Diss. (sammanfattning) Umeå : Umeå universitet, 2009. / Härtill 4 uppsatser.

The dissertation brings sociological and socio-psychological view on working conditions and health promotion of professionals working in the field of long-term care and examines the impact of these conditions on their well-being. Its overall objective is to map the current work conditions and work situation of this working group in the Czech Republic and draw attention to an area that is not adequately reflected. Specific objective is the verification of the model Effort Reward Imbalance and the concept of wellbeing on the population studied. The side effect is to provide the results of the conducted applied research to the management of participating organizations for practical purposes. The work is divided into theoretical and empirical part. Theoretical background characterizes basic concepts; health promotion and long-term care. The central theoretical and methodological tools used in the applied research are then described: socio-psychological concept well-being and model Effort Reward Imbalance (ERI). The model, which was introduced by contemporary German sociologist J. Siegrist, presents a key resource of mapping stress in the workplace. The empirical part of the dissertation describes the research that was conducted in two parts during 2012 - 2014. In the first part held in form of focus...

This master’s thesis investigates the contributing factors to Norwegian professional musicians’ psychological distress. Several researchers have pointed out that musicians seem to be a risk group in regards to mental health and work environment. In contrast, research regarding the explanatory variables of their mental health is scarce. Recently, a study indicated a high prevalence of psychological distress in Norwegian musicians. A qualitative study on Norwegian musicians reported a combination of family, social, and personal factors to be of particular importance regarding their mental health. The present study adds to the accumulated research base by conceptualizing contributing factors of musicians’ health in a job demands–resources framework, in which the total model as well as individual predictors are tested with a survey on 1,365 Norwegian professional musicians. Five out of ten hypotheses were supported using a hierarchical multiple regression procedure. Job demands and job control were positively related to psychological distress, whereas job-related social support, emotional stability and sense of mastery were negatively related to psychological distress. Work–nonwork interference, effort–reward imbalance and conscientiousness were not significantly related to the outcome. Unexpectedly, job control was positively related to psychological distress, which may have been influenced by the subjects’ levels of personal resources. Overall, the main findings was that a combination of contextual and personal variables were most influential, but that the work environment concepts investigated were only weakly or non-significantly related to musicians’mental health. The highest single contributors were emotional stability, sense of mastery and general social support, indicating that personal dispositions of emotionality, a strong sense of control over one’s life, and perceived social support from family and friends are of high significance for Norwegian professional musicians’ experience of anxiety and depression-like symptoms.

Forskningsfrågor: Vilka arbetsfaktorer anser personer anställda genom bemanningsföretag påverka deras välmående och varför? Hur skiljer välmående sig mellan deltid- och heltidsanställda inom bemanningsföretag i förhållande till identifierade arbetsfaktorer? Syfte: Syftet med denna studie är att undersöka det upplevda välmåendet hos personer som är anställda genom bemanningsföretag i ekonomisektorn samt vilka faktorer som har en påverkan på det upplevda välmåendet. En jämförelse kommer att göras mellan personer som arbetar heltid och de som arbetar deltid via ett bemanningsföretag. Metod: Studien är en kvalitativ studie. Data samlades in med hjälp av semistrukturerade intervjuer, som hölls med åtta respondenter. Intervjuerna hölls via Microsoft Teams. Hälften av respondenterna var heltidsanställda och andra hälften var deltidsanställda.  Slutsats: Många av de identifierade faktorerna är sammankopplade. Jobbsäkerhet, karriärutveckling, inkludering/exkludering och arbetsutveckling har alla en central del för välmåendet. Anledningen till detta är bland annat att jobbsäkerhet har stora konsekvenser även utanför jobbet och påverkar även andra faktorer som ekonomisk kompensation, förväntningar och möjligheter till karriärutveckling. / Research questions: What work factors do people employed within staffing companies deem affects their wellbeing and how?How does wellbeing differ between part- and full-time employees within staffing companies in relation to the work factors? Purpose: The purpose of this study is to examine the perceived well-being of people who are employed through staffing companies in the financial sector and which factors have an impact on the perceived well-being. A comparison will be made between people who work full time and those who work part time through a staffing company. Method: The study is a qualitative study. Data were collected using semi-structured interviews, which were conducted with eight respondents. The interviews were conducted via Microsoft Teams. Half of the respondents were full-time employees while the other half were part-time employees. Conclusion: Many of the identified factors are interconnected. Job security, career development, inclusion / exclusion and job development all have a central part to well-being. The reason for this is, among other things, that job security also has major consequences outside of work and also affects other factors such as financial compensation, expectations and opportunities for career development.

