miun.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
To Control with Health - From Statistics to Strategy
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.ORCID iD: 0000-0002-7322-9346
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.ORCID iD: 0000-0001-6558-3129
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.ORCID iD: 0000-0002-5935-5688
Responsible organisation
2009 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 32, no 1, 49-57 p.Article in journal (Refereed) Published
Abstract [en]

The main purpose of this study is to develop and test a generic model for workplace health management in organizations. Four private and four public organizations in northern Sweden were selected for the study. A model for health control was developed on the basis of a literature review and dialogues with the stakeholders in the workplaces. The model was then implemented at the workplaces during a two-year period. Interviews with leaders and sub-leaders were conducted on two occasions and were analyzed using content analysis and the constant comparison method. By using a grounded theory approach, three main categories were found: health closure and other health and working environment indicators, monetary accounting of health related indicators and changes in leadership behaviour and organizational practices. An important result was that the model influenced leadership values more than leadership and organizational methodologies. From the results a model for workplace health management is proposed, incorporating the planning, control, and improvement structures. The purpose of the model is to take health aspects into consideration when deciding organizational structure (work demands, control and social support). The model controls health by using health-related indicators with high frequency measuring whereas workplace health promotion is done in a structured way with a reflective model.

Place, publisher, year, edition, pages
2009. Vol. 32, no 1, 49-57 p.
Keyword [en]
Health, health closures, workplace health management, workplace health promotion, sickness absence, human resource accounting, quality control, organizational change, learning organization
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-6440DOI: 10.3233/WOR-2009-0815ISI: 000264554800007PubMedID: 19276525Scopus ID: 2-s2.0-62149124395Local ID: 4885OAI: oai:DiVA.org:miun-6440DiVA: diva2:31479
Available from: 2009-02-18 Created: 2009-02-18 Last updated: 2017-12-12Bibliographically approved
In thesis
1. Leadership for Quality, Effectiveness and Health
Open this publication in new window or tab >>Leadership for Quality, Effectiveness and Health
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Leadership, quality, effectiveness and health are important factors in the achievement of organisational success. Three questions are addressed to study these elements:

1. How do leadership values relate to leadership behaviours, quality methodologies and health in organisations?

2. How do leadership behaviours relate to effectiveness and health in organisations?

3. How can leadership tools be designed and used to promote health in organisations?

The research is based on five studies from three research projects. This research is reported in five papers. Study I concerned eight organisations in the middle of Sweden; the focus was on leadership values and behaviours. Study II concerned three successful organisations that received the award, ‘Sweden’s number one workplace’. Focus in this study was mainly on leadership behaviours. Study III combined results from Studies I and II with a focus on successful leadership behaviours. Study IV concerned the eight organisations in Study I. A leadership tool in the form of a Plan-Do-Study-Act (PDSA) model was developed and evaluated. Study V was of two organisations in Sweden; the focus in that work was on the use of a leadership tool control chart designed to give managers statistically valid early warning signals about health in their organisations. Theory X and Y together with the three-dimensional leadership behaviour theory were used to assess leadership values and behaviours. The theory surrounding PDSA and control charts were used to develop leadership tools. The dimension of health is defined from a salutogenic humanistic perspective; which emphasizes individual well-being. The dimension of quality is defined as the ability to satisfy or exceed needs and expectations. Effectiveness is defined as the extent to which externally and internally defined objectives are fulfilled.

Both qualitative and quantitative research methods were used. Interviews, seminars with employees, collection of human resource and effectiveness figures, and questionnaires completed by managers and subordinates were used to collect data.

Managers with more Theory Y-oriented leadership values were rated by subordinates as high concerning quality methodologies and leadership behaviour dimensions. The subordinates of these managers tended to be healthier.

Two of the studies identified common groups of leadership behaviours in effective and healthy organisations: strategy and vision, communication and information, authority and responsibility, learning culture, worker conversations, plainness and simplicity, humanity and trust, walking around and reflective personal leadership.

These leadership behaviours fit into a leadership profile where all three of the dimensions of structure, relation and change are present. Of the three, the relation dimension is strongest and concluded to be a universal dimension.

The developed PDSA model seems to be a leadership tool that influences both leadership values and behaviour, particularly in the area of relation-oriented leadership behaviours. An early warning system built on CUSUM- and Shewhartcharts concerning the health indicators of self-assessed general health and new sickcases per employee was also found to be a powerful and usable leadership tool.

For future research, the explorative research findings can be quantitatively tested using representative and preferably cross-national data, with a longitudinal design.

