Bakgrund: Sjuksköterskeyrket innebär höga kravoch många nyutexaminerade sjuksköterskorupplever stressinför att behöva besitta den kunskap som krävs. Stressen kan påverka patientsäkerheten.Syfte: Syftet var att undersöka arbetsrelaterad stress hos nyutexaminerade sjuksköterskor och hur det påverkar patientsäkerheten. Metod: Metoden var en litteraturöversiktmed systematisk datainsamling och urval, där totalt 13 artiklar inkluderades i resultatet.Resultat: Resultatet visade att arbetsrelaterad stress hos nyutexaminerade sjuksköterskor berodde på flera orsaker, som organisatoriska faktorerbristande ledarskap, att inte besitta den kunskap som krävs och att vara ny i teamet. Dessa faktorer leder till att sjuksköterskorna tvingas prioritera arbetetunder press vilket påverkar kvalitén på omvårdnaden, äventyrar patientsäkerheten och en vilja hos flera nyutexaminerade sjuksköterskor att lämna yrket. Slutsats: Nyutexaminerade sjuksköterskor behöver stöd under deras första tid som legitimerad sjuksköterska för att minska den arbetsrelaterade stressen och att fler stannar kvar inom professionen vilket leder till ökad patientsäkerhet. / Background: The nursing profession involves high demands and many newly graduated nurses experience stress before having to possess the required knowledge. Stress can affect patient safety.Aim: The aim was to investigate work-related stress in newly graduated nurses and how it affects patient safety. Method: The method was a literaturereview with systematic data collection and selection, where a total 13 articles were included in the results.Results:The result is based on two main categories: Causes of work-related stress and consequences of work-related stress. The result showed that work-related stress in newly graduated nurses was due to several factors, such as organizational factors, lack of leadership, not possessing the knowledge required and to be new to the team. These factors lead to nurses being forced to prioritize work under pressure, which affects the quality of nursing, jeopardize patient safety and a willingness of several newly graduated nurses to leave the profession. Conclusion: Newly graduated nurses need support during their first time as a registered nurse to reduce work-related stress and for more people to remain in the profession which leads to increased patient safety.

Bakgrund: Arbetsrelaterad stress definieras som en obalans mellan kunskap, förmågor, krav och påfrestning. Långvarig stress utan chans till återhämtning kanleda till utmattningssyndrom och depression. Inom primärvården internationellt orsakas stress ofta av tidsbrist, stor arbetsbelastning och mycket administrativa arbetsuppgifter. Stress kan leda till ökad risk för misstag inom vården och felaktiga bedömningar. I Sverige förväntas distriktssköterskor arbeta självständigt och ha enbred kunskap och kunna vårda personer över hela livsspannet. Motiv: Arbetsrelaterad stress inom sjuksköterskeyrket är välstuderat internationellt, men det finns begränsat med studier utförda på distriktssköterskor i Sverige. Föreliggande studie var viktig för att öka förståelsen för distriktssköterskors arbetssituation inom primärvården i Sverige. Syfte: Syftet med studien var att belysa distriktssköterskors upplevelse av stress i arbetet inom primärvården. Metod: En kvalitativ intervjustudie med semi-strukturerade intervjuer genomfördes med åtta distriktssköterskor och en sjuksköterska inom primärvården. Intervjuerna analyserades med kvalitativ innehållsanalys. Resultat: I resultatet identifierades två kategorier som bidrog till upplevelsen av stress; “att känna sig styrd av klockan” och “att bära ett stort ansvar” och två kategorier som bidrog till upplevelsen av minskad stress; “att ha rätt förutsättningar”och “att kunna prioritera”. Konklusion: Det självständiga arbetet kunde upplevas både bidra till ökad stress och minskad stress i arbetet. Resultatet belyser en del av distriktssköterskans vardag och kan bidra till kunskap om deras arbetssituation hos såväl kollegor som ledning. Rätt förutsättningar att utföra arbetet i enlighet med sin yrkesroll och kompetens kan förhoppningsvis bidra till ökad arbetsglädje, minskade sjukskrivningar samt ökad trygghet och säkerhet för patienterna. / Background: Work-related stress is defined as imbalance between knowledge, abilities, requirements and stress. Prolonged stress without a chance of recovery can lead to fatigue syndrome and depression. In primary care internationally, stress is often caused by lack of time, heavy workload and abundance of administrative tasks. Stress can lead to an increased risk of mistakes in healthcare and incorrect assessments. In Sweden, district nurses are expected to work independently, to have broad knowledge and to be able to care for people throughout their life span. Motive: Work-related stress in the nursing profession is well studied internationally, there are, however, limited studies done on district nurses in Sweden. The present study was important to increase the understanding of the district nurses' work situation in Swedish primary care. Aim: The aim of the study was to illustrate district nurses' experience of workrelated stress in primary care. Methods: A qualitative interview study with semi-structured interviews was conducted with eight district nurses and one registered nurse in primary care. The interviews were analyzed with qualitative content analysis. Result: The results identified two categories that contributed to the experience of stress; "feeling controlled by time" and "carrying a great deal of responsibility" and two categories that contributed to the experience of reduced stress; "having the right conditions" and "being able to prioritize". Conclusion: The independent work could be seen as both contributing to increased stress and reduced stress at work. The results illuminate a part of district nurse's everyday life and can contribute to knowledge about their work situation with both colleagues and management. The right conditions to perform the work in accordance with their professional role and competence can hopefully contribute to increased job satisfaction, reduced sick leave, and increased safety and security for patients.

