Organizational change,health, and sick leave among health care employees: A longitudinal study measuring stress markers,individual, and work site factors

Abstract

This controlled longitudinal study was conducted to investigate the effects of organizational change on employees’ self-reported health, work satisfaction, work-related exhaustion, stress, and sick leave. The population consisted of 226 employees at T1 and 198 at T2, divided into a study group affected by organizational changes, and a reference group not affected by them. Group differences for the outcome measures self-rated health (SRH), work satisfaction, work-related exhaustion, and hormones associated with stress were analysed using a two-factor ANOVA design for repeated measurements. Our findings showed no significant differences, either across time or between groups for SRH, work satisfaction, and work-related exhaustion. However, we did find significant change across time and between groups for the recovery hormone DHEA-S. Days of sick leave increased by 7% for employees in the study group and by 2% in the reference group. Serum cortisol showed significantly decreased levels across time but not between groups. The decreased recovery potential in the study group might have long-term health implications. The study points to the importance of looking at the impact of organizational change on employee well-being from a number of perspectives, such as self-reported health parameters, registered sick-leave data, and biological stress markers.     

International collaborative ventures between higher education institutions: a British–Russian case study

The starting point for our research is a model of developmental space designed by Coenders. Developmental space in this model is a social space arising from interaction between people. Coenders states that this developmental space is conditional for the probability of success for groups working on innovation. This model is relevant and useful because it is increasingly common for groups in organizations to work on innovation. Human Resource Development (HRD) professionals, involved in organizational development, often facilitate these groups as a process consultant. The model of Coenders is not complete yet, and for analysing and influencing the developmental space, the model is too complex. In a developmental research, we refine and adjust the model of the developmental space. The goal of our study is to develop a model of the developmental space as a starting point for groups and HRD professionals to analyse and influence that space.     

Power differentials and identity formation: Images of self and other on the Russian–Georgian boundary

This article looks at how Russia places herself in relation to one of her southern neighbours, Georgia, and vice versa. Russia and Georgia have recently been engaged in a short but full-fledged war, hence their interrelationship has been intensely debated in both countries. Both Russia and Georgia are, as it were, poised ‘between East and West’.

As a starting point, therefore, we hypothesized that Russians would present themselves as a European nation while they would orientalise the Georgians. Conversely, the Georgians would define themselves into and the Russians out of Europe. We found, however, that identity construction on the Russian-Georgian border is not symmetrical. While the Georigan discourse basically confirmed our assumption, in Russia the dominant discourse is that Russia and Georgia are closely related, fraternal peoples. This shows the importance of power relations in the study of reciprocal identity formations.

While hegemonic discourses often are discourses of exclusion our study shows that a discourse of inclusion—in our case a rhetoric of ‘brotherhood’—often may be a more effective technique of domination. The prevailing discourse in the weaker group, on the other hand, will focus more on cultural distance towards the more powerful Other.     

How Bullying Involvement is Associated with the Distribution of Parental Background and With Subjective Health Complaints Among Swedish Boys and Girls

This study aimed to analyze how bullying involvement is associated with the distribution of parental background and with subjective health complaints (SHC) among Swedish boys and girls. Data were collected from the World Health Organization, Health Behavior in School-aged Children (WHO/HBSC) survey, measurement years 1997/1998, 2001/2002 and 2005/2006. A total of 11,972 boys (50.6 %) and girls (49.4 %) in grades five, seven and nine participated in the study. The adolescents were categorized in subgroups according to parental background: Swedish (80.1 %), mixed (10.5 %) and foreign (9.7 %). Multivariate logistic regressions were used to estimate remaining risk of SHC in the categories of bullying involvement. The frequencies of bullying involvement once or more were: none involved (74.8 %), victims (10.6 %), bullies (10.3 %) and bully/victims (4.4 %). Six out of ten involved in bullying were boys. Boys of foreign background were more involved as bullies compared to boys of mixed or Swedish background. Girls of foreign background were more involved in all three categories of bullying than girls of mixed or Swedish background. Increased risk of SHC was estimated among all adolescents involved in bullying, with highest OR in the category of bully/victims, OR 3.95 (CI 3.13–4.97) for the boys and OR 4.51 (CI 4.51–6.40) for the girls. The multivariate models were stable even after adjustment for socio-demographics. There are some associations between bullying involvement and parental background. Regardless of parental background, family affluence, family structure and gender, all adolescents involved in bullying are at increased risk of SHC.     

Southern culture and patterns of victim‐offender relationships in homicide: A study of primary and nonprimary homicide in Louisiana

This paper examines the relative influence of Southern culture versus social structural features on primary (dispute motivated) and nonprimary (crime motivated) homicide rates in Louisiana. Multiple regression analysis is used to compare the determinants of homicide in parishes ("counties") with typical Southern cultural heritage with those of parishes with French‐Catholic heritage. It was found that Southern culture exerted a greater positive influence on primary homicide rates than most structural variables, but was negative with respect to nonprimary rates. Implications for clarifying the debate concerning the existence of a Southern subculture of violence are discussed.     

Developing education on problematic substance use in Norwegian social work bachelor’s degree

This commentary article is based on a mapping of education on problematic substance use (PSU) in the Norwegian social work bachelor’s degree (SWBD). The results show that national discussions are necessary to ensure that Norwegian SWBD students are provided with consistent and adequate education in preparation for work with PSU issues in social work practice. A practical starting point for development is presented. A discussion concerning social work’s role in future theoretical, practical, and research developments in the field of PSU is paramount.     

Elder Abuse and Neglect in Institutional Settings: The Resident's Perspective

This article strives to share research findings concerning the rights and empowerment of the elderly living in various long-term care (LTC) or residential care facilities (public and private sectors) in Quebec, Canada. Inspired by the theories of constructivism, the research aims to understand the residents’ perception of abuse, as well as the strategies they are developing to exercise their rights and liberties. Data from semistructured interviews with 20 residents, mostly very old women aged 80 to 98, are presented. Results show that residents’ perception of abuse: (1) is conditioned by sensationalistic media coverage; (2) is limited to physical mistreatment; and (3) tends to legitimize day-to-day infringements of their rights, as these “minor” violations seem inoffensive when compared to the “real” acts of violence reported in the media. Tensions that can build up among residents, sometimes resulting in intimidation or even bullying, were addressed.     

Group leaders’ experiences in heterogenous grief support groups

Group processes in social work are complex. In this article, the authors examine how Norwegian leaders experience these processes during their grief support group work. The authors take a qualitative approach, specifically semistructured interviews. Seven group leaders participated. Using qualitative content analysis, the authors found new and supporting information as presented in two inter-related themes: (1) Achieving cohesion is a challenging balance and (2) Facilitating the group activity is linked to group leaders’ engagement and competence. The authors suggest that group work is enhanced by well-qualified leaders paying attention and understanding toward the ongoing group processes, homogenous groups, prescreening, individual timing, and group cohesion.