klingberg, Gunilla
    Hallberg, Ulrika
    Henning-Abrahamsson, Kajsa
    Wentz, Kerstin
    Constructing grounded theory: A practical guide through qualitative analysis2006In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 1, no 3, p. 188-192Article in journal (Refereed)
  • 12.
    Dellve, Lotta
    Sahlgrenska akademin, Göteborgs universitet.
    Hälsofrämjande ledarskap och medarbetarskap2008Other (Other (popular science, discussion, etc.))
  • 13.
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Ergonomics (Closed 20130701).
    Hållbart chefskap i hälso- och sjukvården - med vinjetter om engagemang, stress, tidsanvändning, medarbetarskap och vårdpraktik2012Other (Other (popular science, discussion, etc.))
  • 14.
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Imbalanced logics of communicating with media in open management of health care service in Sweden: the managers perspectives and approaches2014Conference paper (Other academic)
  • 15.
    Dellve, Lotta
    Sahlgrenska akademin, Göteborgs universitet.
    Ledarutveckling i hälsofrämjande ledarskap – ett FoU-projekt inom 3F ”Framgångsrika Friska Företag”: Erfarenheter från företag och forskare2009Report (Other academic)
  • 16.
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Studiematerial: Hållbart chefskap i hälso- och sjukvården - med vinjetter om engagemang, stress, tidsanvändning, medarbetarskap och vårdpraktik2012Collection (editor) (Other academic)
    Abstract [sv]

    Detta är ett studiematerial som syftar till att stödja chefer i det vardagliga arbetet med avseende på hållbart ledarskap, chefskap och tidsanvändning. Med hållbarhet menar vi utifrån både verksamhets- och individ-/hälsoperspektiv. Studiematerialet kan användas för analys, reflektion och utveckling av ledarskap och chefskap.

  • 17.
    Dellve, Lotta
    et al.
    KTH, School of Technology and Health (STH), Ergonomics.
    Ahlborg, Tone
    Sahlgrenska Akademin, Göteborgs Universitet.
    Partner relationships and long-term sick leave among female workers: consequences and impact on dimensions of health and return to work2012In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, no 4, p. 720-729Article in journal (Refereed)
    Abstract [en]

    Few efforts have been made to prospectively identify resources and obstacles outside work that may predict regained work ability and return to work when workers are on sick leave. This study investigates the association between partner relationships and sick leave. Our research questions were as follows: (i) What is the influence of sick leave, pain, stress and domestic strain on the quality of the dyadic partner relationship?, and (ii) What is the influence of the partner and social relationship on pain, stress, work ability, self-rated health and return to work? A cohort of female workers (n = 225) on long-term sick leave (>60 days), all in a partner relationship, at 6-month intervals completed a questionnaire based on the Quality of Dyadic Relationship (QDR) instrument, the Interview Schedule of Social Interaction (ISSI), the Work Ability Index (WAI) and the Copenhagen Psychosocial Questionnaire (COPSOQ). Univariate and multivariate analyses of baseline and prospective data were performed. The results showed that decreased partner relationship quality was related to having major responsibility for household work despite being on sick leave, having pain and having decreased social integration. Among younger individuals on sick leave, a reduction in the quality of the partner relationship was shown already at the first (6-month) follow-up, while among middle-aged women, such a reduction was seen only at the 12-month follow-up. No dimensions of partner relationship quality at baseline were related to dimensions of return to work, either as a resource or as an obstacle. Consequently, our results show that a good relationship does not keep the woman from returning to work. Having main responsibility for household work, which implies domestic strain while on sick leave, predicts lower partner relationship quality. The practical implications are that healthcare professionals treating women on sick leave should emphasize the importance of keeping a social network as well as making sufficient adjustments at home for the relationship quality to be safeguarded. Special attention should be given to the young woman on sick leave as being on sick leave seems to influence her partner relationship considerably.

