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Larsson, R., Åkerlind, I. & Sandmark, H. (2016). Managing workplace health promotion in municipal organisations: the perspective of senior managers. Work: A journal of Prevention, Assesment and rehabilitation, 53(3), 485-498
Open this publication in new window or tab >>Managing workplace health promotion in municipal organisations: the perspective of senior managers
2016 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 53, no 3, p. 485-498Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Previous research indicates that companies manage workplace health in various ways, but more in-depth empirical knowledge of how workplace health promotion (WHP) is managed in public sector organisations is needed.

OBJECTIVE: The aim of this study was to explore how WHP is managed and incorporated into the general management system in two large Swedish municipal organisations.

METHODS: A qualitative descriptive approach was used. Fourteen senior managers were purposefully selected and interviewed using semi-structured interviews. Documents were used as supplementary data. All data were analysed using qualitative content analysis.

RESULTS: The management of WHP was described as a set of components that together contribute to the organisation’s capacity for WHP. The informants described WHP as dominated by fitness programmes and as following a problem-solving cycle, in which the annual employee survey emerged as an important managerial tool. Achieving feasible WHP measures and appropriate follow-ups were described as challenges. The provision of leadership competence for WHP and use of supportive resources were described as additional components.

CONCLUSIONS: The WHP management approach needs to be broadened to include work environment and organisational factors. Further integration with occupational health and safety and the general management system in the organisations is also needed. 

Keywords: integration, management, occupational health and safety, public sector organisation, workplace health

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Working Life Studies
Identifiers
urn:nbn:se:mdh:diva-26861 (URN)10.3233/WOR-152177 (DOI)000373209500005 ()2-s2.0-84961820350 (Scopus ID)
Available from: 2014-12-18 Created: 2014-12-08 Last updated: 2017-12-05Bibliographically approved
Larsson, R., Stier, J., Åkerlind, I. & Sandmark, H. (2015). Implementing health-promoting leadership in municipal organizations: Managers' experiences with a leadership program. Nordic Journal of Working Life Studies, 5(1), 93-114
Open this publication in new window or tab >>Implementing health-promoting leadership in municipal organizations: Managers' experiences with a leadership program
2015 (English)In: Nordic Journal of Working Life Studies, ISSN 2245-0157, E-ISSN 2245-0157, Vol. 5, no 1, p. 93-114Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to analyze how line and middle managers experience and describe barriers and enablers in the implementation of a health-promoting leadership program in municipal organizations. A qualitative case study design was applied to examine the leadership program in a case involving implementation of an organizational health intervention. Data were mainly collected using semi-structured interviews with line and middle managers participating in the leadership program. Interviews with senior managers, notes from meetings/workshops, and written action plans were used as complementary data. The interview data were analyzed using a thematic analysis, and the complementary data using a summative content analysis. The findings show that the interviewed line and middle managers experienced this leadership program as a new approach in leadership training because it is based primarily on employee participation. Involvement and commitment of the employees was considered a crucial enabler in the implementation of the leadership program. Other enablers identified include action plans with specific goals, earlier experiences of organizational change, and integration of the program content into regular routines and structures. The line and middle managers described several barriers in the implementation process, and they described various organizational conditions, such as high workload, lack of senior management support, politically initiated projects, and organizational change, as challenges that limited the opportunities to be drivers of change. Taken together, these barriers interfered with the leadership program and its implementation. The study contributes to the understanding of how organizational-level health interventions are implemented in public sector workplaces.

