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  • 1. Bergström, Gunilla
    et al.
    Klockmo, Carolina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    En beskrivning av arbetsmarknadsverksamheternas (AME) innehåll och arbetsprocesser i åtta kommuner: En delrapport2023Report (Other academic)
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  • 2.
    Dunstan, Debra
    et al.
    University of New England, Australia.
    Mortelmanns, Katrien
    Department Research and Development, Occupational Health Services 'Group IDEWE', Belgium.
    Tjulin, Åsa
    Mälardalens högskola.
    MacEachen, Ellen
    University of Waterloo, Canada.
    The role of co-workers the return-to-work process2015In: International Journal of Disability Mangement Research, ISSN 1833-8550, E-ISSN 1834-4887, Vol. 10, p. 9-16Article in journal (Refereed)
    Abstract [en]

    There is a large body of research examining work disability management and the return to work (RTW) of sick or injured workers. However, although this research makes clear the roles of the returning worker and supervisor, that of the co-workers is less well understood. To increase understanding of this topic, we have identified, reviewed, and discussed three studies that emerged from our connection with a Canadian research-training program. The first study, conducted in Sweden by Tjulin, MacEachen, and Ekberg (2009), showed that co-workers can play a positive rolein RTW, but this is often invisible to supervisors. The second study, undertaken by Dunstan and MacEachen (2013) in Canada, found that RTW could both positively and negatively impact co-workers. For instance, co-workers may benefit from learning new skills, but may also be burdened by the need to assume extra work to accommodate a returning worker. The third study, performed in Belgium by Mortelmans and Verjans (2012) and Mortelmans, Verjans, and Mairiaux (2012) reported the need to include the expectations and objections of co-workers in RTW plans and implemented a three-step RTW tool that involves co-workers. Taken together, these studies highlight the social context of work, the positive roleplayed by co-workers in the RTW process, the impacts of workplace social relations on RTW outcomes, and the benefits to all of involving co-workers in RTW plans. 

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  • 3.
    Ekberg, Kerstin
    et al.
    Linköpings Universitet.
    Tjulin, Åsa
    Mälardalens högskola.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Müssener, Ulrika
    Linköpings universitet.
    Sociala kontakter - på gott eller ont?2014Report (Other academic)
    Abstract [en]

    Syfte Studien syftade till att studera om sociala kontakter med arbetsplatsens aktörer under en sjukskrivning har betydelse för förväntningar om att kunna komma tillbaka i arbete Metod Studien genomfördes som en enkätstudie till anställda som varit sjukskrivna i mellan 60 och 90 dagar, vilka identifierades via Försäkringskassans register. Totalt svarade 534 individer (48%). Enkätstudien kombinerades med en fördjupad intervjustudie med sjukskrivna, arbetsledare och arbetskollegor. Resultat Majoriteten av de sjukskrivna hade kontakter med arbetsledare och arbetskamrater. Sjukskrivna med sämre hälsotillstånd, sjukskrivna i psykiska besvär och utlandsfödda hade färre kontakter med arbetsledare och arbetskamrater. Multipel logistisk regressionsanalys visar att främst kvaliteten i kontakterna, mätt som stödjande, konstruktiva och engagerade kontakter, med både arbetsledaren och arbetskamraterna, mer än fördubblade chansen att den sjukskrivne har goda förväntningar om att kunna återgå i arbete och att kunna kvarstå i arbete. Intervjustudien understödjer resultaten från enkätstudien i betydelsen av kvaliteten på de sociala kontakterna för en framgångsrik rehabilitering tillbaka till arbete. Förutsättningarna för hur en arbetsledare förhåller sig till den sjukskrivne medarbetaren påverkas av arbetsledarens egen situation. Det är vanligt att chefer är rörliga i arbetslivet, en långvarigt sjukskriven medarbetare kan därför ställas inför situationen att det är en helt ny chef som hon eller han förväntas kommunicera med, och den nye chefen har ingen personlig relation till medarbetaren. I det föränderliga arbetslivet kan en arbetsledares arbetssituation vara tidspressad och det blir lätt att prioritera bort det egna ansvaret för att hålla kontakten, arbetsledare betonar ömsesidigheten i ansvaret. Konklusioner Kvaliteten i kontakterna mellan sjukskrivna och deras arbetsledare och arbetskamrater är viktigare än demografiska faktorer och självskattad hälsa och arbetsförmåga för den sjukskrivnes förväntan om att kunna återgå och kvarstå i arbete. Det förekommer sociodemografiska skillnader i frekvensen av kontakter med arbetsledare och arbetskamrater, sjukskrivna med sämre hälsotillstånd, med psykiska besvär eller är utlandsfödda har färre kontakter.

  • 4.
    Eriksson, Andrea
    et al.
    KTH.
    Dellve, Lotta
    Göteborgs universitet.
    Jaldestad, Ellen
    KTH.
    Jutengren, Göran
    Högskolan i Borås.
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Lärande för hållbar verksamhetsutveckling: En forskningsbaserad handbok om att skapa förutsättningarför ett lärandeklimat som bidrar till hälsa och engagemang2020Report (Other (popular science, discussion, etc.))
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  • 5.
    Eriksson, Andrea
    et al.
    KTH.
    Dellve, Lotta
    Göteborgs universitet.
    Jaldestad, Ellen
    KTH.
    Jutengren, Göran
    Högskolan i Borås.
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Håkansson, Helena
    Skagert, Katrin
    Slutrapport: LÄRKRAFT: Vilken betydelse har lärande på olika organisationsnivåer inom hälso- och sjukvården för medarbetares välmående och engagemang?2020Report (Other academic)
  • 6.
    Hansson, Josefine
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). Mittuniversitetet.
    Landstad, Bodil
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Vinberg, Stig
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Hedlund, Marianne
    Norges teknisk-naturvitenskapelige universitet, Trondheim, Norge.
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Small business managers and Covid-19 – the role of a sense of coherence in coping with stressors2022In: Framtidens arbete – arbetets framtid, Kiruna, 2022Conference paper (Refereed)
    Abstract [en]

    Small business managers and Covid-19 – the role of a sense of coherence in coping with stressors Many businesses around the world are facing a significant impact from the Covid-19 pandemic, with the transport, tourism, and hospitality sectors being among the most affected. Compared to larger businesses, the effect on small businesses has generally been more severe due to their limited human, financial and technical resources. In addition, the degree of government financial aid, in combination with changes in the supply chain, may strongly affect the operations and survival of small businesses. The response of small business managers to an external event such as the pandemic can have a profound effect on the work environment, health, and well-being of themselves and their employees. Previous research on small business managers during the pandemic has mainly focused on traditional pathogenic effects, and there is a lack of studies looking at the issue from a salutogenic health promotion perspective. Aim of study The aim of the study was to explore whether a sense of coherence and general resistance resources were experienced by small business managers in Sweden and Norway during the Covid-19 pandemic. Methods A qualitative design was applied through exploratory interviews with 16 managers of small businesses in Sweden and Norway. The inclusion criteria were small businesses with less than 20 employees representing different types of services in the private sector. Further criteria were that the businesses were located in comparable geographic regions in Sweden and Norway. A content analysis of the interviews was conducted using the sense of coherence concept by Aaron Antonovsky, with the three main components of comprehensibility, meaningfulness, and manageability acting as a conceptual framework for the analysis process. Results Findings from the interviews demonstrated that it was important for the managers to comprehend and manage the challenges during the pandemic in a resourceful manner, and to see the meaningfulness in the situation. Within the three main sense-of-coherence categories, six general resistance resources were identified as being important for the managers to handle uncertainty during the pandemic. These were understanding rules and regulations, social support, optimism, proactivity, problem-solving and flexibility and cooperation. Conclusions The small business managers handled the pandemic in a way that worked well in their contexts, and the pandemic generally did not have a negative effect on their businesses or themselves. A salutogenic approach, through which the managers focused on identifying and using resources, was an important factor in managing stressors and adversity during the pandemic. Hence, the concept of salutogenesis may be used as an intervention to foster better health in small businesses, both at a personal and organisational level in order to handle future challenges effectively

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  • 7.
    Hansson, Josefine
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Landstad, Bodil
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). Östersund Hospital, Östersund, Sweden.
    Vinberg, Stig
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Hedlund, Marianne
    Norwegian University of Science and Technology, Trondheim, Norway.
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Small business managers and Covid-19—The role of a sense of coherence and general resistance resources in coping with stressors2022In: PLOS ONE, E-ISSN 1932-6203, Vol. 17, no 3, article id e0265029Article in journal (Refereed)
    Abstract [en]

    Background The response of small business managers to an external event such as the pandemic canhave a profound effect on the work environment, health and well-being for themselves and their employees. Previous research on small business managers during the pandemic has mainly focused on traditional pathogenic effects, and there is a lack of studies looking at the issue from a salutogenic health promotion perspective. The aim of this study is to explore whether a sense of coherence and general resistance resources were experienced by small business managers in Sweden and Norway during the Covid-19 pandemic.