The effort required to obtain certain rewards may influence the level of satisfaction with the following reward. Since people differ in beliefs about the availability of willpower resources required to pursue effortful actions, we investigated how willpower beliefs affect the perception of effort and satisfaction with reward. We hypothesized that people with limited willpower beliefs (i.e., believing that exerting effort leads to depletion of their inner resources) will perceive cognitive tasks as more effortful and will be less satisfied with the subsequent reward than those with non-limited beliefs (i.e., believing that exerting effort is invigorating rather than depleting). We tested this hypothesis by manipulating effort with different difficulty levels of the N-back task and measuring participants’ perception of effort expenditure and subjective satisfaction with a reward depending on their willpower beliefs. In accordance with the predictions, we found that those with limited willpower beliefs perceived the task as more effortful than those with non-limited willpower beliefs. Furthermore, when asked to subjectively rate their satisfaction with the reward gained for the task, limited believers rated their satisfaction lower than non-limited believers. These findings suggest that people take their willpower capacities into effort-satisfaction calculations. Results are discussed within the context of other models of effort, and practical implications of the findings are suggested.

Introdução - O ambiente psicossocial do trabalho em enfermagem influencia diretamente a qualidade de vida dos trabalhadores desta área. Diferenças entre as categorias profissionais nesta profissão podem se traduzir em diferenças na percepção de saúde e de condições de trabalho. Objetivo - Avaliar as associações entre condições de trabalho e qualidade de vida relacionada à saúde (QVRS) de enfermeiros, técnicos e auxiliares de enfermagem. Métodos Foram coletados dados em um hospital universitário no município de São Paulo, de uma população de 696 enfermeiros, técnicos e auxiliares de enfermagem, população predominantemente feminina (87,8%) e que trabalhava em turnos diurno e noturno. Os dados coletados a partir de questionário correspondiam a informações sobre aspectos sóciodemográficos, condições de trabalho e de vida, hábitos de vida e sintomas de saúde referidos desta população. Foram também utilizados os questionários: Questionário Genérico de Avaliação de Qualidade de Vida (SF-36), Escala de Estresse no Trabalho e Desequilíbrio Esforço-Recompensa (ERI). Foram ajustados modelos de regressão logística ordinal de chances proporcionais para cada dimensão do SF-36. Resultados Aproximadamente 22% da população foi classificada como trabalhando em condições de alto desgaste e 8% em desequilíbrio desfavorável entre esforços e recompensa no trabalho. Vitalidade, dor e saúde mental foram as dimensões do SF-36 com pior avaliação. Os modelos de regressão múltipla 5 demonstraram: alto comprometimento associado a todas as dimensões do SF-36, e ERI desfavorável associado a todas as dimensões relacionadas à saúde mental. Alto desgaste no trabalho, ERI desfavorável, alto comprometimento e ser enfermeira associaram-se de maneira independente aos resultados desfavoráveis da dimensão de aspectos emocionais. Conclusões As dimensões relacionadas à saúde mental foram as que mais sofreram influência dos fatores psicossociais do trabalho. ERI desfavorável e alto comprometimento mostraram-se mais significativos à saúde desta população comparados com altas demandas e baixo controle. Os resultados indicam que a análise conjunta dos modelos de desequilíbrio esforço-recompensa e demandacontrole contribui para a discussão sobre os papéis profissionais, condições de trabalho e QVRS de profissionais de enfermagem. / Introduction- The psychosocial work environment influences the quality of life of nursing professionals. Differences among job titles may lead to distinct perceptions of working conditions and health status. Aim-To evaluate working and living conditions and quality of life associated with health (HRQL) among nursing professionals. Methods- Six hundred ninety six nursing professionals, registered nurses and nurse assistants, predominantly females (87.8%), working day or night shifts, participated in a study carried out in an university hospital of São Paulo, Brazil. Data collection took place during 2004-2005 and included a comprehensive questionnaire including sociodemographic characteristics, life styles, working and living conditions, and health outcomes. HRQL was evaluated using the short form questionnaire of quality of life (SF-36). Working conditions included the job stress scale, effort-reward imbalance (ERI), and other environmental and occupational stressors. Ordinal logistic regression of proportional ratios was used to evaluate each of SF-36 dimensions. Results- Imbalance of the effort-reward ratio and high work strain were mentioned by 7.8% and 22.1% of the participants, respectively. Vitality, pain and (poor) mental health were the SF-36 worse perceived outcomes. The multiple regression models showed: over commitment associated with all SF-36 dimensions, and unfavorable ERI associated with mental health dimensions. High 7 job strain, unfavorable ERI, over commitment, and being a registered nurse were independently associated with negative emotional outcomes. Conclusions- The dimensions associated with mental health were significantly influenced by psychosocial factors at work. Unfavorable ERI and over commitment were more significantly associated with health compared to high demands and low control. These results show the importance to jointly evaluate ERI and demand- control models to discuss professional roles, working conditions and HRQL of nursing professionals.

