期刊论文详细信息
BMC Public Health
Leading during change: the effects of leader behavior on sickness absence in a Norwegian health trust
Lars Erik Kjekshus1  Vilde Hoff Bernstrøm1 
[1] Department of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Forskningsveien 3a, 0373, Oslo, Norway
关键词: Health care;    Restructuring;    Organizational change;    Task monitoring;    Negative leader behavior;    Problem confrontation;    Loyalty;    Social support;    Leadership;    Sickness absence;   
Others  :  1163064
DOI  :  10.1186/1471-2458-12-799
 received in 2011-11-15, accepted in 2012-09-01,  发布年份 2012
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【 摘 要 】

Background

Organizational change often leads to negative employee outcomes such as increased absence. Because change is also often inevitable, it is important to know how these negative outcomes could be reduced. This study investigates how the line manager’s behavior relates to sickness absence in a Norwegian health trust during major restructuring.

Methods

Leader behavior was measured by questionnaire, where employees assessed their line manager’s behavior (N = 1008; response rate 40%). Data on sickness absence were provided at department level (N = 35) and were measured at two times. Analyses were primarily conducted using linear regression; leader behavior was aggregated and weighted by department size.

Results

The results show a relationship between several leader behaviors and sickness absence. The line managers’ display of loyalty to their superiors was related to higher sickness absence; whereas task monitoring was related to lower absence. Social support was related to higher sickness absence. However, the effect of social support was no longer significant when the line manager also displayed high levels of problem confrontation.

Conclusions

The findings clearly support the line manager’s importance for employee sickness absence during organizational change. We conclude that more awareness concerning the manager’s role in change processes is needed.