National Category
Work Sciences
Research subject
Working Life Studies
Identifiers
urn:nbn:se:mdh:diva-27152 (URN)10.19154/njwls.v5i1.4767 (DOI)000360069000007 ()
Available from: 2014-12-19 Created: 2014-12-19 Last updated: 2017-12-05Bibliographically approved
Larsson, R., Ljungblad, C., Sandmark, H. & Åkerlind, I. (2014). Workplace health promotion and employee health in Swedish municipal social care organizations. Journal of Public Health, 22(3), 235-244
Open this publication in new window or tab >>Workplace health promotion and employee health in Swedish municipal social care organizations
2014 (English)In: Journal of Public Health, ISSN 2198-1833, E-ISSN 1613-2238, Vol. 22, no 3, p. 235-244Article in journal (Refereed) Published
Abstract [en]

Aim

The aim of this explorative study was to investigate the employers’ management characteristics, their provision of workplace health promotion (WHP) measures, and employee satisfaction with WHP in relation to employee health in Swedish municipal social care organizations.

Subjects and methods

A cross-sectional design was used, and questionnaires were sent to top managers (representing the employer) and employees in a nationwide random sample of 60 of the 290 municipal organizations for the social care of elderly and disabled people in Sweden. The questionnaire data from the 60 managers were linked to aggregated employee data concerning self-rated health and satisfaction with WHP from a representative sample of 8,082 employees in the same organizations. All analyses were performed at the organizational level using independent t-test, Spearman’s rank correlation and multiple linear regression analysis.

Results

In the multivariate analysis, the organizational WHP index (i.e. local WHP projects and WHP coordinators), individual WHP index (i.e. health profile assessment, fitness activities and medical check-up), and the level of employees’ satisfied with WHP were associated with employee health (F = 9.64, p < 0.001, adjusted R2 = 0.48). General organizational and management characteristics were, however, not statistically related to employee health.

Conclusion

The results suggest that the provision of individual-directed and organizational-directed health-specific measures were related to employee health in Swedish municipal social care organizations and, therefore, can be part of a comprehensive approach to address WHP.

Place, publisher, year, edition, pages
Springer Berlin/Heidelberg, 2014
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Working Life Studies
Identifiers
urn:nbn:se:mdh:diva-25417 (URN)10.1007/s10389-014-0616-9 (DOI)2-s2.0-84905711497 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2014-06-27 Created: 2014-06-27 Last updated: 2017-12-05Bibliographically approved
Ljungblad, C., Granström, F., Dellve, L. & Åkerlind, I. (2014). Workplace health promotion and working conditions as determinants of employee health. International Journal of Workplace Health Management, 7(2), 89-104
Open this publication in new window or tab >>Workplace health promotion and working conditions as determinants of employee health
2014 (English)In: International Journal of Workplace Health Management, ISSN 1753-836X, Vol. 7, no 2, p. 89-104Article in journal (Refereed) Published
Abstract [en]

Purpose - The purpose of this paper is to investigate general psychosocial work conditions and specific workplace health promotion (WHP) measures in relation to employee health and sickness absence in Swedish municipal social care organizations. Design/methodology/approach - In a random sample of 60 out of the 290 municipalities in Sweden, 15,871 municipal social care employees working with elderly and disabled clients were sent a questionnaire concerning psychosocial work environment, WHP, and self-rated health. The responses (response rate 58.4 per cent) were complemented by register data on sickness absence (&amp;gt;14 days). All data were aggregated to employer level. Findings - A structural equation modelling analysis using employer-level data demonstrated that employers with more favourable employee ratings of the psychosocial work conditions, as well as of specific health-promoting measures, had better self-rated health and lower sickness absence level among employees. Practical implications - The results from this representative nationwide sample of employers within one sector indicate that employers can promote employee health both by offering various health-specific programmes and activities, such as work environment education, fitness activities, and lifestyle guidance, as well as by forming a high-quality work environment in general including developmental and supportive leadership styles, prevention of role conflicts, and a supportive and comfortable social climate. Originality/value - This study with a representative nationwide sample demonstrates: results in line with earlier studies and explanations to the challenges in comparing effects from specific and general WHP interventions on health.