  • 18.
    Dellve, Lotta
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Ahlstrom, Linda
    Sandsjö, Leif
    Forsman, Mikael
    Lindegård, Agneta
    Ahlstrand, Chris
    Kadefors, Roland
    Hagberg, Mats
    Myofeedback training and intensive muscular strength training to improve work ability and decrease pain among female workers on long term sick leave with neck pain: A Randomized Controlled Trial2011In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 84, no 3, p. 335-346Article in journal (Refereed)
    Abstract [en]

    The theoretical framework is that muscle tension in the neck is related to insufficient muscular rest and is a risk factor for chronic pain and reduced work ability. Promoting muscle strength and muscle rest may increase work ability and reduce neck pain. To test whether myofeedback training or intensive strength training leads to decreased pain and increased work ability in women on long-term sick leave. This is a randomized controlled trial of two 1-month interventions with myofeedback or muscular strength training in the home environment. Female human service organization workers (n = 60) on long-term (> 60 days) sick leave and with chronic neck pain were followed with self-reported and laboratory-observed data of health, pain, muscular activation, and work ability, at baseline, immediately after the intervention and 3 months after baseline. For both intervention groups, pain was lowered over time compared with the control group. Decreased pain and muscular activity was associated with increased self-rated work ability and with laboratory-observed work ability at 3-month follow-up. Decreased pain was also associated with increased self-rated work ability at 1-month follow-up. Muscular strength training was associated with increased self-rated work ability and mental health. Myofeedback was associated with increased observed work ability and self- rated vitality. The two interventions showed positive results, suggesting that they could be developed for use in health care practice to address pain and work ability. The intensive muscular strength training program, which is both easy to conduct at home and easy to coach, was associated with increased work ability.

  • 19.
    Dellve, Lotta
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Allebeck, Peter
    Ekman, Anna
    Hagberg, Mats
    Hansson, Tommy
    Herloff, Birgitta
    Karlberg, Catarina
    Lagerström, Monica
    Lindén, Arvid
    Arbetsskadeincidens i äldreomsorgen: En studie av vårdbiträden och undersköterskor 1994-1998 inom privat och kommunal omsorg om äldre och funktionshindrade2000Report (Other academic)
  • 20.
    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)
  • 21.
    Dellve, Lotta
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Andreasson, Jörgen
    KTH, School of Technology and Health (STH), Health Systems Engineering.
    Jutengren, Göran
    Högskolan Borås.
    Hur kan stödresurser understödja hållbart ledarskap bland chefer i vården?2013In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 90, no 6Article in journal (Refereed)
    Abstract [sv]

    Chefer kan ha stor betydelse för anställdas hälsa, stress, engagemang i arbetet och prestation. Få tidigare studier har undersökt vilket stöd chefer behöver för ett hållbart och bra ledarskap. Artikeln presenterar resultat från en prospektiv studie om betydelsen av chefers stödresurser för hållbart ledarskap. I studien, som är en del av Chefios-projektet, ingår chefer i kommunal vård och omsorg (n=344). Data från enkätstudier med instrumentet ”Gothenburg Manager Stress Inventory” har analyserats. Resultatet visar att ett stödjande privatliv och en personlig inställning till chefsuppdrag har stor betydelse för chefers hållbarhet över tid. Chefens kontrollspann och erfarenhet som chef påverkade betydelsen av stödresurser. För chefer med kortare chefserfarenhet eller fler underställda (>30) har även stöd från ledning, chefskollegor och externt stöd betydelse.

  • 22.
    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)
  • 23.
    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, ISSN 1090-9389, 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.

