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Tjulin, Å., Landstad, B., Vinberg, S., Eriksson, A. & Hagqvist, E. (2019). Managers’ learning process during a health-promoting leadership intervention. Health Education
Open this publication in new window or tab >>Managers’ learning process during a health-promoting leadership intervention
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2019 (English)In: Health Education, ISSN 0965-4283, E-ISSN 1758-714XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

Abstract

Purpose

The increasingly demanding psychosocial working conditions in Swedish public sector workplaces call for implementation of workplace health promotion (WHP) interventions. There is a need to increase first-line public sector managers’ capacities for health-promoting leadership. The purpose of this paper is to investigate first-line managers’ experiences of participating in an intervention aimed at strengthening health-promoting leadership. More precisely, the aim is to study what obstacles and prerequisites the intervention have for their learning processes to become health-promoting managers.

Design/methodology/approach

A qualitative study in Northern Sweden at workplaces in the county council and municipalities was conducted. The data were gathered through individual interviews with 18 participating first-line managers. Inductive-content analysis was used to analyse the data.

Findings

The results identify time for reflection and collegial discussions about leadership as prerequisites for learning about health-promoting leadership. Managers experienced the intervention as a confirmation of the leadership behaviours already gained. However, the health-promoting leadership intervention was seen as a contradiction, since organisational prerequisites to implement WHP measures were perceived to be lacking. The managers were not involved in the planning of the intervention and questioned why the organisation did not involve them more when the educational activities were created.

Originality/value

When the organisation understands how and when its managers learn, what they need and want to learn about WHP, and what they already know, tailored participatory interventions can be facilitated that consider the unique prerequisites for the particular organisation.

Keywords
Health promotion, Social interaction, Learning, Qualitative methods, Intervention
National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-37387 (URN)10.1108/HE-02-2019-0004 (DOI)
Funder
AFA Insurance
Available from: 2019-09-26 Created: 2019-09-26 Last updated: 2019-09-30Bibliographically approved
Toivanen, S., Hagqvist, E., Landstad, B., Nordenmark, M., Östergren, P.-O. & Vinberg, S. (2019). Mikroföretagares arbetsmiljö och hälsa med fokus på genus och etnicitet - innovationer för tillsyn. In: Arbetsmiljö och ohälsa i ett genusperspektiv: Uppdragsforskning med relevans för tillsynsverksamheten (pp. 43-55). Stockholm: Arbetsmiljöverket
Open this publication in new window or tab >>Mikroföretagares arbetsmiljö och hälsa med fokus på genus och etnicitet - innovationer för tillsyn
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2019 (Swedish)In: Arbetsmiljö och ohälsa i ett genusperspektiv: Uppdragsforskning med relevans för tillsynsverksamheten, Stockholm: Arbetsmiljöverket , 2019, , p. 43-59p. 43-55Chapter in book (Other academic)
Place, publisher, year, edition, pages
Stockholm: Arbetsmiljöverket, 2019. p. 43-59
Series
Rapport 2019:7: Arbetsmiljö och ohälsa i ett genusperspektiv. Arbetsmiljöverket, ISSN 1650-3717
National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-37317 (URN)
Available from: 2019-09-24 Created: 2019-09-24 Last updated: 2019-09-27Bibliographically approved
Andersen-Hollekim, T. E., Kvangarsnes, M., Landstad, B. J., Talseth-Palmer, B. A. & Hole, T. (2019). Patient participation in the clinical pathway: Nurses' perceptions of adults' involvement in haemodialysis. Nursing Open, 6(2), 574-582
Open this publication in new window or tab >>Patient participation in the clinical pathway: Nurses' perceptions of adults' involvement in haemodialysis
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2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 2, p. 574-582Article in journal (Refereed) Published
Abstract [en]

Aim: To develop knowledge of nurses' perceptions of participation for patients treated with haemodialysis and their next of kin.

Design: A qualitative study with a hermeneutic approach.

Methods: The data were collected in 2015 through focus groups with 13 nurses in Central Norway.

Results: The nurses reported that patient participation ranging from non-involvement to shared decision-making was related to whether dialysis was initiated as acute or scheduled. The restrictions required in chronic haemodialysis limited participation. The next of kin were not involved. The nurses highlighted interventions on both the individual and system levels to strengthen participation.

Conclusion: Dialysis units should develop strategies for participation related to individual needs and design treatment in cooperation with patients and their families, ensuring involvement early in the clinical pathway. Further research is needed on issues related to next of kin, including their desired level of involvement.