Problemområde: Nedsatt psykiskt välbefinnande kan öka risken för sjukskrivning med psykisk ohälsa som orsak. Sjukskrivningar orsakad av psykisk ohälsa överrepresenteras av; kvinnor och kommunanställda. Den psykosociala arbetsmiljön kan vara en anledning till detta, dock saknas förståelse för anledningen. För att förstå denna kontext kan ansträngning- och belöningsmodellen tillämpas. Forskning påvisar att obalans mellan ansträngning- och belöning associerar med nedsatt psykiskt välbefinnande. Dock behövs fler studier inom ämnesområdet i en svensk kontext med fokus på kommunal förvaltning som utreder könsskillnader. Syfte: Syftet med studien var att undersöka om associationen mellan psykiskt välbefinnande och balansen mellan ansträngning- och belöning var olika hos respektive kön bland anställda inom barn- och utbildningsnämnden i en kommun. Metod: En kvantitativ metod med tvärsnittsdesign tillämpades. Data samlades in genom en elektronisk enkät, vilken mailades ut till de 259 tillsvidareanställda i urvalspopulationen. 153 respondenter besvarade enkäten, varav 123 var kvinnor och 30 var män. Datan analyserades genom logistiska regressionsanalyser. Resultat och slutsats: Resultatet från den logistiska regressionsanalysen, vilken inkluderade respektive kön, indikerade en positiv statistisk signifikant association mellan summaindex balans och psykiskt välbefinnande (p=,006, OR=4,539). Resultatet från den logistiska regressionsanalysen, vilken enbart inkluderade kvinnor, indikerade en positiv statistisk signifikant association mellan summaindex balans och psykiskt välbefinnande (p=,025, OR=3,685). Männen hade ingen statistisk signifikant association med någon variabel. Slutsatsen är att oddset avseende att ha nedsatt psykiskt välbefinnande ökar när respondenterna rapporterar mer obalans mellan ansträngning- och belöning, uttryckligen mer ansträngning för varje belöning. Vidare har studien inte kunnat fastställt skillnader mellan könen avseende associationen mellan psykiskt välbefinnande och balansen mellan ansträngning- och belöning. / Purpose: The purpose of the study was to investigate whether the association between psychological well-being and the effort-reward imbalance differ in gender among employees in the child- and education council in a municipality. Method: A total of 153 respondents participated, whereof 123 were women and 30 were men. The method that was used in this study was a quantitative method with a cross-sectional design. The data was collected through an electronic questionnaire. The data was analyzed by several logistic regression analyzes. Results: The results from the logistic regression analysis, which included both genders, indicated a positive statistically significant association between the sumindex for balance and psychological well-being (p=,006, OR=4,539). The result from the logistic regression analysis, which included only women, indicated a positive statistically significant association between the sumindex for balance and psychological well-being (p=,025, OR=3,685). Men had no statistical significant association with any variable. Conclusion: The study showed that the odds of have impaired psychological well-being increase when respondents report more imbalance between effort and reward, explicitly more effort for each reward. Furthermore, the study has not been able to determine gender differences regarding the association between psychological well-being and the effort- reward imbalance.

