Bakgrund: Lagen om stöd och service till vissa funktionshindrade trädde i kraft 1 januari 1994. Den skulle garantera personer med omfattande och varaktiga funktionshinder bättre levnadsvillkor genom att de fick rätt till bland annat personlig assistans. Arbetet som personlig assistent i hemmet hos personer med olika typer av funktions-nedsättning kan se mycket olika ut. Det har uppmärksammats att det finns brister i personliga assistenters arbetsmiljö. Syftet: Att beskriva personliga assistenters upplevelse av sin arbetsmiljö hos brukare som tillhör personkrets tre enligt LSS. Metod: Sex semistrukturerade intervjuer genomfördes, med personer som arbetade som personlig assistent, i två olika kommuner. Intervjuerna analyserades genom en latent innehållsanalys. Resultat: I resultatet framkom sex kategorier som beskriver assistenternas upplevelser i arbetsmiljön; professionellt förhållningssätt, respekt för brukaren, emotionell påfrestning, fysisk påfrestning, trygghet i yrkesrollen och stolthet i yrkesrollen. Ett övergripande tema skapades under arbetets gång: Välbefinnande i en utmanande arbetsmiljö. Slutsats: De personliga assistenterna upplevde trots stora påfrestningar i arbetsmiljön, både när det gäller de fysiska och de psykosociala belastningarna, välbefinnande i arbetet. De kände också trygghet och stolthet över att de kunde hantera den utmanande arbetsmiljön de ställdes inför. Företagssköterskan har en viktig roll att vara uppmärksammad på de arbetsmiljöförhållanden som de personliga assistenterna arbetar under. De personliga assistenterna behöver känna stöd och handlingsutrymme för att balansera belastningar de utsätts för i yrket. / Background: The Act concerning Support and Service for Persons with Certain Functional Impairments came into force on 1 January 1994.People with major, lasting disabilities have been guaranteed better living conditions by means of personal assistance. Working as a personal assistant in the homes of people with different types of disabilities can vary considerably. Attention has been called to various inadequacies in the work environment of personal assistants. Purpose: To describe how personal assistants for the third category of people under LSS experience their work environment. Method: Six semi-structured interviews were conducted with personal assistants in two different municipalities. The interviews were subjected to a latent content analysis. Results: The results are described on the basis of six categories: professional attitude, respect for the patient, emotional stress, physical stress, sense of professional security, and professional pride. An overarching theme was created during the process: Well-being in a challenging work environment. Conclusion: The results showed that the personal assistants experienced a sense of wellbeing despite major physical and psychosocial stress factors in their work environment. They also experienced a sense of security and pride in their ability to deal with the challenging work environment that they encountered. Occupational health nurse has an important role to be notified of the working conditions that the personal assistants working under. The personal assistants need to feel supported and room for maneuver to balance the loads they are subjected to in the profession.

The aim of this study was to examine the relationship between gender and self reported symptoms (physiological and psychological) and sense of coherence (SOC) and Job Demand-Control-Social support (JDCS). The sample consisted of 360 respondents (nfemale= 261, nmale= 99), in the ages between 19-53 (M=25,57, SD=5,77), all students from Växjö University. A quantitative work method was used in the study; data was collected using questionnaires that consisted of self-reported questions, based on three parts: A modified symptom checklist, SOC 13 and a modified JDCS questionnaire. The result of our study showed that both SOC and JDCS had an effect on self-reported symptoms but there were no interaction between SOC and JDCS. No significant gender differences were found regarding the level of SOC. Female students reported symptoms in a significant higher extent than male students. There were no gender differences regarding JDCS. Our results are discussed in relation to previous studies. Our conclusion is that it is important to perform further research on students’ health and work environment.

<p>The aim of this study was to examine the relationship between gender and self reported symptoms (physiological and psychological) and sense of coherence (SOC) and Job Demand-Control-Social support (JDCS). The sample consisted of 360 respondents (nfemale= 261, nmale= 99), in the ages between 19-53 (M=25,57, SD=5,77), all students from Växjö University. A quantitative work method was used in the study; data was collected using questionnaires that consisted of self-reported questions, based on three parts: A modified symptom checklist, SOC 13 and a modified JDCS questionnaire. The result of our study showed that both SOC and JDCS had an effect on self-reported symptoms but there were no interaction between SOC and JDCS. No significant gender differences were found regarding the level of SOC. Female students reported symptoms in a significant higher extent than male students. There were no gender differences regarding JDCS. Our results are discussed in relation to previous studies. Our conclusion is that it is important to perform further research on students’ health and work environment.</p>