Work-related stress has become common in recent years. Many academic studies point out that social workers in the social services experience a lack of time and limited resources in the workplaces in which these social workers are employed. This leads to work-related stress among a large section of the social workers. The purpose of this study is to shed light on social workers´ experiences of work-related stress and how this stress can affect the social workers´ work, private life and health. To answer the study's questions, we have adopted a qualitative methodology and interviewing as a data collection method. In this regard, we have interviewed six social workers who work in the social services within two different municipalities in Sweden. In addition, we have used an analysis method called content analysis. The conclusion is that work- related stress can affect social workers' work in social services, private life and physical and mental health in a negative way. In addition, the empirical study partly confirms the theory and the previous research used in this paper, but we have also found deviating answers that differ from the previous research. Our study has shown that two interviewed social workers did not have experience that work-related stress had a negative effect on their practical work. A few have also said that their health and private life were not negatively affected by the work-related stress, which indicates a need for further research regarding the subject of work-related stress in the Swedish social services, to inquire into why some social workers experience work- related stress and why some do not.

Work-related musculoskeletal disorders constitutes a substantial burden for society, generating individual suffering and financial costs. Quantifying the musculoskeletal stress and establishing exposure-response relationships is an important step in facing this problem. Observational methods for assessing exposure in the field of ergonomics have shown poor results, and the technical measurement methods that exists are often complicated to use which limits their scope to scientific purposes. This work describes the development of a prototype measurement system aimed to simplify ambulatory measurements of musculoskeletal load, specifically aimed at the wrist and hand. Wearable sensors including Inertial Measurement Units (IMU:s) and Electromyography (EMG) were connected to a smartphone and used for measuring wrist movement and forearm muscle activity. Data sampled in the smartphone was stored online in a cloud database, and a webapplication was developed to visualize work-load exposure. Testing under controlled conditions indicated that muscular rest can be measured and classified according to suggested risk thresholds. Accurate angular measurements were difficult to implement because of lacking inter-sensor alignment in the horizontal plane, as well as uncertainties in the Bluetooth protocol. Future work should focus on the IMU:s and look to further develop a method of correcting the relative angle error, as well as investigating accurate time synchronization of the two sensors.Alternatively, deriving angular velocities directly from the IMU gyroscopes could be investigated.

Introduction: Lower extremity (LE) work-related musculoskeletal disorders (WMSDs) are known to occur with cumulative exposure to occupational and personal risks. The objective of this dissertation study was to find if creating a quantifiable risk detection model for the LE was feasible. The primary product of the literature review conducted for this study resulted in focusing the attention of the model development process onto creating the initial model of the LE for assessing knee disorder risk factors. Literature Review: LE occupational disorders affect numerous industries and thousands of people each year by affecting any one of the musculoskeletal systems deemed susceptible by the occupational and personal risk factors involved. Industries known to be affected tend to have labor intensive job descriptions. Some of the numerous industry examples include mining, manufacturing, firefighting, and carpet laying. Types of WMSDs noticed by the literature include bursitis, osteoarthritis, stress fractures, tissue inflammation, and nerve entrapment. In addition to the occupationally related disorders that may develop, occupationally related discomforts were also taken into consideration by this study. Generally, both the disorders and the discomforts can be traced to either a personal or occupational risk factor or both. Personal risk factors noted by the literature include a person's physical fitness and health history (such as past injuries). Meanwhile, occupational risks can be generalized to physical postures, activities, and even joint angles. Prevalence data over a three year interval (2003-2005) has found that LE WMSDs make up on average approximately 7.5% of all the WMSD cases reported to the US Occupational Safety and Health Administration (OSHA). When the literature is refined to the information pertaining to occupational knee disorders, the mean prevalence percentage of the same three year range is about 5%. Mean cost for knee injuries were found to be $18,495 (for the year between 2003 and 2004). Methodology: Developing a risk model for the knee meant using groups of subject matter experts for model development and task hazard analysis. Sample occupational risk data also needed to be gathered for each of a series of tasks so that the model could be validated. These sample data were collected from a sample aircraft assembly plant of a US aerospace manufacturer. Results: Based on the disorder and risk data found in the literature, a knee risk assessment model was developed to utilize observational, questionnaire, and direct measure data collection methods. The final version of this study's knee model has an inventory of 11 risk factors (8 occupational and 3 personal) each with varying degrees of risk exposure thresholds (e.g., high risk, moderate risk, or minimal risk). For the occupational risk assessment portion of the model, the results of task evaluations include both an occupational risk resultant score (risk score) and a task risk level (safe or hazardous). This set of results is also available for a cumulative (whole day) assessment. The personal risk assessment portion only produces a risk resultant score. Validation of the knee risk model reveals statistically (t (34) = 1.512, p = 0.156), that it is functioning as it should and can decide between hazardous and safe tasks. Additionally, the model is also capable of analyzing tasks as a series of cumulative daily events and providing an occupational and personal risk overview for individuals. Conclusion: While the model proved to be functional to the given sample site and hypothetical situations, further studies are needed outside of the aerospace manufacturing environment to continue testing both the model's validity and applicability to other industrial environments. The iterative adjustments generated for the occupational risk portion of the model (to reduce false positives and negatives) will need additional studies that will further evaluate professional human judgment of knee risk against this model's results. Future investigations must also make subject matter experts aware of the minimal risk levels of this knee risk assessment model so that task observational results are equally comparable. Additional studies are moreover needed to assess the intimate nature between variable interactions; especially multiple model defined minimal risks within a single task.