  • 24.
    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)
  • 25.
    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.
    Fredman, Margareta
    Kullén Engström, Agneta
    Lean i hälso- och sjukvården2013In: Lean i Arbetslivet / [ed] Per Sederblad, Stockholm: Liber, 2013, 1, p. 142-161Chapter in book (Other academic)
  • 26.
    Dellve, Lotta
    et al.
    University of Borås, Sweden.
    Eriksson, Andrea
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Williamsson, Anna
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Strömgren, Marcus
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Andreasson, Jörgen
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics. University of Borås, Sweden.
    Holden, Richard
    Lean implementation approaches at different levels in Swedish hospitals: the importance for working conditions, worker engagement, health and performance2014Conference paper (Refereed)
    Abstract [en]

    Background

    Swedish healthcare organizations are investing heavily in internal reforms. Lean has been frequently used as an overall concept to improve care processes and decrease costs. Some evidence shows positive results, especially if work environment issues are considered in parallel with other desired outcomes. However, there are considerable difficulties in evaluating lean as a concept since its application and interpretation seem to vary widely. Further, like for other management concepts, lean outcomes crucially depend on the implementation process.

    Aim

    This program investigates implementations of lean and lean-like developments of processes of care, and how these affect the working conditions, health, and performance of healthcare employees. We also investigated organizational factors and conditions that mediated specific outcomes.

    Method

    Mixed method design: questionnaire to employees (n=880) and managers (n=320), qualitative interviews (n=55) and observations with follow up during three years. Five hospitals were selected, and within them five units that were connected by their flow of acute care patients, i.e. the emergency unit, the medical and surgical emergency ward (or ICU at small hospital) as well as one medical and one surgical ward. Initially we used qualitative-driven analyses and thereafter quantitative-driven mixed method analysis.

    Results

    The implementation strategies varied between the hospitals and between the strategic and operative levels. Strategic managers also used different approaches to overcome the gap between strategic and operative levels. Operative managers shared similarities in their stepwise and coaching approaches encouraging participation among employees, but differences regarding how assignments were delegated. Social capital and attitudes among health care profession were of importance for employees’ work engagement and active engagement in development work.

  • 27.
    Dellve, Lotta
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Eriksson, Jesper
    Vilhelmsson, Rebecka
    Assessment of long-term work attendance within human service organisations2007In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 29, no 2, p. 71-80Article in journal (Refereed)
    Abstract [en]

    Terms and theories of work attendance vary according to their use and focus. This paper analyzes long-term work attendance in relation to social, psychosocial, and health-related factors. Register-based and questionnaire-based data covering 3,804 human service organisation workers over a three-year period were analyzed at individual and work-unit level. The results showed positive relationships between work attendance and male gender, high income, work commitment, job satisfaction, and having positive feelings towards work. High work attendance combined with work commitment, stress, or pain did not show any negative long-term effects upon short-term or long-term sick leave. Instead, work attendance seemed to be more associated with stable patterns of behaviour. Register-based measures of work attendance (at most 4–7 days of sick leave per worker per year) may be a useful tool in managing psychosocial work environment and related behaviour, but their inability to encompass information regarding individual health and disease must be borne in mind.

  • 28.
    Dellve, Lotta
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics. Högskolan i Borås, Sweden.
    Fallman, S. L.
    Ahlstrom, L.
    Return to work from long-term sick leave: a six-year prospective study of the importance of adjustment latitudes at work and home2015In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 89, no 1, p. 171-179Article in journal (Refereed)
    Abstract [en]

    Purpose: The aim was to investigate the long-term importance of adjustment latitude for increased work ability and return to work among female human service workers on long-term sick leave. Methods: A cohort of female human service workers on long-term sick leave (>60 days) was given a questionnaire four times (0, 6, 12, 60 months). Linear mixed models were used for longitudinal analysis of the repeated measurements of work ability and return to work. Results: Having a higher level of adjustment latitude was associated with both increased work ability and return to work. Adjustments related to work pace were strongly associated with increased work ability, as were adjustments to the work place. Having individual opportunities for taking short breaks and a general acceptance of taking short breaks were associated with increased work ability. At home, a higher level of responsibility for household work was related to increased work ability and return to work. Individuals with possibilities for adjustment latitude, especially pace and place at work, and an acceptance of taking breaks had greater increased work ability over time and a greater work ability compared with individuals who did not have such opportunities.Conclusions: This study highlights the importance of opportunities for adjustment latitude at work to increase work ability and return to work among female human service workers who have been on long-term sick leave. The results support push and pull theories for individual decision-making on return to work.