Förändringar på arbetsmarknaden på grund av nedskärningar och effektiviseringar har för individen inneburit mer ansvar, tyngre arbetsbörda och högre krav i arbetsuppgiften. Med denna utveckling har stressrelaterade sjukdomar ökat i Sverige de senaste åren. Det framkommer att det sociala stödet kan fungera som en hälsofrämjande resurs i förhållande till graden av arbetsrelaterad stress. Vidare kan en hög belastning i arbetslivet och i privatlivet kan ha en negativ effekt och bidra till en högre skadlig stressnivå. Syftet med studien är därefter att undersöka i vilken utsträckning socialt stöd och dubbelbelastning kan kopplas till arbetsrelaterad stress. Resultatet har analyserats med teoretisk ansats utifrån Krav-kontroll-stödmodellen och socialt stöd som hälsofrämjande resurs. För att undersöka sambandet mellan socialt stöd och dubbelbelastning i förhållande till arbetsrelaterad stress tillämpades en kvantitativ enkätstudie. Insamlad data analyserades i univariata samt multivariata linjära regressionsanalyser. Analysen visade inte att arbetsrelaterad stress hade något signifikant samband med socialt stöd i arbetslivet, i privatlivet och dubbelbelastning. Dock framkom det att kön var associerat med graden av arbetsrelaterad stress. / Changes in the labor market because of downsizing and efficiency improvements for the individual meant more responsibility, workload and the increasing demands of the job. With this development, stress-related diseases have increased in Sweden in recent years. It appears that social support can serve as a health resource in relation to the degree of work-related stress. Furthermore, a high load at work and in private life may have an adverse effect and contribute to a higher distress levels. The purpose of this study is then to examine the extent to which social support and the double burden can be linked to work-related stress. The results have been analyzed with the theoretical approach based on the Demand-Control-Support model and social support that health promotion resource. To examine the relationship between social support and the double burden in relation to work-related stress a quantitative survey has been applied. Collected data were analyzed in univariate and multivariate linear regression analyzes. The analysis revealed that work-related stress had no significant correlation with social support at work, in private and double load. However, it emerged that gender was associated with the rate of work-related stress.

While the literature surrounding the negative effects of stress on health and well-being is plentiful, there is a distinct lack of research applying stress frameworks to an organisational safety context. This study investigated the impact of stressors and strains on safety in the workplace, using the Job Demand-Control model as a research framework. In order to maintain a proactive approach to safety management, safety climate, safety compliance and safety participation were used as study variables as they have been established as antecedents to accidents and injuries in the workplace. From questionnaire data from employees with regular safety issues it was found that a positive relationship exists between safety climate and safety behaviours. Satisfaction was found to mediate the relationship between safety climate and one dimension of the safety compliance measure used. Providing support for the buffer hypothesis of the Job Demand-Control model, safety control moderated the relationship between safety climate and safety participation. Control over work scheduling, and decision latitude moderated the relationship between safety climate and safety participation but were indicative of an enhancing effect, rather than a buffering effect. The results suggest that control is an important variable to consider in terms of safety.

Enligt arbetsmiljölagen ska arbetsgivare undersöka, genomföra och följa upp verksamheten, enligt det systematiska arbetsmiljöarbetet ska detta arbete ske naturligt i det dagliga. Den mest använda modellen inom kartläggningen av psykosocial arbetsmiljö var krav-kontroll-stöd modellen, det har dock föreslagits att det var viktigt att ta hänsyn till ledningsförfaranden för att kunna förstå arbetsrelaterade risker bättre. Forskningsfrågorna i denna studie var hur ledare arbetade med den psykosociala arbetsmiljön och hur det arbetet förmodades påverka medarbetarnas hälsa. Syftet med studien är att ta reda på detta. I denna studie deltog 8 personer med arbetsledarbefattning, erfarenheten varierade mellan 4-20 år, antalet personer de ansvarade över varierade mellan 1-42 personer. En kvalitativ metod genom intervjuer genomfördes, en egenkonstruerad intervjuguide användes. Huvudresultaten var att cheferna arbetade med en nära dialog och hälsofrämjande insatser, enligt cheferna ledde det till bättre mående hos medarbetarna och att arbetet var individanpassat. Denna studie ligger i linje med tidigare forskning.