Aims: This study examined the prospective association between male-female ratio in occupations and levels of effort-reward imbalance, burnout and sickness absence. Specifically, we examined whether levels of effort-reward imbalance, burnout and sickness absence differed by strata of occupational gender composition, and whether effort-reward imbalance explained these differences. Methods: Data from two waves of the Swedish Longitudinal Occupational Survey of Health (SLOSH) was used, forming a sample of 9051 participants. Chi-square test and one-way ANOVA were used to estimate differences in variables between strata of occupational gender composition, and multiple logistic regression analyses were performed to analyse if effort-reward imbalance explained differences in outcomes between five strata of occupational gender composition. The analyses were stratified by gender and level of education. Results: Levels of effort-reward imbalance, burnout and sickness absence varied by strata of occupational gender composition. Effort-reward imbalance was the most consistent predictor, while few significant associations were found between occupational gender composition and the outcomes. Effort-reward imbalance mediated some, but not all of the significant associations between occupational gender composition and the outcomes. Conclusions: There was no strong support for an association between occupational male-female ratio and burnout or sickness absence. Effort-reward imbalance was prospectively associated with all outcomes.

Introdução - O ambiente psicossocial do trabalho em enfermagem influencia diretamente a qualidade de vida dos trabalhadores desta área. Diferenças entre as categorias profissionais nesta profissão podem se traduzir em diferenças na percepção de saúde e de condições de trabalho. Objetivo - Avaliar as associações entre condições de trabalho e qualidade de vida relacionada à saúde (QVRS) de enfermeiros, técnicos e auxiliares de enfermagem. Métodos Foram coletados dados em um hospital universitário no município de São Paulo, de uma população de 696 enfermeiros, técnicos e auxiliares de enfermagem, população predominantemente feminina (87,8%) e que trabalhava em turnos diurno e noturno. Os dados coletados a partir de questionário correspondiam a informações sobre aspectos sóciodemográficos, condições de trabalho e de vida, hábitos de vida e sintomas de saúde referidos desta população. Foram também utilizados os questionários: Questionário Genérico de Avaliação de Qualidade de Vida (SF-36), Escala de Estresse no Trabalho e Desequilíbrio Esforço-Recompensa (ERI). Foram ajustados modelos de regressão logística ordinal de chances proporcionais para cada dimensão do SF-36. Resultados Aproximadamente 22% da população foi classificada como trabalhando em condições de alto desgaste e 8% em desequilíbrio desfavorável entre esforços e recompensa no trabalho. Vitalidade, dor e saúde mental foram as dimensões do SF-36 com pior avaliação. Os modelos de regressão múltipla 5 demonstraram: alto comprometimento associado a todas as dimensões do SF-36, e ERI desfavorável associado a todas as dimensões relacionadas à saúde mental. Alto desgaste no trabalho, ERI desfavorável, alto comprometimento e ser enfermeira associaram-se de maneira independente aos resultados desfavoráveis da dimensão de aspectos emocionais. Conclusões As dimensões relacionadas à saúde mental foram as que mais sofreram influência dos fatores psicossociais do trabalho. ERI desfavorável e alto comprometimento mostraram-se mais significativos à saúde desta população comparados com altas demandas e baixo controle. Os resultados indicam que a análise conjunta dos modelos de desequilíbrio esforço-recompensa e demandacontrole contribui para a discussão sobre os papéis profissionais, condições de trabalho e QVRS de profissionais de enfermagem. / Introduction- The psychosocial work environment influences the quality of life of nursing professionals. Differences among job titles may lead to distinct perceptions of working conditions and health status. Aim-To evaluate working and living conditions and quality of life associated with health (HRQL) among nursing professionals. Methods- Six hundred ninety six nursing professionals, registered nurses and nurse assistants, predominantly females (87.8%), working day or night shifts, participated in a study carried out in an university hospital of São Paulo, Brazil. Data collection took place during 2004-2005 and included a comprehensive questionnaire including sociodemographic characteristics, life styles, working and living conditions, and health outcomes. HRQL was evaluated using the short form questionnaire of quality of life (SF-36). Working conditions included the job stress scale, effort-reward imbalance (ERI), and other environmental and occupational stressors. Ordinal logistic regression of proportional ratios was used to evaluate each of SF-36 dimensions. Results- Imbalance of the effort-reward ratio and high work strain were mentioned by 7.8% and 22.1% of the participants, respectively. Vitality, pain and (poor) mental health were the SF-36 worse perceived outcomes. The multiple regression models showed: over commitment associated with all SF-36 dimensions, and unfavorable ERI associated with mental health dimensions. High 7 job strain, unfavorable ERI, over commitment, and being a registered nurse were independently associated with negative emotional outcomes. Conclusions- The dimensions associated with mental health were significantly influenced by psychosocial factors at work. Unfavorable ERI and over commitment were more significantly associated with health compared to high demands and low control. These results show the importance to jointly evaluate ERI and demand- control models to discuss professional roles, working conditions and HRQL of nursing professionals.