  • 29.
    Dellve, Lotta
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Galvin, Kathleen
    Hull University, UK.
    Crafting life-world led leadership2014Conference paper (Other academic)
  • 30.
    Dellve, Lotta
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Hadzibajramovic, Emina
    Ahlborg, Gunnar
    Work attendance among health care workers: Prevalence, incentives and consequences for health and performance2011In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 67, no 9, p. 1918-1929Article in journal (Refereed)
    Abstract [en]

    Aim. This paper is a report of a cohort study of healthcare workers' work attendance, and its long-term consequences' on health, burnout, work ability and performance. Background. Concepts and measures of work attendance have varied in the scientific literature. Attending work in spite of being sick can have serious consequences on health. There is little knowledge on which individual and work-related conditions that increase work attendance and the long-term impact on health and performance. Method. Prospective analyses of three measures of work attendance i.e. sickness attendance, uninterrupted long-term attendance and balanced attendance (≤7days of sick leave per year and no sickness attendance) were done using questionnaire data from a 2-year cohort study (2004-2006) of randomly selected healthcare workers (n=2624). Incentives (e.g. effort-reward balance, social support, meaningfulness) and requirements (e.g. time-pressure, dutifulness, high responsibility) to attend work as well as general health, burnout, sick leave, work ability and performance were assessed. Results. There was a positive relation between balanced work attendance and incentives, whereas high sickness attendance was associated with requirements. Follow up after 2years showed that balanced attendance was associated with sustained health and performance while sickness attendance was associated with poor health, burnout, sick-leave and decreased performance. Conclusion. It is important to distinguish between measures of work attendance as they differ in relation to incentives, and health- and performance-related consequences. Sickness attendance seems to be an important risk indicator. A balanced work attendance should be promoted for sustained health and performance in healthcare organisations.

  • 31.
    Dellve, Lotta
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Hallberg, Lillemor R-M
    Sahlgrenska akademin, Göteborgs universitet.
    “Making it work in the frontline” explains female home care workers' defining, recognising, communicating and reporting of occupational disorders2008In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 3, no 3, p. 176-184Article in journal (Refereed)
    Abstract [en]

    Epidemiological research has so far failed to explain the high incidence of occupational disorders among home care workers (HCWs) and the great differences in organizational incidence rate. A qualitative approach may contribute to a deeper understanding of work group reasoning and handling in a more contextual manner. The aim of this grounded theory study was to gain a deeper understanding of the main concern in the processes of recognizing, communicating and reporting occupational disorders among HCWs. Focus group interviews were conducted with 40 HCWs in 9 focus groups. The selected municipalities represented variations in municipality type and incidence rate of occupational disorders. Making it work in the frontline was identified as the core category explaining that the perceived work situation in home care work was the main concern but interacted with work-group socialising processes as well as with the communicability and derivability of the occupational disorder when defining and reporting occupational disorders. Complex problems could be reformulated and agreed within the workgroup to increase communicability. Described significances for reporting/non-reporting were related to financial compensation, to a part of organizational political game or to an existential uncertainty, i.e. questioning if it belonged to their chosen work and life. Our conclusion is that working situation and work group attitudes have importance for reporting of occupational disorders. To support work-related health for HCWs, integrating communication should be developed about work-related challenges in work situation, as well as about attitudes, culture and efficiency within work-group.

  • 32.
    Dellve, Lotta
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Jutengren, Göran
    Högskolan Borås.
    Ahlborg, Gunnar
    Institutet för Stressmedicin.
    Chefsspecifika stressorer och stödresurser: betydelse för hållbart ledarskap bland chefer i vård och omsorg2014In: Chefskapets förutsättningar och konsekvenser: Metoder och resultat från CHEFiOS projektet – slutrapport I / [ed] Annika Härenstam, Göteborg: Institutet för Stressmedicin , 2014Chapter in book (Other academic)
  • 33.
    Dellve, Lotta
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Karlberg, Katarina
    Sahlgrenska akademin, Göteborgs universitet.
    Allebeck, Peter
    Sahlgrenska akademin, Göteborgs universitet.
    Herloff, Birgitta
    Sahlgrenska akademin, Göteborgs universitet.
    Hagberg, Mats
    Sahlgrenska akademin, Göteborgs universitet.
    Macro-organizational factors, the incidence of work disability, and work ability among the total workforce of home care workers in Sweden2006In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 34, no 1, p. 17-25Article in journal (Refereed)
    Abstract [en]

