Healthy workplaces : Factors of importance for employee health and organizational production

The overall aim of the thesis was to investigate one aspect of healthy workplaces; namely, how psychosocial work factors affect employees general health and organizational production. The aim of Study I was to identify psychosocial factors at work that promote positive changes in employee health and factors that prevent negative changes in employee health. Specifically, we wanted to see if certain changes in the work environment would have a positive or negative impact on changes in the general health of the employee. The results showed that if employees perception of leadership and social climate improved, their health would also improve. A decrease in employees perception of leadership, organizational commitment and experiencing job strain were related to a decrease in their health. The aim of Study II was to investigate whether there is a relationship between psychosocial work environment factors and production loss, and if a potential relationship is mediated by employee health. Organizational commitment, social climate, job demands, job control and role compatibility were directly or indirectly related to production loss through employee health. The aim of Study III was to further develop a work capacity index including both qualitative and quantitative aspects of the ability to perform at work by including factors in the psychosocial work environment. A further aim was to evaluate the effects of a workplace intervention by estimating the change in the work capacity index. The results showed that the intervention had an effect in terms of more employees who were healthy and healthier employees, measured as improvement in the work capacity index, among the companies that worked actively with the intervention. The company that put less effort into the method did not have the same positive effect as the others did. Improvements in employee health and decreased production loss are related to improvements in psychosocial work factors. A good work environment contributes to improved employee health, which in turn affects organizational production. Creating a healthy workplace is not achieved by a single intervention. Instead, it is a process that needs to be maintained and constantly preserved. This focus must be part of the organizational culture, structure and climate. The results of the research done here, as well as of previous research, suggest that a healthy workplace is not only of value to companies, but also to the people who work for those companies

The cost of illness of the working-age population in the Nordic countries in 2012 : A comparison to 1991

The cost of illness in 2012 of the working-age population for four Nordic countries was calculated in monetary terms, and compared with equivalent data for 1991. On average, the costs have slightly increased in two decades, calculated as euro per labor force per year. The costs of mental helth problems in particular have increased, whereas the costs of musculoskeletal and circulatory diseases have fallen. The observed general increase in early retirement costs may be due to methodological differences. The highest increase in early retirement costs were observed in Denmark. Norway has the highest cost level

Economic evaluation of occupational safety and health interventions from employers’ perspective : a systematic review

Objectives: The aim of this systematic review was to evaluate the cost-effectiveness of occupational safety and health interventions from the employer perspective. Methods: A comprehensive literature search (2005 to 2016) in five electronic databases was conducted. Pre-2005 studies were identified from the reference lists of previous studies and systematic reviews, which have similar objective to those of this search. Results: A total of 19 randomized controlled trials and quasi-experimental studies were included, targeting diverse health problems in a number of settings. Few studies included organizational-level interventions. When viewed in relation to the methodological quality and the sufficiency of economic evidence, five of 11 cost-effective occupational safety and health (OSH) interventions appear to be promising. Conclusion: The present systematic review highlights the need for high-quality economic evidence to evaluate the cost-effectiveness of OSH interventions, especially at organizational-level, in all areas of worker health

Health consequences of the COVID-19 pandemic among health-care workers: A comparison between groups involved and not involved in COVID-19 care

Health consequences have been reported among health-care workers (HCWs) exposed to COVID-19. Sweden chose to manage the pandemic with a lower and more equal long-lasting work strain and shorter periods of recovery than in other countries. Few studies have examined the health consequences among HCWs working in such conditions. This study compared the health consequences after the first wave of the COVID-19 pandemic between HCWs involved in the care of COVID-19 patients and other HCWs and between occupational groups working in COVID-19 care. Multinomial logistic regression and univariate general linear models were used to identify differences. The levels of depression, emotional and physical fatigue, sleep quality, and general health were measured 6 months after the onset of the pandemic in 3495 HCW employed in Sweden. HCWs directly involved in COVID-19 care reported significantly poorer sleep quality and higher scores on emotional and physical exhaustion than those not involved in such care. Health consequences did not differ significantly between different occupational groups involved in COVID-19 care except for specialist nurses/midwives. HCWs more frequently involved in COVID-19 care reported higher levels of emotional and physical fatigue and poorer sleep but less severe than those reported in more severely affected countries

Perceived health and work-environment related problems and associated subjective production loss in an academic population