Occupational burnout continues to be a topic of great interest to those individuals who are concerned with the influence of work stress on mental health. Although many workers from a variety of occupations have been the focus of studies of burnout, there are few studies of burnout in firefighters. In conjunction with studying the obvious factors which are believed to be related to burnout in workers, there has been a call for researchers to include personality variables in the study of work stress. Neuroticism has been found to be related to the identification of work-related stressors as well as to be related to the impact of the stressors on workers. The purpose of this study was to determine the perceived work-related stressors of firefighters and to determine the predictors of burnout after controlling for age and the personality variable of neuroticism. The research participants for this study included 142 firefighters from the Western U.S. Participants completed questionnaires that included demographic data, work-related background information, perceived work-related stressors, a measure of burnout, and a measure of neuroticism. Following an analysis of the quantitative data obtained from the questionnaires, ten firefighters were interviewed for the purpose of gaining in-depth information regarding the responses in the questionnaires. The findings of this study indicated that there was a great deal of variety in what each participant perceived to be a work-related stressor. A content analysis technique yielded 12 categories of stressors: coworker conflict, patient-related, general work duties, administration, sleep-related, budget-related, change in work station, personal, danger to self, 9-1-1 abuse, public-related, and child abuse. The results of the hierarchical multiple regression analysis showed that after controlling for age (step 1), neuroticism (step 2) predicted approximately 21% of the variance in emotional exhaustion, 9% of the variance in depersonalization, and almost 7% of the variance in personal accomplishment. After controlling for age and neuroticism, objective and perceived work-related stressors accounted for an additional 14.6% of the variance in emotional exhaustion and for 13.9% of the variance in depersonalization. Only the objective work-related stressors accounted for an additional 8.9% of the variance in personal accomplishment.

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Det finns många läkare som arbetar deltid, sjukskrivs eller byter jobb på grund av ett påfrestande arbetsmiljö. Syftet med min studie är att identifiera läkarens upplevelse av arbetsrelaterad stress inom vårdcentral. Metoden som valdes är en kvalitativ metod där jag använder halvstrukturerade intervjuer. Två kategorier och fyra subkategorier av upplevelse av arbetsrelaterad stress hos läkare identifierades: faktorer som påverkar stress i arbetet, egna strategier för stresshantering, tidsbrist, ledarskap, brister i organisatorisk och social arbetsmiljö, upplevelse av krav och förväntningar. Informanterna upplevde att deras stress orsakades av brister i den organisatoriska och sociala arbetsmiljön. Läkarens arbete kan förstås påverkas negativt av upplevd stress. Arbetsrelaterad stress kan påverka negativt läkarens bedömningsförmåga vilket ställer patienterna i risk för felbedömningar. / There are many doctors who work part-time, are laid off or change jobs because of a stressful work environment. The purpose of my study is to identify the physician's experience of work-related stress in a health center. The method chosen is a qualitative method where I used semi-structured interviews. Two categories and four subcategories of high of work-related stress were identified: factors affecting stress at work, own strategies for stress management, lack of time, leadership, deficiencies in organizational and social work environment, demands and expectations. It was found that the respondents experienced stress was caused by problems in the organizational and social work environment. The physician's work can be adversely affected by high stress. Work-related stress can adversely affect the physician's judgment, which puts patients at risk of misjudgment.

Yes / This paper reports on a case study involving a strategic and innovative approach to creation of an in-house multifaceted digital engineering platform (the DEP) in overcoming a number of organisational problems at a multinational engineering company. The DEP was to be used strategically for simplifying the operational complexity and to create and appropriate new work-related mind-set and new organisational discourse to achieve homogenous working across the organisation, which is a huge challenge. The need for this system emerged from the need to resolve many organisational services related problems that carried phenomenal amount of processes, health and safety risks and to regulate, and, control the running of engineering project. Research data were collected using a longitudinal case study approach over a period of six months. In order to make sense of how the DEP helped the organisation, the study used certain elements of Extended Structuration Theory as a lens to assess the case study. This research discovered that the DEP succeeded in creating and appropriating work-related mind-set and organisational discourse. It also had real influence on working processes and employees at all levels while encouraging transparency, responsiveness, agility and accountability. It continues to help the organisation to govern, manage and maintain good standard of service but many barriers still remain.