Dissertations / Theses: 'Work environment health'

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Ylipää, Viola. "Work environment, health and well-being in dental hygienists : a work-health-culture model /." Stockholm, 2000. http://diss.kib.ki.se/2000/91-628-4068-1/.

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Jeding, Kerstin. "The psychosocial work environment, job satisfaction and health." Thesis, University of Oxford, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.442454.

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Gunnarsson, Kristina. "Entrepreneurs and Small-Scale Enterprises : Self Reported Health, Work Conditions, Work Environment Management and Occupational Health Services." Doctoral thesis, Uppsala universitet, Arbets- och miljömedicin, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-126549.

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This thesis focused on factors contributing to improved work environment in small-scale enterprises and sustainable health for the entrepreneurs. In Study I, implementation of the provision of Systematic Work Environment Management (SWEM) with and without support was investigated. Two implementation methods were used, supervised and network method. The effect of the project reached the employees faster in the enterprises with the supervised method. In general, the work environment improved in all enterprises. However, extensive support to small-scale enterprises in terms of advice and networking aimed at fulfilling SWEM regulations had limited effect – especially considering the cost of applying these methods. Studies II, III, and IV focused on entrepreneurs’ health, work conditions, strategies for maintaining good health, and utilisation of Occupational Health Service (OHS). A closed cohort of entrepreneurs in ten different trades responded to two self-administered questionnaires on health and work conditions, with five years between the surveys: at baseline, 496 entrepreneurs responded, and 251 entrepreneurs responded at follow-up. Differences were tested by Chi2-test, and associations estimated with logistic regression analyses. Qualitative interviews on entrepreneurs’ strategies for maintaining good health were included. In Study II, the most frequently reported complaints, musculoskeletal pain and mental health problems, were associated with poor job satisfaction and poor physical work environment. In Study III, consistent self-reported good health, i.e. good health both at baseline and at follow up, was associated with self-valued good social life when adjusted for physical work conditions and job satisfaction. Entrepreneurs’ strategies for maintaining good health included good planning and control over work, flexibility at work, good social contact with family, friends and other entrepreneurs, and regular physical exercise. Study IV concerned entrepreneur’s utilisation of OHS. Entrepreneurs affiliated to OHS had either better or more adverse work conditions than non-affiliated entrepreneurs. Medical care and health check-ups were the services most utilised. Affiliation to OHS correlated with use of specific information sources and active work environment management. The entrepreneurs were not consistently affiliated to OHS over the five-year-period.

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Motswasele, Granny Tshabane Mary. "Experiences of community health nurses in the tuberculosis work environment." Diss., University of Pretoria, 2017. http://hdl.handle.net/2263/65838.

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South Africa has one of the world’s worst Tuberculosis (TB) epidemics. Several interventions were instituted by the Department of Health to manage TB and, regrettably, people still die from the disease. The community Health nurses provide care to people diagnosed with TB in facilities that have low staffing ratios with increased workload and responsibilities. Objective: This paper explores and describes the experiences of community health nurses working in a TB work environment. Method: A qualitative, descriptive, phenomenological approach was used to investigate the experiences of community health nurses in the TB work environment. A purposive sampling was used and consisted of twenty nurses. Unstructured interviews were conducted at an urban clinic, a semi-urban clinic and a rural clinic to gather data. The researcher followed the steps of the Colaizzi process of data analysis. Findings: Four themes were identified and discussed. These themes include fear of being infected with TB, control of infection, defaulting TB treatment, and screening services. Themes were supported with literature during discussion. Conclusion: The study concluded that the participants’ fear of contracting TB was attributed to delayed diagnosis of TB patients, the patients’ ignorance regarding TB transmission and community health nurses with chronic diseases and interacting with undiagnosed TB patients. Compromised TB infection control measures, such as failure to wear protective masks, was revealed by several participants. Recommendations for the Community Nursing Management and Nursing Education have been clearly described.
Dissertation (MCur Nursing Science)--University of Pretoria, 2017.
Nursing Science
MCur Nursing Science
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Toivanen, Susanna. "Work-Related Inequalities in Health : Studies of income, work environment, and sense of coherence." Doctoral thesis, Stockholm : Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-7107.

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Feng, Jianshe. "Methodology of Adaptive Prognostics and Health Management in Dynamic Work Environment." University of Cincinnati / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1593267012325542.

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Ögren, Tsuyu. "Regulatory Inspectors and their Work Environment : A Thematic Analysis." Thesis, Mittuniversitetet, Avdelningen för hälsovetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-31196.

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Rollins, Lawanda. "Healthy Work Environment Orientation Training and Psychiatric Nurse Retention." ScholarWorks, 2014. https://scholarworks.waldenu.edu/dissertations/125.

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According to recent research, more than 75% of newly employed nurses leave employment within 6 months. Changes in organizational training programs are needed in order to improve psychiatric nurse retention, nationally and globally. A healthy work environment (HWE) has been described as an environment that includes mentoring for good communication skills; it is also one that explores collaborative strategies for safe practice; professional advancement; and empowerment through research, education, and skill development. Examination of the impact of this HWE psychiatric nurse orientation training program on nurse retention was done using Rogers' theory of diffusion. Study variables included the length of training and retention rates pre- and post-training to help identify the impact of the HWE training program on retention using different methods of policy review. The project included 88 nurses and outcomes were measured through review of hire and termination rates for the targeted facility 3 months pre- and post-intervention. An independent samples t test revealed that the average retention rate for nurses trained in the current versus HWE program differed significantly by program (p > .05). Training also was shown to improve clinical practice and increase awareness of existing evidence about strategies to improve psychiatric nurse retention. Social change implications include potentially decreasing the costs associated with hiring and training nurses, improving clinical practice, adding to the nursing knowledge base and skill set, and enhancing workflow processes for quality outcomes.

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Vartia-Väänänen, Maarit. "Workplace bullying a study on the work environment well-being and health." Helsinki : University of Helsinki. Department of Psychology, 2003. http://ethesis.helsinki.fi/julkaisut/hum/psyko/vk/vartia-vaananen/.

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Kehr, Dirk. "Work, Social Enterprise and Mental Health Promotion : A psychology of religious analysis of work as a mental health promotion activity." Thesis, Uppsala universitet, Teologiska institutionen, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-385883.

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The intent of this paper is to investigate social enterprise, and the Swedish work environment regulations as expressed in the Organizational and social work environment provisions of the Swedish Work Environment Authority (AFS 2015:4) within the context of mental health promotion. This investigation will generate hypotheses regarding how social enterprises and the individuals working in these environments utilize work in creating mental health promotional activities. The theoretical approach to be used in this paper is twofold: Attachment Theory and Meaning Making Theory. In order to deepen our understanding of work as a mental health promotional activity the phenomena of social enterprise and AFS, 2015:4 were subjected to a textual analysis in the form of a focus group interview and followed with a semi-structured interview. The research design was transformational, and the method was mixed combining literature review, text analysis, a focus group interview and several semi-structured interviews. The population interviewed was employees and management within social enterprises in Uppsala, Sweden. The conclusion reached was that the ability for a work environment to promote health was in correlation to the quality of social relationships and the ability to understand and experience the activity of work as meaningful and meaning making. Based upon this conclusion hypothesis were generated for further research.

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Morelli, Agneta. "Implications of Nursing Station Design on Nurses's Psychosocial Health and Work Behavior." Thesis, University of Gävle, Department of Technology and Built Environment, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-280.

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The purpose was to investigate design factors in nursing station work environments, to explore and compare outcomes of centralized and decentralized designs on nurses’ psychosocial health, work behaviors and indirect hospital economic implications. Six nursing units in three US hospitals participated in the study. A triangulation method was used. The approach included a literature review, hospital statistical data, observations, a survey and two focus groups. Results showed small variations in comparable hospital statistics. Observations revealed office type duties as an ongoing activity. Sound levels exceeded those recommended in all nursing stations. Nurses in the decentralized stations experienced lower sense of control. Four design themes emerged from the focus groups; nurse specific support, sense of control, professional privacy and requirements to stay separate but connected. In conclusion there was no evidence suggesting that either type of nursing station design could be regarded as better in terms of nurses’ psychosocial health and work behavior.

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Voss, Margaretha. "Work and health : epidemiological studies of sickness absence and mortality with special reference to work environment, factors outside work and unemployment /." Stockholm, 2002. http://diss.kib.ki.se/2002/91-7349-125-X.