    Methods A qualitative design was applied through exploratory interviews with 16 managers of small businesses in Sweden and Norway. A content analysis of the interviews was conducted using the sense of coherence concept by Aaron Antonovsky, with the three main components of comprehensibility, meaningfulness and manageability acting as a conceptual framework for the analysis process.

    Results Within the three main sense-of-coherence categories, six general resistance resources were identified as being important for the managers to handle uncertainty during the pandemic. These were understanding rules and regulations, social support, optimism, proactivity, problem-solving and flexibility and cooperation.

    Conclusions The small business managers handled the pandemic in a way that worked well in their contexts, and the pandemic generally did not have a negative effect on their businesses orthemselves. A salutogenic approach, through which the managers focused on identifying and using resources, was an important factor for managing stressors and adversity during the pandemic. Hence, the concept of salutogenesis may be used as an intervention to foster better health in small businesses, both at a personal and organisational level in order to handle future challenges effectively.

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  • 8.
    Hansson, Josefine
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    MacEachen, Ellen
    School of Public Health Sciences, University of Waterloo , Waterloo, Canada.
    Landstad, Bodil J
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). Unit of Research, Education and Development, Östersund Hospital , Östersund, Sweden.
    Vinberg, Stig
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    A Comparative Study of Financial Support and Resilience of Self-Employed people in Sweden and Canada2023In: European Journal of Public Health, Volume 33, Issue Supplement_2, October 2023: 16th European Public Health Conference 2023 Our Food, Our Health, Our Earth: A Sustainable Future for Humanity Dublin, Ireland 8–11 November, 2023, Oxford University Press (OUP) , 2023, Vol. 33, no Supplement_2Conference paper (Refereed)
    Abstract [en]

    Background

    Globally the COVID-19 pandemic presented major difficulties for self-employed people such as financial decline, restrictions and business closures. A plethora of financial support measures was rolled out worldwide to support them, but there is a lack of research looking at the effectiveness of the policy measures on small businesses. The aim of the study was to compare policies addressing government financial support in Sweden and Canada to get an understanding of how different governmental financial support measures enhanched self-employed people's resilience and improved their chances to manage the pandemic. In addition, individual interviews with Swedish and Canadian self-employed people were conducted to get an understanding of how they experienced the support measures and how these measures factored into their resilience during and after the restrictions had ended.

    Methods

    We conducted a mixed-method study encompassing document analysis and semi-structured interviews with self-employed people in Sweden and Canada. The constant comparative method guided the data analysis and documentary and interview data were analysed together. Three categories were formed: Welfare protection and effects, Self-employed well-being and Agility during COVID-19, based on their ability to represent the overall sense of the phenomena.

    Results

    Key results were that self-employed people in both countries unable to telework, were less resilient during the pandemic due to financial problems, restrictions and lockdowns, and that this negatively affected their well-being.

    Conclusions

    Potential future policy responses in Sweden and Canada to support self-employed people during crises or adversity should consider the diversity among small businesses and tailor programmes towards viable businesses in greatest need of support, such as those in businesses unable to telework.

    Key messages • Self-employed people in Sweden and Canada unable to telework, were less resilient during the pandemic due to financial problems, restrictions and lockdowns. • Future policy responses to support self-employed people during adversity should tailor programmes towards viable businesses in greatest need of support.

  • 9.
    Hansson, Josefine
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    MacEachen, Ellen
    School of Public Health Sciences, University of Waterloo, Waterloo, Canada.
    Landstad, Bodil
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). Unit of Research, Education and Development, Östersund Hospital , Östersund, Sweden.
    Vinberg, Stig
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    A comparative study of governmental financial support and resilience of self-employed people in Sweden and Canada during the COVID-19 pandemic2024In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 83, no 1, article id 2298015Article in journal (Refereed)
    Abstract [en]

    Globally, self-employed people were among the hardest hit by the repercussions of the COVID-19 pandemic and faced hardships such as financial decline, restrictions, and business closures. A plethora of financial support measures were rolled out worldwide to support them, but there is a lack of research looking at the effect of the policy measures on self-employed people. To understand how different governmental financial support measures enhanced the resilience of the self-employed and improved their ability to manage the pandemic, we conducted a mixed-method study using policy analysis and semi-structured interviews. The documents described policies addressing governmental financial support in Sweden and Canada during the pandemic, and the interviews were conducted with Swedish and Canadian self-employed people to explore how they experienced the support measures in relation to their resilience. The key results were that self-employed people in both countries who were unable to telework were less resilient during the pandemic due to financial problems, restrictions, and lockdowns. The interviews revealed that many self-employed people in hard-hit industries were dissatisfied with the support measures and found them to be unfairly distributed. In addition, the self-employed people experiencing difficulties running their businesses reported reduced well-being, negatively affecting their business survival.

  • 10.
    Hansson, Josefine
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Nordenmark, Mikael
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Landstad, Bodil
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Vinberg, Stig
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Socio-Ecological Factors and Well-Being among Self-Employed in Europe during the COVID-19 Pandemic2023In: 10th Nordic Health Promotion Research Conference June 14-16 2023, Halmstad June 14–16, 2023: Sustainability and the impact on health and well-being, Halmstad, 2023Conference paper (Other academic)
    Abstract [en]

    Background: The self-employed are at increased risk of negative well-being outcomes when facing adversity such as the COVID-19 pandemic. Studies that examine socio-ecological factors that may protect their well-being are warranted. Methods: Data were drawn from a cross-sectional survey of European self-employed people (n = 1665). The WHO-5 Well-being Index was used to examine the impact on well-being of factors at four socio-ecological levels. Independent sample t-tests, Pearson correlations and linear regression were applied to analyse differences between groups of self-employed and interactions between variables using SPSS. Results: Well-being and the socio-ecological factors of resilience, social support, useful work and finding the rules clear were positively correlated with well-being. For self-employed who reported that it was challenging to run their business during the pandemic, social support and finding rules clear were of significantly greater importance to their well-being. Conclusions: The findings highlight that the socio-ecological factors of resilience, social support, doing useful work and finding the rules clear affect well-being. The results also indicate that it is vital to consider factors at multiple socio-ecological levels to improve the well-being of the self-employed during adversity.

  • 11.
    Hansson, Josefine
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Nordenmark, Mikael
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Landstad, Bodil
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). Unit of Research, Education and Development, Östersund Hospital, Sweden.
    Vinberg, Stig
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Socio-Ecological Factors and Well-Being among Self-Employed in Europe during the COVID-19 Pandemic2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, p. 1-13, article id 7840Article in journal (Refereed)
    Abstract [en]

    Background: The self-employed are at increased risk of negative well-being outcomes when facing adversity such as the COVID-19 pandemic. Studies that examine socio-ecological factors that may protect their well-being are warranted.

    Methods: Data were drawn from a cross-sectional survey of European self-employed people (n = 1665). The WHO-5 Well-being Index was used to examine the impact on well-being of factors at four socio-ecological levels. Independent sample t-tests, Pearson correlations and linear regression were applied to analyse differences between groups of self-employed and interactions between variables using SPSS.

    Results: Well-being and the socio-ecological factors of resilience, social support, useful work and finding the rules clear were positively correlated with well-being. For self-employed who reported that it was challenging to run their business during the pandemic, social support and finding rules clear were of significantly greater importance to their well-being.

    Conclusions: The findings highlight that the socio-ecological factors of resilience, social support, doing useful work and finding the rules clear affect well-being. The results also indicate that it is vital to consider factors at multiple socio-ecological levels to improve the well-being of the self-employed during adversity.

  • 12. Jaldestad, Ellen
    et al.
    Eriksson, Andrea
    Dellve, Lotta
    Jutengren, Göran
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Hälsofrämjande job crafting i samspel med arbetserfarenhet och individuella förutsättningar bland medarbetare inom hälso- och sjukvården2023Conference paper (Refereed)
    Abstract [sv]

    Job crafting kan definieras som medarbetares sätt att själva forma och förändra sina arbeten, för att optimera tillgängliga resurser och hantera utmaningar i arbetet. Job crafting har tidigare kopplats till många positiva effekter för individer, till exempel arbetsengagemang och arbetstillfredsställelse. Ett stödjande ledarskap, autonomi i arbetet och samarbete mellan olika professionsgrupper är exempel på vad som kan främja job crafting i vården. Men kunskap om hur individuella förutsättningar, så som exempelvis arbetserfarenhet, bidrar till medarbetares strategier att försöka forma och förändra sina arbeten är ännu begränsad. Övergripande syfte i denna pågående studie är att undersöka hur individuella förutsättningar samspelar med hur individer job craftar på sätt som främjar deras hälsa. Studien kommer särskilt fokusera hur arbetserfarenhet samspelar med job crafting, men även samspel mellan familjeliv och professionstillhörighet kommer att analyseras. Djupintervjuer har genomförts med sexton medarbetare med olika professioner på fem olika vårdenheter. Respondenternas erfarenhet i det nuvarande arbetet varierar mellan sex månader och 43 år. De preliminära resultaten indikerar olika job crafting strategier och motiv till dem bland respondenter med längre och kortare arbetserfarenhet. Med kortare arbetslivserfarenhet fokuseras att lära sig sitt nya yrke samt att bygga relationer med kollegor för stöd och erfarenhetsutbyte. Mer erfarna respondenter fokuserar mer på att vårda sina sociala relationer och på meningsskapande förändringar i arbetet, för att trivas och må bra i arbetet snarare än att utvecklas professionellt. Respondenter med familjer fokuserar förändringar de gör i arbetet på att få en bra balans mellan arbete och privatliv. Gemensamt för respondenterna, oavsett profession och hur mycket arbetserfarenhet de har, är att de förändringar de gör i arbetet oftast är kopplade till att deras patienter ska ha det så bra som möjligt.

  • 13.
    Klockmo, Carolina
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Slutrapport: In på arbetsmarknaden - ett lärandeperspektiv på utveckling av stödinsatser och behov av samverkan – socialtjänstens perspektiv2022Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Den utvecklingsprocess som studerats i föreliggande rapport utgjordes av ett utvecklingsarbete inom enheter i socialtjänsten vars insatser ska bidra till att människor genom arbete, studier eller det allmänna socialförsäkringssystemet kan uppnå ett självständigt liv med egen försörjning. Uppdraget handlade om att skifta fokus för insatserna, från att vara aktiverande till att skapa sammanhållna stödinsatser som bidrar till utforskande av förmågor och utveckling hos individen, med målet att nå hållbar egen försörjning. För att nå målet behöver olika enheter inom socialtjänsten utveckla sitt sätt att samverka med varandra och över enhetsgränser/professioner.

    Datainsamling har skett via det sociala mediaverktyget LoopMe där chefer och medarbetare skriftligen reflekterat kring utvecklingsprocessen kontinuerligt, individuella och fokusgruppsintervjuer samt med hjälp av mötes- och handlingsdokument.

    Resultatet i projektet visade att införandet av en ny tillitsbaserad styrmodell i kombination med utveckling av sammanhållna insatser över organisatoriska gränser var utmanande på flera vis. Utmaningarna bestod bl.a. av att de ingående enheterna hade olika ingångar i utvecklingsarbetet samt präglades av olika kultur, synsätt och arbetssätt. I samband med detta prövade enhetscheferna ett nytt sätt att leda och styra verksamheten, genom ett agilt och tillitsbaserat ledarskap. Detta medförde att medarbetarna gavs ett större ansvar för utvecklingsarbetet än vad de var vana vid, vilket enhetscheferna försökt att hantera på olika vis under utvecklingsarbetet. Resultatet visade att ett sådant förhållandevis omfattande utvecklingsarbete tar tid, i detta fall stannade utvecklingsarbetet till kring frågan om ”den gamla kartan” och den ”nya kartan”. Resultatet visade också att det fanns ett engagemang, drivkraft och tilltro till utvecklingsarbetet, vilket gav kraft till att fortsätta utvecklingsarbetet, trots att det emellanåt stod stilla.

    Projektet har präglats av samskapande processer mellan forskare och personal vid Timrå kommun, genom kontinuerlig dialog och återkopplingar där de olika kompetensområdena befruktat varandra. Detta arbetssätt har varit värdefullt för båda parter. Under projekttiden har forskare och personal vid Timrå kommun deltagit i vetenskapliga och praktiknära konferenser, en vetenskaplig artikel är påbörjad, forskningsmedel i form av sexårigt programstöd via Forte har erhållits ”Lokala arbetsmarknadsprogram – utmaningar av och för en inkluderande arbetsmarknad”.

  • 14.
    Landstad, Bodil J.
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Hedlund, Marianne
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Nordenmark, Mikael
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Vinberg, Stig
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Making things work–In spite of a pandemic small scale enterprise managers’ approach to business changes and health issues2023In: PLOS ONE, E-ISSN 1932-6203, Vol. 18, no 7, article id e0288837Article in journal (Refereed)
    Abstract [en]

    Background

    Covid-19 is one of the worst crises in modern working life with a direct negative impact on many enterprises and organizations. The aim of this study is to explore what managers in Small Scale Enterprises (SSEs) changed in their business during the Covid-19 pandemic, particularly addressing health issues.

    Methods

    A longitudinal qualitative research methodology was used, interviewing 16 managers of SSEs in the Norwegian and Swedish manufacturing and service sector both before (round 1) and during the pandemic (round 2). In this approach, time is designed into the research process, making change a key focus for analysis.

    Results

    The analysis resulted in two main themes, resilience and demanding occupational health and safety conditions, and five sub-themes. Results show how managers in SSEs changed their business during the Covid-19 pandemic and the impact of these changes. Although, the enterprises were heavily affected in the beginning of the pandemic, several managers found new solutions for their businesses to maintain and reach new customers. They applied a socially responsible management which addressed different health issues.

    Conclusion

    Crises like the Covid-19 pandemic will have future impact on SSEs making it important to understand how managers in such enterprises address business and health issues. This knowledge may have practical implications for supporting managers in SSEs in how to perform a socially responsible management and maintain occupational health and safety measures. The managerial implications from this research are that they need to be flexible, reorientable and, at the same time, be loyal to the core business. This study shows the importance of doing longitudinal studies about business and health issues among mangers in SSEs.

  • 15.
    Månsson Sandberg, Helena
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Landstad, Bodil
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Brulin, Emma
    Unit of Occupational Medicine, Karolinska Institutet, Stockholm, Sweden .
    COVID-19 related individual work, managerial factors and exhaustion among general practitioners in Sweden: A cross-sectional study2023Conference paper (Other academic)
    Abstract [en]

    Background: A Swedish study found that more than 16% of general practitioners (GPs) had exhaustion in spring 2021. A knowledge gap remains about the impact of COVID-19 related individual work and managerial factors on exhaustion among Swedish GPs. This study therefore explores the association between exhaustion and COVID-19 pandemic related individual work and managerial factors among Swedish GPs who managed COVID-19 patients, compared to those GPs who did not. 

    Methods: Cross-sectional data was drawn from the Longitudinal Occupational Health survey in Health Care Sweden study, which included a representative sample of practicing doctors in Sweden. The sample consisted of 6699 doctors with a response rate of 41.2%. This study constitutes a sample of doctors who reported working in primary care facilities at the time of data collection reaching 1013 GPs. The Burnout Assessment Tool was used to assess the level of exhaustion. Questions were also asked about pandemic related, individual work and managerial factors. The data was analysed using descriptive statistics, and multivariate logistic regression.

    Results: The results showed that moral and emotional distress, excess workload and perceived unsatisfactory management (supportive, work environment and clinical management) increased the risk of GPs who managed COVID-19 patients reporting exhaustion. Furthermore, the results showed that satisfactory management can to some extent protect against the negative effects of moral and emotional distress and excess workload. 

    Conclusions: COVID-19 related individual work and managerial factors had a significant impact on the mental health of GPs who managed COVID-19 patients during the pandemic. In the aftermath of the COVID-19 pandemic and in preparation for future major crises that have a high impact on healthcare, there is a need to investigate the measures that can be taken to enable GPs to carry out their work, while maintaining their health.

     

  • 16.
    Månsson Sandberg, Helena
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Landstad, Bodil
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). Östersund Hospital, Östersund, Sweden.
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Brulin, Emma
    Unit of Occupational Medicine, Karolinska Institutet, Stockholm, Sweden .
    COVID-19- related work, managerial factors and exhaustion among general practitioners in Sweden: a cross-sectional study2023In: BMC Primary Care, E-ISSN 2731-4553, Vol. 24, no 1, article id 269Article in journal (Refereed)
    Abstract [en]

    Introduction A significant number of international studies show that general practitioners (GPs) suffered from burnout when working during the COVID-19 pandemic. A Swedish study found that more than 16% of GPs had exhaustion in spring 2021. Exhaustion can be regarded as an initial stage of burnout. A knowledge gap remains on GPs´ working conditions, the impact of management during the pandemic and how it was associated with exhaustion. This study aims to explore the association between severe symptoms of exhaustion and COVID-19 pandemic-related work and managerial factors among Swedish GPs and whether managerial factors have an impact on the association between exhaustion and COVID-19-related work factors.

    Methods Cross-sectional data was drawn from the Longitudinal Occupational Health survey in Health Care Sweden (LOHHCS), which included a representative sample of practicing doctors in Sweden. The sample consisted of 6699 doctors with a response rate of 41.2%. This study constitutes a sample of doctors who reported working in primary care facilities at the time of data collection, i.e. 1013 GPs. The Burnout Assessment Tool (BAT) was used to assess severe symptoms of exhaustion. Questions were also asked about pandemic-related work and managerial factors. The data was analysed using descriptive statistics and multivariate logistic regression to identify the association between exhaustion, work and managerial factors.

    Results The multivariate analysis showed that GPs who managed COVID-19 patients were about twice as likely to report severe symptoms of exhaustion. Further, GPs who reported that management was unsupportive, provided unsatisfactory working conditions and unsatisfactory policies for patient prioritisation were between two and four times more likely to report severe symptoms of exhaustion.

    Conclusions COVID-19-related work and managerial factors had a significant impact on the mental health of GPs. Furthermore, the potentially protective effect that satisfactory management actions had on mental health was limited. In the aftermath of the COVID-19 pandemic and in preparation for future major crises that have a high impact on healthcare, there is a need to investigate the measures that can be taken to enable GPs to carry out their work, while maintaining their wellbeing.

  • 17.
    Månsson Sandberg, Helena
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Brulin, Emma
    Unit of Occupational Medicine, Karolinska Institutet.
    Landstad, Bodil
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). Östersunds hospital, Östersund.
    How general practitioners used job crafting strategies during the COVID-19 pandemic in Sweden2024In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 42, no 2, p. 276-286Article in journal (Refereed)
    Abstract [en]

     Objective: General  practitioners  (GPs)  played  a  crucial  role  in  limiting  the  impact  of  the  COViD-19  pandemic,  and  many  GPs  experienced  they  did  not  have  the  prerequisites  to  provide  adequate  care.  However,  GPs  developed  approaches  that  helped  them  to  provide  care  to  patients  through  various  job  crafting  strategies.  The  aim  of  this  study  is  to  identify  how  job  crafting  strategies  were  deployed  by  GPs  at  the  beginning  of  the  COViD-19  pandemic  in  Sweden  and  the  significance  of  the  strategies  on  their  work  situation.

     Design: A qualitative   design   with   semi-structured   interviews.   The   data   was     analysed   using   qualitative  content  analysis  with  job  crafting  as  the  conceptual  framework  for  the  analysis  process.

     Setting: Primary  healthcare  in  five  healthcare  regions  in  sweden.

     Subjects: Fourteen  GPs  participated  in  individual  interviews.

     Results: In  their  endeavours  to  organise  and  provide  care,  GPs  shaped  the  task,  relational  and  cognitive  boundaries  of  their  work.  GPs  felt  proud  about  finding  new  ways  of  working  when  given  room  to  manoeuvre.  Intensified  collaboration  between  healthcare  professionals  made  GPs  more  confident  in  their  clinical  work.  GPs  expressed  that  they  consequently  felt  stronger  in  their  professional  role  through  what  they  accomplished  in  the  organisation  of  care.

     Conclusions/Implications: The  results  suggest  that  the  job  crafting  strategies  GPs  used  were  meaningful  to  them  in  clinical  practice.  Knowledge  about  how  GPs’  job  crafting  strategies  were  deployed  might  be  useful  for  healthcare  organisations  in  preparing  for  future  health  crises.  Taking  advantage  of  GPs’  experiences  and  strategies  is  considered  important  for  promoting  sustainable  working  conditions  for  GPs  in  the  future.

  • 18.
    Månsson Sandberg, Helena
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). Karolinska Institutet.
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Brulin, Emma
    Institutet för Miljömedicin, Karolinska Institutet.
    Landstad, Bodil
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). Östersund Hospital, Östersund, Sweden.
    How general practitioners used job crafting strategies during the COVID-19 pandemic in Sweden2024In: 16th EAOHP Conference 2024 Contributions of OHP to Social Justice: Book of proceedings / [ed] I Frost, F. II. Teoh, K. III. St-Hilaire, F. IV. Denman, A. V. Leduc, C. VI. Muñoz, M., United Kingdom, 2024, p. 385-Conference paper (Refereed)
    Abstract [en]

    Objective: General practitioners (GPs) played a crucial role in limiting the impact of the COVID-19 pandemic, and many GPs experienced they did not have the prerequisites to provide adequate care. However, GPs developed approaches that helped them to provide care to patients through various job crafting strategies. The aim of this study is to identify how job crafting strategies were deployed by GPs at the beginning of the COVID-19 pandemic in Sweden and the significance of the strategies on their work situation.Design:  A qualitative design with semi-structured interviews. The data was analysed using qualitative content analysis with job crafting as the conceptual framework for the analysis process.Setting:  Primary healthcare in five healthcare regions in Sweden.Subjects:  Fourteen GPs participated in individual interviews.Results:  In their endeavours to organise and provide care, GPs shaped the task, relational and cognitive boundaries of their work. GPs felt proud about finding new ways of working when given room to manoeuvre. Intensified collaboration between healthcare professionals made GPs more confident in their clinical work. GPs expressed that they consequently felt stronger in their professional role through what they accomplished in the organisation of care.Conclusions/Implications:  The results suggest that the job crafting strategies GPs used were meaningful to them in clinical practice. Knowledge about how GPs’ job crafting strategies were deployed might be useful for healthcare organisations in preparing for future health crises. Taking advantage of GPs’ experiences and strategies is considered important for promoting sustainable working conditions for GPs in the future.

  • 19.
    Nordenmark, Mikael
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Landstad, Bodil
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). Östersund Hospital.
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Vinberg, Stig
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Life Satisfaction among Self-Employed People in Different Welfare Regimes during the COVID-19 Pandemic: Significance of Household Finances and Concerns about Work2023In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 20, no 6, article id 5141Article in journal (Refereed)
    Abstract [en]

    Most studies have shown that self-employed people have higher levels of life satisfaction than employed people due to high levels of job satisfaction, work flexibility, and job control. However, during the COVID-19 pandemic, many self-employed people experienced economic strain and worried about the situation of their employees and survival of the company. The aim of this study was to examine the level of life satisfaction among self-employed people during the COVID-19 pandemic in different welfare regimes. Analyses were mainly based on Eurofound’s “Living, Working and COVID-19” online survey. Fieldwork took place between April and June 2020 in 27 EU countries. The results showed that there was a significantly lower level of life satisfaction among self-employed people than employed people during the pandemic. This was in contrast to analyses from approximately one year before the pandemic, which showed that life satisfaction was higher among self-employed people. The main reasons for this lower level of life satisfaction among the self-employed during the pandemic were worse household financial situation and more worries about their job. Analyses of life satisfaction among the self-employed in different welfare regimes indicated that self-employed people in the Nordic welfare state regime largely kept their relatively high level of life satisfaction during the pandemic, but this was not the case for self-employed people in other welfare regimes.

  • 20.
    Olofsdotter, Gunilla
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Humanities and Social Sciences.
    Giritli Nygren, Katarina
    Mid Sweden University, Faculty of Human Sciences, Department of Humanities and Social Sciences.
    Bergström, Gunilla
    Bolin, Malin
    Mid Sweden University, Faculty of Human Sciences, Department of Humanities and Social Sciences.
    Klockmo, Carolina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Nyhlén, Sara
    Mid Sweden University, Faculty of Human Sciences, Department of Humanities and Social Sciences.
    Sjöberg, Ida
    Mid Sweden University, Faculty of Human Sciences, Department of Humanities and Social Sciences.
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Study protocol: Local labour market programs–institutional structures, organizational forms and lived experiences2024In: PLOS ONE, E-ISSN 1932-6203, Vol. 19, no 1, article id e0296242Article in journal (Refereed)
    Abstract [en]

    In this programme, we map and examine local labour market programmes (LLMPs) at the municipal level in Sweden. This includes their institutional structure and organisation, as well as the experiences of participants in the programmes, using a longitudinal approach with the aim to improve LLMPs. The long-term goal is to increasing the inclusion of LLMP participants in working life. To answer the programme’s questions, data will be collected and analysed within the four work packages. In each work package, a mixed-method approach is applied with a combination of quantitative and qualitative methods. The programme is informed by three overarching general theoretical approached, tying together institutional ethnography, intersectional studies of structural inequalities on different levels, and the role of emotions in everyday work. At the organisational level (WP 1), we will investigate the circumstances under which LLMPs are performed and negotiated by those involved. Here, the internal organisation, activities and methods are the focus. This approach will result in knowledge about the characteristics of these organisations and the factors promoting the inclusion of underrepresented groups in working life. By examining the activities in LLMPs (WP 2), we will be able to determine how their institutional structure differs between regions in Sweden, how the different municipalities work with labour market policy, how they translate national policy into the local context, how they organise their work and which initiatives they choose to adopt. By examining the individual experiences of those who are directly affected by such incentives (WP 3), knowledge and understanding will be obtained of the connections between experiences and labour market policies. This will give important insights into the functioning of local programmes and of the opportunities to create entry into the labour market. Furthermore, in WP4 we will develop and test an effect evaluation of work methods used in LLMPs and their effect on clients’ progress over time.

