Occupational Safety and Health Coordinators – Puzzle-piece Caretakers or Necessary Evils

The construction industry continues to be high-risk in terms of occupational safety and health (OSH) issues. A pivotal instrument in preventing these risks at both European and Danish levels is the OSH coordinator. In spite of the important role of the coordinator, little research on their roles and functions exist, and critics have pointed out that OSH professionals in general may only confer limited impact on preventive OSH work. This study argues that professional identities and struggles to maintain preferred, as well as rejecting unwanted identities are highly important to understand OSH coordinators’ practices. The study investigates OSH coordinators professional identities and their implications for practice through analysis of interviews with 12 experienced OSH coordinators in the Danish construction industry. The study reveals how struggles for maintaining a positive self-image and social recognition may explain why coordinators struggle to prioritize preventing OSH risks over legitimization and social practices

Long-term risk of cardiovascular and cerebrovascular disease after removal of the colonic microbiota by colectomy: a cohort study based on the Danish National Patient Register from 1996 to 2014

OBJECTIVES: The hypothesis of the study was that if the gut microbiota is involved in the development of atherosclerotic cardiovascular and cerebrovascular diseases (CVDs), total colectomy may reduce the long-term risk of CVDs. The aim was therefore to investigate the risk of CVD in patients after a total colectomy compared with patients undergoing other types of surgery, which are not expected to alter the gut microbiota or the CVD risk. SETTING: The Danish National Patient Register including all hospital discharges in Denmark from 1996 to 2014. PARTICIPANTS: Patients (n=1530) aged 45 years and above and surviving 1000 days after total colectomy without CVDs were selected and matched with five control patients who were also free of CVD 1000 days after other types of surgery. The five control patients were randomly selected from each of the three surgical groups: orthopaedic surgery, surgery in the gastrointestinal tract leaving it intact and other surgeries not related to the gastrointestinal tract or CVD (n=22 950). PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was the first occurring CVD event in any of the seven diagnostic domains (hypertensive disorders, acute ischaemic heart diseases, chronic ischaemic heart disease, cardiac arrhythmias, heart failure, cerebrovascular diseases and other arterial diseases) and the secondary outcomes were the first occurring event within each of these domains. RESULTS: Estimated by Cox proportional hazard models, the HRs of the composite CVD end point for patients with colectomy compared with the control patients were not significantly reduced (HR=0.94, 95% confidence limits 0.85 to 1.04). Among the seven CVD domains, only the risk of hypertensive disorders was significantly reduced (HR=0.85, 0.73 to 0.98). CONCLUSIONS: Colectomy did not reduce the general risk of CVD, but reduced the risk of hypertensive disorders, most likely due to salt and water depletion induced by colectomy. These results encourage a reappraisal of the associations between gut microbiota and CVD

Occupational Identities and Physical Exertion in (re)configurations of New Technologies in Eldercare

New technologies are perceived as a solution to the rising proportion of people requiring elderly care across the Nordic countries. Implementing technologies has unforeseen consequences for the content of work and the working environment. This interview-based study within Danish elderly care investigates the consequences of physical exertion for the work and occupational identities of care workers. Through analytical framework integrating positioning theory and agential realism, the study shows that new technologies in certain constellations may further synergies between the reduction of physical exertion and occupational identities, and in others may harm this relation. The study contributes to empirical knowledge about implementing technologies and to discussions of moral literacy and workarounds within care work by suggesting that the ability to openly judge and question physical and ethical consequences of employing technologies is a valuable competence for care workers and, in addition, that furthering these competences is a challenge for managers and legislators

The relational fit in organizational interventions—what can organizational research learn from research in psychotherapy?

There is a growing interest in organizational interventions (OI) aiming to increase employees’ well-being. An OI involves changes in the way work is designed, organized, and managed. Studies have shown that an OI’s positive results are increased if there is a good fit between context and intervention and between participant and intervention. In this article, we propose that a third fit—the Relational Fit (R-Fit)—also plays an important role in determining an intervention’s outcome. The R-Fit consists of factors related to (1) the employees participating in the OI, (2) the intervention facilitator, and (3) the quality of the relation between participants and the intervention facilitator. The concept of the R-Fit is inspired by research in psychotherapy documenting that participant factors, therapist factors, and the quality of the relations explain 40% of the effect of an intervention. We call attention to the importance of systematically evaluating and improving the R-Fit in OIs. This is important to enhance the positive outcomes in OIs and thereby increase both the well-being and productivity of employees. We introduce concrete measures that can be used to study and evaluate the R-Fit. This article is the first to combine knowledge from research in psychotherapy with research on OIs

Habituating pain:Questioning pain and physical strain as inextricable conditions in the construction industry

In this article, we investigate the relations between discursive practices within the Danish construction industry and the perceived pain, physical deterioration, and strain affecting the construction workers. Of central importance is the widely accepted hegemonic discourse on physical strain and pain as unavoidable conditions in construction work. Based on 32 semi-structured interviews performed in eight case studies within four different construction professions, workers’ descriptions of physical strain and its relation to the organizational and social context are analyzed through concepts of subject positioning in discursive practice and a focus on power relations. The analysis shows that workers and employers reproduce certain types of traditional working class masculinities and search for high-pace productive working rhythms, which in combination with economic incentives common within the industry reproduce physical strain and the habituation of pain as unquestioned conditions in construction work. The understanding of this mutual reinforcement of the necessity of physically straining, painful, high-paced construction work provides fruitful perspectives on the overrepresentation of musculoskeletal deterioration within construction work and also sheds light on some of the difficulties in addressing and changing occupational health and safety practices in the construction industry