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Hertting, Anna. "The health care sector : a challenging or draining work environment : psychosocial work experiences and health among hospital employees during the Swedish 1990s /." Stockholm, 2003. http://diss.kib.ki.se/2003/91-7349-665-0/.

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Aldalooj, Esraa. "Psychosocial work environment and oral health in the English Longitudinal Study of Ageing." Thesis, University College London (University of London), 2018. http://discovery.ucl.ac.uk/10043871/.

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BACKGROUND: A growing body of literature shows that psychosocial work environment influences the health of employees and their quality of life. A few studies also suggest that psychosocial work environment might influence oral health. However, the evidence for an association between work stress and oral health is very limited and inconclusive in terms of temporality, as the current literature was exclusively based on crosssectional designs. Given the increasing proportion of older adults in the population and workforce, there is a need to investigate the potential role of psychosocial work factors as a broader determinant of oral health. AIM: The aim of this thesis was to examine whether psychosocial work environment was a determinant of oral health among older working adults, and whether this association was explained by demographic, socio-economic and behavioural factors. METHODS: Secondary analysis of data from the English Longitudinal Study of Ageing (ELSA) waves 3 (2006-07), 4 (2008-09) and 5 (2010-11) was conducted. The sample comprised a total of 1,854 adults aged 50 to 65 years in the cross-sectional analysis, and 1,542 and 1,058, respectively, in two different sets of longitudinal analyses. Two key measures of psychosocial work environment were derived from the ELSA self-report questionnaire, reflecting on the work demand-control model (work control) and the effort-reward imbalance model (work quality). Oral health outcomes were assessed using self-rated oral health, oral health-related quality of life (OHRQoL) and selfreported edentulousness. Logistic regression models were used to estimate the odds ratio of poor oral health outcomes for different psychosocial work environment exposures, sequentially adjusted for age, gender, marital status, education, income, type of work and smoking status. RESULTS: When compared to those with high levels of work control, those at low levels had higher odds of poor self-rated oral health (OR 1.44; 95% CI: 1.08-1.93) and poor OHRQoL (OR 1.91; 95% CI: 1.10-3.31) in the cross-sectional analysis. Similarly, low work quality was associated with poor self-rated oral health (OR 1.48; 95% CI: 1.08- 2.03) and OHRQoL (OR 1.91; 95% CI: 1.15-3.15). In the longitudinal analysis, low quality of work at wave 3 also predicted poor self-rated oral health (OR 1.43; 95% CI: 1.01-2.04) and OHRQoL (OR 1.65; 95% CI: 1.06-2.57) four years later when compared to high quality of work, though the association between quality of work and OHRQoL was weaker in the longitudinal analysis compared to the cross-sectional. Some evidence was found between repeated exposure to low quality of work at waves 3 and 4 with worse OHRQoL at wave 5 with OR 2.38 (95% CI: 1.09-5.20). All associations were independent from selected covariates at wave 3. CONCLUSION: The role of psychosocial work environment on poor oral health appears to be limited among older English working adults. The study found some evidence of associations between work quality and OHRQoL in the cross-sectional, longitudinal and repeated exposure analyses. There was some weak evidence for the association between work control and oral health status. This thesis contributes to the understanding of the links between psychosocial work conditions and oral health in later life.

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Idahosa, Jennifer. "WORKING WITH SYSTEMATIC WORK ENVIRONMENT WITHIN THE CONSULTANCY INDUSTRY : - A qualitative study of consultant employees’ and managers’ perceptions of how consultant- and client companies work with work environment/health." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-55179.

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Approximately 1,6 percent of Swedish employees work under a consultancy firm, which is a fast-growing market. The responsibility of consultant’s work environment is in accordance with Swedish legislation on systematic work environment (SAM) divided between consultant- and client company. This study investigated how 1) consultants experience that their consultant- and client company employers, respectively, work with work environment health; 2) both consultant- and client company employers, respectively, experience their work with implementing work environment/health practices based on SAM. Data collection consisted of 12 in-depth interviews with 8 consultants, 3 consultant managers, and 1 workplace manager. Based on thematic analysis of interviews with consultants three themes were identified: Communication and relation with managers; Justice and inclusion; Managers’ involvement in workplace health. Based on thematic analysis of interviews with managers four themes were identified: Working with SAM; Work environment goals, Relation between consultant- and workplace managers, Relation with consultants. Findings showed the importance of supportive and present leadership, workplace justice and inclusion for consultants’ wellbeing. This responsibility of consultant’s daily work environment was mainly taken by workplace managers. Conclusions are that clear communication and division of responsibility between consultant- and workplace managers regarding consultants’ work environment/health is vital for well-functioning SAM.

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Lysaght, Rosemary Margaret. "The impact of work environment on the competency maintenance activities of occupational therapists /." The Ohio State University, 1997. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487948440825169.

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Kohl, Diane. "Examining the relationship between health behaviours and mental health in a Luxembourg sheltered work environment : a quantitative study." Thesis, London Metropolitan University, 2018. http://repository.londonmet.ac.uk/1389/.

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Background: People suffering from severe mental illness (SMI) engage in fewer health behaviours and, in return, suffer a reduced lifespan by up to 25 years. Past literature on health behaviours and SMI is complex, fragmented and inconclusive, and has chiefly focused on single health behaviours in relation to specific mental illnesses. For example, nicotine and caffeine consumption have been found to interfere with anti-psychotics by reducing their effectiveness. Exercise, however, has been found to lessen the negative symptoms of schizophrenia and lower scores in depression. This research project seeks to explore the potential link between multiple health behaviours (being active daily, eating healthy, not smoking, drinking alcohol in moderation, and being in a healthy weight range) and different mental health diagnoses. Method: A clinical sample of 84 (56 males; 28 females) was drawn from a Luxembourg sheltered work environment. Participants completed a questionnaire developed from the eating habits measure, the health behaviours measure, the Eppendorf schizophrenia inventory, the psychological symptoms index and the mental health inventory. In order to triangulate the participants’ symptoms, with their consent, a third-party also assessed their symptoms. Results: Regression analyses indicated that only exercise predicted self-reported symptoms. In addition, there was also an interaction between exercising and healthy eating: exercising was associated with a decrease in symptoms, whereas exercising while eating healthy was associated with an increase in symptoms. Health behaviours did not affect diverse diagnoses differently. Moderation analyses showed that symptom awareness did not moderate the relationship between exercising and symptoms. However, healthy eating moderated the relationship between exercise and symptoms; at a high level of healthy eating, participants reported worse symptoms. Conclusions: Results point towards a possible impact of self-criticism upon the relationship between health behaviours and SMI. Implications for theory and practice are discussed, and recommendations for future research will be proposed.

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Persson, Anders J. "Ethical problems in work and working environment contexts." Licentiate thesis, KTH, Infrastructure, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-1741.

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This thesis identifies and systematizes two categories ofpractical problems that stem from work and working environmentcontexts: workplace privacy and occupational health risks. Thefocus of the discussion is on ethical justification. Do we havereason to accept a certain level of (potential) harm toemployees by virtue of the fact that they are employees, and ifso, under what circumstances? The thesis consists of a briefintroduction and three essays.

InEssayI, it is argued that employees have a prima facieright to privacy, but that this right can be overridden bycompeting moral principles that follow, explicitly orimplicitly, from the contract of employment. Three types ofjustification are specified: those that refer to the employer'sinterests, those that refer to the interests of the employee,and those that refer to the interests of third parties. A setof ethical criteria is developed and used in the subsequentessay to determine the moral status of infringement ofworkplace privacy.

InEssayII, these criteria are applied to three broadcategories of intrusive workplace practices: (1) monitoring andsurveillance, (2) genetic testing, and (3) drug testing.Scenarios are used to show that such practical ethical problemscan be handled systematically using proposed guidelines. It isalso shown that some practices are dubious and at least some ofthem can be replaced by less intrusive means of ensuring thedesired outcome, for instance efficiency or safety in aworkplace.

EssayIII deals with the fact that health and safetystandards for employees are less protective than those thatapply to the public. Emphasis is put on the distinction betweenexposure and risk, and this distinction is claimed to be a keyfactor in the relevance of arguments in favour of such doublestandards. The analysis of 'double standards' for public andoccupational exposure to risk aims to show that a justificationof such standards is closely linked to two separate types ofissues, namely empirical and normative issues. It is claimedthat this kind of differentiation seems to be supported neitherby a reasonable conception of the contract of employment nor byany obvious ethical principle that is applicable to workplacesor work situations in general.

