TAKING CARE OF OTHERS - WHAT'S IN IT FOR US? Exploring workplace-related health from a salutogenic perspective in a nursing context
Notice bibliographique
Résumé
The aim was to explore and make sense of a salutogenic relationship between workplace, work and health, through an employee perspective in a Swedish nursing context. The aim was also to make sense of the role of a workplace health promotion (WHP) process, in a salutogenic public health perspective, and develop useful instruments for this kind of health-related development work. The research process, which was predominantly carried out within the framework of a WHP process at a hospital ward, was characterized by a salutogenic perspective and an action and mixed method approach. Four studies were carried out at a medium-sized hospital in the south of Sweden and the studies of papers I, II and III were conducted within the framework of a WHP process at the study ward. The development process started with a focus group study, to explore workplace-related resources and health, through the eyes of healthcare workers. The second study explored factors associated with the experience of flow during everyday nursing practice, through an experience sampling method. The third study within the framework of the project, was a focus group study attempted at making sense of the participating health care workers thoughts about the WHP process. The fourth study was a quantitative cross-sectional study aiming for a development and quality assessment of a salutogenic health indicator scale (SHIS). The research process resulted in a predominant focus on social and psychological resources for and indicators of health. The identified workplace-related health resources interacted through a complex mutual influential relationship and they could be related to the reward, the team, the mission and the context. The resources of rewarding positive experiences and emotions were considered the core of a health promoting workplace. The findings indicated that there were possibilities for more positive workplace- and work-related experiences through focus on cognitive resources and medical care activities with adherent experiences of flow among the healthcare workers in general and among the assistant nurses in particular. The participants were considered more or less achievement-oriented based on their preferring two rather different characteristics of work and WHP processes. More achievement-orientation was related to flexibility, reflection, learning and development of everyday practice. Less achievement-orientation was instead linked to stability, piece and quiet and WHP process-related social relations in general. These diversities were related to complexity and were considered useful for WHP practice. The diversities need to be identified and discussed in a WHP context that is characterized by individual resources, group interaction and external support. A WHP process also needs valid, reliable and practicable instrumental support. The SHIS is considered useful for measuring health with a salutogenic and holistic perspective in general and is thus useful for WHP with a salutogenic approach in particular. It is, however, important that the instrument is used together with a salutogenic perspective and in a context based on social processes, interaction, reflection, learning. The findings adds knowledge to complex relations between workplace as a context, work as an activity, WHP with a salutogenic and bottom-up approach as a change process and health of healthcare workers as a goal. The findings can also directly be applied in practice, as support for an implementation of workplace-related health promoting structures and processes.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,009 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,009 | 0,024 |
| Communication savante | 0,012 | 0,006 |
| Science ouverte | 0,002 | 0,007 |
| Intégrité de la recherche | 0,003 | 0,005 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».