【 授权许可】

   
2012 Bernstrøm and Kjekshus; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Kivimaki M, Vahtera J, Ferrie JE, Hemingway H, Pentti J: Organisational downsizing and musculoskeletal problems in employees: a prospective study. Occup Environ Med 2001, 58(12):811-817.
  • [2]Head J, Kivimaki M, Martikainen P, Vahtera J, Ferrie JE, Marmot MG: Influence of change in psychosocial work characteristics on sickness absence: The Whitehall II Study. J Epidemiol Community Health 2006, 60(1):55-61.
  • [3]Vahtera J, Kivimaki M, Pentti J, Theorell T: Effect of change in the psychosocial work environment on sickness absence: a seven year follow up of initially healthy employees. J Epidemiol Community Health 2000, 54(7):484-493.
  • [4]Westerlund H, Ferrie J, Hagberg J, Jeding K, Oxenstierna G, Theorell T: Workplace expansion, long-term sickness absence, and hospital admission. Lancet 2004, 363(9416):1193-1197.
  • [5]Higgs M: The Good, the Bad and the Ugly: Leadership and Narcissism. J Chang Manag 2009, 9(2):165-178.
  • [6]Higgs M, Rowland D: All changes great and small: Exploring approaches to change and its leadership. J Chang Manag 2005, 5(2):121-151.
  • [7]van de Ven AH, Rogers RW, Bechara JP, Sun K: Organizational diversity, integration and performance. J Organ Behav 2008, 29(3):335-354.
  • [8]Guo KL: Leadership processes for re-engineering changes to the health care industry. J Health Organ Manag 2004, 18(6):435-446.
  • [9]Allen J, Jimmieson NL, Bordia P, Irmer BE: Uncertainty during Organizational Change: Managing Perceptions through Communication. J Chang Manag 2007, 7(2):187-210.
  • [10]Terry DDJ, Callan VJ, Sartori G: Employee adjustment to an organizational merger: stress, coping and intergroup differences. Stress Medicine 1996, 12(2):105-122.
  • [11]Cummings G, Hayduk L, Estabrooks C: Mitigating the impact of hospital restructuring on nurses - The responsibility of emotionally intelligent leadership. Nurs Res 2005, 54(1):2-12.
  • [12]Nyberg A, Westerlund H, Hanson LLM, Theorell T: Managerial leadership is associated with self-reported sickness absence and sickness presenteeism among Swedish men and women. Scand J Public Health 2008, 36(8):803-811.
  • [13]Kuoppala J, Lamminpää A, Liira J, Vainio H: Leadership, Job Well-Being, and Health Effects—A Systematic Review and a Meta-Analysis. J Occup Environ Med 2008, 50(8):904-915.
  • [14]Alimo-Metcalfe B, Alban-Metcalfe J, Bradley M, Mariathasan J, Samele C: The impact of engaging leadership on performance, attitudes to work and wellbeing at work: a longitudinal study. J Health Organ Manag 2008, 22(6):586-598.
  • [15]Jeon YH, Glasgow NJ, Merlyn T, Sansoni E: Policy options to improve leadership of middle managers in the Australian residential aged care setting: a narrative synthesis. BMC Health Serv Res 2010, 10:190.
  • [16]Hanrahan NP, Aiken LH, McClaine L, Hanlon AL: Relationship between Psychiatric Nurse Work Environments and Nurse Burnout in Acute Care General Hospitals. Issues Ment Health Nurs 2010, 31(3):198-207.
  • [17]Steers RM, Rhodes SR: Major Influences on Employee Attendance — Process Model. J Appl Psychol 1978, 63(4):391-407.
  • [18]Demerouti E, Bakker AB, Nachreiner F, Schaufeli WB: The job demands-resources model of burnout. J Appl Psychol 2001, 86(3):499-512.
  • [19]Bakker AB, Demerouti E: Job demands-resources model: state of the art. J Manag Psychol 2007, 22(3):309-328.
  • [20]Bakker AB, Demerouti E, de Boer E, Schaufeli WB: Job demands and job resources as predictors of absence duration and frequency. J Vocat Behav 2003, 62(2):341-356.
  • [21]Schaufeli WB, Bakker AB, Van Rhenen W: How changes in job demands and resources predict burnout, work engagement, and sickness absenteeism. J Organ Behav 2009, 30(7):893-917.
  • [22]Johansson G, Lundberg I: Adjustment latitude and attendance requirements as determinants of sickness absence or attendance. Empirical tests of the illness flexibility model. Soc Sci Med 2004, 58(10):1857-1868.
  • [23]Vahtera J, Kivimaki M, Pentti J: The role of extended weekends in sickness absenteeism. Occup Environ Med 2001, 58(12):818-822.
