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Arneson, Hanna
Publications (10 of 16) Show all publications
Arneson, H. (2007). Empowerment and health enhancement in working life: framing the concept, reviewing the evidence. In: Per Nilsen (Ed.), Strategies for health: An anthology (pp. 59-70). Linköping: Linköping University Electronic Press
Open this publication in new window or tab >>Empowerment and health enhancement in working life: framing the concept, reviewing the evidence
2007 (English)In: Strategies for health: An anthology / [ed] Per Nilsen, Linköping: Linköping University Electronic Press , 2007, , p. 83p. 59-70Chapter in book (Other academic)
Abstract [en]

This anthology is comprised of six papers, introducing readers to at variety of topics relevant to the Strategies for Health arena. The papers are intended to reflect the breadth of research conducted in Strategies for Health. The aim is to contribute to a greater understanding of the concept of health and provide insight into some strategies for improvement of health and safety. The anthology was edited by Per Nilsen, in cooperation with Lennart Nordenfelt and Kerstin Ekberg, who served as an Editorial Committee.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2007. p. 83
Series
IHS Report, ISSN 1652-1994 ; 2007:1
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-21819 (URN)978-91-85715-36-7 (ISBN)
Available from: 2009-10-05 Created: 2009-10-05 Last updated: 2013-08-12Bibliographically approved
Arneson, H. (2006). Empowerment and health promotion in working life. (Doctoral dissertation). Linköping: Institutionen för hälsa och samhälle
Open this publication in new window or tab >>Empowerment and health promotion in working life
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Background: In ‘workplace health promotion’, empowerment is assumed to promote health. Nevertheless, few studies have examined the relationship between empowerment in working life, and health.

Aim: To study the impact of empowerment in working life on health, with special focus on gender differences.

Material and methods: Paper I is a review of the scientific literature, examining instruments intended to measure empowerment in working life. The second study (paper II) was a cross-sectional survey, assessing the relationship between psychological empowerment, and self-rated health and burnout among employees. Papers III and IV encompass a two-year longitudinal survey study of the gender-specific relationships between baseline levels of psychological empowerment, and the combination of psychological support and social support, and self-rated health and burnout two years later among employees. Study five (paper V) is a qualitative study, using focus-group interviews and phenomenography to evaluate a theory-based intervention method, problem-based learning, for workplace health promotion with regard to possible facilitation of empowerment processes.

Results: In paper I, nine questionnaires were found and analysed. Most of the questionnaires focused on intra-individual issues, while a smaller number dealt with the interaction between individual and organisation. Control and competence were frequently used dimensions. The Psychological Empowerment Instrument had undergone the most comprehensive investigation, showing satisfactory validity and reliability. In paper II, men reported a greater degree of psychological empowerment than women in terms of self-determination and impact. Associations were found between psychological empowerment, and self-rated health and burnout (p<0.05). Men and women with higher levels of empowerment reported significantly better health, compared with those who had lower levels of empowerment. Papers III and IV show that for women, increasing levels of psychological empowerment at work at baseline were associated with better self-rated health as measured by the SF-36 scales physical role function, bodily pain, and mental health at the 2-year follow-up (p<0.05). Also for women, a combination of high psychological empowerment and high social support at the workplace was associated (p<0.05) with better self-rated health (bodily pain, general health, vitality, social functioning, emotional role, mental health, EQ-5D VAS, and EQ-5D index) and lower levels of work-related burnout at the 2-year follow-up. For men, psychological empowerment at baseline, and a combination of psychological empowerment and social support at the workplace, were associated with self-rated health at follow-up as measured by the EQ-5D VAS (p<0.05). Combinations of psychological empowerment and social support were associated with work-related burnout at the two-year follow-up for women only (p=0.002). The differences between men and women were confirmed in the gender×empowerment and social support interaction analysis for the measures bodily pain, social function, and work-related burnout (p<0.05). The phenomenographic analysis in paper V resulted in six descriptive categories: reflection, awareness and insight, self-direction and self-management, group coherence, social support and action. The results correspond to established theories on components of empowerment processes. The method “problem-based learning” initiated processes of change at organisational, workplace and individual levels. Social support and group coherence were expressed as essential in order to transform challenging strategies into action and goal realisation.

