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Assessment of Psychosocial Work Environment in Primary Care: Development of a Questionnaire
Linköping University, Department of Medicine and Care, Nursing Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of health and environment. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, General Practice. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0003-4224-1032
Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
1999 (English)In: Journal of medical systems, ISSN 0148-5598, E-ISSN 1573-689X, Vol. 23, no 6, 447-456 p.Article in journal (Refereed) Published
Abstract [en]

Recent studies have indicated deteriorated working conditions of health care personnel. To have an efficient health care organization requires good working conditions and the well-being of the personnel. Today there are no 'gold-standard' assessment tools measuring psychosocial working conditions. The aim of this study was to develop two valid and reliable questionnaires, one generic and one specific, measuring psychosocial working conditions for general practitioners (GPs) and district nurses (DNs) in Sweden, with a special emphasis on organizational changes. The construction of the questionnaires were made after a stepwise developing phase including literature review, interviews, and a pilot study. The pilot study included GPs n = 42 and DNs n = 39. The questionnaires were later on used in a main study (GPs n = 465, DNs n = 465). A factor analysis was carried out and showed that there were fewer items in the main study that had factor loading ≥ 0.40 in more than one factor, compared to the pilot study. The factors from the main study were easier to label and had good correspondence with other studies. After this stepwise development phase good construct validity and internal consistency were established for the questionnaire.

Place, publisher, year, edition, pages
1999. Vol. 23, no 6, 447-456 p.
Keyword [en]
psychosocial working conditions, general practitioner, district nurses, questionnaire, factor analysis
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-49807DOI: 10.1023/A:1020516914688OAI: oai:DiVA.org:liu-49807DiVA: diva2:270703
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2013-09-05Bibliographically approved
In thesis
1. Psychosocial working conditions among general practitioners and district nurses: Organisational, professional and gender aspects
Open this publication in new window or tab >>Psychosocial working conditions among general practitioners and district nurses: Organisational, professional and gender aspects
2001 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis focuses on the psychosocial working conditions shared by general practitioners and district nurses in Sweden, in relation to the personal doctor reform and district nurses' right to prescribe drugs.

First, a questionnaire was compiled and developed through a stepwise development phase, including key informant interviews, literature review, and review of other models and questionnaires used with a similar purpose. The questionnaire developed was used in a pilot study with 42 general practitioners and 39 district nurses. The questionnaire with 78 items in different parts, was tested for construct validity through factor analysis, and for reliability through Cronbach's alpha. It was then used in the main study.

One aim was also to compare perceived changes in working conditions between general practitioners and district nurses during different degrees of implementation of a personal doctor system. A sample of 469 general practitioners and 466 district nurses participated. The cross-sectional design makes it difficult to distinguish the possible direct effects of a personal doctor from other regional differences. However, is it important to note that the personnel in a more far-reaching personal doctor system perceived less favourable psychosocial working conditions than personnel in a more traditional primary care system.

Another aim was to investigate gender and professional differences in the shared psychosocial working conditions. Both general practitioners and district nurses were satisfied with the professional content of their work and experienced rather low or moderate levels of strains -and symptoms. However, female general practitioners perceived the most unfavourable working conditions compared with both male colleagues and female district nurses.

The opinions among general practitioners and district nurses, to district nurses' right to prescribe drugs differed in all aspects studied. District nurses were positive and general practitioners negative. To gain a deeper understanding of the different opinions, six focus group interviews was carried out. The resistance to the refonn had turned into silence. General practitioners and district nurses hardly speak to each other about prescribing. The district nurses were uncertain whether the general practitioners trusted them and made up systems for self-control.

The personnel within a more far-reaching personal doctor system perceived less-favourable psychosocial working conditions compared with personnel in more traditional primary care system. Female general practitioners seem to experience the most unfavourable working conditions. compared with both their male counterparts, and female district nurses. District nurses prescribing highlights professional differences. Quantitative and qualitative data complement each other and give more diverse information.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2001. 63 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 669
Keyword
psychosocial working conditions, primary care, general practitioners, district nurses, profession, gender aspects, personal doctor reform, district nurses prescribing
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-27556 (URN)12218 (Local ID)91-7219-962-8 (ISBN)12218 (Archive number)12218 (OAI)
Public defence
2001-05-04, Administrationsbyggnadens aula, Universitetssjukhuset, Linköping, 09:00 (Swedish)
Opponent
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2012-09-06Bibliographically approved

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Wilhelmsson, SusanÅkerlind, IngemarFaresjö, TomasEk, Anna-Christina

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Wilhelmsson, SusanÅkerlind, IngemarFaresjö, TomasEk, Anna-Christina
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