The overall aim of this paper is to draw combined, all-embracing conclusions based on a long-term multidisciplinary research programme on recycling centres in Sweden, focussing on working conditions, environment and system performance. A second aim is to give recommendations for their development of new and existing recycling centres and to discuss implications for the future design and organisation. Several opportunities for improvement of recycling centres were identified, such as design, layout, ease with which users could sort their waste, the work environment, conflicting needs and goals within the industry, and industrialisation. Combining all results from the research, which consisted of different disciplinary aspects, made it possible to analyse and elucidate their interrelations. Waste sorting quality was recognized as the most prominent improvement field in the recycling centre system. The research identified the importance of involving stakeholders with different perspectives when planning a recycling centre in order to get functionality and high performance. Practical proposals of how to plan and build recycling centres are given in a detailed checklist. (C) 2016 Elsevier Ltd. All rights reserved.

Purpose - This paper aims to identify conditions affecting sustainability of Lean implementations in Swedish psychiatric healthcare, from a socio-technical perspective. Design/methodology/approach - Longitudinal focus group interviews were conducted with 24 first-line managers within Swedish psychiatric healthcare. The analysis was made using Cherns ten socio-technical principles and a framework for sustainable development work in healthcare. Findings - The most critical socio-technical principles for a sustainable Lean implementation were boundary location; power and authority; and compatibility. At hospital level, socio-technical principles were inhibited by the weak ownership of the Lean implementation. However, strong ownership at division level meant the same principles were supported. Unclear goals made follow-ups difficult which had negative effects on the learning processes in the Lean implementation. The role and responsibility of first-line managers were unclear in that they perceived they lacked power and authority resulting in negative effects on the participation - an important sustainability concept. Originality/value - Empirically based papers assessing Lean implementations in psychiatry are rare. This study is a contribution to the research area of sustainable Lean implementations in healthcare. The practical implication of this study is that decision makers, senior managers, first-line managers and psychiatrists can be supported in reaching sustainable implementations of Lean.

frågan om vilka konsekvenser lean och kvalitetsutveckling får för arbetsmiljö och lärande är avgörande för de anställdas acceptans av dessa koncept, men också avgörande för konceptens systemeffektivitet. Hur dessa samband ser ut har behandlats i ett flertal artiklar (Landsbergis, 1999; Westgaard och Winkel, 2007; Hasle et al., 2012; Adler and Borys, 1994; Adler and Cole, 1995; Appelbaum, 1996). Inriktningen på förändringarna och den kultur som finns i organisationerna synes spela avgörande roll för utfallet. Samtidigt finns det anledning att mera i detalj studera dessa samband. Det finns också studier som har kopplat ihop arbetsförhållanden och lärande. Utifrån definitioner på vad som karaktäriserar det goda arbetet har lärande och möjligheter att utvecklas lyfts fram som viktiga faktorer (Thorsrud, 1969). Detta kapitel syftar till att beskriva olika konsekvenser som kan uppstå för lärande och arbetsmiljö i samband med att organisationer inför lean eller initierar kvalitetsutveckling i sin verksamhet. Ett andra syfte är att koppla dessa konsekvenser till de förändringsansatser som genomförs.

Visual requirements are high when sorting mail. The purpose of this visual ergonomics intervention study was to evaluate the visual environment in mail sorting facilities and to explore opportunities for improving the work situation by reducing visual strain, improving the visual work environment and reducing mail sorting time. Twenty-seven postmen/women participated in a pre-intervention study, which included questionnaires on their experiences of light, visual ergonomics, health, and musculoskeletal symptoms. Measurements of lighting conditions and productivity were also performed along with eye examinations of the postmen/women. The results from the pre-intervention study showed that the postmen/women who suffered from eyestrain had a higher prevalence of musculoskeletal disorders (MSD) and sorted slower, than those without eyestrain. Illuminance and illuminance uniformity improved as a result of the intervention. The two post-intervention follow-ups showed a higher prevalence of MSD among the postmen/women with eyestrain than among those without. The previous differences in sorting time for employees with and without eyestrain disappeared. After the intervention, the postmen/women felt better in general, experienced less work induced stress, and considered that the total general lighting had improved. The most pronounced decreases in eyestrain, MSD, and mail sorting time were seen among the younger participants of the group. (C) 2011 Elsevier Ltd and The Ergonomics Society. All rights reserved.