Conclusions: This thesis demonstrates that psychological empowerment is associated with self-rated health and burnout. Psychological empowerment also impacts mental and somatic health after two years. The impact on health becomes more extensive when psychological empowerment is combined with social support at the workplace. Empowerment and social support are crucial core characteristics in ‘workplace health promotion’, but effects may differ for men and women. Empowerment processes can be facilitated by implementation of the participative intervention method known as “problem-based learning”. Practitioners and researchers who are active in health enhancement in working life should gain from implementing these findings, whether the focus is on health promotion, disease prevention, or rehabilitation back to work.

Place, publisher, year, edition, pages
Linköping: Institutionen för hälsa och samhälle, 2006. p. 90
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 934
Keywords
Health promotion, Workplace, Social support, self-rated health, burnout
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:liu:diva-7436 (URN)91-85497-69-X (ISBN)
Public defence
2006-02-10, Aulan, Hälsans hus, Campus US, Linköpings Universitet, Linköping, 13:00 (English)
Opponent
Available from: 2006-09-27 Created: 2006-09-27 Last updated: 2012-10-23Bibliographically approved
Arneson, H. & Ekberg, K. (2006). Measuring empowerment in working life: a review. Work: A journal of Prevention, Assessment and rehabilitation, 26(1), 37-46
Open this publication in new window or tab >>Measuring empowerment in working life: a review
2006 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 26, no 1, p. 37-46Article in journal (Refereed) Published
Abstract [en]

This study identifies and describes questionnaires that measure empowerment in working life. Theoretical bases and empirical examination of the questionnaires are also reported. Nine questionnaires emerged from a database search including AMED, CINAHL, ERIC, MEDLINE and PSYCINFO. The main target groups were employees in general. Most authors share the same theoretical basis. Most of the questionnaires focus on intra- individual issues, while a smaller number deal with the interaction between individual and organization. Control and competence are frequently used dimensions. Cronbach's alpha for complete questionnaires ranged between 0.62 and 0.96. No comparisons with outcome of health were reported. Spreitzer's questionnaire [54] has undergone the most comprehensive investigation. Research is required to achieve better understanding of the interplay between conditions at work and empowerment and health.

