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Skamagki, G., Carpenter, C., King, A. & Wåhlin, C. (2022). Management of Chronic Musculoskeletal Disorders in the Workplace from the Perspective of Older Employees: A Mixed Methods Research Study. International Journal of Environmental Research and Public Health, 19(15), Article ID 9348.
Open this publication in new window or tab >>Management of Chronic Musculoskeletal Disorders in the Workplace from the Perspective of Older Employees: A Mixed Methods Research Study
2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 15, article id 9348Article in journal (Refereed) Published
Abstract [en]

(1) Background: This mixed methods research (MMR) study explored older employees’ experiences of chronic musculoskeletal disorders (CMSDs) in relation to their employment, their perspectives on managing these conditions in the workplace and the strategies used to facilitate and maintain their roles and responsibilities. The services offered to them were also identified. (2) Methods: A mixed methods exploratory sequential design was implemented. In the first qualitative phase, 16 semi-structured interviews gathered in-depth information from older employees. The findings informed the development of an online questionnaire in the survey phase, which was administered to older employees (N = 107). Both sets of findings were then integrated using a narrative joint display. (3) Results: The phenomena of presenteeism and leaveism were important components of employees’ strategies for managing their condition. The integrated findings highlighted the roles of employers, managers and social support in encouraging disclosure and supporting the management of CMSDs. The results also emphasised how self-management and professional health services are crucial for sustaining employability. (4) Conclusions: Current challenges call for employers to identify effective ways to support the ageing workforce and invest in training opportunities for managers and collaborative opportunities with healthcare professionals and other stakeholders. A flexible, empathetic and resourceful work environment is optimal for supporting sustained employability for an ageing workforce.

Place, publisher, year, edition, pages
Basel, Switzerland: MDPI, 2022
Keywords
chronic musculoskeletal disorders; ageing workforce; management; occupational health and safety; mixed methods research
National Category
Occupational Health and Environmental Health Work Sciences
Identifiers
urn:nbn:se:liu:diva-187119 (URN)10.3390/ijerph19159348 (DOI)000838949500001 ()
Available from: 2022-08-02 Created: 2022-08-02 Last updated: 2022-08-31Bibliographically approved
Nilsing Strid, E., Wåhlin, C., Ros, A. & Kvarnström, S. (2021). Health care workers’ experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. BMC Health Services Research, 21, 1-12, Article ID 511.
Open this publication in new window or tab >>Health care workers’ experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis
2021 (English)In: BMC Health Services Research, E-ISSN 1472-6963, BMC Health Serv Res, Vol. 21, p. 1-12, article id 511Article in journal (Refereed) Published
Abstract [en]

Background

Health care workers (HCWs) are at high risk of occupational injuries and approximately 10–15% of patients are affected by an adverse event during their hospital stay. There is scarce scientific literature about how HCWs manage these risks in practice and what support they need. This knowledge is needed to improve safety for patients and HCWs. This study explores HCWs’ experiences of workplace incidents that led to injury or posed a risk of patient and worker injury, with focus on HCWs’ emotions and actions.

Methods

This study employed a qualitative design using the critical incident technique. Semi-structured individual interviews were held with 34 HCWs from three regions in Sweden. Data were analysed using inductive category development.

Results

Altogether 71 workplace incidents were reported. The analysis of two dimensions – the emotions HCWs feel and the actions team members and managers take when a workplace incident occurs – yielded two categories each: Anxiety during the incident, Persistent distress after the incident, Team interplay for safety actions and Support and ratification from managers and colleagues. Health care workers risked their own safety and health to provide patient safety. Teamwork and trustful relationships were critical for patient and worker safety. Support and validation from colleagues and managers were important for closure; unsatisfactory manager response and insufficient opportunities to debrief the incident could lead to persistent negative emotions. Participants described insecurity and fear, sadness over being injured at work, and shame and self-regret when the patient or themselves were injured. When the workplace had not taken the expected action, they felt anger and resignation, often turning into long-term distress.

Conclusions

Work situations leading to injury or risk of patient and worker injury are emotionally distressing for HCWs. Team interplay may facilitate safe and dynamic practices and help HCWs overcome negative emotions. Organizational support is imperative for individual closure. For safety in health care, employers need to develop strategies for active management of risks, avoiding injuries and providing support after an injury.