National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-36155 (URN)10.1002/nop2.241 (DOI)000461835600037 ()30918708 (PubMedID)2-s2.0-85062985507 (Scopus ID)
Available from: 2019-05-20 Created: 2019-05-20 Last updated: 2019-05-22Bibliographically approved
Bårdsgjerde, E. K., Kvangarsnes, M., Landstad, B., Nylenna, M. & Hole, T. (2019). Patients' narratives of their patient participation in the myocardial infarction pathway. Journal of Advanced Nursing, 75(5), 1063-1073
Open this publication in new window or tab >>Patients' narratives of their patient participation in the myocardial infarction pathway
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2019 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, no 5, p. 1063-1073Article in journal (Refereed) Published
Abstract [en]

Aim: To explore how patients in areas without local percutaneous coronary intervention (PCI) facilities experience patient participation in different phases of the myocardial infarction pathway. Background: Acute treatment of myocardial infarction often involves PCI. In Norway, this treatment is centralized at certain hospitals; thus, patients often require long-distance transportation and experience frequent hospital transfers. Short hospital stays, transfers between hospitals and the patient's emotional state pose challenges to promoting patient participation. Design: A qualitative design with a narrative approach. Methods: Participants were recruited through purposive sampling. Eight men and two women were interviewed in 2016. Findings: Four themes related to the patients' experiences at the beginning, middle and end of the pathway were identified: (a) Lack of verbal communication in the acute phase; (b) trust in healthcare professionals and treatment; (c) lack of participation and coordination at discharge; and (d) shared decision-making in rehabilitation. The findings showed how the patients moved from a low level of patient participation in the acute phase to a high level of patient participation in the rehabilitation phase. Conclusion: This is the first study to explore patient participation in different phases of the myocardial infarction pathway. We argue that individual plans for information and patient participation are important to improve patient involvement in an earlier stage of the pathway. Further research from a healthcare professional perspective can be valuable to understand this topic. Impact: This study gives new insight that can be valuable for healthcare professionals in implementing patient participation throughout the pathway. 

Keywords
interview, myocardial infarction, myocardial infarction care, narratives, nursing, patient involvement, patient participation, patient pathway, patient perspective, qualitative
National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-35820 (URN)10.1111/jan.13931 (DOI)000465107000015 ()30549312 (PubMedID)
Available from: 2019-03-19 Created: 2019-03-19 Last updated: 2019-05-22Bibliographically approved
Tarberg, A. S., Kvangarsnes, M., Hole, T., Thronæs, M., Madssen, T. S. & Landstad, B. (2019). Silent voices: Family caregivers' narratives of involvement in palliative care. Nursing Open
Open this publication in new window or tab >>Silent voices: Family caregivers' narratives of involvement in palliative care
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2019 (English)In: Nursing Open, E-ISSN 2054-1058Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aim: To explore how family caregivers experience involvement in palliative care. Design: A qualitative design with a narrative approach was used. Methods: Purposive sampling and narrative interviews were conducted. Eleven bereaved family caregivers for patients with cancer receiving palliative care were interviewed in Mid-Norway between November 2016–May 2017. Results: We identified four themes related to family caregivers' experiences of involvement in the early, middle, terminal and bereavement phases of palliative care: (a) limited involvement in the early phase; (b) emphasis on patient-centred care in the middle phase; (c) lack of preparation for the dying phase; and (d) lack of systematic follow-up after death. Family caregivers experienced low level of involvement throughout the palliative pathway. Conclusion: The involvement of family caregivers in palliative care may not be proportional to their responsibilities. The needs of family caregivers should be addressed in nursing education to give nurses competence to support family caregivers in providing home-based care. 

Keywords
cancer, caregivers, decision-making, narratives, nurses, nursing, palliative care, primary health care
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-36894 (URN)10.1002/nop2.344 (DOI)000481392800001 ()
Available from: 2019-08-20 Created: 2019-08-20 Last updated: 2019-09-02Bibliographically approved
Hedlund, M., Landstad, B. J. & Tritter, J. Q. (2019). The disciplining of self-help: Doing self-help the Norwegian way. Social Science and Medicine, 225, 34-41
Open this publication in new window or tab >>The disciplining of self-help: Doing self-help the Norwegian way
2019 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 225, p. 34-41Article in journal (Refereed) Published
Abstract [en]

We explore how Norwegian self-help groups are defined and managed to create a particular form of health system governmentality. Self-help groups are typically framed as therapeutic communities where participants define the agenda creating a space where open and equal interaction can produce individual learning and personal growth. In Norway, however, self-help groups are managed in a way that integrates them in to the health system but insulates them from clinical medicine; an approach that disciplines participants to act in a particular way in relation to the health system. We draw on the analysis of 1456 pages of public documents and websites from the National Nodal Point for Self-Help (NPSH), the organisation that manages self-help groups, and central government including individual testimonies from participants published between 2006 and 2014. We argue, drawing on Foucault, that self-help premised on lay-leadership and self-determination is at odds with the centrally defined regulation apparent in the model adopted in Norway and an example of disciplining that reinforces health system governmentality and serves the interests of the medical profession and the state. Further we propose that this illustrates the contestation between the pastoral power of medics, the National Nodal Point for Self-Help and the Ministry of Health. Our analysis of Norwegian self-help as a mechanism to create a particular form of health system governmentality helps explain the expansion of self-help and self-management within developed health systems and provides an explanation for why self-help within health systems, is typically situated adjacent to, rather than integrated into, clinical medicine.

