Faculty of Caring Science, Work Life, and Social Welfare, University of Borås, Borås, Sweden.
School of Engineering Sciences in Chemistry, Biotechnology, and Health, KTH Royal Institute of Technology, Stockholm, Sweden.
J Nurs Manag. 2022 Oct;30(7):3546-3552. doi: 10.1111/jonm.13678. Epub 2022 May 30.
The aim of this study was to identify first-line managers' approaches for maintaining low levels of sick leave among health care employees.
One challenge in health care is the high level of sick leave among employees. High work demands and conflicting pressures characterize the work situation of both employees and first-line managers, with potential negative effects on work-related health.
First-line managers at units with low and/or decreasing sick leave were interviewed. Thematic analysis was used to analyse the data.
The managers took a holistic approach in meeting their employees' broader needs, and they were balancing high organisational demands through insubordination. To keep sick leave rate low, they created possibilities for the employees to influence their own working life through a present, visible and trustful leadership.
Managers responsible for units with low sick leave seemed to utilize a holistic approach with focus on their employees and prioritized needs of their employees before organisational demands from top management.
First-line managers in health care can have impact on sick leave among their employees and create good working conditions, despite pressure from their superiors.
本研究旨在确定一线管理人员保持医疗保健员工低病假率的方法。
医疗保健领域的一个挑战是员工的病假率高。员工和一线管理人员的工作情况都具有较高的工作要求和相互冲突的压力，这对与工作相关的健康可能产生负面影响。
对病假率低和/或呈下降趋势的单位的一线管理人员进行了访谈。采用主题分析方法对数据进行分析。
管理人员采取整体方法满足员工更广泛的需求，并通过不服从来平衡高组织需求。为了保持低病假率，他们通过当前、可见和值得信赖的领导为员工创造了影响自己工作生活的可能性。
负责病假率低的单位的管理人员似乎采用了一种整体方法，重点关注员工，并优先考虑员工的需求，而不是上级管理层的组织需求。
医疗保健一线管理人员可以在上级的压力下，对员工的病假率产生影响，并创造良好的工作条件。
