robert larsson nhprc 2013

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Workplace health management in municipal organizations: the perspective of senior managers Robert Larsson, Ingemar Åkerlind & Hélène Sandmark Mälardalen University, School of Health, Care and Social Welfare, Västerås, Sweden 7th Nordic Health Promotion Research Conference, ”Promoting Health in Everyday Settings: Opportunities and Challenges”, Vestfold, Norway, 2013

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Workplace health management in municipal organizations: the perspective of senior managers

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Page 1: Robert Larsson NHPRC 2013

Workplace health management in municipal organizations: the perspective of senior managers

Robert Larsson, Ingemar Åkerlind & Hélène Sandmark

Mälardalen University, School of Health, Care and Social Welfare, Västerås, Sweden

7th Nordic Health Promotion Research Conference, ”Promoting Health in Everyday Settings: Opportunities and Challenges”, Vestfold, Norway, 2013

Page 2: Robert Larsson NHPRC 2013

School of Health, Care and Social Welfare

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School of Health, Care and Social Welfare

● Shift towards, how organizational factors affect employee health

● Integration of WHP and OSH [e.g. 1, 2]

● WHP should be integrated into the organization’s regular management practices [3]

Less knowledge about if and how this is done…

● Need for WHP-studies in public sector organizations

Background

[1] Goetzel et al., 2008 [2] EU-OSHA, 2010 [3] Chu et al., 2000

Page 3: Robert Larsson NHPRC 2013

School of Health, Care and Social Welfare

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Aim

…to explore how health promotion is managed within a municipal organizational context, and also to describe how workplace health could be incorporated into the general management system

Page 4: Robert Larsson NHPRC 2013

School of Health, Care and Social Welfare

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●Large employers with the responsibility of providing public services

●Variation in organization, human resource policy, conditions etc.

●Previous research indicates poor employee health

Research settingThe municipal employer context

Page 5: Robert Larsson NHPRC 2013

School of Health, Care and Social Welfare

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School of Health, Care and Social Welfare

Design: Qualitative approach

Sampling strategy: Managers were purposefully selected from two municipal organizations

Senior managers (SM) = higher management positions

SMs representing a variety of municipal departments

(m = 250 employees)

Data collection: Semistructured face-to-face interviews

Analysis: Qualitative content analysis

Research design

Page 6: Robert Larsson NHPRC 2013

School of Health, Care and Social Welfare

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School of Health, Care and Social Welfare

The domination of wellness

Provision of activities Organizational support

WHP partly integrated intothe management system

Employee survey as driving force Shortcomings in implementationand follow-up

Findings “We offer exercise during working hours. You can exercise one hour/week. We have fruit. We do health profiles where all are invited to participate, and you may also have an interview afterwards, where you can follow-up on your result.”

Page 7: Robert Larsson NHPRC 2013

School of Health, Care and Social Welfare

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School of Health, Care and Social Welfare

Development of leadership competence

Ambitious leadership programmes OHS training

The political influence

Health-related policies To be an “attractive” employer

Findings

“Now, the municipality have decided how

money for wellness should be used. There is a general decision.”

Page 8: Robert Larsson NHPRC 2013

School of Health, Care and Social Welfare

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School of Health, Care and Social Welfare

● Selection bias? Some chose not to participate. Those with little interest/knowledge about WHP?

● Transferability limited to public sector organizations with similar conditions

● How to not only get “politically correct statements” and “on the surface information” about WHP?

Limitations and challenges

Page 9: Robert Larsson NHPRC 2013

School of Health, Care and Social Welfare

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School of Health, Care and Social Welfare

Preliminary findings concerning how WHP is managed by senior management

The domination of wellness WHP partly integrated into the management

system

Improved management practice concerning WHP…

…could ultimately affect the health of municipal employees

Summary and implications

Page 10: Robert Larsson NHPRC 2013

School of Health, Care and Social Welfare

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School of Health, Care and Social Welfare

Thank you for your attention!

contact: [email protected]

Page 11: Robert Larsson NHPRC 2013

School of Health, Care and Social Welfare

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School of Health, Care and Social Welfare

1. Goetzel, R.Z., Ozminkowski, R.J., Bowen, J. & Tabrizi, M.J. (2008). Employer integration of health promotion and health protection programs. International Journal of Workplace Health Management, 1(2), 109 -122.

2. European Agency for Safety and Health at Work. (2010). Mainstreaming OSH into business management. Luxembourg: Office for Official publications of the European Communities.

3. Chu, C., Breucker, G., Harris, N., Stitzel, A., Gan, X., Gu, X. et al. (2000). Health-promoting workplaces – international settings development. Health Promot Int., 15, 155-167.

4. Shain, M., & Kramer, D.M. (2004) Health promotion in the workplace: Framing the concept; reviewing the evidence. Occup Environ Med., 61(7), 643-648.

5. Polanyi, M.F., Frank, J.W., Shannon, H.S., Sullivan, T.J., & Lavis, J.N. (2000). Promoting the determinants of good health in the workplace. In: B.D. Poland, L.W. Green, & I. Rootman (Eds.) Settings for health promotion: Linking theory and practice. (pp.138-160). Thousand Oaks: Sage Publications.

6. DeJoy, D.M., & Southern, D.J. (1993). An integrative perspective on work-site health promotion. J Occup Med., 35(12), 1221-1230.

7. Chu, C., & Dwyer, S. (2002). Employer role in integrative workplace health management: A new model in progress. Dis Manage Health Outcomes, 10(3), 175-186.

References