Keywords
Discipline, Governmentality, Health policy, Health system, Norway, Pastoral power, Self-help, Self-management
National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-35835 (URN)10.1016/j.socscimed.2019.02.001 (DOI)000463126400005 ()30784849 (PubMedID)2-s2.0-85061664107 (Scopus ID)
Available from: 2019-03-20 Created: 2019-03-20 Last updated: 2019-05-22Bibliographically approved
Landstad, B. J. & Åhrberg, Y. (2018). Conceptualizing the driving forces for successful rehabilitation back to work. Disability and Rehabilitation, 40(15), 1781-1790
Open this publication in new window or tab >>Conceptualizing the driving forces for successful rehabilitation back to work
2018 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, no 15, p. 1781-1790Article in journal (Refereed) Published
Abstract [en]

Background: An earlier study states that the terms of desire, longing, and vanity carry with them ideas, emotions, and values that influence how individuals perceive themselves and their rehabilitation process. Our aim was (1) to use concept analysis to explore the meaning of the terms desire, longing, and vanity and (2) to investigate the potential role of these concepts in successful rehabilitation back to work. Methods: To achieve these two objectives, we used a model of concept analysis. The final step in the model is to define empirical references, for example, articles within the scientific literature, to determine the existence of a concept in a given situation. Results: The concept analysis resulted in 15 new searchable terms. All of these were accepted in the thesaurus system for the databases we used. We identified 59 scientific articles that were deemed relevant to the purposes of the study. Of these, only 20 was about emotions as driving forces in a rehabilitation process back to work. Conclusion: The conclusion of the study is that the concepts of desire, longing, and vanity encompassed ideas, emotions, and values that influence how individuals perceived themselves and their situations. How individuals talk about and understand rehabilitation will undoubtedly play a role in how they respond to interventions, and thus, the success of the rehabilitation process back to work.Implications for rehabilitationEmotional energy often drives behavior and can provide significant motivation that potentially can mobilize vocational rehabilitation.The concepts of desire, longing and vanity encompass ideas, emotions, and values that influence individuals’ self-perception and their view of their situation. To engage people in discussions on what they long for and desire could be a new way to connect with a person in a rehabilitation situation.It can be less provoking to talk about what a person desires or longs for than to ask them what they want or are motivated for.Feelings of meaningfulness are a basic driving force and a contributing factor in how health is experienced. By affirming the desire to do activities that are liked, this in turn generates motivation to be engaged in other activities. Individual confidence is generated through the experience of mastering a skill and this in turn can underpin a desire to return to work after long-term sick leave. Earlier experience of success can be an inspiration and create expectations for a forthcoming working-role.Emotions relating to work such as pride can generate motivation in a rehabilitation process. Vanity and the possibility of being “ashamed” in a certain situation can be an emotional driving force to re-establish one’s self.

Keywords
Concept analysis, emotions, literature review, long term sick-leave, vocational rehabilitation, women
National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-31106 (URN)10.1080/09638288.2017.1312569 (DOI)000431537400006 ()28395536 (PubMedID)2-s2.0-85017411234 (Scopus ID)
Available from: 2017-07-03 Created: 2017-07-03 Last updated: 2018-05-30Bibliographically approved
Landstad, B., Hedlund, M. & Vinberg, S. (2018). How managers of small-scale enterprises can create a health promoting corporate culture. In: : . Paper presented at 14th Annual Norwegian Health Sociology Conference, April 19-20, 2018, Trondheim, Norway.
Open this publication in new window or tab >>How managers of small-scale enterprises can create a health promoting corporate culture
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Purpose – Small-scale enterprises are important for sustainable development in Europe and account for a significant proportion of private enterprises and their large contribution to employment. The overall research aim of the study is to explore workplace health management from the perspective of managers in small-scale enterprises (SSEs) in Norway and Sweden. Methodology – In-depth interviews with 18 managers in SSEs were conducted and a stepwise qualitative analysis was used. Findings – The findings are presented as two main patterns 1) Interorganisational dynamics and 2) Participative leadership. Managers iscussed opportunities for workplace health management to foster solidarity and flexibility in the workplace, the potential of employees for self-governance, and a cultural environment at the workplace characterized by safety, trust, care, loyalty and humour. The managers employed a process-oriented communicator style, were all-rounders, and demonstrated dedicated and distinct management. Managers in small-scale enterprises were lonely problem-solvers and experienced high and conflicting work demands and work-family conflicts. Research limitations – The findings should be interpreted with caution concerning representation of small-scale enterprises generally. The enterprises were recruited from an development project focusing on workplace health management and might therefore have a positive attitude. Originality – This study adds important knowledge regarding the preconditions for creating health-promoting workplaces in SSEs, an area for which limited research exists. The findings provide insights and knowledge about managers’ possibilities and obstacles in workplace health management. The findings could be transferrable to management in similar contexts if managers develop more awareness and knowledge. Practical implications – The managers obtain recommended information about what to do and how to address workplace health management in SSEs.