Keywords
Leadership, Organization, Psychosocial work environment, Self-rated health, Sick leave, Worksite health promotion
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mdh:diva-25674 (URN)10.1108/IJWHM-02-2013-0003 (DOI)2-s2.0-84903141271 (Scopus ID)
Available from: 2014-07-14 Created: 2014-07-14 Last updated: 2015-12-10Bibliographically approved
Sriyasak, A., Åkerlind, I. & Akhavan, s. (2013). Childrearing among Thai first-time teenage mothers. The Journal of Perinatal Education, 22(4), 201-211
Open this publication in new window or tab >>Childrearing among Thai first-time teenage mothers
2013 (English)In: The Journal of Perinatal Education, ISSN 1058-1243, Vol. 22, no 4, p. 201-211Article in journal (Refereed) Published
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mdh:diva-24195 (URN)10.1891/1058-1243.22.4.201 (DOI)
Available from: 2014-01-15 Created: 2014-01-15 Last updated: 2014-02-07Bibliographically approved
Åkerlind, I., Larsson, R. & Ljungblad, C. (2013). Ledarskap, socialt klimat, hälsofrämjande åtgärder och sjukfrånvaro – en jämförande studie inom vård och omsorg i 60 kommuner. Socialmedicinsk Tidskrift, 90(6), 799-809
Open this publication in new window or tab >>Ledarskap, socialt klimat, hälsofrämjande åtgärder och sjukfrånvaro – en jämförande studie inom vård och omsorg i 60 kommuner
2013 (Swedish)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 90, no 6, p. 799-809Article in journal (Other academic) Published
Abstract [sv]

En jämförande studie inom vård och omsorg i ett representativt urval av 60 av Sveriges 290 kommuner visar att det finns tydliga samband mellan arbetsgivarens sätt att leda och organisera verksamheten och medarbetarnas hälsa och sjukfrånvaro. Både specifika hälsofrämjande åtgärder, ledarskap och socialt klimat har betydelse. Externa strukturella områdesfaktorer, som sociodemografi och arbetsmarknad samt attityder till när det är acceptabelt att sjukskriva sig, har också betydelse dock utan att reducera sambandet med de interna organisationsfaktorerna. Det finns alltså goda skäl för arbetsgivaren att bedriva ett målmedvetet och aktivt hälsofrämjande arbete både genom direkta individinriktade insatser och genom organisatoriskt stöd för hälsoarbetet. Detsamma gäller ett mer allmänt utvecklingsinriktat och stödjande ledarskap.

Abstract [en]

A comparative study of the social care organizations in a representative sample of 60 out the 290 municipalities in Sweden demonstrates significant associations between the employer’s way of organizing the work and the employees’ health and sickness absence. Specific workplace health promotion measures, as well as leadership styles and social climate are of importance. External structural regional factors such as sociodemography and labour market, as well as sickness absence culture have influence too, however without reducing the association to the internal factors concerning workplace health promotion, leadership and social climate. Accordingly, there are good reasons for employers to engage in health promotion activities both by individual-directed measures and by organizational support. The same is true for a more general developmental and supportive leadership style.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Working Life Studies
Identifiers
urn:nbn:se:mdh:diva-24163 (URN)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2014-01-09 Created: 2014-01-09 Last updated: 2017-12-06Bibliographically approved
Lassenius, O., Arman, M., Söderlund, A., Åkerlind, I. & Wiklund Gustin, L. (2013). Moving toward Reclaiming Life: Lived Experiences of Being Physically Active Among Persons with Psychiatric Disabilities. Issues in Mental Health Nursing, 34(10), 739-746
Open this publication in new window or tab >>Moving toward Reclaiming Life: Lived Experiences of Being Physically Active Among Persons with Psychiatric Disabilities
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2013 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, no 10, p. 739-746Article in journal (Refereed) Published
Abstract [en]

There is abundant documentation in research about the significant relationship between physical activity and mental health, but there is still more to be learned about what can enhance motivation to become more physically active. Fourteen persons with psychiatric disabilities were interviewed about their experiences of being physically active, and data was analyzed using a phenomenologicalhermeneutic method. Five themes emerged: Capability for Living, Liberation from a Heavy Mind, Companionship in Being in Motion, Longing for Living One’s Life, and Struggling with Limitations. The interpreted meaning of being physically active was to be moving toward reclaiming one’s life.