Place, publisher, year, edition, pages
BioMed Central, 2021
Keywords
Healthcare injuries work environment occupational safety management
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-176057 (URN)10.1186/s12913-021-06517-x (DOI)000659056700001 ()34044852 (PubMedID)2-s2.0-85106894850 (Scopus ID)
Funder
Medical Research Council of Southeast Sweden (FORSS), FORSS-857091
Note

Funding: Medical Research Council of Southeast SwedenUK Research & Innovation (UKRI)Medical Research Council UK (MRC) [FORSS-857091]; Region Ostergotland [LIO-630281]; Orebro University

Available from: 2021-06-02 Created: 2021-06-02 Last updated: 2022-09-15Bibliographically approved
Arapovic-Johansson, B., Wåhlin, C., Hagberg, J., Kwak, L., Axen, I., Bjorklund, C. & Jensen, I. (2020). Experience of Stress Assessed by Text Messages and Its Association with Objective Workload-A Longitudinal Study. International Journal of Environmental Research and Public Health, 17(3), Article ID 680.
Open this publication in new window or tab >>Experience of Stress Assessed by Text Messages and Its Association with Objective Workload-A Longitudinal Study
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2020 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 3, article id 680Article in journal (Refereed) Published
Abstract [en]

Exploring stress trajectories in detail and over a long time may give valuable information in terms of both understanding and practice. We followed a group of primary health care employees in a randomized controlled trial. The objective was to describe their experience of stress, explore the intra-individual variability and examine the association between the experience of stress and the objective workload. Weekly text messages with a single item stress question were distributed in two time series: 12 weeks at the beginning of the trial and 26 weeks after the 6-month follow up. Aggregated objective data about workload were collected from their administration office and related to stress levels. There was a seasonal variation, with higher stress during the fall than in spring and summer. The analysis comparing high and low stress subgroups showed that the stress trajectory of a high-stress subgroup was different from that of a low-stress subgroup. Individuals with high exhaustion scores had higher odds of belonging to a subgroup of individuals with high intra-individual variability in stress experience. The objective workload was measured in two ways and was strongly associated with the stress experience. We found that the lower the productivity, the higher the feeling of stress.

Place, publisher, year, edition, pages
MDPI, 2020
Keywords
work stress; objective data; workload; intra-individual variability; new technology
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:liu:diva-164681 (URN)10.3390/ijerph17030680 (DOI)000517783300005 ()31973041 (PubMedID)
Note

Funding Agencies|Swedish Research Council for Health, Working life and WelfareSwedish Research CouncilSwedish Research Council for Health Working Life & Welfare (Forte) [1284/11]; AFA insurance [130153]

Available from: 2020-03-29 Created: 2020-03-29 Last updated: 2021-12-29
Boström, M., Björklund, C., Bergström, G., Nybergh, L., Schäfer Elinder, L., Stigmar, K., . . . Kwak, L. (2020). Health and Work Environment among Female and Male Swedish Elementary School Teachers: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 17(1), Article ID E227.
Open this publication in new window or tab >>Health and Work Environment among Female and Male Swedish Elementary School Teachers: A Cross-Sectional Study
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2020 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 1, article id E227Article in journal (Refereed) Published
Abstract [en]

BACKGROUND AND OBJECTIVES: Changes in teachers' work situation in Sweden since the 1990s may have contributed to an increase in common mental disorders (CMDs) and burnout. However, there is a lack of research in this field. The aim was to describe how Swedish elementary school teachers experience their health, organizational and social work environment, and the psychosocial safety climate at the workplace, and especially differences and similarities between female and male teachers.

MATERIALS AND METHODS: Data were collected with the COPSOQ, OLBI, UWES and PSC-12 from 478 elementary teachers, 81.0% of them women, from twenty schools. The response rate was 96.4%.

RESULTS: Teachers reported relatively good general health but experienced high stress, high work pace and emotional demands, low influence at work and a poor psychosocial safety climate. These factors were especially prominent among female teachers. Both women and men experienced good development possibilities and high work engagement.

CONCLUSIONS: The results of this study can help us to develop a more sustainable work environment for female and male teachers. A more sustainable work environment might attract more people to the profession and incentivize existing teachers to remain in the profession.

