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Workers’ experiences of healthy work environment indicators at well-functioning primary care units in Sweden: a qualitative study
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).ORCID iD: 0000-0002-7669-4702
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).ORCID iD: 0000-0001-6784-0133
Department of Social Work, University of Gothenburg, Gothenburg, Sweden.
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).ORCID iD: 0000-0001-8952-8773
2018 (English)In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 36, no 4, p. 406-414Article in journal (Refereed) Published
Abstract [en]

Objective: Staff experiences of healthy work environment (HWE) indicators at primary care units can assist in understanding why some primary care units function better than others. The aim of the study was to create increased understanding of how workers experienced HWE indicators at well-functioning primary care units.

Design: Fifty in-depth interviews with staff at six primary care units in Sweden were analysed with deductive content analysis, revisiting a systematic review of HWE indicators.

Results: The study presents additional perspectives on staff experiences of HWE indicators at well-functioning primary care units. The included primary care units (PCU) shared a similar pattern of work environment indicators, with unique solutions and strategies to meet shared challenges. Staff at the included PCUs were encouraged to work to create and sustain a HWE, but each domain (indicator) also provided challenges that the staff and organisation needed to meet. The results suggest that useful approaches for a healthy work environment could be to address issues of organisational virtuousness, employee commitment and joy at work.

Conclusions: Both managers and staff are encouraged to actively work not only to create and sustain an HWE but also to promote organisational virtuousness, employee commitment, joy at work and to increase the performance at work, which is of benefit to staff, patients and society.

Key Points

  • Staff at well-functioning primary care units (PCUs) experienced healthy work environments
  • The included PCUs shared a similar pattern of work environment indicators, with unique solutions and strategies to meet shared challenges.
  • Staff at the included PCUs were encouraged to work to create and sustain a healthy work environment, but each domain (indicator) also provided challenges that the staff and organisation needed to meet.
  • The results suggest that useful approaches for a healthy work environment could be to address issues of organisational virtuousness, employee commitment and joy at work.
Place, publisher, year, edition, pages
Taylor & Francis, 2018. Vol. 36, no 4, p. 406-414
Keywords [en]
Occupational health, organisational performance, primary care, joy at work
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hj:diva-41684DOI: 10.1080/02813432.2018.1523987ISI: 000450634500008PubMedID: 30259767Scopus ID: 2-s2.0-85053887192OAI: oai:DiVA.org:hj-41684DiVA, id: diva2:1252476
Funder
AFA Insurance, 130343Available from: 2018-10-01 Created: 2018-10-01 Last updated: 2018-12-06Bibliographically approved

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Areskoug Josefsson, KristinaAvby, GunillaKjellström, Sofia

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Scandinavian Journal of Primary Health Care
Health Care Service and Management, Health Policy and Services and Health Economy

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