  • 21.
    Selander, John
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Sun, Jing
    School of Medicine, Griffith University, Australia.
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Buys, Nicholas
    Menzies Health InstituteQueensland, Griffith University, Australia.
    Interrelated Factors for Return to Work of Sick-Listed Employees in Sweden2021In: International Journal of Disability Mangement Research, ISSN 1833-8550, E-ISSN 1834-4887, Vol. 15, article id e7Article in journal (Refereed)
    Abstract [en]

    Purpose: Long-term sickness absence is a significant human and economic cost in many countries, including Sweden making research on factors which impact on return to work (RTW) relevant. This study has two aims: (1) provide an overview of factors that impact RTW expectations in a national sample of Swedish workers on long-term sickness absence; and (2) gain an understanding of the interrelationships among these factors using a socioecological framework and decision tree analysis. Method: A survey, designed to capture information about demographic variables, health and work ability, workplace contact, supervisor support and expectations of return to work, was mailed to 1,112 randomly selected sick-listed people in Sweden and completed by 534, representing a response rate of 48%. Results: The most important factors affecting RTW expectations were work ability and burnout. Employees reporting high levels of work ability were more likely to expect to RTW compared to those reporting low levels, and this was dependent on their relative burnout score. Those with a high burnout score were less likely to expect to RTW, while for those with a low burnout score RTW expectations were dependent on age, country of birth, and supervisor support. For young employees reporting low work ability and low burnout score, RTW expectations were lower. Conclusions: Our results suggest a more nuanced approach to delivery of RTW services is required, whereby practitioners need to understand the socioecology of the range of factors that impact RTW expectations. The use of decision tree analysis facilitates this understanding by describing the interrelationships between these factors.

  • 22.
    Selander, John
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Tjulin, Åsa
    Division of Public Health Sciences, School of Health, Care and Social Welfare, Mälardalens University, Sweden; Department of Medical and Health Sciences, Linkoping University, Sweden; HELIX Vinn Excellence Centre, Linkoping University, Sweden.
    Mussner, Ulrika
    Division of Community Medicine, Department of Medical and Health Sciences, Linkoping University, Sweden.
    Ekberg, Kerstin
    HELIX Vinn Excellence Centre, Linkoping University, Sweden.
    Contact With the Workplace During Long-Term Sickness Absence and Worker Expectations of Return to Work2015In: International Journal of Disability Mangement Research, ISSN 1833-8550, E-ISSN 1834-4887, Vol. 10, article id e3Article in journal (Refereed)
    Abstract [en]

    Since long-term sickness absence constitutes a problem in most western countries, research that can facilitate return to work (RTW) is important. Today there is evidence that the social context at the workplace has a significant impact on return to work. The dual aims of the study was firstly to investigate the pattern and quality of contact between employees on long-term sick leave and different actors at the workplace, and secondly to investigate whether contacts with the workplace were associated with expectations regarding return to work. An explorative method and descriptive design was used for the first aim. For the second aim, the data was analysed in a multivariate logistic regression model. The results show that employees had frequent and, in most cases, appreciated contact with their supervisor and co-workers. Contact with other workplace actors; that is, the occupational health unit, the union representative, and the human resources department, were less frequent. Employees who experienced the contact as supportive and constructive were far more positive and optimistic than others regarding return to work. It is concluded that supervisors and co-workers should be aware that they play a significant role in the return-to-work process, and that quality of contact is what matters.

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  • 23.
    Tjulin, Åsa
    Linköpings Universitet.
    Avhandlingspresentation: Workplace Social Relations in the Return-to-Work process2010In: Socialmedicinsk Tidskrift, ISSN 0037-833X, E-ISSN 2000-4192, Vol. 87, no 4, p. 319-Article in journal (Other academic)
  • 24.
    Tjulin, Åsa
    Mälardalens Högskola.
    Ett exempel på det kollegiala lärandet - ett arbetsplatslärande för att möjliggöra studentaktiva lärandeformer.2016In: NU2016: Högskolan i samhället. Samhället i högskolan, 2016Conference paper (Refereed)
    Abstract [sv]

    Ett pedagogiskt utvecklingsarbete på Mälardalens högskola, inom programmet för folkhälsovetenskap,initierades hösten 2013. Det hela började med en workshop om ProblemBaseratLärande (PBL) sompedagogiskt förhållningssätt och modell. Frågan kollegiet ställde sig efter genomfört workshop var omPBL, eller en egen hybrid av det teoretiska förhållningssättet (syn på lärande) och pedagogiska metodenoch didaktik (verktyg i undervisningen), skulle kunna vara något att använda sig av i det treårigafolkhälsovetenskapliga programmet.Vidare identifierade kollegiet vissa behov av pedagogiskutveckling.På kollegialnivå: - Avsaknad av gemensamt pedagogiskt förhållningssätt -Avsaknad av pedagogisk transparens och delat/kollegialt lärande, dvs vad gör mina kollegor i “sinakurser” -Inga lärtillfällen mellan kollegor fanns inplanerat på ett kontinuerligt och strukturerat sätt -Behov av en diskussion och utveckling av hur pedagogiska metoder och förhållningssätt kan gå hand-ihandmed progressionen inom ämnet folkhälsa i grundutbildningen. På studentnivå:-Undvika och förebygga konflikter i studentgrupper i samband med grupparbeteüUndvika att alltför många studenter helt väljer bort frivilla lärtillfällen som erbjuds på högskolan. Förbättra kvalitén på lärandeprocessen och slutprodukterna i grupparbeten. Förbättra bedömningen av individuella insatser i grupparbetenüMöjliggöra och förbättra lärtillfällen för individuellt skrivande. Under våren 2014 gick kollegiet gemensamt in i en pedagogisk kompetensutveckling genom enhandledarutbildning för PBL. Utbildningen låg till grund för att kunna ta ställning till om PBL, eller enegen hybrid, skulle kunna gynna kollegiet i sin pedagogiska utveckling och svara på frågor som; varförskulle vi använda oss av PBL i programmet, när, hur och vad skulle en förändring innebära? I ett första steg kom kollegiet fram till att en egen hybrid, som kallas studentaktivt lärande, skulle testasoch implementeras i valda kurser inom det folkhälsovetenskapliga programmet. I korthet innebär detnya pedagogiska verktyget att kollegiet införde handledarledda studiegrupper för att utveckla ochförbättra grupparbeten inom vissa kurser. Det pedagogiska verktyget har utvärderats medfrågeställningar om vad som varit positivt och vilka utvecklingsmöjligheter som finns under kursernasgång från både kollegialt- och studentperspektiv.

  • 25.
    Tjulin, Åsa
    Linköpings universitet.
    Experience of the implementation of a multi-stakeholder return to work programme2010Conference paper (Other academic)
  • 26.
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Slutrapport: Utveckling av intern och internationell samverkan och kunskapsutbyte genom en pilotstudie av den internationella onlinekursen –What is fair? International perspectives on equity in health and work2020Report (Other (popular science, discussion, etc.))
  • 27.
    Tjulin, Åsa
    Linköping universitet.
    Validity issues in Qualitative Research2007In: Organizational Theory and Change Processes: Collected papers from a doctoral course / [ed] Westlander G., Linköping: Linköping University Electronic Press, 2007Chapter in book (Other academic)
  • 28.
    Tjulin, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    What is fair? International perspectives on equity in work and health2018In: NU2018: Det akademiska lärarskapet, 2018Conference paper (Refereed)
    Abstract [sv]

    WHAT IS FAIR? INTERNATIONAL PERSPECTIVES ON EQUITY IN WORK AND HEALTH Åsa Tjulin (asa.tjulin@miun.se) Det är titlen på den distanskurs (7,5 hp) som Mittuniversitetet, Mälardalens Högskola och University of Waterloo (Kanada) skapar tillsammans. Vi vill skapa interaktion mellan svenska och kanadensiska studenter inom ämnesområdet arbetsliv och hälsa. Vi har bildat en partnerskapsmodell där kursen är vår gemensamma plattform. Varje läsosäte antar sina egna studenter. Vi har en baktanke med det som jag gärna berättar mer om. Jag kan ge dig en teaser: University of Waterloo är erkänt ett av de största lärosäten i Kanada som ger onlineutbildningar. Deras stödresurser är enorma i jämförelse vad vi i Sverige är vana vid. Vi har en egen OnlineConsultant knuten till projektet. Den personen ger feedback på allt från våra lärandemål till hur vi pedagogiskt kan genomföra kursen och vilka onlineverktyg som passar bäst till våra idéer. Jag vill gärna dejta dig som är intresserad av och kanske har egen erfarenhet av att bedriva ditt akademiska lärarskap inom ramen för internationella kurser/utbildning. Det jag kan berätta för dig handlar om hur idén till den här kursen föddes, hur den förädlats, vilka samverkansstrategier vi använder oss av och vad vi vill med kursen och med vårt partnerskap. Vi har även fått initieringsbidrag från STINT för att förverkliga vår idé. Blir du nyfiken? Jag hoppas det! Nästa steg som jag funderar på är om vi kan söka forskningsmedel för att studera vår aktivitet. Kanske kan vi bidra till att belysa både fallgropar och framgångsfaktorer för hur internationella kursers online/på distans inom vårt ämnesområde fungerar i praxis. Har du idéer eller erfarenehet om detta? Eller har jag väckt din nyfikenhet? Kom och träffa mig! Vi ses, hälsar Åsa Tjulin

  • 29.
    Tjulin, Åsa
    Linköpings universitet, Arbetslivsinriktad rehabilitering.
    Workplace Social Relations in the Return-to-Work process2010Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of this thesis was to explore the impact of workplace social relations on the implementation of return-to-work interventions. The thesis consists of four separate papers with specific aims. In Paper I, the overall purpose of the study was to analyse how a multi-stakeholder return-to-work programme was implemented and experienced from the perspective of the stakeholders involved, i.e. supervisors, occupational health consultants and a project coordinator. The objective was to identify and analyse how these stakeholders perceived that the programme had been implemented in relation to its intentions. In Paper II, the objective was to explore how workplace actors experience social relations, and how organisational dynamics in workplace-based return-to-work start before and extend beyond the initial return of the sick-listed worker to the workplace. In Paper III, the objective was to explore the meaning of early contact in return-to-work, and how social relational actions and conditions can facilitate or impede early contact among workplace actors. In Paper IV, the objective was to explore the role of co-workers in the return-to-work process, and their contribution to the process, starting from when a colleague falls ill, continuing when he/she subsequently becomes sick-listed and finally when he/she re-enters the workgroup.

    The general methodological approach to the papers in this thesis has been explorative and interpretive; qualitative methods have been used, involving interviews, group interviews and collection of employer policies on return-to-work. The data material has been analysed through back-and-forth abductive (Paper I), and inductive (Papers II-IV) content analysis.

    The main findings from Paper I show that discrepancies in the interpretations of policy intentions between key stakeholders (project coordinator, occupational health consultants and supervisors) created barriers for implementing the employer-based return-to-work programme, due to lack of communication, support, coaching and training activities of key stakeholders dedicated to the biopsychosocial intentions of the programme. In Papers II-IV, the workplace actors (re-entering workers, co-workers, supervisors and/or human resources manager) experienced the return-to-work process as phases (time before the sick leave, when on sick leave, when re-entering the workplace, and future sustainability). The findings highlight the importance and relevance of the varied roles of the different workplace actors during the identified phases of the return-to-work process. In particular, the positive contribution of co-workers, and their experience of shifting demands and expectations during each phase, is acknowledged. During the period of time before sick leave the main findings show how workplace actors experience the meaning of early contact within a social relational context, and how early contact is more than an activity that is merely carried out (or not carried out). The findings show how workplace actors experience uncertainties about how and when contact should take place, and the need to balance possible infringement that early contact might cause for the re-entering worker between pressure to return to work and their private health management.

    The findings in this thesis show how the workplace is a socially complex dynamic setting, which challenges some static models of return-to-work. The biopsychosocial and ecological/case management models and policies for return-to-work have been criticised for neglecting social relations in a return-to-work process at the workplace. This thesis provides increased knowledge and explanations regarding important factors in workplace social relations that facilitate an understanding of what might “make or break” the return-to-work process.

  • 30.
    Tjulin, Åsa
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Bergström, Gunilla
    Klockmo, Carolina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    The slow pace of building and organizing for trust in internal collaboration within social services2024In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588Article in journal (Refereed)
    Abstract [en]

    This study sets out to understand how trust-building is created in a municipal organization when the highest level of decision-makers decides to implement trust-based governance. The study focuses on the social services internal organization. The aim was to capture how the participants perception of trust-building during internal collaboration through time, and how the process unfolded over time. A qualitative longitudinal study was designed, and data was gathered comprising written reflection texts about internal collaboration and activities to promote collaboration, ratings of perceived emotions and trust, and meeting observations. The study uses abductive thematic analysis. The main finding illustrates that to social relations and trust between individuals was challenging, however there was perceived trust in the overall change process to become one unit and identify common work methods. This study reinforces the need for physical social relational ties to see beyond the focus on new internal collaborative working methods. It stresses the importance of acknowledging personal and social chemistry in transitioning to new roles, responsibilities and professional skills to build trust.

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  • 31.
    Tjulin, Åsa
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Dellve, Lotta
    Hållbar arbetsmiljö2023In: Rehabiliteringsvetenskap: Perspektiv, aktörer och strategier för hälsa i arbetslivet / [ed] Bodil J. Landstad & Stig Vinberg, Studentlitteratur AB, 2023, 4, p. 343-362Chapter in book (Other (popular science, discussion, etc.))
  • 32.
    Tjulin, Åsa
    et al.
    Mälardalens Högskola.
    Dunstan, D
    Mortlemans, K
    MacEachen, E
    Återgång i arbete: ett internationellt samproduktionsprojekt2016In: Samproduktionens retorik och praktik: inom området hälsa och välfärd / [ed] Inger K. Holmström, Jonas Stier, Per Tillgren och Gunnel Östlund, Lund: Studentlitteratur, 2016, p. 131-141Chapter in book (Other academic)
  • 33.
    Tjulin, Åsa
    et al.
    Linköpings universitet.
    Edvardsson Stiwne, Elinor
    Linköpings universitet.
    Ekberg, Kerstin
    Linköpings universitet.
    Experience of the Implementation of a Multi-Stakeholder Return-to-Work Programme2009In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 19, no 4, p. 409-418Article in journal (Refereed)
    Abstract [en]

    Introduction Employers can use several strategies to facilitate return-to-work for workers on sick leave, but there seems to be limited knowledge of how workplace-based interventions are actually implemented in organisations. One public Swedish employer initiated a return-to-work programme which incorporated interventions suggested by earlier research, e.g. multi-professional health assessment, case management, educational peer-support groups and adapted workplace training. The overall purpose of the study is to analyse how the programme was implemented and experienced in the organisation, from the perspective of involved stakeholders, i.e. supervisors, occupational health consultants and a project coordinator. The objective of this paper is to identify and analyse how these stakeholders perceived that the programme had been implemented in relation to its intentions. Methods A qualitative method was used, consisting of individual interviews with eight supervisors and the project leader. Two group interviews with five occupational health service consultants were also conducted. Results The study revealed barriers to the implementation of return-to-work interventions. Not all of the intended interventions had been implemented as expected in policy. One explanation is that the key stakeholders expressed a more biomedical, individual view of work ability, while the programme was based on a more holistic, biopsychosocial view. Conclusion Implementation of a return-to-work programme is an ongoing, long-term multi-level strategy, requiring time for reflection, stakeholder participation, openness to change of intervention activities, and continuous communication.

  • 34.
    Tjulin, Åsa
    et al.
    Linköpings universitet.
    Edvardsson Stiwne, Elinor
    Linköpings universitet.
    Ekberg, Kerstin
    Linköpings universitet.
    Rehabilitering i Kommunen. En utvärdering av ReKom-projektet i Norrköpings kommun2007Report (Other academic)
  • 35.
    Tjulin, Åsa
    et al.
    Linköpings universitet.
    Ekberg, Kerstin
    Linköpings universitet.
    Edvardsson Stiwne, Elinor
    Linköpings universitet.
    Process Evaluation of a Swedish Workplace-based Return-to-Work Program.2008Conference paper (Refereed)
  • 36.
    Tjulin, Åsa
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Hagqvist, Emma
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Vinberg, Stig
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Eriksson, Andrea
    Kungliga Tekniska Högskolan.
    Landstad, Bodil
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Prerequisites and hindrance in a health-promoting leadership educational intervention: - learning experinces from first line public sector managers2018In: 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 (Refereed)
  • 37.
    Tjulin, Åsa
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Klockmo, Carolina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Learning through co-creation across internal organisational professions and responsibilities2023In: Journal of Workplace Learning, ISSN 1366-5626, E-ISSN 1758-7859, Vol. 35, no 9, p. 101-116Article in journal (Refereed)
    Abstract [en]

    PurposeThis study explores the organisational dynamics in a change process across work units in a Swedish municipality. The purpose of this study is to understand how and why co-creation unfolds during efforts to bring different units into one united work unit.Design/methodology/approachA qualitative longitudinal study was designed using data triangulation for eight months, comprising written reflection texts, meeting protocols and interviews. This study is based on a back-and-forth inductive and abductive grounded theory analysis.FindingsThe main results of this study indicate that there was friction in the co-creation process between units, between the members of the change group and supervisors, as well as friction within the change group. Further, the results indicate that communications, relations, supervisor support and governing strategies clashed with work routines and methods, work cultures, roles and responsibilities and that the units had differing views of the needs of the intended target group. This thereby challenged the propensity for change which, in turn, may have limited developmental learning at a workplace and organisational level.Originality/valueWorking across units to find common and new paths and work methods for labour market inclusion proved to be challenging because of contextual circumstances. Crossing and merging organisational boundaries through co-creation processes was demanding because of new expectations from the organisation, as it shifted towards trust-based governance in conjunction with working during a pandemic when social interactions were restricted to digital communication channels.

  • 38.
    Tjulin, Åsa
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Klockmo, Carolina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Slutrapport: Den tillitsbaserade och vetenskapande socialtjänsten2023Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    I Timrå kommun har kommunstyrelsen beslutat att kommunen ska arbeta utifrån ”tillitsbaserad styrning”, där individ- och familjeomsorgen (IFO) inom socialförvaltningen arbetat med att utarbeta en gemensam strategi och ett arbetssätt som syftar till att omsätta kommunens styrmodell i praktiken. I praktiken innebar detta att enheterna inom IFO, som traditionellt arbetat enskilt, skulle utarbeta samverkansformer för utformning av stödinsatser till individer för att gå från försörjningsstöd till egen försörjning. För detta krävs samarbetsformer mellan enheterna. Som stöd för arbetet beslutade cheferna inom IFO att använda sig av IT-verktyget Loop-me i utvecklingsarbetet. 

    Projektet har haft en interaktiv och praktiknära forskningsdesign, där enhetschefer och verksamhetschef inom individ- och familjeomsorgen (IFO) i socialtjänstförvaltningen tillsammans med forskarna arbetat tillsammans med teoretiska resonemang, tolkningar och diskussioner i kontinuerliga möten under projektets gång. 

    Projektet har synliggjort de förutsättningar som krävs, och de utmaningar som uppstår när en organisation ska gå från en styrmodell som liknas vid New Public Management (NPM) till en mer ”tillitsbaserad styrning”. Det har i praktiken inneburit att både chefer och medarbetare tvingats omformulera sina ansvarstaganden, där mer handlingsutrymme lämnas åt medarbetarna, där det krävs ett annat ledarskap än tidigare. Genom IT-verktyget Loop-me har personalen kontinuerligt lämnat loopar där de reflekterat kring sina upplevelser och ageranden i olika situationer. På så vis har data inkommit kontinuerligt vilket möjliggjort för cheferna att snabbt få indikationer på vad som sker, diskutera det med forskarna och att tillsammans finna vägar framåt. Detta har skapat förutsättningar för en ökad samsyn och förståelse för helheten i utvecklingen av samarbetsformer mellan enheterna inom IFO, vilket blir avgörande när orsakssambanden inte är givna och flera vägar till lösning behöver övervägas och även provas. Metoden och verktyget har därmed ökat närheten mellan ledning och medarbetare. 

    Projektet har bidragit med kunskap om hur ”tillitsbaserad styrning” kan utvecklas, och hur ett IT-verktyg som Loop-me kan vara stödjande i en sådan utvecklingsprocess. Detta är en kunskap som är viktig, och överförbar till andra kommuners socialtjänster och övriga välfärdsorganisationer. Den kunskap som projektet utvecklat är också användbar för framtida forskning och utbildningar inom välfärdssektorn. 

  • 39.
    Tjulin, Åsa
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Klockmo, Carolina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    To learn across Internal Organizational Boarders and Responsibilites – challenges and facilitators2021Conference paper (Other academic)
    Abstract [en]

    To Learn across Internal Organizational Boarders and Responsibilities – challenges and facilitators. Author Doctor Klockmo, Carolina, Mittuniversitetet, Sundsvall, Sverige. Co-author(s)PhD. Tjulin, Åsa, Mittuniversitetet, Sundsvall, Sverige (Presenting Author).

    Background

    This study explores enabling and challenging factors for a co-creating process across units in social services within a Swedish municipality. In this context, co-creating process is defined as everyone's perspective has a value, belief in a common energies towards a common goal, and co-creation of a new working method through "learning by doing". The development process under study aims at promoting more sustainable inclusion of vulnerable individuals in working life.

    Methods

    The study design was qualitative longitudinal. Data was gathered through triangulation using social media platform, documents and interviews during nine months.

    Results

    The enabling factors: (1) agile leadership (2) close, continuous and situational support, visibility and transparency (3) arenas for social interaction, primarily through dialogue. The challenging factors: (1) to get caught in old ways of working and the struggle to find new paths (2) to get stuck - to cross organisational boundaries and professional roles for reflexive learning and common ground (3) timing - the same pace of development for each work unit.

    Conclusion

    To cross and merge organizational boundaries is challenging due to new expectations from the organization, new role functions of professionals, finding common and new paths and interventions for labor market inclusion across work units for vulnerable individuals. The conclusion so far point at factors as trust, compliance, sensitivity and time for reflection and dialogue is vital for development progress and learning, where the involvement of personnel is important. The process must also be built on a solid plan from the start.Close

  • 40.
    Tjulin, Åsa
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Klockmo, Carolina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Värdeskapande vetenskapande för socialtjänsten2023In: FALF 2023 Arbetets gränser: Program och abstrakt, 2023, 2023Conference paper (Refereed)
    Abstract [sv]

    Syftet med presentationen är att beskriva och reflektera kring hur metoden värdeskapande vetenskapande och dess verktyg Loop Me (social mediaplattform) har implementerats i ett forskningsprojekt. Värdeskapande vetenskapande har utvecklats vid Chalmers, ursprungligen för att främja verksamhetsutveckling på vetenskaplig grund inom utbildningssektorn. Vi använde metoden i ett projekt som syftade till att kartlägga samverkansprocesser och arbetssätt som socialtjänsten utformade för intern och extern samverkan i relation till arbetsmarknadsintegration och minskat försörjningsstöd under pandemin. Ett vidare forskningssyfte var att synliggöra eventuellt kollegialt lärande. Gemensamt för både forskare och praktiker var en önskan om att prova en interaktiv forskningsmetod som gav möjlighet att förstå hur verksamhetsprocessen utvecklades över tid genom medarbetarreflektion i relation till givna uppdrag/situationer. Presentationen kommer därmed inte fokusera på forskningsfrågorna i projektet utan på metodens användbarhet och typ av data som låg till grund för olika kvalitativa analyser inom en organisatorisk arbetslivskontext.

  • 41.
    Tjulin, Åsa
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Klockmo, Carolina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Bergström, Gunilla
    FoU i Väst, Göteborgsregionen.
    Du får dansa med omvärlden och anpassa efter behov: Du får dansa med omvärlden och anpassa efter behov2024In: Socialmedicinsk Tidskrift, ISSN 0037-833X, E-ISSN 2000-4192, Vol. 101, no 2, p. 135-145Article in journal (Refereed)
    Abstract [sv]

    I den här studien fördjupas förståelsen av de övergripande utmaningar som personalen inom kommunala arbetsmarknadsenheter (AME) upplever i sitt dagliga arbete. Det finns inga lagstadgade krav på att kommunerna ska bedriva arbetsmarknadspolitiska åtgärder, men genom förskjutningen i det ekonomiska ansvaret för vissa utförsäkrade (Försäkringskassan) och arbetslösa (Arbetsförmedlingen) har kommunerna ekonomiska incitament att engagera sig i arbetsmarknadspolitiken. I studien har data samlats in genom fokusgruppsintervjuer med 45 personer. Deltagare har varit personal inom AME i åtta kommuner. Resultatet visar att personalen måste anpassa sig när omvärlden förändrar förutsättningarna för deras deltagare. AME behöver vara flexibelt organiserat genom att verksamheten är (med)beroende av omvärlden och dess olika (politiska) system. Detta kan ses som ett övergripande systemhinder som AME-personalen möter i sitt dagliga arbete och förståelse för kommunernas roll som yttersta skyddsnät.

