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Rolander, Bo
Publications (10 of 14) Show all publications
Rolander, B., Lindmark, U., Johnston, V., Wagman, P. & Wåhlin, C. (2019). Organizational types in relation to exposure at work and sickness - a repeated cross-sectional study within public dentistry. Acta Odontologica Scandinavica
Open this publication in new window or tab >>Organizational types in relation to exposure at work and sickness - a repeated cross-sectional study within public dentistry
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2019 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objective: Organizations and state agencies that provide dental care continuously face various and novel demands related to the need for dental care. However, rearrangements of work tasks by reducing the number of tasks performed by dental personnel might make the work more monotonous, repetitive, and static within an organization. The aim of this study is to compare how two dental work organizations, with different staffing and clinic size, are perceived by dental personnel focusing on physical and psychosocial conditions, leadership, work ability and presenteeism in 2012 and 2014.

Material and Methods: This repeated cross-sectional study included personnel from the Public Dental Service in Sweden. There were 282 dentists, dental hygienists, and dental nurses who answered a questionnaire 2012 and 299 in 2014.

Results and conclusion: In 2012, nine per cent of medium clinics reported poor leadership compared with 27% in 2014. For large clinics, 17% perceived poor leadership in 2012 compared with 31% in 2014. A higher proportion of the employees reported presenteeism due to high physical load (43%) and high psychosocial load (21%) in 2014 compared with 31% and 13% in 2012. These results indicate the need for work place interventions promoting health among dental employees.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Organizational, presenteeism, psychosocial conditions, public dentistry, work ability
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Dentistry
Identifiers
urn:nbn:se:hj:diva-45971 (URN)10.1080/00016357.2019.1659411 (DOI)000486532600001 ()31519122 (PubMedID)2-s2.0-85073826674 (Scopus ID)HOA HHJ 2019;HHJADULTIS,HHJOralIS (Local ID)HOA HHJ 2019;HHJADULTIS,HHJOralIS (Archive number)HOA HHJ 2019;HHJADULTIS,HHJOralIS (OAI)
Available from: 2019-09-16 Created: 2019-09-16 Last updated: 2019-11-19
Areskoug Josefsson, K., Sjökvist, M., Bülow, P. H. & Rolander, B. (2019). Psychometrics of the students' attitudes towards addressing sexual health scale for students in social work. Social Work Education, 38(7), 925-940
Open this publication in new window or tab >>Psychometrics of the students' attitudes towards addressing sexual health scale for students in social work
2019 (English)In: Social Work Education, ISSN 0261-5479, E-ISSN 1470-1227, Vol. 38, no 7, p. 925-940Article in journal (Refereed) Published
Abstract [en]

Previous research regarding social work related to sexual health and sexuality shows the importance of competence in this field for social workers and therefore is a need to explore students´ attitudes, knowledge and view on working with sexual health in their future profession. This project aims to psychometrically test the questionnaire Students’ Attitudes towards Addressing Sexual Health (SA-SH) for students in social work. The results show good content validity, construct validity, internal consistency and intra-rater reliability for the SA-SH for students in social work (response rate of 91%, 242 students). The SA-SH can therefore be recommended to be used to measure attitudes, believed competence, and knowledge regarding sexual health among social work students, and to follow up educational interventions.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Attitudes, psychometrics, reliability, sexual health, social work, validity
National Category
Social Work
Identifiers
urn:nbn:se:hj:diva-42925 (URN)10.1080/02615479.2019.1582619 (DOI)000476616900008 ()2-s2.0-85062446036 (Scopus ID)HOA HHJ 2019 (Local ID)HOA HHJ 2019 (Archive number)HOA HHJ 2019 (OAI)
Available from: 2019-02-11 Created: 2019-02-11 Last updated: 2019-08-09Bibliographically approved
Haraldsson, P., Jonker, D., Rolander, B., Strengbom, E. & Areskoug Josefsson, K. (2019). Structured Multidisciplinary Work Evaluation Tool (SMET): Reliability testing of a multidisciplinary/multifactorial work questionnaire. Work: A journal of Prevention, Assessment and rehabilitation, 62(2), 287-297
Open this publication in new window or tab >>Structured Multidisciplinary Work Evaluation Tool (SMET): Reliability testing of a multidisciplinary/multifactorial work questionnaire
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2019 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 62, no 2, p. 287-297Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Occupational health services (OHS) are rarely involved in preventive issues and systematic work environment management. The Structured Multidisciplinary Work Evaluation Tool (SMET) questionnaire was created to address the lack of multidisciplinary/multifactorial OHS tools with the aim to be used in preventive issues and systematic work environment management.