Key words:Contract of employment, double standards,drug testing, ethics, ethical justification, exposure, genetictesting, health and safety standards, privacy, surveillance,risks, work, work environment

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Anskär, Eva. "Time flies in primary care : a study on time utilisation and perceived psychosocial work environment." Licentiate thesis, Linköpings universitet, Institutionen för medicin och hälsa, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-156119.

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Background: Time utilisation among primary care professionals has been affected by structural changes and reorganisation performed in Swedish primary care over several decades. The work situation is complex with a heavy administrative work load. The overall aim with this thesis was to describe time utilisation among staff in Swedish primary care and to investigate associations with perceived psychosocial work environment and legitimacy of work tasks. Methods: A multicentre, descriptive, cross-sectional study design was used including all staff categories in primary care i.e. registered nurses, primary care physicians, care administrators, nurse assistants and allied professionals (physiotherapists, occupational therapists, psychologists, counsellors, dieticians and chiropodists) at eleven primary care centres located in southeast Sweden. The data collection consisted of a questionnaire including a subjective estimate of workload, the Bern Illegitimate Tasks Scale (BITS) and the Copenhagen Psychosocial Questionnaire (COPSOQ). Also, a time study was performed, where the participants reported their work time based on three main categories; direct patient work tasks, indirect patient work tasks and other work tasks, each with a number of subcategories. The participants reported time spent on different work tasks, day by day during two separate weeks. Response rates were 75% for the questionnaire and 79% for the time study. Results: In paper I the time study revealed that health professionals at the primary care centres spent 37% of their work time with direct patient work tasks. All professions estimated a higher proportion of time spent directly with patients than they reported in the time study. Physicians scored highest on the psychosocial scales of quantitative demands, stress and role conflicts. The proportion of administrative work tasks was associated with role conflicts, the more administration the more role conflicts. Findings in paper II were that more than a quarter of physicians scored above the cut-off value for BITS regarding unnecessary work tasks, which was significantly more than the proportion observed in all other professions in the survey. Across all staff groups, a perception of having to perform illegitimate work tasks was associated with experiencing negative psychosocial work environment and with high proportion of administrative-related work tasks. Conclusions: Swedish primary care staff spend a limited proportion of their work time directly with patients and primary care physicians perceive the psychosocial work environment in negative terms to a greater extent than all other staff members. Allocation of work tasks has an influence on the perceived psychosocial work environment. The perception of having a large number of illegitimate work tasks affects the psychosocial work environment negatively, which might influence the perception the staff have of their professional roles. Perception of high proportion of unreasonable work tasks is associated with a high proportion of non-patient-related administration. This thesis illuminates the importance of decision makers thoroughly considering the distribution and allocation of non-patient related work tasks among staff in primary care, in order to achieve efficient use of personnel resources and favourable working conditions. Hopefully, the results of this study will contribute to further development of primary care so that medical competence will benefit patients as much as possible.
Bakgrund: Under de senaste decennierna har det i svensk primärvård varit omfattande omorganisationer, vilket har påverkat arbetstidens innehåll. Arbetssituationen är komplex och omfattningen av administration har ökat. Det övergripande syftet med föreliggande studie var att beskriva arbetstidens innehåll bland personal i svensk primärvård och att undersöka samband mellan upplevd psykosocial arbetsmiljö och arbetsuppgifternas legitimitet. Metod: Studien har genomförts som en deskriptiv multicenterstudie med tvärsnittsdesign och inkluderade sjuksköterskor, läkare, vårdadministratörer, undersköterskor och övriga professioner (fysioterapeuter, arbetsterapeuter, psykologer, kuratorer, dietister och fotvårdsspecialister) vid elva vårdcentraler i sydöstra Sverige. Studien inleddes med att deltagarna ombads att besvara ett frågeformulär vars första del bestod av en skattning av hur arbetsuppgifterna var fördelade. Frågeformuläret innehöll också frågor om illegitima arbetsuppgifter; Bern Illegitimate Tasks Scale (BITS) och psykosocial arbetsmiljö; Copenhagen Psychosocial Questionnaire (COPSOQ). Därefter gjordes en tidsstudie där deltagarna fick registrera tidsåtgången för olika arbetsuppgifter, varje dag under två separata veckor. Arbetsuppgifterna delades upp i tre huvudkategorier; direkt patientarbete, indirekt patientarbete och övrigt arbete. Varje huvudkategori hade flera underkategorier. Svarsfrekvensen var 75% för frågeformuläret och 79% för tidsstudien. Resultat: Resultatet från delarbete I visar att personal i primärvård ägnade 37% av arbetstiden direkt med patienter. Alla professioner skattade den direkta patienttiden till större andel än vad tidsstudien visade. Läkare upplevde sämst psykosocial arbetsmiljö avseende kvantitativa krav, stress och rollkonflikter. Det förelåg ett samband mellan andelen administrativa arbetsuppgifter och rollkonflikter, ju mer administration desto mer rollkonflikter. I delstudie II visade resultatet att mer än en fjärdedel av läkarna upplevde en hög nivå av illegitima arbetsuppgifter avseende onödiga arbetsuppgifter, vilket var signifikant mer jämfört med andra professioner. För personalgruppen som helhet framträdde ett samband mellan upplevelsen av att ha mycket illegitima arbetsuppgifter och upplevelse av negativ psykosocial arbetsmiljö samt med hög andel administrationsrelaterade arbetsuppgifter. Konklusion: Personal i primärvård ägnar en begränsad andel av arbetstiden åt direkt patientarbete och läkare upplever sämre psykosocial arbetsmiljö än övriga professioner. Arbetstidens fördelning mellan olika arbetsuppgifter påverkar den psykosociala arbetsmiljön. Upplevelsen av att utföra en stor andel illegitima arbetsuppgifter påverkar den psykosociala arbetsmiljön negativt, vilket kan ha inverkan på hur personalen uppfattar sin professionella roll. Upplevelsen av att ha mycket oskäliga arbetsuppgifter har samband med hög andel icke patientrelaterad administration. Avhandlingen belyser vikten av att beslutsfattare noga överväger fördelningen av icke patientrelaterade arbetsuppgifter bland personal i primärvård, för att möjliggöra effektiv användning av personalresurserna och för att främja goda arbetsförhållanden. Förhoppningen är också att studiens resultat ska bidra till fortsatt utveckling av primärvården så att den medicinska kompetensen kommer patienterna till nytta i så stor omfattning som möjligt.

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Socías, María Eugenia. "Access to health care among women sex workers in Vancouver, Canada : universal health coverage in a criminalized sex work environment." Thesis, University of British Columbia, 2015. http://hdl.handle.net/2429/55505.

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Background: Universal access to health care is a critical determinant of health. Despite the numerous health inequities faced by women sex workers, research on access to health services among this population remains limited, particularly on the role of social-structural factors. This thesis sought to investigate sex workers experiences along the continuum of health care access in a setting with universal health coverage. Methods: Data was dawn from “An Evaluation of Sex Workers’ Health Access”(AESHA), an open prospective cohort of women sex workers in Vancouver, Canada. Logistic regression analyses were employed to evaluate correlates of institutional barriers to care (using generalized estimating equations for longitudinal data), and to assess baseline engagement in the HCV continuum of care. Extended cox regression analyses, with a confounder model approach, were used to examine the independent effect of depot medroxyprogesterone on HSV-2 acquisition. Results: These analyses demonstrated inequities faced by sex workers all along the continuum of health care access, from trying to reach health services (Chapter 2), to utilizing these services (Chapter 3), to the impacts of inadequate and sub-optimal care on their health outcomes (Chapter 4). Among 723 participants, 70.4% reported institutional barriers to health care, only half (52.9%) of 552 HCV-seronegative participants having a recent HCV test, and less than 1% of the 302 women living with HCV receiving treatment. Further, high incidence rates of HSV-2 were documented, with depot medroxyprogesterone use independently associated with approximately 4-times increased risk. Importantly, barriers to care appeared to be exacerbated among most vulnerable women, including sexual/gender minorities, migrants, women of Aboriginal Ancestry, uninsured and those with previous experiences of violence. Conclusions: Findings from this research revealed systemic and persistent barriers to appropriate and quality care among sex workers, highlighting the crucial role played by structural factors in shaping their health care seeking patterns and outcomes. These results further underscore the need to explore new models of care, as well as broader institutional and legal changes to fulfill women sex workers health and human rights, and fully realize the aims of the Canadian universal health system.
Graduate and Postdoctoral Studies
Graduate

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Benjamin, Michael L. "Cleaning Product Chemical Exposures Measured in a Simulated Home Healthcare Work Environment." University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1573224213774289.