Place, publisher, year, edition, pages
MDPI, 2020
Keywords
Copenhagen Psychosocial Questionnaire, Psychosocial Safety Climate scale, common mental disorders, organizational and social work environment, school, stress, teachers
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-163012 (URN)10.3390/ijerph17010227 (DOI)000509391500227 ()31905608 (PubMedID)
Note

Funding agencies: AFA Insurance, Sweden [150571]

Available from: 2020-01-08 Created: 2020-01-08 Last updated: 2021-12-29Bibliographically approved
Rolander, B., Lindmark, U., Johnston, V., Wagman, P. & Wåhlin, C. (2020). Organizational types in relation to exposure at work and sickness: a repeated cross-sectional study within public dentistry. Acta Odontologica Scandinavica, 78(2), 132-140
Open this publication in new window or tab >>Organizational types in relation to exposure at work and sickness: a repeated cross-sectional study within public dentistry
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2020 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 78, no 2, p. 132-140Article in journal (Refereed) Published
Abstract [en]

Objective: Organizations and state agencies that provide dental care continuously face various and novel demands related to the need for dental care. However, rearrangements of work tasks by reducing the number of tasks performed by dental personnel might make the work more monotonous, repetitive, and static within an organization. The aim of this study is to compare how two dental work organizations, with different staffing and clinic size, are perceived by dental personnel focusing on physical and psychosocial conditions, leadership, work ability and presenteeism in 2012 and 2014.

Material and Methods: This repeated cross-sectional study included personnel from the Public Dental Service in Sweden. There were 282 dentists, dental hygienists, and dental nurses who answered a questionnaire 2012 and 299 in 2014.

Results and conclusion: In 2012, nine per cent of medium clinics reported poor leadership compared with 27% in 2014. For large clinics, 17% perceived poor leadership in 2012 compared with 31% in 2014. A higher proportion of the employees reported presenteeism due to high physical load (43%) and high psychosocial load (21%) in 2014 compared with 31% and 13% in 2012. These results indicate the need for work place interventions promoting health among dental employees.

Place, publisher, year, edition, pages
Taylor & Francis, 2020
Keywords
Organizational, presenteeism, psychosocial conditions, public dentistry, work ability
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:liu:diva-161071 (URN)10.1080/00016357.2019.1659411 (DOI)000486532600001 ()31519122 (PubMedID)
Available from: 2019-10-20 Created: 2019-10-20 Last updated: 2021-12-29Bibliographically approved
Wåhlin, C., Kvarnström, S., Öhrn, A. & Nilsing Strid, E. (2020). Patient and healthcare worker safety risks and injuries. Learning from incident reporting. European Journal of Physiotherapy, 22(1), 44-50
Open this publication in new window or tab >>Patient and healthcare worker safety risks and injuries. Learning from incident reporting
2020 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 22, no 1, p. 44-50Article in journal (Refereed) Published
Abstract [en]

Objectives: Learning from incident reporting systems is one core strategy to develop a culture of safety for healthcare workers and patients. The aim of this retrospective study was to explore patient injuries focussing on falls. Furthermore, on healthcare workers incidents, injuries and the situations they occurred.

Method: A total of 65,749 patient risks and incidents were registered in the incident reporting system between 2011 and 2014. Of these, 11,006 were classified as an injury to a patient. Risks and incidents were registered and analysed for 1702 healthcare workers.

Results: Fifteen percent of the patient injuries required treatment. Falls were reported in 17% of the cases. Patients fell mainly in unassisted situations. Healthcare workers’ incidents and injuries were registered mainly by nurses and assistant nurses. Sixteen percent of the injuries required treatment. Prevalence of incidents was on an average 3.5% each year. Common injuries were: needle stick, workplace violence, injuries during patient manual handling. The patient was present in 74% of all incidents.

Conclusion: Patient and healthcare workers injuries are still prevalent in Swedish healthcare and a substantial part of the incidents involved a patient situation. Collaboration between employers, employees and patient representatives is needed to increase awareness of safety in healthcare.

Place, publisher, year, edition, pages
Taylor & Francis, 2020
Keywords
Health services, patient safety, occupational safety, nurses, physical therapists, Sweden
National Category
Physiotherapy
Identifiers
urn:nbn:se:liu:diva-154339 (URN)10.1080/21679169.2018.1549594 (DOI)000514590100007 ()2-s2.0-85060480878 (Scopus ID)
Available from: 2019-02-05 Created: 2019-02-05 Last updated: 2021-05-01Bibliographically approved
B Jensen, I., Björk Brämberg, E., Wåhlin, C., Björklund, C., Hermansson, U., Lohela Karlson, M., . . . Kwak, L. (2020). Promoting Evidence-Based Practice for Improved Occupational Safety and Health at Workplaces in Sweden. Report on a Practice-Based Research Network Approach.. International Journal of Environmental Research and Public Health, 17(15), Article ID E5283.
Open this publication in new window or tab >>Promoting Evidence-Based Practice for Improved Occupational Safety and Health at Workplaces in Sweden. Report on a Practice-Based Research Network Approach.
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2020 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 15, article id E5283Article in journal (Refereed) Published
Abstract [en]

