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Article
Publication date: 1 February 2004

Pia Jansson von Vultée and Bengt Arnetz

Female physicians have less influence over their daily work conditions and exhibit slower career advancement as compared to their male colleagues. The aim of this study is to…

Abstract

Female physicians have less influence over their daily work conditions and exhibit slower career advancement as compared to their male colleagues. The aim of this study is to assess the impact on individual and organizational well being from different kinds of management programs. Female physicians participating in management intervention programs were compared with a reference group of matched physicians and sickness absenteeism was significantly lower in the intervention group. No significant differences were found between the groups with regard to career advancement, individual, organizational and professional well being. Health care organizations spend a substantial amount of resources on management programs in order to improve leadership, autonomy and the work‐environment of physicians in times of increasing discontent among this key group of health care employees. Our study indicates some beneficial health effects from structured management programs but there is a need to develop and assess the efficacy of these programs further.

Details

Journal of Health Organization and Management, vol. 18 no. 1
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 11 September 2007

Pia Jansson von Vultée, Runo Axelsson and Bengt Arnetz

Purpose – The purpose of this research is to show that the Swedish health care system has undergone major changes during the last decades, which have exerted strong influence on…

1287

Abstract

Purpose – The purpose of this research is to show that the Swedish health care system has undergone major changes during the last decades, which have exerted strong influence on the operational freedom of physicians. Design/methodology/approach – This study consisted of 169 physicians in management positions, who answered a questionnaire assessing the relationship between their organizational settings and their perceived wellbeing. The organizational setting was defined as contact with top management, decision‐making influence, well defined organization and whether the physician is acting as a leader. The perceived wellbeing was defined as social climate, work related exhaustion, work satisfaction, influence, development ability and supportive leadership. Findings – According to the results, organizational support improves work satisfaction and mental energy, and decreases work related exhaustion among physicians. This all leads to decreasing turnover rate among physicians. Originality/value – These results point to the importance of maintaining a positive and supportive atmosphere for physicians in their work environment in order to encourage physicians to remain and take on management positions in the health care system. Furthermore enhancing physician influence over decision making processes is important to counteract work‐related exhaustion and it might also contribute to a more efficient organization.

Details

International Journal of Health Care Quality Assurance, vol. 20 no. 6
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 27 March 2007

David Bergman, Bengt Arnetz, Rolf Wahlström and Christer Sandahl

The purpose of this study is to evaluate whether dialogue groups for physicians can improve their psychosocial work environment.

Abstract

Purpose

The purpose of this study is to evaluate whether dialogue groups for physicians can improve their psychosocial work environment.

Design/methodology/approach

The study assessed the impact of eight dialogue groups, which involved 60 physicians at a children's clinic in one of the main hospitals in Stockholm. Psychosocial work environment measures were collected through a validated instrument sent to all physicians (n=68) in 1999, 2001 and 2003. Follow‐up data were collected after the termination of the groups.

Findings

The overall score of organizational and staff wellbeing, as assessed by the physicians at the clinic, deteriorated from 1999 until 2003 and then improved 2004. This shift in the trend coincided with the intervention. No other factors which might explain this shift could be identified.

Research limitations/implications

In a naturalistic study of this kind it is not possible to prove any causal relationships. A controlled survey of management programmes concerning the work environment among physicians would be of interest for further research.

Practical implications

The results suggest that dialogue groups may be one way to improve the psychosocial work environment for physicians.

Originality/value

There is a lack of intervention studies regarding the efficacy of management programmes directed toward physicians, concerning the effects on professional and personal wellbeing. This is the first time dialogue groups have been studied within a health care setting.

Details

Journal of Health Organization and Management, vol. 21 no. 1
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 6 September 2021

Nimitha Aboobaker, Manoj Edward and K.A. Zakkariya

This study aims to examine the influence of workplace spirituality on employee loyalty toward the organization, mediated through well-being at work. Furthermore, the study…

1892

Abstract

Purpose

This study aims to examine the influence of workplace spirituality on employee loyalty toward the organization, mediated through well-being at work. Furthermore, the study endeavors to test the difference in conceptual model estimates, across two groups of employees: those who work on contract/temporary and permanent basis. The study gains relevance particularly in the context of the emerging sharing economy, where jobs are primarily characterized by short-term contracts and freelancing.

Design/methodology/approach

This descriptive study was conducted among a sample of 523 educators working in private educational institutions in India. Self-reporting questionnaires were administered among the respondents, who were selected through the purposive sampling method. Structural equation modeling and multi-group analysis were done to test the proposed hypotheses.

Findings

The analysis revealed that workplace spirituality enriched employee well-being and loyalty toward the organization and evidence were found for indirect effects too. Variances were observed in the relationships, with respect to the different employment statuses of the personnel. Significant differences in the relationships were not found across temporary and permanent employment statuses. Interestingly, temporary employees experienced stronger influences between meaningful work, well-being and word-of-mouth. Results suggest the relevance of understanding employees' differential work experiences and attitudes and thus facilitate human resource strategies accordingly.

Originality/value

This study is pioneering in conceptualizing and testing a theoretical model linking workplace spirituality, well-being at work and employee loyalty, particularly in the context of employees who differ in their employment status, which is a critical aspect of modern-day organizations. Unlike traditional workplaces, in recent times, people come together and work along for shorter terms, as the case of a sharing economy and the thus emergent interpersonal dynamics between each other and with the workplace has significant repercussions on the organization. Theoretical and managerial implications with regard to the experience of workplace spirituality and job outcomes are elaborated, thus striving to fill a gap in the existing literature.

Article
Publication date: 27 June 2008

Åsa Wreder, Maria Gustavsson and Bengt Klefsjö

The purpose of this paper is threefold: to describe how a large organization has successfully worked to achieve sustainable health; compare the work of the large organization with…

1962

Abstract

Purpose

The purpose of this paper is threefold: to describe how a large organization has successfully worked to achieve sustainable health; compare the work of the large organization with methodologies used by smaller successful organizations; and then to create a model for how managers of larger organizations can work to create sustainable health.

Design/methodology/approach

The empirical data were gathered through interviews with managers at different organizational levels and workshops with employees, within a case study in a large bank which received the award “Sweden's best workplace”. The data were also compared to results from earlier case studies of three smaller organizations that have received the same award.

Findings

The results of the studies show coinciding results as to the importance of management commitment and methodologies, such as employee involvement, delegation, goal deployment and coaching, to create a health‐promoting work environment. This indicates that larger organizations do not need any specific methodologies.

Practical implications

Based on the experiences from four successful organizations, managers should mainly consider doing the following: start measuring and evaluating the consequences of sickness absence in their organization; and adopt a management strategy based on humanistic core values that are supported by methodologies and tools.

Originality/value

The paper adds understanding about how managers of large organizations could work practically to overcome management problems in today's working life and support the work and organizational factors earlier described in the literature to create a health‐promoting work environment that stimulates the development of sustainable health.

Details

International Journal of Quality & Reliability Management, vol. 25 no. 6
Type: Research Article
ISSN: 0265-671X

Keywords

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