Swedish recycling centres are manned facilities for waste collection. There is no special category in the official injury statistics for employees at recycling centres, which precludes a straightforward analysis of reported occupational injuries. This study aimed at identifying the frequency of reported accidents and diseases and the type of events that contribute to such injuries at recycling centres, based on official injury statistics. The employees were identified as being affected by more than three to five times as many accidents compared with the total workforce in Sweden. The reported accidents had occurred during a wide range of situations, but most frequently during manual handling of waste. Reported work-related diseases were mostly associated with musculoskeletal disorders, mainly due to heavy lifting. A more detailed classification of sanitation professions and workplaces in the official injury statistics would facilitate future studies of injuries in a specific professional category, e.g. employees at recycling centres. Suggestions for prevention are given.

Statement of Relevance: The present article describes all reported work accidents and diseases among employees at recycling centres from 1992 to February 2005. It also highlights the problem of identifying new working groups in the official statistics and gives advice for a detailed classification to facilitate such future studies of injuries.

This paper addresses a number of issues for work environment intervention (WEI) researchers in light of the mixed results reported in the literature. If researchers emphasise study quality over intervention quality, reviews that exclude case studies with high quality and multifactorial interventions may be vulnerable to quality criteria selection bias. Learning from failed interventions is inhibited by both publication bias and reporting lengths that limit information on relevant contextual and implementation factors. The authors argue for the need to develop evaluation approaches consistent with the complexity of multifactorial WEIs that: a) are owned by and aimed at the whole organisation; and b) include intervention in early design stages where potential impact is highest. Context variety, complexity and instability in and around organisations suggest that attention might usefully shift from generalisable proof of effectiveness to a more nuanced identification of intervention elements and the situations in which they are more likely to work as intended. Statement of Relevance: This paper considers ergonomics interventions from perspectives of what constitutes quality and proofo. It points to limitations of traditional experimental intervention designs and argues that the complexity of organisational change, and the need for multifactorial interventions that reach deep into work processes for greater impact, should be recognised.

Recycling is a new and developing industry, which has only been researched to a limited extent. This article describes the development and use of instruments for data collection within a multidisciplinary research programme "Recycling centres in Swede - working conditions, environmental and system performance". The overall purpose of the programme was to form a basis for improving the function of recycling centres with respect to these three perspectives and the disciplines of: ergonomics, safety, external environment, and production systems. A total of 10 instruments were developed for collecting data from employees, managers and visitors at recucling centres, including one instrument for observing visitors. Validation tests were performed in several steps. This, along with the quality of the collected data, and experience from the data collection, showed that the instruments and methodology used were valid and suitable for their purpose.

Purpose – This paper aims to present and discuss the current state of quality-improvement activities in Swedish companies. The paper focuses on the drivers for quality improvement; types of approaches, tools and techniques, and organizational aspects influenced by quality improvement; and potential areas for improvement.

Design/methodology/approach – This paper presents results from a survey on quality improvement work in Swedish industry. Data for this paper were collected using a web-based questionnaire that was distributed to 800 production managers working in Swedish service and manufacturing organizations. Of the 800 questionnaires sent, a total of 118 questionnaires were filled out, which resulted in a response rate of 16 percent.

Findings – The result shows that the major drivers for quality improvement work in Swedish industry are economical aspects as the need for cost reduction, the need to become more competitive and the wish to increase market share. Drivers such as pressure from shareholders and trends in management have a minor role. The underlying approaches for quality improvement work are standards such as ISO 9000 and ISO 14000. A total of 72 percent of respondents stated that they work with quality management systems; 59 percent, with environmental management systems. The aspects that were most positively influenced by the improvement work were employee motivation, customer satisfaction, employee satisfaction, product/service quality, and flow in internal processes.

Research limitations/implications – Empirical results obtained in Sweden may differ to some extent in other countries.

Practical implications – This paper is intended as a source of inspiration for researchers, consultants, and managers who are interested in the current trends and future developments in the quality field.

Originality/value – The paper provides valuable insights into the current state of quality improvement activities in Swedish industry, as seen from the perspective of the production manager.