OBJECTIVES: The aim of this study was to evaluate trustworthiness of the inter-rater reliability in the qualitative analysis of the open-ended items and intra-rater reliability of the self-estimated items in the SMET questionnaire.

METHODS: A qualitative comparison of the inter-rater reliability in the qualitative analysis of the open-ended items was performed to evaluate trustworthiness. The intra-rater reliability of the self-estimated items in the SMET questionnaire were analysed with Elisabet Svensson method.

RESULTS: Qualitative analysis of the open-ended items showed good trustworthiness. The self-estimated items showed a high percent agreement (PA), 0.98-0.99 in the physically, 0.99 in the environmentally and 0.98-1.0 in the psychosocially demanding items. A low degree of systematic errors and individual variability were found.

CONCLUSIONS: The SMET questionnaire shows good trustworthiness and intra-rater reliability and can be used to follow up and evaluate work environmental interventions.

Place, publisher, year, edition, pages
IOS Press, 2019
Keywords
Occupational health care, pragmatic value, validity, work environment
National Category
Physiotherapy
Identifiers
urn:nbn:se:hj:diva-43322 (URN)10.3233/WOR-192863 (DOI)000460124400012 ()30829639 (PubMedID)2-s2.0-85062413164 (Scopus ID)
Available from: 2019-03-13 Created: 2019-03-13 Last updated: 2019-03-21Bibliographically approved
Areskoug Josefsson, K., Rolander, B. & Bülow, P. H. (2019). Swedish social work students' attitudes toward addressing sexual health issues in their future profession. Sexuality and disability, 37(2), 161-173
Open this publication in new window or tab >>Swedish social work students' attitudes toward addressing sexual health issues in their future profession
2019 (English)In: Sexuality and disability, ISSN 0146-1044, E-ISSN 1573-6717, Vol. 37, no 2, p. 161-173Article in journal (Refereed) Published
Abstract [en]

Sexual health is an important area for social work. Social workers’ failure to address sexual health issues in social work practice, due to experienced discomfort, may create barriers toward clients, and lead to their decreased health. Investigating social work students’ attitudes toward sexual health, and their perceived competence in this area is crucial for developing social work education on sexual health issues. The aim of the present study was to explore Swedish social work students’ attitudes and perceived competence and educational needs regarding communicating about sexual health in their future profession. A quantitative study using the Students’ Attitudes toward Sexual Health (SA-SH) in a Swedish sample of 242 social work students. The students considered knowledge about sexual health as important for their future profession. The response patterns indicated that students considered themselves uncomfortable and insufficiently prepared to handle issues related to sexual health in their future profession, which may affect how they succeed in addressing the needs of their future clients. The conclusion of this study is that social work students are insufficiently prepared to address issues concerning sexual health in their future profession. Social work programs need to increase sexual health education as well as training in communicating about sexual health issues in order to meet the needs of the clients.

Place, publisher, year, edition, pages
Springer, 2019
Keywords
Education; Rehabilitation; Sexual health; Sexuality; Social work; Sweden
National Category
Social Work
Identifiers
urn:nbn:se:hj:diva-43430 (URN)10.1007/s11195-019-09563-w (DOI)000468995000003 ()2-s2.0-85064477450 (Scopus ID)HOA HHJ 2019 (Local ID)HOA HHJ 2019 (Archive number)HOA HHJ 2019 (OAI)
Funder
Futurum - Academy for Health and Care, Jönköping County Council, Sweden, 864271
Available from: 2019-04-08 Created: 2019-04-08 Last updated: 2019-06-14Bibliographically approved
Areskoug Josefsson, K. & Rolander, B. (2019). Understanding response patterns among health care professionals regarding their attitudes towards working with sexual health - Latent Class Analysis of the SA-SH. Journal of Nursing Measurement, 27(1), 49-63
Open this publication in new window or tab >>Understanding response patterns among health care professionals regarding their attitudes towards working with sexual health - Latent Class Analysis of the SA-SH
2019 (English)In: Journal of Nursing Measurement, ISSN 1061-3749, E-ISSN 1945-7049, Vol. 27, no 1, p. 49-63Article in journal (Refereed) Published
Abstract [en]

Background and Purpose

Students in healthcare professions need to be comfortable and prepared to handle sexual health issues in their future professional role. The aim was to explore and classify response patterns of the Student's Attitudes toward Addressing Sexual Health scale (SA-SH), to increase the pragmatic usefulness of the questionnaire.