    Aims: To investigate the importance of macro-organizational factors, i.e. organizational sociodemographic and socioeconomic preconditions, of the municipal incidence of long-term sick leave, disability pension, and prevalence of workers with long-term work ability among home care workers. Methods: In an ecological study design, data from national databases were combined by record linkage. Descriptive and analytical statistics were used to estimate and interpret macroorganizational factors ( economic resources, region, unemployment, employment, occupational rehabilitation, return to work, age structures of inhabitants and home care workers). Results: The incidence of long-term sick leave among female home care workers was twice as high as that of male home care workers, and incidence of disability pension was about four times as high for the women. A great variation in municipal incidence of long-term sick leave, disability pension, and long-term work ability ( 101 - 264, 0.6 - 19.6, and 913 - 1,279 per 1,000 full-time equivalent workers and year) was also found. The strongest single factor for long-term work ability was a high proportion of part-time or hourly paid employees, which explained 35% of the municipal variation. Macro-organizational factors explained long-term work ability ( 47 - 62% explained variance) better than long-term sick leave ( 33% explained variance). There was a low rehabilitation activity; only 2% received occupational rehabilitation and 5% of those on sick leave longer than 2 weeks returned to work within 30 days. Conclusions: The differences in the municipal proportion of work ability incidence indicate a preventive potential, especially related to employment and return to work after sick leave.

  • 34.
    Dellve, Lotta
    et al.
    KTH, School of Technology and Health (STH), Ergonomics.
    Samuelsson, L.
    Waye, K. P.
    Preschool Children's Experience and Understanding of Their Soundscape2013In: Qualitative Research in Psychology, ISSN 1478-0887, E-ISSN 1478-0895, Vol. 10, no 1, p. 1-13Article in journal (Refereed)
    Abstract [en]

    Noise may be a serious health problem in preschools. This article explores how preschool-aged children experience, understand, and cope with the soundscape at their preschools. Using a qualitative approach, 36 children (4-6 years old) were interviewed in 11 focus groups. The children related their experience of sound to the consequences the sound had for themselves, their understanding of its source, and their bodily and emotional experience of it. Their perceived trustfulness, comprehensibility, sound descriptions, and manageability of given sounds were interpreted in the model as an expression of uncontrollability. The degree of uncontrollability of sounds accounted for whether children were nondisturbed, disturbed, or distressed by their experience of it. Distressing noise was experienced as both physically and emotionally painful. The children handled such distress by flight, attempting to reduce the hearing sensation, turning to their teachers, and using cognitive strategies. It is important to increase our understanding of how children cope with distressing sounds at preschools.

  • 35.
    Dellve, Lotta
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Samuelsson, Lena
    Sahlgrenska akademin, Göteborgs universitet.
    Tallborn, Andreas
    Sahlgrenska akademin, Göteborgs universitet.
    Fasth, Anders
    Sahlgrenska akademin, Göteborgs universitet.
    Hallberg, Lillemor R-M
    Sahlgrenska akademin, Göteborgs universitet.
    Stress and well-being among parents of children with rare diseases: a prospective intervention study2006In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 53, no 4, p. 392-402Article in journal (Refereed)
    Abstract [en]

    This paper reports a study to assess stress, well-being and supportive resources experienced by mothers and fathers of children with rare disabilities, and how these variables were affected by an intensive family competence intervention.

    Despite diagnosis-specific studies, little overall knowledge exists about life-consequences for families of children with rare disorders.

