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Workplace health promotion and employee health in Swedish municipal social care organizations
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.ORCID-id: 0000-0002-1965-7147
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.ORCID-id: 0000-0002-0282-2820
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.ORCID-id: 0000-0002-8256-4437
2014 (Engelska)Ingår i: Journal of Public Health, ISSN 2198-1833, E-ISSN 1613-2238, Vol. 22, nr 3, s. 235-244Artikel i tidskrift (Refereegranskat) 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.

Ort, förlag, år, upplaga, sidor
Springer Berlin/Heidelberg, 2014. Vol. 22, nr 3, s. 235-244
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Forskningsämne
arbetslivsvetenskap
Identifikatorer
URN: urn:nbn:se:mdh:diva-25417DOI: 10.1007/s10389-014-0616-9Scopus ID: 2-s2.0-84905711497OAI: oai:DiVA.org:mdh-25417DiVA, id: diva2:730370
Forskningsfinansiär
Forte, Forskningsrådet för hälsa, arbetsliv och välfärdTillgänglig från: 2014-06-27 Skapad: 2014-06-27 Senast uppdaterad: 2017-12-05Bibliografiskt granskad
Ingår i avhandling
1. Managing workplace health promotion in municipal organizations
Öppna denna publikation i ny flik eller fönster >>Managing workplace health promotion in municipal organizations
2015 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

The workplace is a suitable setting for health promotion, not least due to the amount of time employees spend at work. Previous research indicates large variations in employers' handling of workplace health promotion (WHP) efforts. However, more empirical knowledge of how WHP is handled in public sector organizations is needed.

The overall aim of the thesis was to explore how WHP is managed and implemented in municipal organizations. The thesis draws on health promotion as the point of departure, further accompanied with concepts related to organizational change and implementation research.

The thesis is based on three studies using different empirical materials. Both quantitative and qualitative research designs were used. In the first study, questionnaires were sent to both top managers and employees in a nationwide random sample of 60 of the 290 municipal social care organizations in Sweden. Data were analysed at the organizational level, linking WHP measures provided by the employer to employee health. In the second study, interviews concerning the management of WHP were carried out with senior managers representing various departments in two municipalities. The third study analysed the implementation of a health-promoting leadership programme, and the interviews made, concerned the experiences of line and middle managers participating in the programme.

The results show that the provision of individual- and organizational-directed WHP measures was associated to employee health at the organizational level. Furthermore, the senior managers described WHP management as components contributing to the organization's capacity for WHP. However, they mainly described WHP as providing healthy lifestyle activities, and mapping working conditions and employee health. In the study analysing the implementation of the leadership programme, line and middle managers described employee involvement as an enabling factor, whereas high workload and lack of senior management support were barriers described. Recurrent organizational changes and other politically-initiated projects and routines were also pointed out as competing events in the implementation process.

From this thesis, it can be concluded that WHP management is dominated by measures directed towards the individual employee and needs to include more of psychosocial and organizational measures. Finally, the varied organizational conditions for municipal managers as well as the support from senior management and human resources staff needs to be considered and ensured as part of an active and continuous WHP practice.

Ort, förlag, år, upplaga, sidor
Västerås: Mälardalen University, 2015
Serie
Mälardalen University Press Dissertations, ISSN 1651-4238 ; 172
Nationell ämneskategori
Arbetslivsstudier
Forskningsämne
arbetslivsvetenskap
Identifikatorer
urn:nbn:se:mdh:diva-27245 (URN)978-91-7485-183-0 (ISBN)
Disputation
2015-02-27, Beta, Mälardalens högskola, Västerås, 13:15 (Svenska)
Opponent
Handledare
Tillgänglig från: 2015-01-12 Skapad: 2014-12-30 Senast uppdaterad: 2015-02-05Bibliografiskt granskad

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Larsson, RobertSandmark, HélèneÅkerlind, Ingemar

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