Methods

Response patterns of the SA-SH were explored with latent class analysis (LCA). The response patterns were analyzed for relevant levels of total scale scores for each class.

Results

The total score of the SA-SH can be translated into three response patterns, enabling quick and valid calculations of students' perceived level of comfort and preparedness to address sexual health issues in their future profession.

Conclusions

The SA-SH is useful for measuring nursing students' level of comfort and preparedness to address sexual health.

Place, publisher, year, edition, pages
Springer Publishing Company, 2019
Keywords
nursing; psychometrics; response patterns; sexual health; validity
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-39066 (URN)10.1891/1061-3749.27.1.49 (DOI)000467435700009 ()31068490 (PubMedID)2-s2.0-85065787512 (Scopus ID)
Available from: 2018-03-28 Created: 2018-03-28 Last updated: 2019-05-24Bibliographically approved
Wilińska, M., Rolander, B. & Bülow, P. H. (2019). 'When I'm 65': On the age-negotiated duty to work. Work, Employment and Society
Open this publication in new window or tab >>'When I'm 65': On the age-negotiated duty to work
2019 (English)In: Work, Employment and Society, ISSN 0950-0170, E-ISSN 1469-8722Article in journal (Refereed) Epub ahead of print
Abstract [en]

The duty to work is an unquestionable norm in contemporary welfare systems. Nonetheless, as argued in this article, duty to work can be negotiable, and there are age norms that can be used to loosen its otherwise rigid character. This interview-based article follows the work rehabilitation stories of 57 men and women who, in making sense of their illnesses, rehabilitation and work, recurrently use age norms to validate their accounts. In the context of heightened social pressures on paid labour, the practices of doing age seem to both validate and counterbalance the norms of paid labour. Interestingly, the use of age norms is not bounded by any age, gender or education groups; rather, it is used across various social positions. The article discusses age and age norms and their relation to the moral norms of paid labour in contemporary welfare societies.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
doing age, duty to work, work rehabilitation
National Category
Social Work
Identifiers
urn:nbn:se:hj:diva-46826 (URN)10.1177/0950017019885797 (DOI)2-s2.0-85075147021 (Scopus ID)
Available from: 2019-11-14 Created: 2019-11-14 Last updated: 2019-12-04
Gerbild, H., Larsen, C. M., Rolander, B. & Areskoug Josefsson, K. (2018). Does a 2-week sexual health in rehabilitation course lead to sustained change in students’ attitudes? — A pilot study. Sexuality and disability, 36(4), 417-435
Open this publication in new window or tab >>Does a 2-week sexual health in rehabilitation course lead to sustained change in students’ attitudes? — A pilot study
2018 (English)In: Sexuality and disability, ISSN 0146-1044, E-ISSN 1573-6717, Vol. 36, no 4, p. 417-435Article in journal (Refereed) Published
Abstract [en]

This pilot study aimed to explore if healthcare professional students participating in a 2-week elective course, Sexual Health in Rehabilitation (SHR), led to significant and sustained change in experienced competence and attitudes towards addressing sexual health in their future professions, when measured with the Students’ Attitudes towards Sexual Health-Danish version (SA-SH-D). Comparison-group design, using the SA-SH-D at baseline, after the 2 weeks course and 3 months after completing the course. Participation in the SHR course significantly changed the students’ attitudes; decreasing their fears of offending the patients and increasing their feelings of comfort in communicating about sexual health, and the results sustained during the follow-up period of 3 months. The results of the intervention suggest that a 2-week elective SHR course leads to sustained change healthcare students’ attitudes towards addressing sexual health in their future profession. Sexual health education positively changed the students’ attitudes, decreased their fears of offending the patients and increased their feelings of comfort in communicating about sexual health. The SA-SH-D is a useful tool to measure results of educational interventions aiming to change healthcare students’ attitudes towards addressing sexual health in their future profession. Future research is recommended regarding students’ attitudes towards addressing sexual health with persons living with disabilities. There is also a need to further research the effect of elective versus compulsory sexual health education in healthcare programs, to lessen the risk that healthcare students in their future profession will not be able to give equal care due to variation in competence and attitude.