    We used a prospective design with baseline data and two follow-ups (at 6 and 12 months) after an intervention. The intervention aimed at empowering parents in managing their child's disability. Parents from all parts of Sweden visiting a national centre for families of children with rare disabilities were consecutively selected (n = 136 mothers, 108 fathers). Instruments of parental stress, social support, self-rated health, optimism and life satisfaction and perceived physical or psychological strain were used. Stratified analyses were carried out for mothers and fathers, and related to parental demands: single mothers, full-time employment, participation in a parent association, child's age and type of disability.

    We found high parental stress, physical and emotional strain among mothers, especially among single mothers. Fathers showed high stress related to incompetence, which decreased after the intervention. Decreased strain was found among full-time working mothers and fathers after the intervention. Parents' perceived knowledge and active coping and mothers' perceived social support were increased at follow-up. Factors related to parents' overall life satisfaction (57-70% explained variance) changed after the intervention, from being more related to internal demands (perceived strain, incompetence and social isolation) to other conditions, such as problems related to spouse, paid work and social network.

    Parents, especially fathers and full-time working parents, may benefit from an intensive family competence programme.

  • 36.
    Dellve, Lotta
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Skagert, Katrin
    Eklöf, Mats
    Delaktighet och struktur i systematiskt arbetsmiljöarbete: Betydelsen för rapporterade arbetsskador och arbetshälsa bland personal i kommunal vård och omsorg2004Report (Other academic)
  • 37.
    Dellve, Lotta
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Skagert, Katrin
    Sahlgrenska akademin, Göteborgs universitet.
    Eklöf, Mats
    Sahlgrenska akademin, Göteborgs universitet.
    The impact of systematic occupational health and safety management for occupational disorders and long-term work attendance2008In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 67, no 6, p. 965-970Article in journal (Refereed)
    Abstract [en]

    Despite several years of conducting formalized systematic occupational health and safety management (SOHSM), as required by law in Sweden and most other industrialized countries, there is still little evidence on how SOHSM should be approached to have an impact on employees' health. The aim of this study was to investigate the importance of SOHSM, considering structured routines and participation processes. for the incidence of occupational disorders and the prevalence of long-term work attendance among home care workers (HCWs). Municipal human service organizations were compared concerning (a) their structured routines and participation processes for SOHSM and (b) employee health, i.e. the municipal five-year incidence of occupational disorders and prevalence of work attendance among HCWs. National register-based data from the whole population of HCWs (n = 154773) were linked to register-data of occupational disorders and prevalence of long-term work attendance. The top managers and safety representatives in selected high- and low-incidence organizations (n = 60) answered a questionnaire about structure and participation process of SOHSM. The results showed that prevalence of long-term work attendance was higher where structure and routines for SOHSM (policy, goals and plans for action) were well organized. Highly structured SOHSM and human resource management were also related to high organizational incidence of reported occupational disorders. Allocated budget and routines related to HCWs' influence in decisions concerning performance of care were also related to long-term work attendance. The participation processes had a weak effect on occupational disorders and work attendance among HCWs. Reporting occupational disorders may be a functional tool to stimulate the development of effective SOHSM, to improve the work environment and sustainable work ability.

  • 38.
    Dellve, Lotta
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Skagert, Katrin
    Sahlgrenska akademin, Göteborgs universitet.
    Vilhelmsson, Rebecka
    Sahlgrenska akademin, Göteborgs universitet.
    Leadership in workplace health promotion projects: 1- and 2-year effects on long-term work attendance2007In: European Journal of Public Health, ISSN 1101-1262, Vol. 17, no 5, p. 471-476Article in journal (Refereed)
    Abstract [en]

