Health-Promoting Managerial Work: A Theoretical Framework for a Leadership Program that Supports Knowledge and Capability to Craft Sustainable Work Practices in Daily Practice and During Organizational Change

The aim of this article is to describe a theoretical framework, i.e., theoretical underpinnings and pedagogical principles, for leadership programs that support managers’ evidence-based knowledge of health-promoting psychosocial work conditions, as well as their capability to apply, adapt, and craft sustainable managerial work practices. First, the theoretical framing is introduced, i.e., a system theory that integrates key work conditions with a practical perspective on managerial work and organization. Second, pedagogical principles and measures for leaders’ training in integrated handling across system levels are described. Last, we present summarized results from an intervention study applying the theoretical framework and pedagogical principles. The complexity of interactions among different factors in a work system, and the variety in possible implementation approaches, presents challenges for the capability of managers to craft sustainable and health-promoting conditions, as well as the evaluation of the program components. Nevertheless, the evaluation reveals the strength of the program, in providing holistic and context-sensitive approaches for how to train and apply an integrative approach for improving the work environment.

[1]  E. Demerouti Strategies used by individuals to prevent burnout , 2015, European journal of clinical investigation.

[2]  M. Robertson,et al.  Workplace Health Protection and Promotion through Participatory Ergonomics: An Integrated Approach , 2009, Public health reports.

[3]  Karen E. Watkins,et al.  Evaluating Executive Leadership Programs , 2011 .

[4]  E. Kelloway,et al.  The psychosocial environment: towards an agenda for research , 2008 .

[5]  Bart Nooteboom,et al.  Trust: Forms, Foundations, Functions, Failures and Figures , 2003 .

[6]  L. Dellve,et al.  Return to work from long-term sick leave: a six-year prospective study of the importance of adjustment latitudes at work and home , 2015, International Archives of Occupational and Environmental Health.

[7]  Per-Erik Ellström,et al.  Two Types of Learning Environment: Enabling and Constraining A Study of Care Work , 2008 .

[8]  S. Parker Beyond motivation: job and work design for development, health, ambidexterity, and more. , 2014, Annual review of psychology.

[9]  R. Axelsson,et al.  Development of health promoting leadership - experiences of a training programme , 2010 .

[10]  D. Dierendonck,et al.  Servant Leadership: A Review and Synthesis , 2011 .

[11]  Frans M. van Eijnatten,et al.  Crafting sustainable work: development of personal resources , 2010 .

[12]  P. Nilsson ENHANCE YOUR WORKPLACE! A dialogue tool for workplace health promotion with a salutogenic approach , 2010 .

[13]  L. Dellve,et al.  Health care managers' views on and approaches to implementing models for improving care processes. , 2016, Journal of nursing management.

[14]  L. Dellve,et al.  Regulating time commitments in healthcare organizations: managers' boundary approaches at work and in life. , 2011, Journal of health organization and management.

[15]  Fred O. Walumbwa,et al.  Leadership: current theories, research, and future directions. , 2009, Annual review of psychology.

[16]  Adam M. Grant Relational Job Design and the Motivation to Make a Prosocial Difference , 2007 .

[17]  Socially Sustainable Work Organizations: Conceptual Contributions and Worldviews , 2011 .

[18]  L. Dellve,et al.  Open, transparent management and the media: The managers’ perspectives , 2017 .

[19]  A. Drach‐Zahavy,et al.  Promoting patient care: work engagement as a mediator between ward service climate and patient-centred care. , 2012, Journal of advanced nursing.

[20]  Sofia B. Dias,et al.  Towards an Intelligent Learning Management System Under Blended Learning - Trends, Profiles and Modeling Perspectives , 2013, Intelligent Systems Reference Library.

[21]  I. Houtman,et al.  European Survey of Enterprises on New and Emerging Risks Managing safety and health at work , 2010 .

[22]  Lotta Dellve,et al.  Nyorientering av svensk sjukvård: Verksamhetstjänande implementeringslogiker bygger mer hållbart engagemang och utveckling - i praktiken , 2016 .