Keywords
body, hermeneutic phenomenology, physical activity, psychiatric care
National Category
Medical and Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-21753 (URN)10.3109/01612840.2013.813097 (DOI)000209366800004 ()2-s2.0-84884806993 (Scopus ID)
Available from: 2013-10-02 Created: 2013-10-02 Last updated: 2017-12-22Bibliographically approved
Lassenius, O., Åkerlind, I., Wiklund Gustin, L., Arman, M. & Söderlund, A. (2013). Self-reported health and physical activity among community mental healthcare users. Journal of Psychiatric and Mental Health Nursing, 20(1), 82-90
Open this publication in new window or tab >>Self-reported health and physical activity among community mental healthcare users
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2013 (English)In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 20, no 1, p. 82-90Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to survey the self-reported health and physical activity in a sample of community mental healthcare users in a city of Sweden. The study was conducted through a cross-sectional design with participants requested to fill out a self-report questionnaire. Participants (n =103) were persons with psychiatric disabilities living in residential psychiatric settings and/or participating in daily activities provided by community mental healthcare services. The results showed that the group is affected with serious risk factors, such as high body mass index, low rated extent and frequency of physical activity and low self-estimated general state of health. Even though some difficulties associated with the answering process of this questionnaire emerged, these self-reported results clearly confirm the fact that persons with psychiatric disabilities constitute a vulnerable group in need for health-promoting caring activities and interventions.

Keywords
community mental health care, cross-sectional design, health, physical activity, psychiatric disabilities, self-reported
National Category
Medical and Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-15111 (URN)10.1111/j.1365-2850.2012.01951.x (DOI)000312992300010 ()22852556 (PubMedID)2-s2.0-84871812628 (Scopus ID)
Available from: 2012-08-10 Created: 2012-08-10 Last updated: 2017-12-22Bibliographically approved
Larsson, R., Åkerlind, I. & Sandmark, H. (2013). Workplace health management in municipal organizations: the perspective of senior managers. In: : . Paper presented at 7th Nordic Health Promotion Research Conference "Promoting Health in Everyday Settings: Opportunities and Challenges", Vestfold University College, Tønsberg, Norway, 17-19 June 2013.
Open this publication in new window or tab >>Workplace health management in municipal organizations: the perspective of senior managers
2013 (English)Conference paper, Oral presentation only (Refereed)
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Working Life Studies
Identifiers
urn:nbn:se:mdh:diva-21998 (URN)
Conference
7th Nordic Health Promotion Research Conference "Promoting Health in Everyday Settings: Opportunities and Challenges", Vestfold University College, Tønsberg, Norway, 17-19 June 2013
Available from: 2013-10-17 Created: 2013-10-17 Last updated: 2014-12-08Bibliographically approved
Ljungblad, C., Granström, F., Dellve, L. & Åkerlind, I. (2012). Associations between workplace health promotion and employee health in 60 municipal social care organizations in Sweden 2008. Paper presented at 5th European Public Health Conference, All Inclusive Public Health, Portomaso, St. Julian´s, Malta, November.. European Journal of Public Health, 22(suppl. 2), 28-29
Open this publication in new window or tab >>Associations between workplace health promotion and employee health in 60 municipal social care organizations in Sweden 2008
2012 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 22, no suppl. 2, p. 28-29Article in journal, Meeting abstract (Other academic) Published
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mdh:diva-16320 (URN)10.1093/eurpub/cks114 (DOI)000310370400066 ()
Conference
5th European Public Health Conference, All Inclusive Public Health, Portomaso, St. Julian´s, Malta, November.
Available from: 2012-11-29 Created: 2012-11-29 Last updated: 2017-12-07Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8256-4437

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