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Weatherford, Barbara H. "Patient Safety: A Multi-Climate Approach to the Nursing Work Environment: A Dissertation." eScholarship@UMMS, 2011. https://escholarship.umassmed.edu/gsn_diss/20.

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The purpose of this study was to explore Zohar’s Multi-Climate Framework for Occupational Safety to determine the effects of staff nurse perceptions of safety priorities in their organization (safety climate) and their work ownership climate (Magnet Hospital designation) on safety citizenship behaviors viewed as in role or extra role. Safety citizenship behaviors are described as behaviors that go beyond the job description to ensure safety. Participants from a convenience sample of three Magnet designated community hospitals in New England completed three scales (Zohar’s Safety Climate Questionnaire, Essentials of Magnetism II and the Safety Citizenship Role Definitions Scale) representing the study variables via an online survey platform. Multivariate analysis of covariance informed the results. Findings include a positive unadjusted relationship between safety climate and work ownership climate (rs=.492, pF (1, 86) = 8.4, p=.005, N=92), controlling for work ownership climate and hospital. Implications include support for a continued focus on better understanding the importance of a positive nursing work environment, a characteristic shared by Magnet designated hospitals, on the presence of safety citizenship behaviors in the acute care environment. A professional work environment should be considered as an important factor in reducing errors in the acute care setting.

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Mendez, Therese M. "Horizontal Violence in the Nursing Work Environment: Beyond Oppressed Group Behavior." ScholarWorks@UNO, 2011. http://scholarworks.uno.edu/td/1377.

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The United States has been experiencing a nursing shortage since the mid-1990s. The shortage is expected to deepen as the provisions of the 2010 Patient Protection and Affordable Care Act are enacted. Horizontal violence is a negative phenomenon in the nursing workplace that contributes to difficulty in recruiting and retaining nurses in hospitals. Horizontal violence has been described as a form of mistreatment, spoken or unspoken, that is threatening, humiliating, disrespectful or accusatory towards a peer. The effects of this nurse on nurse aggression can be devastating for the nurse involved and also for the patients under the nurse's care. Nursing and social science literature have advanced oppressed‐group behaviors as a motivating factor driving this phenomenon in nursing. Workplace stress has also been implicated in these negative behaviors. This study used a grounded theory approach to examine how nurses explain, through semi‐structured and open ended interviews, the phenomenon of horizontal violence in the nursing workplace. The primary outcome of this study was a small scale theory focused specifically on horizontal violence in the nursing work environment. The theory that emerged from this analysis was that horizontal violence can be influenced by other environmental factors beyond oppression theory. The results from the data indicated that these behaviors, described as horizontal violence, may be employed as a method of manipulating the care environment in an effort to enhance patient outcomes while maintaining group or individual perception of security through a sense of environmental control.

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Åborg, Carl. "How does IT feel @ work? And how to make IT better : Computer use, stress and health in office work." Doctoral thesis, Uppsala University, Department of Information Technology, 2002. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2849.

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The introduction of computers in working life has changed the very nature of many jobs and the entire work situation for a great number of people. How has this affected the individual´s health and well being? With the large increase in the use of computers we have witnessed an increase in reports on negative effects on users´health. The puropose of this thesis is to describe a number of studies on health effects of office computerisation conducted over a period of 20 years. The emphasis of the early studies was on psychosocial factors and stress effects while the focus in the more recent studies was to take into account occupational health in software development. The following conclusions have been drawn: We still face severe problems concerning the computer users´health and work environment. Much of the negative health effects are associated with stress. The introduction of new computer systems can result in an increase in various work-related health risks. These risks are related to several interacting factors, with two of the more important factors being work organisation and contents and design ot the computer system. Current methods, models and tools for system development are insufficient to prevent work environment and health problems encountered in administrative case handling work. To counteract these problems more attention needs to be given to social and organisational factors during system development.

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Farag, Amany Ahmed. "Multigenerational Nursing Workforce Value Differences and Work Environment: Impact on RNs' Turnover Intentions." Case Western Reserve University School of Graduate Studies / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=case1196441618.

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LeComte-Hinely, Jenna Risa. "Examining the Mechanisms of the Work-Nonwork Boundary Fit and Health Relationship." PDXScholar, 2013. https://pdxscholar.library.pdx.edu/open_access_etds/663.

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This study examined the construct of work-nonwork boundary fit, or the congruence between an individual's work-nonwork boundary management preferences and the work-nonwork boundary management policies and practices supplied by their employer. The present study used boundary theory and person-environment (P-E) fit theory to propose that high levels of work-nonwork boundary fit would be beneficial to mental and physical health, both directly and indirectly via the dual mechanisms of conflict and enhancement. Survey methods and latent congruence modeling (LCM) were used to test these hypotheses, which were then supplemented by polynomial regression response surface mapping and qualitative analysis. Results showed that high levels of boundary fit were beneficial for mental health over time, both directly and indirectly via lowered work-to-nonwork conflict. There was no support for the mechanism of work-nonwork enhancement, although this may be due to range restrictions within the data, such that most of the participants experienced very high levels of work-nonwork enhancement. Contrary to hypotheses, high levels of boundary fit was found to be detrimental for physical health over time. Potential reasons for these differential effects are proposed, as are contributions to the literature, practical applications, and directions for future research.

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Jansson, von Vultée Pia. "Physicians’ Work Environment and Health : A Prospective Controlled Intervention Study of Management Development Programs Targeting Female Physicians." Doctoral thesis, Uppsala University, Department of Public Health and Caring Sciences, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4144.

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During the last decade, there has been a renewed interest in physicians´ working conditions at a time when health care is undergoing major structural and financial changes. Physicians report decreasing work satisfaction and at the same time increasingly contemplate on leaving their profession. Despite an increasing proportion of female physicians, they are underrepresented in management positions. Very often, female physicians also report worse personal health and less organisational influence than their male colleagues. Management programs have been viewed as an important vehicle to improve working conditions and career development for female physicians.

The aim of the present thesis was to evaluate the effects on individual health, professional development, perception of organisational structure and career development. Fifty-two female physicians participated in structured 1-year management programs. The control group consisted of 52 physicians not participating in any formal management education during the study period. The female physicians were compared with 157 male physicians in order to evaluate possible gender and manager-reported differences on individual and organisational well-being. The study also assessed occupational predictors of individual well-being, health and professional development for managers.

Participants in management programs reported a clearer organisational structure and improved professional development and influence. However, there were no significant effects with regard to health, sickness absenteeism, nor career development. Male and female physicians differed in several areas when assessed as a group, but stratifying for management level, most of the gender-related differences disappeared. When managers rated clearer organisational structure, this was associated with higher ratings on individual well-being and professional development.

Management programs for female physicians might have some beneficial effects but these programs need to be better defined and targeted to the most important issues at hand to recruit future managers. Furthermore, these programs must be better integrated with other processes to create efficient and able managers.

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Jansson, von Vultée Pia. "Physicians' work environment and health : a prospective controlled intervention study of management development programs targeting female physicians /." Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4144.

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Pettersson, Sebastian, and Morgan Viklund. "Psykosocial arbetsmiljö och arbetsplats/- yrkesinlåsning samt dess samband : Undersköterskor och skötares arbetssituation." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-28656.

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Vårdpersonal har i studier beskrivits utsättas för stress, emotionell utmattning samt utbrändhet genom lågt inflytande eller låg kontroll över ställda krav. Studier inom offentlig verksamhet visar också att det finns arbetstagare som befunnit sig i arbetsplatsinlåsning, yrkesinlåsning eller i dubbelinlåsning. Denna enkätstudie ämnade att med mätinstrumentet Psykosocial arbetsmiljökartläggning (PAK) mäta två klinikers psykosociala arbetsmiljö hos 109 undersköterskor och skötare på ett sjukhus i Mellansverige. Studien ämnade även att mäta om arbetsplatsinlåsning, yrkesinlåsning samt dubbelinlåsning förekom och om det fanns ett samband mellan den psykosociala arbetsmiljön och inlåsningsbegreppen. Resultatet av den psykosociala arbetsmiljöns mätning visade att egenkontroll, arbetsledning och arbetsbelastning skattades lågt medan stimulans och arbetsgemenskap skattades positivt. Antal inlåsta individer översteg 20 % på alla inlåsningsbegrepp. Studien fann även ett statistiskt signifikant samband mellan begreppet psykosocial arbetsmiljö och arbetsplats/-yrkesinlåsning samt dubbelinlåsning. Studien bör gå vidare med kvalitativ metodik, att hos arbetstagarna ta reda på de bakomliggande orsakerna till studiens resultat.