Psykosocial arbetsmiljö är samspelet mellan psykiska och fysiska faktorer vilka är av vikt för en individs hälsa, välbefinnande och arbetstrivsel. Forskning inom området har främst fokuserat på hälsa, välmående och stress där krav-kontrollmodellen är en vanligt förekommande modell. Syftet med studien var att undersöka hur faktorerna krav, kontroll och socialt stöd relaterar till arbetstrivsel. Utgångspunkt var krav-kontroll-stödmodellen samt dess relation och interaktion till arbetstrivsel utifrån fem frågeställningar och tre hypoteser. Medverkande var 65 kvinnor och 22 män från två kontor inom en statlig myndighet i Mellansverige. Undersökningen genomfördes med en enkät inspirerad av mätinstrumenten ASK 2.0 och Minnesota Satisfaction Questionnaire. En trevägs variansanalys påvisade resultatet att kontroll eller stöd kan vara av betydelse för arbetstrivsel, men krav verkar inte vara avgörande. De anställda ser ut att trivas och befinner sig antingen i det avspända eller i det aktiva arbetet.

O objeto de estudo foi os níveis de demanda psicológica e controle sobre o trabalho de enfermeiros que atuam em hospitais privados. O objetivo geral avaliar os níveis de demanda psicológica e controle sobre o trabalho de enfermeiros que atuam em hospitais privados de acordo com o Modelo Demanda-Controle. Trata-se de um estudo transversal realizado com 69 enfermeiros (n=69) que atuam em diversos hospitais privados. Para caracterização da amostra utilizou-se o Questionário Sociodemográfico e para avaliar os aspectos psicossociais do trabalho o Job Content Questionnaire. A coleta de dados foi entre os meses de setembro e outubro de 2014. Para análise dos dados utilizou-se o programa SPSS 18.0 e o programa Microsoft Excel Office 2010. Os principais resultados encontrados na amostra estudada foram a predominância do sexo feminino (78,3%), com idade entre 24 e 47 anos de idade sendo maioria com a idade entre 20 e 29 anos, 50,7% relataram ser casados. Quanto à exposição ao estresse o estudo demonstrou que a amostra possui trabalho de alta exigência (56,5%) e trabalho ativo (53,6%). Diante do exposto, conclui-se que a amostra é de trabalhadores que possuem Alta exigência e Alto controle caracterizando trabalho ativo, o que seria o ideal no trabalho do enfermeiro, embora nem todos os âmbitos de atuação deste profissional permita tal liberdade, dado a aspectos inerentes da profissão, por exemplo, a fragmentação dos processos de trabalho, a burocratização, rotinização, hierarquia rígida dentre outros. Entende-se que novos estudos utilizando este modelo de instrumento podem contribuir para o conhecimento das reais condições de trabalho dos enfermeiros, com foco nos aspectos psicossociais, que são potenciais estímulos para o estresse no trabalho. Este conhecimento nos remete a uma reflexão mais aprofundada da saúde do trabalhador de enfermagem no âmbito hospitalar, além de nos permitir refletir sobre as mudanças necessárias para a redução das demandas psicológicas no trabalho permitindo maior autonomia e versatilidade na execução das tarefas, que podem contribuir para melhoria da qualidade de vida no trabalho, consequentemente melhoria na assistência prestada. / The study focused on levels of psychological demands and control over the work of nurses working in private hospitals. The general objective to evaluate the levels of psychological demand and control over the work of nurses working in private hospitals according to the demand-control model. This is a cross-sectional study of 69 nurses (n=69) operating in various private hospitals. To characterize the sample used the Sociodemographic Questionnaire and to assess the psychosocial aspects of work the "Job Content Questionnaire". Data collection was between the months of September and October 2014. For data analysis we used SPSS 18.0 and Microsoft Excel Office 2010 program. The main findings in the study sample were predominantly female (78,3%), aged between 24 and 47 years old with most between the ages of 20 and 29, 50.7% reported being married. Regarding exposure to stress the study showed that the sample had high strain (56.5%) and active work (53.6%). Given the above, it is concluded that the sample is of workers with high demand and high control featuring active work, which is ideal in nursing work, although not all of this professional performance scopes allow such freedom, because the aspects of the profession, for example, fragmentation of work processes, bureaucratization, routinization, rigid hierarchy among others. It is understood that further studies using this instrument model can contribute to the knowledge of the real working conditions of nurses, focused on psychosocial aspects, which are potential stimuli for stress at work. This knowledge leads us to a deeper reflection of the health of nursing workers in hospitals, and allows us to reflect on the changes necessary to reduce the psychological demands at work allowing greater autonomy and versatility in performing the tasks that can contribute to improving the quality of life at work, therefore improving the care provided.