Keywords
Small-scale enterprises, workplace health management, managers, Sweden, Norway, qualitative explorative method design
National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-34230 (URN)
Conference
14th Annual Norwegian Health Sociology Conference, April 19-20, 2018, Trondheim, Norway
Available from: 2018-08-13 Created: 2018-08-13 Last updated: 2018-08-16Bibliographically approved
Hagqvist, E., Vinberg, S., Landstad, B. & Nordenmark, M. (2018). Is the gap between experienced working conditions and the perceived importance of these conditions related to subjective health?. International Journal of Workplace Health Management, 11(1), 2-15
Open this publication in new window or tab >>Is the gap between experienced working conditions and the perceived importance of these conditions related to subjective health?
2018 (English)In: International Journal of Workplace Health Management, ISSN 1753-8351, E-ISSN 1753-836X, Vol. 11, no 1, p. 2-15Article in journal (Refereed) Published
Abstract [en]

Purpose

The purpose of this paper is to explore the gaps between experienced working conditions (WCs) and the perceived importance of these conditions in relation to subjective health in Swedish public sector workplaces.

Design/methodology/approach

In total, 379 employees answered questions concerning WCs and health. Nine WC areas were created to measure the gap between the experienced WCs and the perceived importance of each condition. These WC areas were: physical work environment, social relationships, communication, leadership, job control, recognition, self-development, workplace culture and work/life satisfaction. Subjective health was measured using mental ill health, well-being and general health.

Findings

The results indicated relatively large gaps in all nine WC areas. Leadership, physical work environment and work/life satisfaction in particular seemed to be problematic areas with relatively large gaps, meaning that employees have negative experiences of these areas while perceiving these areas as very important. Additionally, all WC areas were significantly related to subjective health, especially regarding mental ill health and well-being; the larger the gaps, the worse the subjective health. The WC areas of work/life satisfaction, self-development, social relationships, communication and recognition had the highest relationships and model fits. This indicates that it is most problematic from an employee’s point of view if there are large gaps within these WC areas.

Originality/value

This study improves the understanding of workplace health by exploring the gap between experienced WCs and the perceived importance of these conditions.

Keywords
Dissonance, Health, Public sector, Sweden, Working conditions
National Category
Other Health Sciences
Identifiers
urn:nbn:se:miun:diva-33311 (URN)10.1108/IJWHM-08-2017-0067 (DOI)000427973300001 ()2-s2.0-85044208068 (Scopus ID)
Available from: 2018-03-20 Created: 2018-03-20 Last updated: 2018-05-07Bibliographically approved
Tjulin, Å., Hagqvist, E., Vinberg, S., Eriksson, A. & Landstad, B. (2018). Prerequisites and hindrance in a health-promoting leadership educational intervention: - learning experinces from first line public sector managers. In: Siw Tone Innstrand, Geir Arild Espnes, Bjarne Bruun Jensen (Ed.), Implementing health promotion in the life course: - user involvement in practice and research. Paper presented at 10th IUHPE European Conference and International Forum for Health Promotion Research. Rapportserie Senter for helsefremmende forskning
Open this publication in new window or tab >>Prerequisites and hindrance in a health-promoting leadership educational intervention: - learning experinces from first line public sector managers
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2018 (English)In: Implementing health promotion in the life course: - user involvement in practice and research / [ed] Siw Tone Innstrand, Geir Arild Espnes, Bjarne Bruun Jensen, Rapportserie Senter for helsefremmende forskning , 2018Conference paper, Oral presentation with published abstract (Refereed)
Place, publisher, year, edition, pages
Rapportserie Senter for helsefremmende forskning, 2018
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-34565 (URN)978-82-93158-42-4 (ISBN)978-82-93158-43-1 (ISBN)
Conference
10th IUHPE European Conference and International Forum for Health Promotion Research
Available from: 2018-10-01 Created: 2018-10-01 Last updated: 2018-10-01Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-6558-3129

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