Keywords
Empowerment; Health promotion; Measurement; Working life; Workplace health promotion
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-21811 (URN)16373978 (PubMedID)
Available from: 2009-10-05 Created: 2009-10-05 Last updated: 2020-06-05Bibliographically approved
Arneson, H. & Ekberg, K. (2005). Empowerment processes in workplace health promotion - implementation of a problem based intervention.. In: Best practice for better health, 6th IUHPE European Conference on the Effectiveness and Quality of Health Promotion,2005.
Open this publication in new window or tab >>Empowerment processes in workplace health promotion - implementation of a problem based intervention.
2005 (English)In: Best practice for better health, 6th IUHPE European Conference on the Effectiveness and Quality of Health Promotion,2005, 2005Conference paper, Published paper (Refereed)
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-29331 (URN)14653 (Local ID)14653 (Archive number)14653 (OAI)
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2013-09-03
Arneson, H. (2005). Empowerment processes in workplace health promotion - implementation of a problem based intervention. In: International Developments in Rehabilitation to Work,2005.
Open this publication in new window or tab >>Empowerment processes in workplace health promotion - implementation of a problem based intervention
2005 (English)In: International Developments in Rehabilitation to Work,2005, 2005Conference paper, Published paper (Refereed)
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-29326 (URN)14647 (Local ID)14647 (Archive number)14647 (OAI)
Available from: 2009-10-09 Created: 2009-10-09
Arneson, H. & Ekberg, K. (2005). Empowerment processes in workplace health promotion - implementation of an intervention based on learning.. In: Second ICOH Internatinal Conference on Psychosocial factors at Work.,2005.
Open this publication in new window or tab >>Empowerment processes in workplace health promotion - implementation of an intervention based on learning.
2005 (English)In: Second ICOH Internatinal Conference on Psychosocial factors at Work.,2005, 2005Conference paper, Published paper (Refereed)
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-29330 (URN)14652 (Local ID)14652 (Archive number)14652 (OAI)
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2013-09-03
Arneson, H. & Ekberg, K. (2005). Evaluation of empowerment processes in a workplace health promotion intervention based on learning in Sweden. Health Promotion International, 20(4), 351-359
Open this publication in new window or tab >>Evaluation of empowerment processes in a workplace health promotion intervention based on learning in Sweden
2005 (English)In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 20, no 4, p. 351-359Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to evaluate a theory-based method for workplace health promotion (WHP) with regard to possible facilitation of empowerment processes. The intervention tool was the pedagogic method known as problem-based learning (PBL). The aim of the intervention was to promote empowerment and health among the employees. The intervention was implemented in three organizations within the public sector in Sweden, in a bottom-up approach. All employees, including management, in each organization, were offered the opportunity to participate (n = 113) and 87% (n = 97) participated. The intervention was implemented in 13 groups of six to eight participants who met once a week over a period of 4 months. The predetermined overall goal of the intervention was to promote employee health within the organizational setting. A facilitator in each group and a group-specific mutual agreement guided the intervention, as did the problem solving process. The participants set goals and developed strategies to reach their goals between the meetings. Thirty informants were interviewed in seven focus groups after the intervention about the intervention method and the process, following a semi-structured theme guide. The phenomenographic analysis resulted in six descriptive categories: reflection, awareness and insight, self-direction and self-management, group coherence, social support and actions. The results correspond to established theories of components of empowerment processes. The method initiated processes of change at organizational, workplace and individual levels as the participants examined their work situation, determined problems and initiated solutions. Social support and group coherence were expressed as essential in order to transform challenging strategies into action and goal realization. The findings indicate that systematic improvements of social support and group coherence among employees ought to be facilitated by the organization as a health-promoting arena. PBL appears to be a profitable and powerful instrument with the potential to enable empowerment.

Keywords
Empowerment, Problem-based learning, Workplace health promotion
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-50354 (URN)10.1093/heapro/dai023 (DOI)
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-12Bibliographically approved
Arneson, H. & Ekberg, K. (2005). Psychological empowerment and self-rated health in a sample of Swedish employees.. In: Second ICOH International Conference on Psychosocial factors at Work.,2005.
Open this publication in new window or tab >>Psychological empowerment and self-rated health in a sample of Swedish employees.
2005 (English)In: Second ICOH International Conference on Psychosocial factors at Work.,2005, 2005Conference paper, Published paper (Refereed)
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-29329 (URN)14651 (Local ID)14651 (Archive number)14651 (OAI)
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2013-09-03
Arneson, H. (2005). Vidmakthållande av hälsofrämjande processer vid arbetsplatser.. Socialmedicinsk Tidskrift, 82, 241-254
Open this publication in new window or tab >>Vidmakthållande av hälsofrämjande processer vid arbetsplatser.
2005 (Swedish)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 82, p. 241-254Article in journal (Other academic) Published
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-29328 (URN)14649 (Local ID)14649 (Archive number)14649 (OAI)
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2017-12-13
Arneson, H. & Ekberg, K. (2004). Teori och metod för participativ problembaserad interventionsmetod i hälsofrämjande arbetsliv.. In: Folkhälsostämman,2004.
Open this publication in new window or tab >>Teori och metod för participativ problembaserad interventionsmetod i hälsofrämjande arbetsliv.
2004 (Swedish)In: Folkhälsostämman,2004, 2004Conference paper, Published paper (Refereed)
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-22679 (URN)1969 (Local ID)1969 (Archive number)1969 (OAI)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2013-09-03
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