O objeto de estudo foi os níveis de demanda psicológica e controle sobre o trabalho de enfermeiros que atuam em hospitais privados. O objetivo geral avaliar os níveis de demanda psicológica e controle sobre o trabalho de enfermeiros que atuam em hospitais privados de acordo com o Modelo Demanda-Controle. Trata-se de um estudo transversal realizado com 69 enfermeiros (n=69) que atuam em diversos hospitais privados. Para caracterização da amostra utilizou-se o Questionário Sociodemográfico e para avaliar os aspectos psicossociais do trabalho o Job Content Questionnaire. A coleta de dados foi entre os meses de setembro e outubro de 2014. Para análise dos dados utilizou-se o programa SPSS 18.0 e o programa Microsoft Excel Office 2010. Os principais resultados encontrados na amostra estudada foram a predominância do sexo feminino (78,3%), com idade entre 24 e 47 anos de idade sendo maioria com a idade entre 20 e 29 anos, 50,7% relataram ser casados. Quanto à exposição ao estresse o estudo demonstrou que a amostra possui trabalho de alta exigência (56,5%) e trabalho ativo (53,6%). Diante do exposto, conclui-se que a amostra é de trabalhadores que possuem Alta exigência e Alto controle caracterizando trabalho ativo, o que seria o ideal no trabalho do enfermeiro, embora nem todos os âmbitos de atuação deste profissional permita tal liberdade, dado a aspectos inerentes da profissão, por exemplo, a fragmentação dos processos de trabalho, a burocratização, rotinização, hierarquia rígida dentre outros. Entende-se que novos estudos utilizando este modelo de instrumento podem contribuir para o conhecimento das reais condições de trabalho dos enfermeiros, com foco nos aspectos psicossociais, que são potenciais estímulos para o estresse no trabalho. Este conhecimento nos remete a uma reflexão mais aprofundada da saúde do trabalhador de enfermagem no âmbito hospitalar, além de nos permitir refletir sobre as mudanças necessárias para a redução das demandas psicológicas no trabalho permitindo maior autonomia e versatilidade na execução das tarefas, que podem contribuir para melhoria da qualidade de vida no trabalho, consequentemente melhoria na assistência prestada. / The study focused on levels of psychological demands and control over the work of nurses working in private hospitals. The general objective to evaluate the levels of psychological demand and control over the work of nurses working in private hospitals according to the demand-control model. This is a cross-sectional study of 69 nurses (n=69) operating in various private hospitals. To characterize the sample used the Sociodemographic Questionnaire and to assess the psychosocial aspects of work the "Job Content Questionnaire". Data collection was between the months of September and October 2014. For data analysis we used SPSS 18.0 and Microsoft Excel Office 2010 program. The main findings in the study sample were predominantly female (78,3%), aged between 24 and 47 years old with most between the ages of 20 and 29, 50.7% reported being married. Regarding exposure to stress the study showed that the sample had high strain (56.5%) and active work (53.6%). Given the above, it is concluded that the sample is of workers with high demand and high control featuring active work, which is ideal in nursing work, although not all of this professional performance scopes allow such freedom, because the aspects of the profession, for example, fragmentation of work processes, bureaucratization, routinization, rigid hierarchy among others. It is understood that further studies using this instrument model can contribute to the knowledge of the real working conditions of nurses, focused on psychosocial aspects, which are potential stimuli for stress at work. This knowledge leads us to a deeper reflection of the health of nursing workers in hospitals, and allows us to reflect on the changes necessary to reduce the psychological demands at work allowing greater autonomy and versatility in performing the tasks that can contribute to improving the quality of life at work, therefore improving the care provided.

Syftet med denna studie är att undersöka och analysera den organisatoriska och sociala arbetsmiljön för studie-och yrkesvägledare inom Umeå Kommun. Studien utgår från tre teoretiska utgångspunkter: salutogent perspektiv, patogent perspektiv och även arbetsmiljömodellen Demand-Control-Support. För att besvara studiens frågeställningar används kvantitativ metod i vilket kommunens egna arbetsmiljöenkät för studie-och yrkesvägledare nyttjas. Resultatet visar på att upplevelsen av den organisatoriska och sociala arbetsmiljön för studie-och yrkesvägledare i kommunen är tudelad. En stor andel vägledare, har enligt resultatet i undersökningen, i överlag god upplevelse av sin arbetsmiljö. Ett stort antal friskfaktorer kan utläsas, samtidigt som essentiella delar i arbetsmiljöarbetet visar på ett förhållandevis alarmerande resultat när det kommer till riskfaktorer och arbetsmiljöproblem.