    Background: Despite the acknowledged role of leadership in the psychosocial work environment, few studies focus on how leadership qualities and strategies may act as key processes of importance to positive effects of workplace health promotion (WHP). The aim of this study was to increase knowledge about how leadership qualities and strategies in WHP projects influence employees’ long-term work attendance. Method: The 1- and 2-year effect of leadership on the prevalence of long-term work attendance among municipal human service workers (n = 3 275) was analysed using 3-year register-based data on sick leave, questionnaires and a qualitative categorization of each unit. Result:Increased leadership qualities, especially where leaders used rewards, recognition and respect, were associated with higher prevalence of work attendance at follow-up [PR 1.42 (1.20–1.69)]. Leaders’ strategies and views on work-related health had a significant impact on increased work attendance in projects that had goals clearly focusing on changeable factors [1.36 (1.11–1.67)], in multi-focused projects [1.60 (1.24–2.04)] and in projects aimed to increase employees’ awareness of their health. Workplace health promotion strategies with a single focus on strengthening individual, professional or organizational resources were negatively associated with work attendance. A higher proportion of employee work attendance was also seen in units whose leaders viewed the organization or the society (rather than individual workers) as responsible for the high rate of sick leave. Conclusion: Leadership, WHP strategies and leaders’ attitudes towards employee work-related health have importance for implementation processes, as well as affecting employee work attendance. In this study, multi-focused WHP interventions had the largest effect on work attendance.

  • 39.
    Dellve, Lotta
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Stjernberg, Torbjörn
    Projekt som källa till både engagemang och stress2008In: Projektliv: villkor för uthållig projektverksamhet / [ed] Stjernberg, Söderlund, Wikström, Studentlitteratur, 2008Chapter in book (Other academic)
  • 40.
    Dellve, Lotta
    et al.
    KTH, School of Technology and Health (STH). Gothenburg University, Sweden.
    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.
    Holden, Richard J.
    School of Informatics and Computing, Indiana University, Indianapolis, US.
    Eriksson, Andrea
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Health care clinicians' engagement in organizational redesign of care processes: Health care clinicians' engagement in organizational redesign of care processes2018In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 68, p. 249-257Article in journal (Refereed)
    Abstract [en]

    The Swedish health care system is reorienting towards horizontal organization for care processes. A main challenge is to engage health care clinicians in the process. The aim of this study was to assess engagement (i.e. attitudes and beliefs, the cognitive state and clinical engagement behaviour) among health care clinicians, and to investigate how engagement was related to work resources and demands during organizational redesign. A cohort study was conducted, using a questionnaire distributed to clinicians at five hospitals working with care process improvement approaches, two of them having implemented Lean production. The results show that kinds of engagement are interlinked and contribute to clinical engagement behaviour in quality of care and patient safety. Increased work resources have importance for engagements in organizational improvements, especially in top-down implementations. An extended work engagement model during organizational improvements in health care was supported. The model contributes to knowledge about how and when clinicians are mobilized to engage in organizational changes.

  • 41.
    Dellve, Lotta
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Vilhelmsson, Rebecka
    Skagert, Katrin
    Eriksson, Jesper
    Eklöf, Mats
    Hälsofrämjande arbetsmiljöprojekt inom social service och skola: Tvåårsuppföljning av SAMS-projekten2007Report (Other academic)
  • 42.
    Dellve, Lotta
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Wiksström, Ewa
    Sahlgrenska akademin, Göteborgs universitet.
    Managing complex work-place stress in health care organisations: Leaders’ identity- and loyalty conflicts2009In: Journal of Nursing Measurement, ISSN 1061-3749, E-ISSN 1945-7049, Vol. 17, no 8, p. 931-941Article in journal (Refereed)
  • 43.
    Dellve, Lotta
    et al.
    Sahlgrenska akademin, Göteborgs universitet.
    Wikström, Ewa
    Hållbart ledarskap i sjukvården: Utveckling av ledarskap och stödstrukturer ur individ- och organisationsperspektiv2006Report (Other academic)
  • 44.
    Dellve, Lotta
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Williamsson, Anna
    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 care professionals’ motivation, engagement and collaboration in organizational developments of processes of care2012Conference paper (Other academic)
  • 45.
    Dellve, Lotta
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Williamsson, Anna
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Strömgren, Marcus
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Holden, Richard
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Eriksson, Andrea
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Lean implementation at different levels in Swedish hospitals: the importance for working conditions and stress2015In: International Journal of Human Factors and Ergonomics, ISSN 2045-7812, Vol. 3, no 3-4, p. 235-253Article in journal (Refereed)
    Abstract [en]