Abstract [sv]

Ledarskap, kvalitet, effektivitet och hälsa är viktiga faktorer för en organisations framgång. Tre forskningsfrågor är ställda:

1. Hur relaterar ledarskapsvärderingar till ledarskapsbeteenden, arbetssätt för kvalitet samt hälsa i organisationer?

2. Hur relaterar ledarskapsbeteenden till effektivitet och hälsa i organisationer?

3. Hur kan hälsofrämjande ledarskapsverktyg utformas och användas i organisationer?

Forskningen är baserad på fem studier med empirisk bas i tre forskningsprojekt. Resultaten är avrapporterade i fem artiklar. Studie I inkluderar åtta organisationer i mellansverige; fokus är på värderingar och beteenden inom ledarskapet. Studie II inkluderar tre framgångsrika organisationer som har erhållit utmärkelsen “Sveriges bästa arbetsplats” och fokus är framförallt på ledarskapsbeteenden. Studie III är en kombination av resultat från Studie I och II och fokuserar på framgångsrikt ledarskap. Studie IV inkluderar organisationerna från Studie I, och ett ledarskapsverktyg i form av en PDSA modell är utvecklad och utvärderad. Studie V inkluderar två organisationer och fokuserar på ledarskapsverktyget styrdiagram med målet att ge chefer statistiskt säkerställda tidiga varningar rörande medarbetarnas hälsa. Teori X och Y är, tillsammans med den tredimensionella ledarskapsbeteendeteorin, teoribas för analys av värderingar och beteenden inom ledarskapet. Teorier rörande PDSA och styrdiagram är använda för att utveckla ledarskapsverktyg. Hälsa är definierad med ett salutogent humanistiskt perspektiv som betonar det individuella välbefinnandet.

Kvalitet som en produkts förmåga att tillfredsställa eller helst överträffa kundernas behov och förväntningar. Effektivitet som både intern och extern måluppfyllelse. Både kvalitativa och kvantitativa forskningsmetoder är använda i studierna. Intervjuer, gruppseminarier med medarbetare, insamling av personaladministrativa data och effektivitetsindikatorer samt frågeformulär till chefer och medarbetare är använda som datainsamlingsverktyg.

Chefer med mer Teori Y-orienterade värderingar bedöms av medarbetare ha höga värden rörande arbetssätt för kvalitet, ledarskapsbeteenden samt tendenser till bättre hälsa bland medarbetarna.

Gemensamma grupper av ledarskapsbeteenden från två studier hos framgångsrika organisationer är identifierade; Den strategiska och visionära ledarskapsrollen, Kommunikation och information, Ansvar och befogenheter, Lärande kultur, Medarbetardiskussioner, Enkelhet, Humanitet och förtroende, Vara synlig i organisationen och Personligt reflektivt ledarskap. Dessa beteenden motsvarar en ledarskapsprofil inkluderande de tre dimensionerna struktur, relation och förändring. Tydligast i resultaten är relationsdimensionen och slutsatsen är att den är universell.

Den utvecklade PDSA modellen verkar vara ett tillämpbart ledarskapsverktyg som influerar både ledarskapsvärderingar och ledarskapsbeteenden, framförallt ökad relationsorientering. Ett tidigt varningssystem innehållande hälsoindikatorerna självskattat allmänt hälsotillstånd och nya sjukfall per anställd med styrdiagrammen CUSUM och Shewhart är ett kraftfullt och användbart ledarskapsverktyg.

I fortsatt forskning kan de explorativa resultaten testas kvantitativt med representativa, helst internationella, data utifrån en longitudinell design.

Place, publisher, year, edition, pages
Östersund: Mittuniversitetet, 2010. 179 p.
Series
Mid Sweden University doctoral thesis, ISSN 1652-893X ; 79
Keyword
Leadership, Values, Behaviours, Tools, Quality, Effectiveness, Health, Ledarskap, Värderingar, Beteenden, Verktyg, Kvalitet, Effektivitet, Hälsa, Kvalitetsteknik
National Category
Production Engineering, Human Work Science and Ergonomics Other Mechanical Engineering
Identifiers
urn:nbn:se:miun:diva-11218 (URN)978-91-86073-65-7 (ISBN)
Public defence
2010-02-26, F234, Campus Östersund, Östersund, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2010-02-02 Created: 2010-02-01 Last updated: 2010-02-05Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMedScopus

Authority records BETA

Larsson, JohanLandstad, BodilVinberg, Stig

Search in DiVA

By author/editor
Larsson, JohanLandstad, BodilVinberg, Stig
By organisation
Department of Health Sciences
In the same journal
Work: A journal of Prevention, Assesment and rehabilitation
Nursing

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 277 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf