Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Managing workplace health promotion in municipal organizations
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-1965-7147
2015 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The workplace is a suitable setting for health promotion, not least due to the amount of time employees spend at work. Previous research indicates large variations in employers' handling of workplace health promotion (WHP) efforts. However, more empirical knowledge of how WHP is handled in public sector organizations is needed.

The overall aim of the thesis was to explore how WHP is managed and implemented in municipal organizations. The thesis draws on health promotion as the point of departure, further accompanied with concepts related to organizational change and implementation research.

The thesis is based on three studies using different empirical materials. Both quantitative and qualitative research designs were used. In the first study, questionnaires were sent to both top managers and employees in a nationwide random sample of 60 of the 290 municipal social care organizations in Sweden. Data were analysed at the organizational level, linking WHP measures provided by the employer to employee health. In the second study, interviews concerning the management of WHP were carried out with senior managers representing various departments in two municipalities. The third study analysed the implementation of a health-promoting leadership programme, and the interviews made, concerned the experiences of line and middle managers participating in the programme.

The results show that the provision of individual- and organizational-directed WHP measures was associated to employee health at the organizational level. Furthermore, the senior managers described WHP management as components contributing to the organization's capacity for WHP. However, they mainly described WHP as providing healthy lifestyle activities, and mapping working conditions and employee health. In the study analysing the implementation of the leadership programme, line and middle managers described employee involvement as an enabling factor, whereas high workload and lack of senior management support were barriers described. Recurrent organizational changes and other politically-initiated projects and routines were also pointed out as competing events in the implementation process.

From this thesis, it can be concluded that WHP management is dominated by measures directed towards the individual employee and needs to include more of psychosocial and organizational measures. Finally, the varied organizational conditions for municipal managers as well as the support from senior management and human resources staff needs to be considered and ensured as part of an active and continuous WHP practice.

Place, publisher, year, edition, pages
Västerås: Mälardalen University , 2015.
Series
Mälardalen University Press Dissertations, ISSN 1651-4238 ; 172
National Category
Work Sciences
Research subject
Working Life Studies
Identifiers
URN: urn:nbn:se:mdh:diva-27245ISBN: 978-91-7485-183-0 (print)OAI: oai:DiVA.org:mdh-27245DiVA: diva2:778989
Public defence
2015-02-27, Beta, Mälardalens högskola, Västerås, 13:15 (Swedish)
Opponent
Supervisors
Available from: 2015-01-12 Created: 2014-12-30 Last updated: 2015-02-05Bibliographically approved
List of papers
1. Workplace health promotion and employee health in Swedish municipal social care organizations
Open this publication in new window or tab >>Workplace health promotion and employee health in Swedish municipal social care organizations
2014 (English)In: Journal of Public Health, ISSN 2198-1833, E-ISSN 1613-2238, Vol. 22, no 3, 235-244 p.Article in journal (Refereed) Published
Abstract [en]

Aim

The aim of this explorative study was to investigate the employers’ management characteristics, their provision of workplace health promotion (WHP) measures, and employee satisfaction with WHP in relation to employee health in Swedish municipal social care organizations.

Subjects and methods

A cross-sectional design was used, and questionnaires were sent to top managers (representing the employer) and employees in a nationwide random sample of 60 of the 290 municipal organizations for the social care of elderly and disabled people in Sweden. The questionnaire data from the 60 managers were linked to aggregated employee data concerning self-rated health and satisfaction with WHP from a representative sample of 8,082 employees in the same organizations. All analyses were performed at the organizational level using independent t-test, Spearman’s rank correlation and multiple linear regression analysis.

Results

In the multivariate analysis, the organizational WHP index (i.e. local WHP projects and WHP coordinators), individual WHP index (i.e. health profile assessment, fitness activities and medical check-up), and the level of employees’ satisfied with WHP were associated with employee health (F = 9.64, p < 0.001, adjusted R2 = 0.48). General organizational and management characteristics were, however, not statistically related to employee health.

Conclusion

The results suggest that the provision of individual-directed and organizational-directed health-specific measures were related to employee health in Swedish municipal social care organizations and, therefore, can be part of a comprehensive approach to address WHP.

Place, publisher, year, edition, pages
Springer Berlin/Heidelberg, 2014
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Working Life Studies
Identifiers
urn:nbn:se:mdh:diva-25417 (URN)10.1007/s10389-014-0616-9 (DOI)2-s2.0-84905711497 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2014-06-27 Created: 2014-06-27 Last updated: 2017-12-05Bibliographically approved
2. Managing workplace health promotion in municipal organisations: the perspective of senior managers
Open this publication in new window or tab >>Managing workplace health promotion in municipal organisations: the perspective of senior managers
2016 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 53, no 3, 485-498 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Previous research indicates that companies manage workplace health in various ways, but more in-depth empirical knowledge of how workplace health promotion (WHP) is managed in public sector organisations is needed.

OBJECTIVE: The aim of this study was to explore how WHP is managed and incorporated into the general management system in two large Swedish municipal organisations.

METHODS: A qualitative descriptive approach was used. Fourteen senior managers were purposefully selected and interviewed using semi-structured interviews. Documents were used as supplementary data. All data were analysed using qualitative content analysis.

RESULTS: The management of WHP was described as a set of components that together contribute to the organisation’s capacity for WHP. The informants described WHP as dominated by fitness programmes and as following a problem-solving cycle, in which the annual employee survey emerged as an important managerial tool. Achieving feasible WHP measures and appropriate follow-ups were described as challenges. The provision of leadership competence for WHP and use of supportive resources were described as additional components.

CONCLUSIONS: The WHP management approach needs to be broadened to include work environment and organisational factors. Further integration with occupational health and safety and the general management system in the organisations is also needed. 

Keywords: integration, management, occupational health and safety, public sector organisation, workplace health

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Working Life Studies
Identifiers
urn:nbn:se:mdh:diva-26861 (URN)10.3233/WOR-152177 (DOI)000373209500005 ()2-s2.0-84961820350 (Scopus ID)
Available from: 2014-12-18 Created: 2014-12-08 Last updated: 2017-12-05Bibliographically approved
3. Implementing health-promoting leadership in municipal organizations: Managers' experiences with a leadership program
Open this publication in new window or tab >>Implementing health-promoting leadership in municipal organizations: Managers' experiences with a leadership program
2015 (English)In: Nordic Journal of Working Life Studies, ISSN 2245-0157, E-ISSN 2245-0157, Vol. 5, no 1, 93-114 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to analyze how line and middle managers experience and describe barriers and enablers in the implementation of a health-promoting leadership program in municipal organizations. A qualitative case study design was applied to examine the leadership program in a case involving implementation of an organizational health intervention. Data were mainly collected using semi-structured interviews with line and middle managers participating in the leadership program. Interviews with senior managers, notes from meetings/workshops, and written action plans were used as complementary data. The interview data were analyzed using a thematic analysis, and the complementary data using a summative content analysis. The findings show that the interviewed line and middle managers experienced this leadership program as a new approach in leadership training because it is based primarily on employee participation. Involvement and commitment of the employees was considered a crucial enabler in the implementation of the leadership program. Other enablers identified include action plans with specific goals, earlier experiences of organizational change, and integration of the program content into regular routines and structures. The line and middle managers described several barriers in the implementation process, and they described various organizational conditions, such as high workload, lack of senior management support, politically initiated projects, and organizational change, as challenges that limited the opportunities to be drivers of change. Taken together, these barriers interfered with the leadership program and its implementation. The study contributes to the understanding of how organizational-level health interventions are implemented in public sector workplaces.

National Category
Work Sciences
Research subject
Working Life Studies
Identifiers
urn:nbn:se:mdh:diva-27152 (URN)10.19154/njwls.v5i1.4767 (DOI)000360069000007 ()
Available from: 2014-12-19 Created: 2014-12-19 Last updated: 2017-12-05Bibliographically approved

Open Access in DiVA

fulltext(1045 kB)1345 downloads
File information
File name FULLTEXT02.pdfFile size 1045 kBChecksum SHA-512
558db146b0b1ad156cf4fe8a3bf82ecbada5e7d900a87f922e5f8f9704e913f0c97bb203b2435c9874dc17cc071d16d9cf8abd43a65e09cc64853980e7f98406
Type fulltextMimetype application/pdf

Authority records BETA

Larsson, Robert

Search in DiVA

By author/editor
Larsson, Robert
By organisation
Health and Welfare
Work Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 1345 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 2488 hits
CiteExportLink to record
Permanent link

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