Despite the rapid growth in research and R&D expenditures, the translation of research into practice is limited. One approach to increase the translation and utilization of research is practice based research networks. With the aim of strengthening evidence-based practice (EBP) within occupational health services in Sweden (OH-Services), a practice-based research network (PBRN-OSH) was developed. The PBRN-OSH includes researchers and representatives from end-users. This paper reports on the development, outputs and lessons learned in the PBRN-OSH. The PBRN-OSH resulted in several practice-based research projects as well as different measures to ensure EBP in OSH such as the governmentally sanctioned national guidelines for the OH-services. Moreover, results show that the competence in EBP increased among practitioners at the OH-services. Conducting research in a PBRN is more resource demanding; however, this does not imply that it is less cost effective. To succeed in increasing the utility of research findings via PBRN, resources must be invested into an infrastructure that supports collaboration in the PBRN, including costs for a variety of means of dissemination. Further, translation activities need to be included in academic career paths and reward systems if a major improvement in the impact and return of investments from research is to be expected.

Place, publisher, year, edition, pages
MDPI, 2020
Keywords
guidelines, implementation research, occupational health services, occupational safety and health, practice-based research network, workplace interventions
National Category
Medical and Health Sciences Social Work
Identifiers
urn:nbn:se:liu:diva-168587 (URN)10.3390/ijerph17155283 (DOI)000559189700001 ()32707983 (PubMedID)2-s2.0-85088303331 (Scopus ID)
Note

Funding agencies: Swedish Research Council for Health, working life and Welfare (FORTE) [2010/01572, 2010/01743, 2016/00597, 2017/01844]; AFA Insurance [130153]; SAWEE (Mynak) [2017/01398]

Available from: 2020-08-26 Created: 2020-08-26 Last updated: 2021-04-30Bibliographically approved
Kwak, L., Lornudd, C., Björklund, C., Bergström, G., Nybergh, L., Elinder, L. S., . . . Jensen, I. (2019). Implementation of the Swedish Guideline for Prevention of Mental ill-health at the Workplace: study protocol of a cluster randomized controlled trial, using multifaceted implementation strategies in schools. BMC Public Health, 19(1), Article ID 1668.
Open this publication in new window or tab >>Implementation of the Swedish Guideline for Prevention of Mental ill-health at the Workplace: study protocol of a cluster randomized controlled trial, using multifaceted implementation strategies in schools
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2019 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 19, no 1, article id 1668Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Given today's high prevalence of common mental disorders and related sick leave among teachers, an urgent need exists for a more systematic approach to the management of social and organizational risk factors within schools. In 2015, we launched the first Swedish occupational health guideline to support a structured prevention of these risks at the workplace. The existence of guidelines does however not guarantee their usage, as studies show that guidelines are often underused. Knowledge is therefore needed on effective implementation strategies that can facilitate the translation of guidelines into practice. The primary aim of the randomized waiting list-controlled trial described in this study protocol is to compare the effectiveness of a multifaceted implementation strategy versus a single implementation strategy for implementing the Guideline for the prevention of mental ill-health at the workplace within schools. The effectiveness will be compared regarding the extent to which the recommendations are implemented (implementation effectiveness) and with regard to social and organisational risk factors for mental ill-health, absenteeism and presenteeism (intervention effectiveness).

METHODS: The trial is conducted among primary schools of two municipalities in Sweden. The single implementation strategy is an educational strategy (an educational meeting). The multifaceted strategy consists of the educational meeting, an implementation team and a series of workshops. The outcome measure of implementation effectiveness is guideline adherence. The primary outcome of intervention effectiveness is exhaustion. Secondary outcomes include demands at work, work organization and job contents, interpersonal relations and leadership, presenteeism, work performance, recovery, work-life balance, work-engagement, self-reported stress, self-perceived health, sickness absence and psychosocial safety climate. Process outcomes as well as barriers and facilitators influencing the implementation process are assessed. Data will be collected at baseline, 6, 12, 18 and 24 months by mixed methods (i.e. survey, focus-group interviews, observation).

DISCUSSION: The study described in this protocol will provide valuable knowledge on the effectiveness of implementation strategies for implementing a guideline for the prevention of common mental disorders within schools. We hypothesize that successful implementation will result in reductions in school personnel's perceived social and organizational risk factors, mental ill-health and sick-leave.

TRIAL REGISTRATION: ClinicalTrials.gov ID: NCT03322839 (trial registration: 09/19/2017).

Place, publisher, year, edition, pages
BioMed Central, 2019
Keywords
Adherence, Guideline, Implementation strategies, Mental ill health, Stress, Teachers
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:liu:diva-163011 (URN)10.1186/s12889-019-7976-6 (DOI)000511638300007 ()31829186 (PubMedID)2-s2.0-85076374451 (Scopus ID)
Funder
AFA Insurance
Available from: 2020-01-08 Created: 2020-01-08 Last updated: 2023-08-28Bibliographically approved
Skamagki, G., King, A., Duncan, M. & Wåhlin, C. (2018). A systematic review on workplace interventions to manage chronic musculoskeletal conditions. Physiotherapy Research International, 23(4), Article ID e1738.
Open this publication in new window or tab >>A systematic review on workplace interventions to manage chronic musculoskeletal conditions
2018 (English)In: Physiotherapy Research International, ISSN 1358-2267, E-ISSN 1471-2865, Vol. 23, no 4, article id e1738Article in journal (Refereed) Published
Abstract [en]

BACKGROUND AND PURPOSE: A review to investigate whether there are effective workplace interventions that manage chronic musculoskeletal disorders.

METHODS: The literature search included published articles between 2008 and 2017. The databases used in this search were MEDLINE, Scopus, CINAHL, AMED, PsycINFO, Academic Search Complete, Cochrane, and PEDro. A limited search on websites for relevant grey literature was also conducted.

RESULTS: The review included 12 studies that investigated effectiveness of a specific strength exercise programme or interventions provided by health professionals at the workplace when compared with controls or interventions not at the workplace. Seven studies were classified as high quality (>85% of criteria met) and five studies were classified as acceptable. Studies were heterogeneous preventing a meta-analysis. No intervention was clearly superior to another.

DISCUSSION: There was some consistency in the results of the selected studies, suggesting that workplace interventions such as high-intensity strength exercises and/or integrated health care can decrease pain and symptoms for employees who experience long-term musculoskeletal disorders. However, the current research is limited.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
chronic musculoskeletal disorders, management, systematic review, workplace
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:liu:diva-153615 (URN)10.1002/pri.1738 (DOI)000447159800014 ()30126016 (PubMedID)2-s2.0-85052665022 (Scopus ID)
Available from: 2019-01-03 Created: 2019-01-03 Last updated: 2021-12-29Bibliographically approved
Arapovic-Johansson, B., Wåhlin, C., Hagberg, J., Kwak, L., Björklund, C. & Jensen, I. (2018). Participatory work place intervention for stress prevention in primary health care. A randomized controlled trial. European Journal of Work and Organizational Psychology, 27(2), 219-234
Open this publication in new window or tab >>Participatory work place intervention for stress prevention in primary health care. A randomized controlled trial
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2018 (English)In: European Journal of Work and Organizational Psychology, ISSN 1359-432X, E-ISSN 1464-0643, Vol. 27, no 2, p. 219-234Article in journal (Refereed) Published
Abstract [en]

The aim of this study is to explore whether a participatory, organizational intervention can reduce work-related risk factors, and thereby prevent stress-related ill health. We build on the job demand-control and effort-reward imbalance models of stress. It is a two-armed randomized trial, with one primary health care unit receiving the intervention and a two-unit control group. Validated questionnaires for the assessment of psychosocial work environment and health were administered, at the baseline and at 6 and 12-month follow up. The primary outcome was job strain. Secondary outcomes were effort-reward imbalance, exhaustion, sleep, and recovery. Group-level objective data on workload and data about relevant processes during the study were continuously collected. The changes in the intervention group with regard to job strain, effort-reward imbalance, exhaustion, sleep and recovery were not statistically different from changes in the control group. For the non-exhausted employees though, reward was significantly higher at follow up compared to baseline, but only in the intervention group. An important piece of information is that the objective workload was statistically significantly higher in the intervention group throughout the study. Not all the components of the intervention were implemented as intended. Context and process information, such as objective data and implementation fidelity are necessary for a valid interpretation of the results.

Place, publisher, year, edition, pages
Routledge, 2018
Keywords
Stress prevention; randomized controlled trial; demand-control; effort-reward; ProMES
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-147452 (URN)10.1080/1359432X.2018.1431883 (DOI)000428813000005 ()2-s2.0-85041190720 (Scopus ID)
Note

Funding Agencies|AFA Insurance; Swedish Research Council for Health, Working Life and Wellfare

Available from: 2018-05-16 Created: 2018-05-16 Last updated: 2021-12-29Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7847-7528

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