Place, publisher, year, edition, pages
Springer, 2018
Keywords
Health professional students; Attitudes; Sexual health; Education; Denmark
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-42031 (URN)10.1007/s11195-018-9540-1 (DOI)000450588200011 ()2-s2.0-85055693897 (Scopus ID)HHJIMPROVEIS (Local ID)HHJIMPROVEIS (Archive number)HHJIMPROVEIS (OAI)
Available from: 2018-11-14 Created: 2018-11-14 Last updated: 2018-12-06Bibliographically approved
Lundgren, C., Lindman, H., Rolander, B. & Ekholm, M. (2018). Good adherence to adjuvant endocrine therapy in early breast cancer - a population-based study based on the Swedish Prescribed Drug Register. Acta Oncologica, 57(7), 935-940
Open this publication in new window or tab >>Good adherence to adjuvant endocrine therapy in early breast cancer - a population-based study based on the Swedish Prescribed Drug Register
2018 (English)In: Acta Oncologica, ISSN 0284-186X, E-ISSN 1651-226X, Vol. 57, no 7, p. 935-940Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Adjuvant endocrine therapy improves recurrence-free and overall survival in primary breast cancer. However, not all patients complete their planned treatment, mostly because of side-effects. The aim of this study was to examine the adherence to adjuvant endocrine therapy in a cohort of primary breast cancer patients in Region Jönköping County, Sweden, after 3 and 5 years.

MATERIAL AND METHODS: The Swedish Breast Cancer Register was used to identify patients diagnosed with hormone receptor positive breast cancer in Region Jönköping County between 2009 and 2012. Adherence was evaluated based on data from the Swedish Prescribed Drug Register, and Medication Possession Ratio (MPR), defined as the days' supply of medication during the period from the first dispensing till the last dispensing in the time period (3 and 5 years), divided by number of days. Adherence was defined as MPR ≥80%. Regression analyses were used to identify subgroups associated with adherence; age, type of endocrine treatment, additional adjuvant therapy, and hospital responsible for the follow-up (Eksjö, Jönköping, and Värnamo).

RESULTS: We identified 634 patients who were recommended adjuvant endocrine therapy and to be able to estimate adherence after 3 and 5 years, 488 patients were included in the analysis. After 3 years of treatment, 91.2% of the patients (95% confidence interval (CI) 88.7-93.6; n = 445), were found to be adherent. The corresponding figure for the 271 patients who had completed 5 years of treatment was 91.5% (95% CI 88.2-94.8; n = 248). No subgroups (age, endocrine therapy, radio/chemotherapy, or hospital) were significantly associated with adherence in the multiple logistic regression analysis.

DISCUSSION: This study shows substantially higher adherence to adjuvant endocrine therapy than previously reported. Reasons for this could be differences in routines for therapy information and follow-up, but this needs to be further investigated.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
National Category
Cancer and Oncology
Identifiers
urn:nbn:se:hj:diva-38960 (URN)10.1080/0284186X.2018.1442932 (DOI)000441790600008 ()29493327 (PubMedID)2-s2.0-85042913429 (Scopus ID)
Available from: 2018-03-06 Created: 2018-03-06 Last updated: 2018-09-18Bibliographically approved
Areskoug Josefsson, K., Thidell, F., Rolander, B. & Ramstrand, N. (2018). Prosthetic and orthotic students’ attitudes toward addressing sexual health in their future profession. Prosthetics and orthotics international, 42(6), 612-619
Open this publication in new window or tab >>Prosthetic and orthotic students’ attitudes toward addressing sexual health in their future profession
2018 (English)In: Prosthetics and orthotics international, ISSN 0309-3646, E-ISSN 1746-1553, Vol. 42, no 6, p. 612-619Article in journal (Refereed) Published
Abstract [en]

Background:

Prosthetists and orthotists have a responsibility to direct treatment toward enabling their clients to perform desired activities and to facilitate participation of their clients in all areas of life. This may include provision of assistive technologies to help clients meet goals related to participation in sexual activities. To help prosthetic and orthotic students develop competencies in dealing with the sexual health of their future clients, it is necessary to generate knowledge of their own perceived competence and capacity.