Syftet med denna studie är att studera fastighetsmäklares uppfattningar om löneformen endast resultatbaserad lön och dess betydelse för deras livssituation. För att kunna uppfylla studiens syfte undersöks även hur löneformen kan förstås och förklaras utifrån tidstypiska samhällstrender och processer. Vidare studeras fastighetsmäklares uppfattningar om löneformens betydelse för deras yrkes- och privatliv samt önskvärda löneformer i framtiden. Studien har en kvalitativ forskningsansats, baserad på hermeneutisk tolkning av intervjuer med åtta yrkesverksamma och före detta yrkesverksamma manliga och kvinnliga fastighetsmäklare. Resultatet visar att löneformen upplevs inverka på de intervjuade fastighetsmäklarnas livssituation främst utifrån att den bidrar till gränslöst arbete, vilket kan ha negativ inverkan på fastighetsmäklarnas möjligheter och förutsättningar till privatliv och fritid. Löneformen kan samtidigt tolkas ha positiv inverkan på fastighetsmäklarnas upplevelse av balans mellan ansträngning och belöning. Resultatet indikerar att löneformen kan tolkas som ett uttryck på mikronivå för övergripande samhällstrender och processer såsom globalisering, teknisk utveckling och individualiseringsprocesser som sker på makronivå. Avslutningsvis visar resultatet att framtidens löneformer förespås utgöras av resultatbaserad lön, med eller utan en fast lönedel. / The purpose of this study is to study the real estate agents' perceptions of the wage form only results-based salary and its significance for their life situation. In order to fulfill the purpose of the study, we also examine how the wage form can be understood and explained on the basis of time-typical societal trends and processes. Further, real estate agents' perceptions of the significance of the wage form are studied in regards to their professional and private lives as well as desirable wage forms in the future. The study has a qualitative research approach, based on hermeneutic interpretation of interviews with eight active and former active male and female real estate agents. The result shows that the wage form is considered to be of significance to the interviewed real estate agents' life situation, mainly because it contributes to boundless work, which can have a negative impact on the real estate agents' opportunities and conditions for private life and leisure. At the same time, the wage form can be interpreted to have a positive impact on the real estate agents' experience of balance between effort and reward. The result indicates that the wage form can be interpreted as a micro-level expression of the overall societal trends and processes occurring at macro level such as globalization, technological development and individualization processes. Finally, the results show that the future wage form are predicted to consist of results-based salary, with or without a fixed salary component.