    Healthcare organisations in Sweden are reorienting toward horizontal organisation around care processes. This paper's aim was to investigate how implementation approaches for improvements of care processes in line with lean production (LP), at hospital strategic and operative levels, are associated with working conditions and stress-related health among the employees. Five hospitals working with improvements to care processes were studied using questionnaires to employees (n = 1,303) 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 higher degree of LP at operative levels.

  • 46.
    Dellve, Lotta
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Wramsten Wilmar, Maria
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Jacobsson, Christian
    Göteborgs Universitet.
    Ahlborg, Gunnar
    Göteborgs Universitet.
    Ledarskap i vården: Att möta media och undvika personfokuserade drev2014Report (Other academic)
    Abstract [sv]

    Mote med media ar alltmer vanligt for chefer i varden och en viktig del av arbetet. Motet med media har idag ocksa fatt betydelse for chefens psykosociala arbetsmiljo och hallbarhet da personfokuserat, negativt och kritiskt fokus i media kan vara utmanande och fa vidare konsekvenser. Medvetenhet om mojligheter och risker vid mediakommunikation samt proaktiva forberedelser hos individen och organisationen kan ha avgorande betydelse for att understodja mer saklig och korrekt beskrivning i media samt for att undvika personfokuserade drev. Genom en utvecklad forstaelse och handlingsberedskap samt stod i ledningsgrupper till den som moter media kan negativa konsekvenser minska.

  • 47.
    Dellve, Lotta
    et al.
    KTH, School of Technology and Health (STH), Ergonomics.
    Wramsten Wilmar, Maria
    KTH, School of Technology and Health (STH).
    Jacobsson, Christian
    Ahlborg, Gunnar jr
    Managers approaches towards media during organizational development processes2012Conference paper (Refereed)
  • 48.
    Eklund, Jörgen
    et al.
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Brännmark, Mikael
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Elg, M
    Eriksson, A
    Halling, Bengt
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Halvarsson, A
    Kock, H
    Williamsson, Anna
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Andersson, K
    Håkansson, Malin
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Langstrand, J
    Poksinska, Bozena
    Renström, Jonas
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Svensson, L
    Vänje, Annika
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Lean and working conditions: a current position2013In: HELIX Conference, 2013Conference paper (Refereed)
  • 49. Eklöf, Mats
    et al.
    Pousette, Anders
    Dellve, Lotta
    Sahlgrenska akademin, Göteborgs universitet.
    Skagert, Katrin
    Ahlborg, Gunnar
    Gothenburg Manager Stress Inventory (GMSI): 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)
  • 50. Englund, A. -CD.
    et al.
    Rydström, I.
    Dellve, Lotta
    KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
    Ahlstrom, L.
    Social support outside work and return to work among women on long-term sick leave working within human service organizations2016In: Applied Nursing Research, ISSN 0897-1897, E-ISSN 1532-8201, Vol. 30, p. 187-193Article in journal (Refereed)
    Abstract [en]

    Aim: To investigate the relationships between return to work and social support outside work among women on long-term sick leave from human service organizations. Background: Work is an important part of life and is, in general, considered to be supportive of health and wellbeing. Few studies have thoroughly investigated the importance of aspects of social support outside work for return to work. Methods: A cohort of women on long-term sick leave was followed with questionnaires from 2005 to 2012. Results: The availability of social attachment increased the women's work ability, return to work, and vitality significantly more over time. There were positive relationships between return to work and seeking support in terms of emotional support and comfort and expressing unpleasant feelings. Conclusions: Important resources to increase return to work can be found in factors outside work, such as close social relationships and support seeking. Thus, it is important to take the woman's whole life situation into account and not focus solely on aspects related to the workplace.

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