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Karlsson, Matilda. "Skyddsombud inom socialpsykiatrin och deras uppfattning av den psykosociala arbetsmiljön utifrån arbetsmiljöverkets föreskrifter AFS 2015:4." Thesis, Mälardalens högskola, Hälsa och välfärd, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-34925.

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På grund av den ständigt ökande ohälsan på arbetsplatser orsakad av faktorer i den organisatoriska och sociala arbetsmiljön har arbetsmiljöverket tagit fram nya föreskrifter, AFS 2015:4. Förutom att arbetsgivares och arbetsledares ansvar för arbetsmiljön poängteras nämns även skyddsombud som en viktig resurs. Studiens syfte är att undersöka om skyddsombud inom socialpsykiatrin upplevt att föreskrifterna påverkat det systematiska arbetsmiljöarbetet, vilken betydelse arbetsledaren har i den psykosociala arbetsmiljön samt i vilken grad de själva är involverade i det systematiska arbetsmiljöarbetet. Det teoretiska ramverket bestod främst av AFS 2015:4 men även av tidigare forskning och gällande teorier. Metoden var kvalitativ och sju skyddsombud inom socialpsykiatrin intervjuades. Resultatet visar att arbetsledaren upplevs som betydelsefull i den psykosociala arbetsmiljön, att de nya riktlinjerna inte influerat det systematiska arbetsmiljöarbetet samt att skyddsombuden upplevde sig delaktiga i det systematiska arbetsmiljöarbetet. Ett förslag till framtida forskning är att utöka studien med större antal skyddsombud på slumpvis utvalda arbetsplatser.

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Zana, Tonny. "Competencies needed to prepare intermediate life support (ils) paramedics in Gauteng to manage traumatic stress in the work environment." Master's thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/31338.

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This qualitative study explored the effects of trauma as well as coping mechanisms used to deal with post-traumatic stress experienced by ILS paramedics providing emergency care services in the Gauteng Province, South Africa. It also looked at the competencies needed to cope with traumatic stress and promote biopsychosocial well-being. It is argued that it is important to look at this subject from a South African perspective since most of the published research on the sources and effects of trauma on paramedics and other frontline emergency services personnel experience comes from developed countries. It was discovered that there is minimal empirical research from South Africa on similar topics, except for a study in the Cape Town metropole. In addition to that, most published research relied on quantitative data collection methods. Through qualitative case study research this thesis draws on observations and relevant data gathered by way of semi-structured face to face interviews with eleven operational Intermediate Life Support (ILS) paramedics who work in the Gauteng province. Data is gathered on the sources of stress and coping mechanisms currently used by the paramedics. The gathered data was analysed using thematic analysis. The results show that the sources of stress for paramedics include attending gruesome scenes, extreme pressure to save lives and attending a scene where a child or a colleague is involved. It was also observed that the paramedics have a set of coping strategies to manage post-traumatic stress which are both positive and negative coping strategies. In addition to interviews with ILS paramedics from whom data is gathered on their education and training, the results in this thesis gathered insight from a panel of six experts who were engaged through a focus group discussion. These experts have demonstrable expertise in curriculum development, trauma counselling and training. The panel recommended that the training of the paramedics must be more realistic such that the paramedics are better equipped to deal with the challenges they may encounter in the work environment. It was also revealed that those who train paramedics are not well equipped to deliver the health and wellness module. It can be concluded that some paramedics are not well equipped to deal with traumatic events they encounter in the field. The researcher recommends that the health and wellness module be delivered by people who are specifically trained to deal with mental health issues. Insights gathered in this study will help the paramedics, those they help and their families.

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Carlstedt, Emma. "Demand, control and support at work and associations to physical inactivity." Thesis, Uppsala University, Department of Public Health and Caring Sciences, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-127039.

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Aim: The aim of this study was to investigate if there are associations between job stress in terms of demand, control, and support and physical inactivity.

Method: A cross-sectional design was used in this study which is based on the “Swedish Longitudinal Occupational Survey of Health” (SLOSH) from 2006. SLOSH includes men and women, between 19-68 years old and from all labor markets sectors. A total of 5 141 participants sent in their survey. Indices of the components in the demand-control-support model were created and multiple regression analyses with physical inactivity as the dependent variable were performed. Adjustment for possible confounders (age, sex, marital status, children, education, physical work, computer work, working hours, shift work, smoking, alcohol consumption, sleep quality and BMI) were made.

Result: The main result showed an association between passive work (low demands and low control) in combination with poor support and physical inactivity. This result was statistically significant both unadjusted (OR: 1.38, CI: 1.12-1.71) and adjusted (OR: 1.28, CI: 1.03-1.59) for several covariates.

Conclusion: This study suggests that especially passive work (low demands and low control) in combination with poor support from supervisors and colleagues are associated to physical inactivity. Further research needs to establish causality.

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Tadic, Ana, and Silpa Sisodia. "Individen kommer inte långt själv för ensam är man ingenting : En studie om arbetsmiljöns påverkan på hälsan." Thesis, Södertörns högskola, Institutionen för samhällsvetenskaper, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-17418.

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The purpose of this thesis is to achieve a greater understanding of how the social workers at the family unit in one of Stockholm municipalities comprehend the work environment at the workplace. Our aim is also to find out how the work environment can affect the health of the social workers in the form of their wellbeing and comfort at the workplace. In order to answer our purpose we conducted interviews of all social workers at the family unit in one of Stockholm municipalities that describe how they experience the work-environment in the workplace and how it influences their health. We have analyzed the interview material in a thematic analysis based on three theoretical perspectives; SOC, claim – control - support and Human relations. We have also coupled the interview material to the background chapter in this thesis that describes how a good working environment should be structured. The chosen method characterizes an abductive process. Our finding shows a relation between work-environment and health. This is evidence for that all social workers at the family unit experiences that the work- environment affects their health in the form of wellbeing and comfort. Furthermore, it appears that the unity among the group at work is perceived as an important factor within the work-environment as it has an influence on the health of social workers. In the discussion part, we highlight possible formulated questions that have not had space earlier in the thesis.

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Lilley, Rebbecca Catherine, and n/a. "The development of an occupational health and safety surveillance tool for New Zealand workers." University of Otago. Dunedin School of Medicine, 2007. http://adt.otago.ac.nz./public/adt-NZDU20071011.112802.

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World-wide, working life is undergoing major changes. Established market economies are increasingly characterised by demands for vastly greater market flexibility. New Zealand (NZ) has been no different with rapid changes occurring over the last 2 decades in the organisation of labour, of work and of the work environment. Recent international research suggests that work change significantly impacts upon worker health and safety. Many OECD nations undertake routine cross-sectional surveys to monitor changes in working conditions and environments, assessing the health and safety impact of these changes. Similar monitoring is not undertaken in NZ, with the impact of the work environment on health and injury outcomes poorly understood. This lack of knowledge (monitoring) is considered to be a significant impediment to the progression of health and safety initiatives in NZ. The aim of this thesis was to develop a tool (questionnaire) and methodology suitable for use in the surveillance of working conditions, work environments and health and injury outcomes using workers� surveys. The survey development was undertaken in 3 phases: i) development of tool through critical review; ii) empirical methodological testing and iii) an empirical validation study. Questionnaire development was a stepwise process of content selection. Firstly key dimensional themes were identified via critical review of literature and existing international surveys leading to the establishment of a dimensional framework. Secondly a critical review of questions to measure key dimensions based upon selection criteria occurred. Finally the selected questions and design were pre-tested before piloting. A similar development process was undertaken for the development of a calendar collecting occupational histories. A methodological study was undertaken piloting the questionnaire. Two methods of data collection were evaluated: face-to-face and telephone interviews, and two methods of occupational history collection: calendar and question set. Telephone interviewing was found to be the more efficient and effective data collection method while occupational history collection was found to be less time consuming by question set. Focus groups indicated questions were acceptable and suitable to NZ workers. A validation study was undertaken with a cross-sectional study in distinctly different occupational groups: cleaners and clerical workers. Comparisons were made between the groups with cleaners expected to be identified as employed under more hazardous working conditions and be exposed to more hazards of a physical nature, while clerical workers were expected to be exposed to more psychological hazards of a psychological nature. Results indicated the questionnaire provides data capable of making valid comparisons, identifying work patterns of high risk and provides good predictive validity. The final survey has the potential to generate population data on a wide range of work-related exposure and health variables relevant to contemporary working life. The survey results will contribute to understanding the range of working conditions and work environments NZ workers are currently exposed to and to assessing the health and safety impact of these exposures. Therefore it is recommended this tool initially be used in a national workforce survey to establish baseline surveillance data of working conditions, work environments and health and safety outcomes in NZ.