Abstract Background The aim was to investigate the prevalence of health problems and work environment problems and how these are associated with subjective production loss among women and men at an academic workplace. An additional aim was to investigate whether there were differences between women and men according to age group, years at current workplace, academic rank or managerial position. Methods A questionnaire was sent in 2011 to all employees at a Swedish university (n = 5144). Only researchers and teachers were included in the study (n = 3207). Spearman correlations were performed to investigate differences in health and work environment problems. Employees who reported having experienced work environment or health problems in the previous seven days (n = 1475) were included in the analyses in order to investigate differences in subjective production loss. This was done using Student’s t-test, One-way Anova and generalized linear models. Results The response rate was 63% (n = 2022). A total of 819 academic staff (40% of the population) reported experiencing either health problems, work environment problems or both during the previous seven days. The prevalence of health problems only or a combination of work environment and health problems was higher among women than men (p-value ˂0.05). This was especially the case for younger women, those in lower academic positions and those who had worked for fewer years at their current workplace. No difference was found for work environment problems. The majority of the employees who reported problems said that these problems affected their ability to perform at work (84–99%). The average production loss varied between 31 and 42% depending on the type of problem. Production loss due to health-related and work-environment related problems was highest among junior researchers and managers. No significant difference between men and women was found in the level of production loss. Conclusion Subjective production loss in academia can be associated with health and work- environment problems. These losses appear similar for women and men even though younger female academics, women in lower academic ranks and those with fewer years of employment in their current workplace report a higher prevalence of health problems and combined work-environment and health problems than men

Do Attitudes towards Work or Work Motivation Affect Productivity Loss among Academic Employees?

Work motivation and job attitudes are important for productivity levels among academic employees. In situations where employees perceive problems, for example, health-related and work environment-related problems, the ability to perform at work could be affected, which may result in fewer publications, reduced quality and less research funding. Few studies, however, have paid attention to productivity loss among academic employees in order to understand how, or if, the perceived loss is affected by the reported problems, either alone or in combination with work motivation and job attitudes. To evaluate whether attitudes towards work-measured as job satisfaction, organisational commitment and work motivation-are associated with productivity loss in the workplace, a cross-sectional study was conducted. This type of design is required as performance is highly variable and is affected by changes in health and work status. This study includes employees who reported either health-related problems, work environment problems or a combination of both (n = 1475). Linear regression analyses were used to answer the hypotheses. Higher levels of motivation, job satisfaction and organisational commitment were associated with lower levels of productivity loss among employees who experienced either health-related or work environment problems. High work motivation and high commitment were significantly associated with lower levels of productivity loss among employees who experienced a combination of problems. In summary, productivity loss among academic employees is not only affected by health-related problems or problems in the work environment but also by work motivation, job satisfaction and organisational commitment; i.e., these factors seem to buffer, or moderate, the reduction in performance levels for this group of employees

Managers’ Perceptions of Telework in Relation to Work Environment and Performance

The study aimed to investigate managers’ perceptions of telework in relation to the work environment and the performance of their organizations. It was grounded on interviews with 17 managers from public and private organizations in Sweden using a phenomenographic research approach. The managers had experience in leading employees who teleworked, and their contact information was provided by the organizations. The results showed that managers perceived that telework led to more focus on delivery at work. When telework enabled working undisturbed and getting more work done, employees started to question the need to come to the workplace. Further, some employees changed their behaviors at the workplace; they tended to close their office doors to avoid distractions. Others valued social activities when working at the workplace. Managers also reported that telework could make small close-working teams even closer, but they could lose contact with others outside the teams. In addition, telework led to quicker but less informed decisions, which may benefit productivity in the short term but not in the long term. The findings of the study highlight managers’ perspectives on the consequences of telework in an organization, which is important for maintaining organizational sustainability

What incentives influence employers to engage in workplace health interventions?

Abstract Background To achieve a sustainable working life it is important to know more about what could encourage employers to increase the use of preventive and health promotive interventions. The objective of the study is to explore and describe the employer perspective regarding what incentives influence their use of preventive and health promotive workplace interventions. Method Semi-structured focus group interviews were carried out with 20 representatives from 19 employers across Sweden. The economic sectors represented were municipalities, government agencies, defence, educational, research, and development institutions, health care, manufacturing, agriculture and commercial services. The interviews were transcribed verbatim and the data were analysed using latent content analysis. Results Various incentives were identified in the analysis, namely: “law and provisions”, “consequences for the workplace”, “knowledge of worker health and workplace health interventions”, “characteristics of the intervention”, “communication and collaboration with the provider”. The incentives seemed to influence the decision-making in parallel with each other and were not only related to positive incentives for engaging in workplace health interventions, but also to disincentives. Conclusions This study suggests that the decision to engage in workplace health interventions was influenced by several incentives. There are those incentives that lead to a desire to engage in a workplace health intervention, others pertain to aspects more related to the intervention use, such as the characteristics of the employer, the provider and the intervention. It is important to take all incentives into consideration when trying to understand the decision-making process for workplace health interventions and to bridge the gap between what is produced through research and what is used in practice