  • [24]Hakanen JJ, Bakker AB, Demerouti E: How dentists cope with their job demands and stay engaged: the moderating role of job resources. Eur J Oral Sci 2005, 113(6):479-487.
  • [25]Bakker AB, Hakanen JJ, Demerouti E, Xanthopoulou D: Job resources boost work engagement, particularly when job demands are high. J Educ Psychol 2007, 99(2):274-284.
  • [26]Baumeister RF, Leary MR: The Need to Belong - Desire for Interpersonal Attachments as a Fundamental Human-Motivation. Psychol Bull 1995, 117(3):497-529.
  • [27]Deci EL, Ryan RM: The "What" and "Why" of Goal Pursuits: Human Needs and the Self-Determination of Behavior. Psychol Inq 2000, 11(4):227-268.
  • [28]Johnson JV, Hall EM: Job strain, work place social support, and cardiovascular disease: a cross-sectional study of a random sample of the Swedish working population. Am J Public Health 1988, 78(10):1336-1342.
  • [29]Egan M, Bambra C, Thomas S, Petticrew M, Whitehead M, Thomson H: The psychosocial and health effects of workplace reorganisation. 1. A systematic review of organisational-level interventions that aim to increase employee control. J Epidemiol Community Health 2007, 61:945-954.
  • [30]Lidwall U, Marklund S: What is healthy work for women and men? — A case–control study of gender- and sector-specific effects of psycho-social working conditions on long-term sickness absence. Work 2006, 27(2):153-163.
  • [31]Niedhammer I, Chastang JF, David S: Importance of psychosocial work factors on general health outcomes in the national French SUMER survey. Occup Med 2008, 58(1):15-24.
  • [32]Väänänen A, Pahkin K, Kalimo R, Buunk BP: Maintenance of subjective health during a merger: the role of experienced change and pre-merger social support at work in white- and blue-collar workers. Soc Sci Med 2004, 58(10):1903-1915.
  • [33]Bacharach SB, Bamberger P, Biron M: Alcohol Consumption and Workplace Absenteeism: The Moderating Effect of Social Support. J Appl Psychol 2010, 95(2):334-348.
  • [34]Hackman JR, Oldham GR: Motivation through the design of work: test of a theory. Organ Behav Hum Perform 1976, 16(2):250-279.
  • [35]Kontodimopoulos N, Paleologou V, Niakas D: Identifying important motivational factors for professionals in Greek hospitals. BMC Health Serv Res 2009, 9:164.
  • [36]Kellerman B: Bad leadership: what it is, how it happens, why it matters. Boston, Mass: Harvard Business School Press; 2004.
  • [37]Erickson A, Shaw JB, Agabe Z: An empirical investigation of the antecedents, behaviors, and outcomes of bad leadership. J Leadersh Stud 2007, 1(3):26-43.
  • [38]Rd R, Mv W: Can conflict management be an antidote to subordinate absenteeism? J Manag Psychol 2010, 25(5):479-494.
  • [39]Saksvik PO, Tvedt SD, Nytro K, Andersen GR, Andersen TK, Buvik MP, Torvatn H: Developing criteria for healthy organizational change. Work Stress 2007, 21(3):243-263.
  • [40]Choi S: Competing logics in hospital mergers - The case of the Karolinska University Hospital. PhD thesis. Stockholm: Karolinska Institutet; 2011.
  • [41]Aguinis H, Gottfredson RK: Best-practice recommendations for estimating interaction effects using moderated multiple regression. J Organ Behav 2010, 31(6):776-786.
  • [42]Topplederprogrammet[http://www.helse-sorost.no/fagfolk/utdanning/Sider/topplederprogrammet.aspx] webcite
  • [43]Harsvik T, Lippestad LEKJ-W, Mortensen T, Torvik H, Vareide PK: Gjennomgang og evaluering av ledelses- og organisasjonsstrukturen ved ullevål universitetssykehus. SINTEFOslo; 2005.
  • [44]Floyd FJ, Widaman KF: Factor Analysis in the Development and Refinement of Clinical Assessment Instruments. Psychol Assess 1995, 7(3):286-299.
  • [45]DenHartog DN, VanMuijen JJ, Koopman PL: Transactional versus transformational leadership: An analysis of the MLQ. J Occup Organ Psych 1997, 70:19-34.
  • [46]Nunnally JC: Psychometric theory. 2nd edition. New York: McGraw-Hill; 1978.
  • [47]McDonald RP, Ho MHR: Principles and practice in reporting structural equation analyses. Psychol Methods 2002, 7(1):64-82.
  • [48]Field A: Discovering statistics using SPSS: (and sex and drugs and rock 'n' roll). Los Angeles: SAGE; 2009.