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Tahhan, Burhan. "The impact of authentic leadership on the work environment and patient outcomes in hospital settings : A literature study." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-21517.

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In Sweden, turnover among healthcare professionals is a significant problem in hospital settings. Efficient leadership of healthcare professionals is vital for enhancing the quality and integration of healthcare. Authentic leadership (AL) is a relational leadership style instigated from the field of positive organizational conduct and is asserted to advocate healthy work environments that impact healthcare professional’s efficiency and positive organizational outcomes. This master’s thesis aims to describe the impact of AL on the work environment and patient outcomes in hospital settings. The method is a literature study. Peer-reviewed English or Swedish articles that examined the impact of AL on the work environment and patient outcomes in hospital settings were selected from seven databases. Quality appraisal, data extraction, and analysis were accomplished on the included studies. A total of 26 articles (n=24 quantitative, n=1 qualitative and n=1 mixed method) satisfied the inclusion criteria. Results were evaluated according to the literature review content analysis. Findings support positive relationships between AL and increased optimism and trust among healthcare professionals, job satisfaction and turnover, patient care quality, structural empowerment, and work engagement. Findings were, therefore, consistent with AL theory. Future studies using more diversity in research themes, settings, study populations, organizations, job areas, geographic origins, and theory context are merited. People in positions of influence in healthcare settings and healthcare practitioners can use the findings of this study as a guide to increase awareness of the processes by which AL promotes positive outcomes in the workplace.

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Guros, Frankie. "Thinking About Work at Home: Implications for Safety at Work." PDXScholar, 2015. https://pdxscholar.library.pdx.edu/open_access_etds/2624.

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Safety at work is of the utmost importance to employees and the organizations they work for, and as such, it is a central issue for occupational health psychology. Although dramatic decreases in the number of worker injuries and fatalities have been observed over the last several decades, safety remains a principal concern for organizations. This is especially true in occupations in which employees face serious threats to their personal safety, such as correctional officers (COs). While a number of studies have identified workplace factors that contribute to worker safety, few have attempted to draw a link between employee nonwork experiences and safety at work. In the current study, a model was tested to examine whether the relationship between cognitive nonwork recovery experiences and safety performance at work was mediated by safety motivation. Specifically, the effort-recovery model (Meijman & Mulder, 1998) and the concept of self-regulatory resources (Muraven & Baumeister, 2000) were utilized to test these relationships. It was hypothesized that psychological detachment during nonwork time can replenish cognitive resources that employees need in order to feel motivated to be focused on safety in the workplace, and negative work reflection can drain these resources. Furthermore, drawing on Broaden-and-Build theory (Fredrickson, 1998) it was posited that positive work reflection during nonwork time would have a positive relationship with safety motivation. Additionally, it was hypothesized that the relationship between these cognitive recovery experiences and safety motivation would be moderated by individual perceptions of safety climate. The hypotheses were examined in a sample of COs (N = 166) from two correctional facilities in Oregon. The results overall did not provide strong empirical support for the model. No support was found for the role of psychological detachment or negative work reflection. Additionally, perceptions of safety climate did not moderate the relationship between cognitive recovery experiences and safety. However, positive work reflection during nonwork time was significantly associated with safety participation motivation, which in turn had a positive association with safety participation. Additionally analyses revealed that this relationship was reciprocal in nature when utilizing an additional sample four months after data collection, such that safety participation motivation and safety participation predicted positive work reflection. The findings from the current study build on the research between the work-life interface and safety at work, suggesting that positive nonwork experiences can potentially be related to discretional safety performance at work. Implications for practical applications and suggestions for future research are discussed.

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Ospina, Salinas Estela. "Health surveillance of workers." THĒMIS-Revista de Derecho, 2014. http://repositorio.pucp.edu.pe/index/handle/123456789/107293.

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In our legal system, fundamental rights to life and health of workers are important legallyprotected goods that cannot be disregarded. Therefore, the State and the employers must put special emphasis on health and security surveillance of workers to prevent that employment relationships become an obstacle or a violation of such rights.In light of these precepts, the author makes an analysis of the protection given to these fundamental rights in our country. Basing on comparative legislation, she poses general concepts of the State’s and the employer´s responsibility of health and security surveillance of workers, allowing her to conclude that our system has still to confront many challenges in the path to achieve effective protection and enforcement of therights at stake.
En nuestro ordenamiento jurídico, los derechos fundamentales a la vida y la salud delos trabajadores son dos bienes jurídicos importantes y no pueden ser desconocidos. Por ello, el Estado y los empleadores deben poner especial énfasis en la vigilancia de la salud yseguridad de los trabajadores para evitar que la relación laboral sea un obstáculo o una violación de tales derechos.A la luz de ello, la autora hace un análisis de la protección de dichos derechos fundamentales en el ámbito laboral en nuestro país. Haciendo uso de legislación comparada, presenta los conceptos generales de la vigilancia de la salud de los trabajadores y las responsabilidades del Estado y de los empleadores, permitiéndole concluir que nuestro ordenamiento aún tiene muchos retos para poder lograr una real protección y vigencia de los valores puestos en riesgo.

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Elwer, Sofia, Lena Alex, and Anne Hammarström. "Gender (in)equality among employees in elder care : implications for health." Umeå universitet, Allmänmedicin, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-54342.

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Introduction: Gendered practices of working life create gender inequalities through horizontal and vertical gender segregation in work, which may lead to inequalities in health between women and men. Gender equality could therefore be a key element of health equity in working life. Our aim was to analyze what gender (in) equality means for the employees at a woman-dominated workplace and discuss possible implications for health experiences. Methods: All caregiving staff at two workplaces in elder care within a municipality in the north of Sweden were invited to participate in the study. Forty-five employees participated, 38 women and 7 men. Seven focus group discussions were performed and led by a moderator. Qualitative content analysis was used to analyze the focus groups. Results: We identified two themes. "Advocating gender equality in principle" showed how gender (in) equality was seen as a structural issue not connected to the individual health experiences. "Justifying inequality with individualism" showed how the caregivers focused on personalities and interests as a justification of gender inequalities in work division. The justification of gender inequality resulted in a gendered work division which may be related to health inequalities between women and men. Gender inequalities in work division were primarily understood in terms of personality and interests and not in terms of gender. Conclusion: The health experience of the participants was affected by gender (in) equality in terms of a gendered work division. However, the participants did not see the gendered work division as a gender equality issue. Gender perspectives are needed to improve the health of the employees at the workplaces through shifting from individual to structural solutions. A healthy-setting approach considering gender relations is needed to achieve gender equality and fairness in health status between women and men.

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Quaye, Emmanuel. "Relevance of a Healthy Change Process and Psychosocial Work Environment Factors in Predicting Stress, Health Complaints, and Commitment Among Employees in a Ghanaian Bank." Thesis, Norges teknisk-naturvitenskapelige universitet, Psykologisk institutt, 2010. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-11899.

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This thesis was intended to examine the effect of the healthiness of change process and psychosocial work environment factors in predicting job stress, health complaints and commitment among employees in a Ghanaian bank (N=132), undergoing organizational change. The change process was measured in terms of dimensions from the Healthy Change Process Index (HCPI) and the psychosocial work environment was measured by the Demands-Control-Support (DCS) model. Hierarchical regression analyses revealed that each of the three HCPI dimensions predicted a specific outcome variable. Specifically, early role clarification predicted health complaints; constructive conflicts predicted stress, whereas manager availability predicted commitment. In terms of the DCS factors, demand was salient in predicting both stress, and health complaints, but not commitment. Control and support predicted health complaints, but not stress. Support predicted commitment, and also mediated the effect of manager availability on commitment. Notably, each of the three HCPI dimensions proved relevant in the Ghanaian banking sector but corporate decision makers, change leaders, and HR practitioners ought to concentrate effort on particular HCPI dimensions if they wish to influence stress, health complaints and commitment during workplace changes. Furthermore, the psychosocial work environment ought to be regularly monitored to ensure that these bankers work under reasonable levels of demands, have high control and receive more support if their psychosocial health during change is to be enhanced. In sum, the HCPI and the DCS models proved useful in this case from the Ghanaian banking sector. However, more research within a similar occupational setting will be essential in order to further validate the relevance of these models.

