The impact of servant leadership dimensions on leader-member exchange among health care professionals.

AIM: The aim of the current study was to investigate the impact of servant leadership dimensions on leader-member exchange (LMX) among health-care professionals. BACKGROUND: Leadership support and the quality of the dyadic relationship between the leader and the employee are essential regarding the work environment and turnover intentions in health care. METHOD: A questionnaire-based cross-sectional study was undertaken at four hospital units in Sweden. The study sample included 240 employees. RESULTS: Significant bivariate correlations were found between all servant leadership dimensions and LMX. The strongest correlations were found between 'humility' and LMX (r = 0.69, P < 0.001), and 'empowerment' and LMX (r = 0.67, P < 0.001). The hierarchical regression analyses indicated that 'empowerment', 'humility' and 'stewardship' explained about 55% of the variance in LMX. CONCLUSION: In our study servant leadership dimensions were strongly related to LMX. IMPLICATIONS FOR NURSING MANAGEMENT: The results identify specific servant leadership dimensions that are likely to be useful for developing a stronger exchange relationship between the leader (e.g. nursing manager) and individual subordinates in health care.

Universal parental support--how to reach out: a cross-sectional random sample of Swedish parents.

BACKGROUND: Young children in Sweden have good general health in comparison to children in other European countries. In contrast, teenagers display poorer mental health. Parental support is now being made available on a universal level in Sweden in order to promote youngsters general psychological health. The aim of this study was to examine (1) to what extent the parents were interested in various forms of municipality-based parental support programs; (2) whether there were any differences between mothers and fathers as regards their interest in municipality-based parental support programs; and (3) if there were any differences between high to non-users of the Internet as an information source in their parenting, regarding their interest in municipality-based parental support programs. METHODS: The study was based on a random sample of parents in 15 municipalities in Sweden. Telephone interviews were conducted with 1744 parents. The information collected included the parent's gender, number of children, age of children, what municipality-based support parents would be interested in, and information about the use of the Internet as an information source in their parenting. RESULTS: The results showed that there was a significant difference between mothers and fathers regarding interest in parental support, with mothers being more interested in all forms of parental support except a webpage for parents. Additionally, the results show that high frequent use of the Internet as an information source in their parenting was associated with high interest in municipality-based parental support. CONCLUSIONS: Parents who are active in seeking web-based information about their child and parenting are also parents interested in various kinds of parental support. The municipality is generally better at evoking the interest of mothers than fathers concerning all forms of support, except a webpage with information for parents. Municipalities should develop attractive and informative webpages for parents, with some information specifically addressing fathers.

Five Facets Mindfulness Questionnaire--reliability and factor structure: a Swedish version.

Two studies were conducted to assess the Swedish version of the Five Facets Mindfulness Questionnaire (FFMQ), which was originally created by Baer et al. (2006). The aim of Study 1 was to examine the psychometric properties of the FFMQ using data from 495 individuals. Quantitative and qualitative analyses resulted in a reduction of the scale by 10 items. Psychometric properties, including internal consistency of the revised instrument, were examined. The Swedish FFMQ provides results comparable to those obtained by Baer. Cronbach's alphas were high for all the facets. The Swedish FFMQ appears to be a potentially useful tool in measuring mindfulness among Swedish participants. The aim of Study 2 was to test the suggested hierarchical five-factor solution and construct validity, using a confirmatory factor analysis (CFA). Similar to findings for the English version of the FFMQ, the CFA showed that the Observing facet was not a significant part of an overall self-reported mindfulness structure in a Swedish population with little meditation experience.

A longitudinal path model of psychological workload, fatigue and neck/shoulder symptoms among female childcare workers.

The aim of the present study was to test a path model of the relation between psychological workload and neck/shoulder symptoms with general fatigue as a proposed mediating variable. In this longitudinal two-wave cohort study a questionnaire survey was conducted among female childcare workers. The analyses were based on initially symptom free participants (n=388). Two models were tested, with fatigue at baseline and at follow-up as the proposed mediators, respectively. The results indicate that appraised psychological workload is related to the development of symptoms measured at an 18-month follow-up. The results further indicate that this relation may be partially mediated by general fatigue (also measured at follow-up). The findings of the present study emphasize the importance of the psychological workload in the development of neck/shoulder symptoms among childcare workers. This means that in addition to workplace ergonomic interventions it is important also to pay attention to the psychosocial conditions in order to reduce these symptoms.

Work organisation constructs and ergonomic outcomes among European forest machine operators.

The aims of the study were to: 1) create work organisation constructs for forest machine operators; 2) examine relationships between these work organisation constructs and different ergonomic outcomes. The study was carried out among forest machine operators in six European countries and was based on a questionnaire survey (n = 358). Exploratory factor analysis (EFA) was used in the formation of the construct measures of work organisation. The EFA resulted in a five-factor structure. The factors were named 'job control', 'variation', 'job rotation', 'breaks' and 'rate of work'. Three multiple regression analyses were carried out separately for the dependent variables job satisfaction, musculoskeletal symptoms and headache/sleeping problems. All regression analyses resulted in significant overall models. The highest explained variance among the dependent variables was found for job satisfaction (R = 0.51, i.e. 'large' effect size). The unique contribution of the work organisation constructs varied in the models, but 'job rotation' contributed significantly in all regression models. The results may be used as a source for ergonomic improvements to work organisation. The present study was performed as part of the EU project 'ErgoWood', which resulted in a European handbook for mechanised forest operations (Gellerstedt et al. 2005). The results delivered part of the evidence base for a toolbox in this handbook regarding changes in work organisation to improve health and performance.

Appraised psychological workload, musculoskeletal symptoms, and the mediating effect of fatigue: a structural equation modeling approach.

The aim of the present study was to test two structural models of the relationship between appraised psychological workload and musculoskeletal symptoms from the neck, shoulder, and upper and lower back with different aspects of perceived fatigue as mediating variables. In this cross-sectional study a questionnaire survey was conducted among employees at three Swedish assembly plants (n= 305). The proposed models were tested for one general fatigue dimension--lack of energy--and four specific fatigue dimensions--physical discomfort, physical exertion, lack of motivation, and sleepiness--using structural equation modeling. The results indicate that the role of perceived fatigue in the relationship between appraised workload and musculoskeletal symptoms is different for different aspects of fatigue. The general fatigue dimension, lack of energy, does not mediate the relationship. As regards the specific fatigue dimensions, the relationship is partially mediated by physical discomfort and lack of motivation but not by physical exertion or sleepiness. Appraised psychological workload has a unique effect on musculoskeletal symptoms not mediated by fatigue.