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  • 42.
    Tjulin, Åsa
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Krasser, Pernilla
    Timrå kommun.
    Klockmo, Carolina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Den vetenskapande socialtjänsten: - hur en social medieplattform kan göra vardagens verkstad till vetenskap2023In: Socialvetenskaplig tidskrift, ISSN 1104-1420, E-ISSN 2003-5624, Vol. 30, no 2, p. 649-660Article in journal (Refereed)
    Abstract [en]

    The scientific social service – how a social media platform can turn the everyday work into science.

    Here the aim is to describe and reflect on how the value-creating science method and its digital tool Loop Me (social media platform) have been implemented in a research project. The research project aimed to explore collaboration processes and working methods that social services designed for internal and external collaboration in relation to labour market integration and reduced income support. A further aim within the research project was to understand how collegial learning unfolded. Common to both researchers and practitioners was a desire to try an interactive research method that gave the opportunity to understand how the collaboration- and development process developed over time through employee reflection in relation to given assignments/situations. The article thus does not focus on the research questions in the project, but on the usability of the method and the type of data that was the basis for various qualitative analyses within an organisational working life context. The researchers and practitioners have chosen to adapt the method somewhat to work for the specific context in which the research study was carried out. We reflect on what we adapted, why and how, and conclude that the method leaves room for context-specific adaptations, which previous studies on interactive research methods have shown to be significant for implementation.

  • 43.
    Tjulin, Åsa
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Landstad, Bodil
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway.
    Vinberg, Stig
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Eriksson, Andrea
    KTH.
    Hagqvist, Emma
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Managers’ learning process during a health-promoting leadership intervention2019In: Health Education, ISSN 0965-4283, E-ISSN 1758-714X, Vol. 119, no 5/6, p. 350-365Article in journal (Refereed)
    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.

  • 44.
    Tjulin, Åsa
    et al.
    Mälardalens högskola.
    MacEachen, Ellen
    University of Waterloo, Canada.
    The importance of workplace social relations in the return to workprocess: A missing piece in the return-to-work puzzle?2016In: Handbook of return to work: From research to practice / [ed] Schultz I. & Gatchel R., New York: Springer Science+Business Media B.V., 2016, p. 81-97Chapter in book (Other academic)
    Abstract [en]

    The chapter elaborates how workplace social relations influence practice in the return to work process. The social conditions in which the return to work process is embedded, and the way social interaction and relations between the sick-listed worker and other workplace actors (supervisor and coworkers) evolve, have only been researched to a limited extent. In this book chapter, we will discuss critical new dimensions of social relations research in the field of return to work that can “make” or “break” a workplace return to work process. These critical new dimensions highlight the importance of viewing return to work as a dynamic process over time, where supervisors and coworkers display shifting roles depending on phases of the process. The chapter conveys new dimensions of social relations, acknowledging the positive contribution of coworker efforts in the process, which may have an important impact on workplace-based return to work interventions.

  • 45.
    Tjulin, Åsa
    et al.
    Linköpings universitet.
    MacEachen, Ellen
    University of Toronto, Canada.
    Edvardsson Stiwne, Elinor
    Linköpings universitet.
    Ekberg, Kerstin
    Linköpings universitet.
    The social interaction of return-to-work explored from co-workers experinces2011In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 33, no 21-22, p. 1979-1989Article in journal (Refereed)
    Abstract [en]

    Purpose.The objective was to explore the role and contribution of co-workers in the return-to-work process. The social interaction of co-workers in the return-to-work process are analysed within the framework of the Swedish national and local employer organisational return-to-work policies. Methods. An exploratory qualitative method was used, consisting of open-ended interviews with 33 workplace actors across seven work units. Organisational return-to-work policies were collected from the three public sector employers. Results.The key findings that emerged during analysis showed that some co-workers have a more work-task oriented approach towards the return-to-work process, whilst others had a more social relational approach. In both situations, the social relations worked hand in hand with job tasks (how task were allocated, and how returning workers were supported by others) and could make or break the return-to-work process. Conclusion.A suggestion for improvement of return-to-work models and policies is the need to take into account the social relations amongst workplace actors, especially involving co-workers when planning for return-to-work interventions. Otherwise the proper attention to work arrangements, social communication and the role of co-workers in the return-to-work process might not be seen.

  • 46.
    Tjulin, Åsa
    et al.
    Linköpings universitet.
    MacEachen, Ellen
    The Institute for Work and Health, Toronto, Canada.
    Ekberg, Kerstin
    Linköpings universitet.
    Exploring the meaning of early contact in return-to-work from workplace actors’ perspective2011In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 33, no 2, p. 137-145Article in journal (Refereed)
    Abstract [en]

    Purpose. The objective of this article was to explore the meaning of early contact in return-to-work, and how social relational actions and conditions can facilitate or impede early contact among actors in the workplace. Method. An exploratory qualitative method was used, consisting of individual open-ended interviews with 33 workplace actors at seven worksites across three public employers in Sweden. The workplace actors represented in these interviews included re-entering workers, supervisors, co-workers and human resources managers. Organisational policies on return-to-work were collected from the three employers. Results. The analysis indicated that early contact is a complex return-to-work measure with shifting incentives among workplace actors for making contact. For instance, the findings indicated obligation and responsibilities as incentives, incentives through social relations, and the need to acknowledge and balance the individual needs in relation to early contact. Conclusion. The findings strengthen the importance of early contact as a concept with a social relational context that comprises more than just an activity carried out (or not) by the employer, and suggest that early contact with a sick-listed worker is not always the best approach for a return-to-work situation. This study provides a starting point for a more articulated conceptualisation of early contact.

  • 47.
    Tjulin, Åsa
    et al.
    Linköpings universitet.
    Maceachen, Ellen
    Institute for Work & Health, Toronto, ON, Canada.
    Ekberg, Kerstin
    Linköpings universitet.
    Exploring Workplace Actors Experiences of the Social Organization of Return-to-Work.2010In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 20, no 3, p. 311-321Article in journal (Refereed)
    Abstract [en]

    Introduction: There is a limited body of research on how the actual social exchange among workplace actors influences the practice of return-to-work. The objective of this study was to explore how workplace actors experience social relations at the workplace and how organizational dynamics in workplace-based return-to-work extends before and beyond the initial return of the sick listed worker to the workplace.

    Method: An exploratory qualitative method approach was used, consisting of individual open-ended interviews with 33 workplace actors at seven worksites that had re-entering workers. The workplace actors represented in these interviews include: re-entering workers, supervisors, co-workers, and human resource managers. Results The analysis identified three distinct phases in the return to work process: while the worker is off work, when the worker returns back to work, and once back at work during the phase of sustainability of work ability. The two prominent themes that emerged across these phases include the theme of invisibility in relation to return-to-work effort and uncertainty, particularly, about how and when to enact return-to-work. Conclusion The findings strengthen the notion that workplace-based return-to-work interventions need to take social relations amongst workplace actors into account. They also highlight the importance and relevance of the varied roles of different workplace actors during two relatively unseen or grey areas, of return-to-work: the pre-return and the post-return sustainability phase. Attention to the invisibility of return-to-work efforts of some actors and uncertainty about how and when to enact return-to-work between workplace actors can promote successful and sustainable work ability for the re-entering worker.

  • 48.
    Tjulin, Åsa
    et al.
    Linköpings universitet.
    MacEachen, Ellen
    University of Toronto, Canada..
    Ekberg, Kerstin
    Linköpings universitet.
    The social challenges of a time scheduled early contact at the workplace in return-to-work. Oral presentation.2010Conference paper (Other academic)
  • 49.
    Tjulin, Åsa
    et al.
    Linköpings universitet.
    MacEachen, Ellen
    University of Toronto, Canada.
    Ekberg, Kerstin
    Linköpings universitet.
    The social organization of return-to-work at the workplace. Oral presentation.2010Conference paper (Other academic)
  • 50.
    Tjulin, Åsa
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    MacEachen, Ellen
    University of Waterloo, Ontario, Canada.
    Larsson, Robert
    Mälardalens Högskola.
    Bigelow, Philip
    University of Waterloo, Ontario, Canada.
    Vinberg, Stig
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    White, Darcy
    University of Waterloo, Ontario, Canada.
    An International Online Work Disability Policy Course: How a University Partnership Became a Facilitator2019Conference paper (Refereed)
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