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Aronsson, Vanda. "Health differences between employees in human service professions and other professions : The impact of psychosocial and organizational work environment." Thesis, Stockholms universitet, Centrum för forskning om ojämlikhet i hälsa (CHESS), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-131131.

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While recent publications indicate that employees in human service professions have higher risk of sickness absence and mental ill-health, little is known about the association with other health outcomes and possible mechanisms behind the differential risk. This study investigates differences in burnout, self-rated health and sickness absence between those in human service professions and other professions and examines whether differences in psychosocial and organizational work environment can explain possible variations. Data were derived from the Swedish Longitudinal Occupational Survey of Health (SLOSH), an approximately representative sample of the Swedish working population (n=4486). Results from binary logistic regressions suggested that those in human service professions had higher odds of burnout and sickness absence those in other professions. Differences in burnout were explained by background variables while differences in sickness absence were explained by psychosocial and organizational work factors. Employees in human service professions had lower odds of suboptimal self-rated health than others in the fully adjusted model. Women were at higher risk of burnout, sickness absence, and all adverse psychosocial and organizational work environment factors except social support. Future studies should investigate the most crucial psychosocial and organizational work factors in human service professions with the objective to improve employee health.

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Sedigh, Golnaz. "Essays on the Economics of Sleep Time and Work Stress." Thesis, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/31870.

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This thesis consists of three essays on the economics of sleep time and work stress. The first essay, “the impact of economic factors on sleep: the role of insomnia”, discusses the role played by insomnia on the link between economic variables and sleep time. Insomnia is a common phenomenon experienced by many Canadians. This paper uses the Canadian General Social Survey (GSS) 2005 to investigate the effect of economic factors on the sleep time of the labour force. It replicates previous work by Biddle and Hamermesh (1990) and then extends this work to look at the role played by insomnia on the link between economic variables and sleep time. The paper concludes that the presence of sleep problems can significantly change the impact of economic determinants such as wage and education on sleep time. This paper finds that a 10 percent increase in the wage rate decreases sleep time by almost 20 minutes per week for non-insomniacs while an increase in the wage rate does not have any impact on sleep time for insomniacs. In fact, the link between wage and sleep time appears to be broken for insomniacs as they do not want to, or cannot, sacrifice their sleep time in order to have more money in their pockets. The second essay, “sleep time and wages: the role of chronic diseases and work environment”, examines the role played by chronic diseases and work environment on the link between economic variables and sleep time. This paper, which expands on the work of the first essay, uses the Canadian Community Health Survey (CCHS) 2001 to investigate the roles of insomnia, chronic diseases and stressful work environments on the link between the wage rate and sleep time. Whereas Biddle and Hamermesh (1990) report that individuals sleep 14 minutes less per week as a result of a 10% increase in the wage rate, I find that this number increases to 30 minutes for individuals without sleep problems while it is zero for insomniacs. Moreover, the impact of wages on sleep time is even more pronounced – more than 60 minutes per week - once account is taken of health conditions and of the work environment. Interestingly, these health and environmental effects are in addition to their impact on insomnia: in other words, individuals with chronic health problems who are not insomniacs do not respond to an increase in the wage rate by reducing their sleep time. This means that the actual impact of wages on sleep time for those who do not suffer from these conditions is much more important than originally reported by Biddle and Hamermesh (1990). The third essay, “are Québecers more stressed out at work than others? An investigation into the differences between Québec and the Rest of Canada in the level of work stress” discusses the level of stress experienced by workers in Canada. Work stress has a large socio-economic impact: it affects worker absenteeism, productivity, and family life. Psychological health problems including stress at workplace are an important issue in Canada. Using nine cycles spanning twelve years of the Canadian Community Health Survey (CCHS), I find that the level of work stress in Québec is much higher than in any other province. In Québec, 40% of the population report having quite a bit or extremely stressful jobs. In the other provinces, this number is much smaller, in the order of 30% in Ontario, Alberta, Manitoba and British Columbia, and even lower in the Atlantic Provinces. I find that Québec still has a higher level of reported work stress even after controlling for the main determinants of work stress: income, education, health, age, gender, marital status, children and work environment. Unionization rate and unemployment rate in the province do not seem to matter. However, I find that immigrants in Québec have less work stress than native-born Francophones. Also, Francophones in Québec and elsewhere have higher levels of work stress than Anglophones and Allophones. A body of literature has examined the subject of work stress, and while it has been noted by a few authors (Bordeleau and Traoré, 2007 and Lesage et al., 2010) that Québec is different; a thorough analysis of the causes of this phenomenon needs to be done. This paper estimates regression models that include a large number of factors such as age, gender, marital status, census metropolitan area (CMA), urban, immigrants, having young children, household type, living arrangement, mother tongue, language of conversation, race, education, income, working hours, part time job, health, physical activity, type of smoker, type of drinker, sense of belonging to community, provincial unionization rate and provincial unemployment rate to examine why there may be a consistent and persistent different between those who reside in Québec relative to the rest of Canada. I find that, even after controlling for those factors, work stress is still higher in Québec. This study suggests that differences in the legal systems and in cultures may be some of the reasons of the differences between Québec and the rest of Canada.

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Hansson, Ann-Sophie. "Determinants of Individual and Organizational Health in Human Service Professions." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-8715.

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Lane, John Patrick. "Job stress as it relates to social workers in a locked state mental health hospital." CSUSB ScholarWorks, 1994. https://scholarworks.lib.csusb.edu/etd-project/479.

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This research examines the level of stress experienced by social workers employed in a locked mental health hospital. A comparative analysis was completed measuring the level of stress associated with the type of unit: acute or chronic.

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Tedestedt, Ronny. "An Occupational Health and Safety Conversation : The Swedish and New Zealand Perspective." Thesis, Uppsala universitet, Institutionen för pedagogik, didaktik och utbildningsstudier, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-216211.

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ABSTRACT There has been a change in the nature of work over recent decades with an increase in the use of non-standard forms of work. Non-standard work includes for example the use of contractors and sub-contractors. These forms of employment lead to a greater vulnerability of the workforce. These workers are missing out on union representation, training opportunities and basic employment protection. This directly impacts the safety of the workers due to the confusing legislation over duty of care. It is often unclear who is responsible for providing occupational health and safety (OHS) training for these workers. It is for this reason the following report will attempt to gain a better understanding of the policies and regulations surrounding OHS in two countries. Sweden and New Zealand have been chosen as a focus for this research because they represent two different governing systems. The aim of this research was to describe what structures and policies regulate occupational health and safety matters in Sweden and New Zealand comparatively. It was also the aim of this research to seek insight into the policy conversation around OHS training in both Sweden and New Zealand. Three research questions have been used throughout the report to guide the researcher when selecting relevant documents collating the main themes and overall ensuring that the research stays on track. The questions are as follows: What structures and policies regulate occupational health and safety matters in Sweden and New Zealand? What characterises both the Swedish and the New Zealand work environment? What is the policy conversation around OHS training in Sweden and New Zealand? The methodology choosen for this research was a qualitative approach because greater in-depth understanding for OHS matters were sought after. The research was focused around policy documents from both Sweden and New Zealand. The documents from each country were chosen because of their current and topical relevance to each country. The main findings from this research were grouped into five themes based on key termes identified in both countries documents. The five themes are as follows: Work Environment and Regulation OHS Training and Attitudes Worker Participation OHS Research Longer Working Life Conclusions were made based on these themes. OHS regulation was found to be adequate in Sweden in contrast to New Zealand. In New Zealand there is a call for major reforms to be made to the OHS legislation because due to its lack of adequate coverage for the current workforce. The term work environment is used in Sweden and includes a more holistic view, compared to the term occupational health and safety which is used in New Zealand and focuses more on safety and the prevention of work-related harm. Inadequate training for safety representatives were found to be an issue both in Sweden and New Zealand. In Sweden safety representatives are entitled to sufficient paid leave to fulfill their duties including training, in contrast to New Zealand where the safety representatives are entitled to only two days paid leave annualy. OHS training was suggested to be a necessary component in many tertiary education programs both in Sweden and New Zealand. The suggestion was made to better prepare prospective managers who will have OHS responsibilities. Worker participation was found to be a necessary component of a well functioning OHS scheme in both the countries. It was not adequately regulated in New Zealand until the implementation of the Health and Safety in Employment Amendment Act 2002. In both Sweden and New Zealand new OHS research functions were suggested to be established. The changing nature of work is highlighted as a concern in both countries, because legislation does not adequately cover the new forms of work and is not conducive to OHS.

