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Workplace health interventions in small enterprises: a Swedish longitudinal study
National Institute for Working Life, Östersund (ALI, Arbetslivsinstitutet).ORCID iD: 0000-0002-5935-5688
2008 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 30, no 4, p. 473-482Article in journal (Refereed) Published
Abstract [en]

This article has a two-fold approach. First, it investigates relationships between work organizational factors, and health and performance outcomes. Second, it compares two change strategy approaches in workplace health interventions by studying changes of these factors and outcomes. The sample consisted of ten Swedish small enterprises including 102 individuals, who answered a before and after questionnaire about organizational factors and outcomes. The leaders were interviewed and answered a questionnaire about performed workplace health interventions. Statistical methods used were reliability tests, correlation analyses and t-tests. Results indicate rather strong links between indicators of respectful leadership, creative work and team spirit, and the outcome indicators self-assessed health and judged workplace adaptability in association with customer satisfaction. The results concerning changes of determinants and outcomes (after workplace health interventions) showed significant differences between enterprises using a broad change strategy and those using an expert/problem-based strategy with the former having more favourable results. The leader interview results also point at obstacles concerning workplace change processes as lack of resources, insufficient competence and influence of external factors. The study results suggest that work organizational factors and integrated models for workplace health intervention are of importance for health and performance outcomes in small enterprises.

 

 

Place, publisher, year, edition, pages
2008. Vol. 30, no 4, p. 473-482
Identifiers
URN: urn:nbn:se:miun:diva-9973PubMedID: 18725710OAI: oai:DiVA.org:miun-9973DiVA, id: diva2:241974
Available from: 2009-10-06 Created: 2009-10-06 Last updated: 2017-12-13Bibliographically approved
In thesis
1. Health and Performance in Small Enterprises: Studies of Organizational Detminants and Change Strategy
Open this publication in new window or tab >>Health and Performance in Small Enterprises: Studies of Organizational Detminants and Change Strategy
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The present thesis focuses on relations between work organizational factors and outcomes related to health and performance, and how these factors and outcomes are related to change strategies in small enterprises. Reasons for this work are the growing interest in entrepreneurship, small business development, statements to the effect that small enterprises lack adequate resources and competence needed for successful management of workplace change processes and fragmented small business research about mentioned relations. The thesis comprises four empirical studies with a total sample of 118 small enterprises and 50 small public workplaces that include a total of 1206 co-workers and leaders, and one more theoretically based study. Data was collected by the use of questionnaires, structured interviews and by register sources about economical outputs. Correlation analyses presented in Paper II showed strong or rather strong relationships between the outcome indicators related to health and performance. The relations between these outcomes and indicators of assumed determinant organizational factors resulted in a rather large number of relationships (Paper I, II and V). A general result is that there are more strong relationships between determinants and performance than between determinants and health. However, there are strong relations between, on the one hand, leadership indicators and team spirit and, on the other hand, health. Structural analyses in two studies presented in Paper I and II resulted in the identification of six components. Thus, it was possible to group indicators into larger “bundles” which have similarities to some results for larger enterprises. In one study (Paper II), analyses using multidimensional scaling resulted in a grouping of enterprises with high positions versus enterprises with low positions on two main dimensions. Results in one study (Paper IV) showed that studied micro-enterprises attached less priority to goals related to workplace health and work organization compared to the studied public workplaces. The micro- enterprises attached more priority to goals connected with the physical working environment, production and quality development. In another study (Paper V) different change strategy approaches were studied with a longitudinal design. The results concerning changes of determinants and outcomes, after versus before workplace related interventions indicates that change processes with a broad learning strategy and high top management involvement can apply to small enterprises, and help to improve their health and performance. This is partly in line with the discussion in Paper III about the need of integrated planning and participative approaches in workplace change processes. The thesis findings point at the importance of organizational factors and health related aspects for small business development.

Place, publisher, year, edition, pages
Luleå: Luleå tekniska universitet, 2006
Series
Doctoral thesis / Luleå Tekniska Universitet, ISSN 1402-1544 ; 2006:13
Identifiers
urn:nbn:se:miun:diva-9974 (URN)http://epubl.luth.se/1402-1544/2006/13/index.html (DOI)
Public defence
(English)
Available from: 2009-10-06 Created: 2009-10-06 Last updated: 2009-10-06Bibliographically approved

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