Objectives:

To explore prosthetic and orthotic students’ attitudes and competence toward working with sexual health and to evaluate reliability and validity of the Students’ Attitudes Towards Addressing Sexual Health questionnaire.

Study design:

Cross-sectional study.

Methods:

Students enrolled in all three years of an undergraduate prosthetic and orthotic program were requested to complete the Students’ Attitudes Towards Addressing Sexual Health questionnaire (n = 65). Reliability and validity were evaluated using the content validity index and Cronbach’s alpha.

Results:

Students felt unprepared to talk about sexual health with future clients and thought that they would be embarrassed if they raised the issue. No differences were identified between students enrolled in each of the three years of the program and few differences were observed between male and female students. The content validity index values were low but improved as the students’ level of education increased. Internal consistency of the questionnaire was acceptable (α = 0.86).

Conclusion:

Prosthetic and orthotic students are unprepared to address sexual health issues with their future clients. There is a need to provide students with training related to sexual health issues.

Clinical relevance:

This study indicates the need for additional education of prosthetic and orthotic students in issues related to sexual health and how to address sexual health issues with clients. Results can be used to develop training programs for students and will serve to improve the sexual health of individuals who receive prosthetic and orthotic services.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
Sexual health, education, rehabilitation, prosthetics, orthotics
National Category
Health Sciences
Identifiers
urn:nbn:se:hj:diva-39521 (URN)10.1177/0309364618775444 (DOI)000452721800007 ()29775167 (PubMedID)2-s2.0-85047383942 (Scopus ID)
Available from: 2018-05-24 Created: 2018-05-24 Last updated: 2019-01-02Bibliographically approved
Flodin, U., Rolander, B., Löfgren, H., Krapi, B., Nyqvist, F. & Wåhlin, C. (2018). Risk factors for neck pain among forklift truck operators: a retrospective cohort study. BMC Musculoskeletal Disorders, 19(44), 1-10
Open this publication in new window or tab >>Risk factors for neck pain among forklift truck operators: a retrospective cohort study
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2018 (English)In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 19, no 44, p. 1-10Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: No previous research has been performed into neck pain among forklift operators. This is a common complaint among these workers, who number around 150,000 in Sweden and six million in Europe. The aim of the study was to examine long-term exposure to unnatural neck positions among forklift operators as a risk factor for neck pain.

METHODS: A retrospective cohort study was conducted of all eligible employees at a high-level warehouse. Forklift operators and office workers answered an 18-page questionnaire comprising questions about joint pain, work tasks, work postures and year of start for all items. By using person years in the exposed and less-exposed groups before start of neck pain we were able to calculate Incident Rate ratios for various exposures.

RESULTS: Forty nine percent of the forklift operators reported having experienced neck pain compared to 30 % of office workers. Being a forklift operator was associated with an increased risk of neck pain (OR = 5.1, 95% CI 1.4-18.2). Holding the head in an unnatural position resulted in significantly increased risks for neck pain, irrespective of type of position. The risks for neck pain remained after taking other ergonomic exposures and psychosocial aspects into consideration.

CONCLUSIONS: This is the first published study showing that forklift operators have an increased risk of neck pain. The results are therefore of significance for improving work schedules, the adjustment of work tasks for these workers and the design of the vehicles.

Place, publisher, year, edition, pages
BioMed Central, 2018
Keywords
Ergonomics, Forklift operators, Neck pain, Occupational medicine, Retrospective cohort study, Work postures
National Category
Orthopaedics
Identifiers
urn:nbn:se:hj:diva-38815 (URN)10.1186/s12891-018-1956-3 (DOI)000424785700001 ()29426319 (PubMedID)2-s2.0-85041929368 (Scopus ID)
Available from: 2018-02-12 Created: 2018-02-12 Last updated: 2018-03-02Bibliographically approved
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