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Ransone, Carol Locher. "The Nature and Influence of Relationship on Success in a Virtual Work Environment." Antioch University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1393331576.

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Sevilla-Zeigen, Nicole. "A Grounded Theory Approach to Healthy Work Environment| Its Impact on Nurses, Patient Safety, and Significance in Healthcare Settings." Thesis, University of San Diego, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10193644.

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A healthy working environment has been an area of interest for occupation health providers. There is anticipation that a safe working environment improves patient safety, which is associated with reduction in clinical nurse errors. Issues with medication errors and poor working environment pose a greater risk to patient safety. The aim of this qualitative study was to provide a broad understanding on nurses’ perceptions on the processes that influence a healthy working environment and the impacts of a healthy working environment on patient safety. An interpretive grounded theory methodology was used in this study to evaluate nurses’ perceptions in acute care settings. The study was carried out in a large city of Southern California and the participants consisted of a community-based purposive population of registered nurses (RNs) in a telemetry. A total of 10 participants with three years working experience in surgical units were recruited and tiered scheduled approach was used for the analysis and refinement of interview questions. The participants were all female registered nurses with three years working experience in acute care settings. The majority of the nurses had a bachelor’s degree (44%), masters degree (22%) and 11 % had associate degree. Grounded theory method was used to identify the relevant themes from the interview responses. The transcripts revealed nurses’ perceptions on the process that facilitate a healthy working environment and HWE impacts on patient safety. The findings of the study showed that communication, teamwork and collaboration within healthcare environment are the most important factors for the development of a healthy working environment. The findings also showed the influence of a health care working environment on medication errors. Nurses reported that lack of communication, nurse shortages and micromanagement increases the chances of medical errors. Nurses reported that effective communication with the nurse leaders, managers and patients provide a stress-free working environment that result in a better care for patients. Enough nursing staff s well as teamwork and collaboration also influences patient safety.

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Knight, FRANCELIA Luis. "Strategies to Retain Employees in the Health Care Industry." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5888.

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Health care leaders who fail to apply effective retention strategies could negatively affect employee well-being, patient outcomes, and business performance. The purpose of this single case study was to explore effective strategies that leaders used to retain employees in a health care organization. Human capital theory was the conceptual framework for the study. Data were collected via on-site semistructured interviews with 10 leaders of a Texas health care organization who had a history of retaining employees for a minimum of 2 years from the date of hire, and from the review of organizational documents pertaining to employee retention. Data were analyzed using coding and word frequency to discern patterns. Three key themes emerged from the data: (a) healthy work environment, (b) manager relationships, and (c) training and development. The implications for positive social change include the potential to retain top talent in health care organizations, which could improve customer service, promote affordable health care, increase job satisfaction, and improve quality service to patients.

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Engström, Lars-Gunnar. "Sickness Absence in Sweden : Its relation to Work, Health and Social Insurance Factors." Doctoral thesis, Karlstads universitet, Avdelningen för hälsa och miljö, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-3833.

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Background: The high levels of sickness absence and disability pensioning experienced during the 1990's and 2000's have become both socially as well as financially burdensome for society. Sickness absence implies a costly loss of production for society and large groups of individuals are risking to become marginalised on the labour market. Sickness absence is both a public health and an economic problem. Thus from both a human approach as well as from an economic perspective it is urgent to increase knowledge about what influences individual behaviour when it comes to sickness absence and return to work. Objectives: The overall aim of the thesis is to elucidate the decisive factors for explaining sickness absence. Three different aspects of sickness absence were considered, i.e. factors leading to sickness absence, factors preventing sickness absence and factors leading back to work ability and work when being sickness absent. This is done using a frame of reference involving broadly defined areas of work, health and social insurance related factors. Material and methods: Study I analyzes the outcome of unemployed sick-listed individuals. A total of 280 individuals from the county of Värmland were followed through register data between the years 2000 to 2001. Linear and logistic regression models were used to analyze the occurrence of short and long term economic incentives. Study II has a longitudinal design and explores determinants of return to work. Sick-listed individuals with a stress-related psychiatric diagnosis from the county of Värmland were analyzed over a period of three years (2000-2003) using logistic regression. The data comprised 911 individuals. Study III is a cross-sectional study using questionnaire data from the county of Värmland from year 2004. A total of 3123 persons either working or being self employed were analyzed on determinants of work presence through logistic regression. Study IV had a cross-sectional design and used questionnaire data from five counties in central Sweden. The data, from 2004, comprised 10536 individuals being employed, i.e. not self-employed, and with self reported physical and mental medical conditions. Logistic regression was mainly used in the analysis and the focus was on risk factors for long term sickness absence. Study V comprises cross-sectional data retrieved at three separate occasions between 1991 and 1994. It includes 8839 individuals from five counties in western Sweden with sickness absence spells over 60 days. The data was analysed through bi-variate probit regression with a focus on effects of vocational rehabilitation on return to work. Results: The results from study I were interpreted as that both short and long term economic incentives matter for the outcome of sickness absence through the interaction of different insurance systems. The principal findings from study II was that age, gender and factors implying less favourable health characteristics and thereby lower work capacity, reduce probabilities of returning to work after long term sickness absence. Considering study III determinants of work presence were found to vary between sexes and whether the determinants were counteracting long or short term sickness absence. Factors interpreted as job control counteracted short term absence. Sense of coherence was found to be an important determinant of work presence for women. In study IV long term sickness absence was found to be related to the level of ill-health. Moreover it was concluded that work environment factors as job strain, job satisfaction, physical work environment were important factors for explaining sickness absence in a population with impaired health. The results from study V indicated that vocational rehabilitation is a potentially effective instrument for improving the individual's work ability and chances of return to work. That no signs of prioritizing selection of rehabilitation participants to those likely to return to work with or without rehabilitation measures, i.e. "managerial creaming", were found was also considered as important results. Conclusions: This thesis shows that we need different models and approaches to improve knowledge about the various aspects of sickness absence as entry into absence, return to work or into disability retirement. It also has the implications that sickness absence behaviour can be influenced. Largely depending on what long term path is chosen for welfare policy at the political level it should be acknowledged that other means, improving working conditions and promoting rehabilitation rather than reducing benefit levels and narrowing the eligibility criteria for the insurance benefits are at hand.

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Zylstra, Amanda Joy. "A new user's perceptions and experiences of the active workstation at work: A case study." Miami University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=miami1294532397.

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Cameron, Valerie. "Indoor environment and the impact on the health of pre-exisiting asthmatics at work : the development of a risk management framework." Thesis, Abertay University, 2014. https://rke.abertay.ac.uk/en/studentTheses/2e81cee3-96fd-49be-ba7f-1acc17e4992e.

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This thesis examines the spatial and temporal variation in nitrogen dioxide (NO2) levels in Guernsey and the impacts on pre-existing asthmatics. Whilst air quality in Guernsey is generally good, the levels of NO2 exceed UK standards in several locations. The evidence indicates that people suffering from asthma have exacerbation of their symptoms if exposed to elevated levels of air pollutants including NO2, although this research has never been carried out in Guernsey before. In addition, exposure assessment of individuals is rarely carried out and research in this area is limited due to the complexity of undertaking such a study, which will include a combination of exposures in the home, the workplace and ambient exposures, which vary depending on the individual daily experience. For the first time in Guernsey, this research has examined NO2 levels in correlation with asthma patient admissions to hospital, assessment of NO2 exposures in typical homes and typical workplaces in Guernsey. The data showed a temporal correlation between NO2 levels and the number of hospital admissions and the trend from 2008-2012 was upwards. Statistical analysis of the data did not show a significant linear correlation due to the small size of the data sets. Exposure assessment of individuals showed a spatial variation in exposures in Guernsey and assessment in indoor environments showed that real-time analysis of NO2 levels needs to be undertaken if indoor micro environments for NO2 are the be assessed adequately. There was temporal and spatial variation in NO2 concentrations measured using diffusion tubes, which provide a monthly mean value, and analysers measuring NO2 concentrations in real time. The research shows that building layout and design are important factors for good air flow and ventilation and the dispersion of NO2 indoors. Environmental Health Officers have statutory responsibilities for ambient air quality, hygiene of buildings and workplace environments and this role needs to be co-ordinated with healthcare professionals to improve health outcomes for asthmatics. The outcome of the thesis was the development of a risk management framework for pre-existing asthmatics at work for use by regulators of workplaces and an information leaflet to assist in improving health outcomes for asthmatics in Guernsey.

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Dissertations / Theses on the topic 'Work environment health'

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