  • [49]Baruch Y, Holtom BC: Survey response rate levels and trends in organizational research. Hum Relat 2008, 61(8):1139-1160.
  • [50]Rogelberg SG, Stanton JM: Introduction: Understanding and dealing with organizational survey nonresponse. Organ Res Methods 2007, 10(2):195-209.
  • [51]Schafer JL, Graham JW: Missing data: Our view of the state of the art. Psychol Methods 2002, 7(2):147-177.
  • [52]Acock AC: Working with missing values. Journal of Marriage and the Family 2005, 67(4):1012-1028.
  • [53]O'Brien RM: A caution regarding rules of thumb for variance inflation factors. Qual Quant 2007, 41(5):673-690.
  • [54]Allison PD: Multiple regression — a primer. Thousand Oaks, Ca: Pine Forge Press; 1999.
  • [55]Aiken LS, West SG: Multiple regression: testing and interpreting interactions. Newbury Park, Calif: Sage; 1991.
  • [56]Magnusson Hanson LL, Theorell T, Oxenstierna G, Hyde M, Westerlund H: Demand, control and social climate as predictors of emotional exhaustion symptoms in working Swedish men and women. Scand J Public Health 2008, 36(7):737-743.
  • [57]Marmot M, Feeney A, Shipley M, North F, Syme SL: Sickness Absence as a Measure of Health-Status and Functioning — from the Uk Whitehall-Ii Study. J Epidemiol Community Health 1995, 49(2):124-130.
  • [58]Kivimaki M, Head J, Ferrie JE, Shipley MJ, Vahtera J, Marmot MG: Sickness absence as a global measure of health: evidence from mortality in the Whitehall II prospective cohort study. Br Med J 2003, 327(7411):364-368.
  • [59]Blank N, Diderichsen F: Short-term and long-term sick-leave in Sweden: Relationships with social circumstances, working conditions and gender. Scand J Soc Med 1995, 23(4):265-272.
  • [60]Altman DG, Bland JM: Absence ofevidence is not evidence of absence. BMJ 1995, 311:485.
  • [61]Krosnick JA: Survey research. Annu Rev Psychol 1999, 50:537-567.
  • [62]Shih TH, Fan XT: Comparing response rates from Web and mail surveys: A meta-analysis. Field Methods 2008, 20(3):249-271.
  • [63]Kramer M, Schmalenberg C, Brewer BB, Verran JA, Keller-Unger J: Accurate Assessment of Clinical Nurses' Work Environments: Response Rate Needed. Res Nurs Health 2009, 32(2):229-240.
  • [64]North F, Syme SL, Feeney A, Head J, Shipley MJ, Marmot MG: Explaining Socioeconomic Differences in Sickness Absence - the Whitehall-Ii Study. Br Med J 1993, 306(6874):361-366.
  • [65]Legemeldte sykefraværsdagsverk 3. kvartal 2001–2011: [http:/ / www.nav.no/ Om+NAV/ Tall+og+analyse/ Jobb+og+helse/ Sykefrav%C3%A6rsstatistikk] webciteDiagnose og kjønn. Antall og prosent.
  • [66]Jorgensen CK, Fink P, Olesen F: Psychological distress and somatisation as prognostic factors in patients with musculoskeletal illness in general practice. Br J Gen Pract 2000, 50(456):537-541.
  • [67]Sprigg CA, Stride CB, Wall TD, Holman DJ, Smith PR: Work characteristics, musculoskeletal disorders, and the mediating role of psychological strain: A study of call center employees. J Appl Psychol 2007, 92(5):1456-1466.
  • [68]Melchior M, Krieger N, Kawachi I, Berkman LF, Niedhammer I, Goldberg M: Work factors and occupational class disparities in sickness absence: Findings from the GAZEL cohort study. Am J Public Health 2005, 95(7):1206-1212.
  • [69]Norbeck JS, Tilden VP: Life Stress, Social Support, and Emotional Disequilibrium in Complications of Pregnancy - a Prospective, Multivariate Study. J Health Soc Behav 1983, 24(1):30-46.
  • [70]Kragh Jespersen P: Mellem profession og management: ledelse i danske sygehuse. København: Handelshøjskolens Forlag; 2005.
  • [71]Tabell 07869: [http:/ / statbank.ssb.no/ statistikkbanken/ Default_FR.asp?PXSid=0&nvl=true&PLa nguage=0&tilside=selectvarval/ define.asp&Tabellid=07869] webciteSykefravær for arbeidstakere, etter kjønn, næring (SN2007) og type sykefravær (prosent).
  • [72]Bekker MHJ, Rutte CG, Van Rijswijk K: Sickness absence: A gender-focused review. Psychol Health Med 2009, 14(4):405-418.
  • [73]Vahtera J, Pentti J, Uutela A: The effect of objective job demands on registered sickness absence spells; Do personal, social and job-related resources act as moderators? Work Stress 1996, 10(4):286-308.
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