[23]  R. By,et al.  Organisational change management: A critical review , 2005 .

[24]  Toon W. Taris,et al.  A Critical Review of the Job Demands-Resources Model: Implications for Improving Work and Health , 2014 .

[25]  J. Winkel,et al.  Occupational musculoskeletal and mental health: Significance of rationalization and opportunities to create sustainable production systems - A systematic review. , 2011, Applied ergonomics.

[26]  S. Schütte,et al.  Psychosocial working conditions and psychological well-being among employees in 34 European countries , 2014, International Archives of Occupational and Environmental Health.

[27]  Emily D. Heaphy,et al.  The Role of Positivity and Connectivity in the Performance of Business Teams , 2004 .

[28]  Karina Nielsen,et al.  Are leaders' well-being, behaviours and style associated with the affective well-being of their employees? A systematic review of three decades of research , 2010 .

[29]  C. Pollitt,et al.  Public management reform : a comparative analysis - new public management, governance, and the Neo-Weberian State , 2011 .

[30]  Fred O. Walumbwa,et al.  Unlocking the mask: a look at the process by which authentic leaders impact follower attitudes and behaviors , 2004 .

[31]  L. Dellve,et al.  Contemporary leadership in healthcare organizations: fragmented or concurrent leadership. , 2009, Journal of health organization and management.

[32]  Kate Bone The Bioecological Model: applications in holistic workplace well-being management , 2015 .

[33]  L. Dellve,et al.  Leaders' strategies for dealing with own and their subordinates' stress in public human service organisations. , 2008, Applied ergonomics.

[34]  Arnold B. Bakker,et al.  Job crafting : towards a new model of individual job redesign : original research , 2010 .

[35]  J. Mezirow Transformative Dimensions of Adult Learning , 1991 .

[36]  A. Bell,et al.  Informal learning and the transfer of learning: How managers develop proficiency , 2003 .

[37]  A. Antonovsky Unraveling the mystery of health: how people manage stress and stay well , 1987 .

[38]  L. Dellve,et al.  Social capital among healthcare professionals: A prospective study of its importance for job satisfaction, work engagement and engagement in clinical improvements. , 2016, International journal of nursing studies.

[39]  Alexander Bakker,et al.  An Evidence-Based Model of Work Engagement , 2011 .

[40]  Lenore Newman,et al.  Uncertainty, innovation, and dynamic sustainable development , 2005 .

[41]  Päivi Häkkinen,et al.  E‐learning at work: theoretical underpinnings and pedagogical challenges , 2005 .

[42]  K. Galt Evaluating Health Interventions: An Introduction to Evaluation of Health Treatments, Services, Policies and Organizational Interventions , 1998 .

[43]  S. Barley,et al.  Bringing Work Back In , 2001 .

[44]  L. Dellve,et al.  A prospective study of managers' turnover and health in a healthcare organization. , 2012, Journal of nursing management.

[45]  Sarah Mae Sincero,et al.  Ecological systems theory , 2020, Zbornik radova Filozofskog fakulteta u Splitu.

[46]  L. Dellve,et al.  Managing complex workplace stress in health care organizations: leaders' perceived legitimacy conflicts. , 2009, Journal of nursing management.

[47]  R. Axelsson,et al.  Organizational health in health organizations: towards a conceptualization. , 2012, Scandinavian journal of caring sciences.

[48]  L. Dellve,et al.  The impact of systematic occupational health and safety management for occupational disorders and long-term work attendance. , 2008, Social science & medicine.

[49]  B. Singer,et al.  Positive health: connecting well-being with biology. , 2004, Philosophical transactions of the Royal Society of London. Series B, Biological sciences.

[50]  H. Vainio,et al.  Well-being at work--overview and perspective. , 2010, Scandinavian journal of work, environment & health.

[51]  Charalambos Vrasidas,et al.  Developing design principles for an e-learning programme for SME managers to support accelerated learning at the workplace , 2005 .

[52]  J. Dutton,et al.  Crafting a Job: Revisioning Employees as Active Crafters of Their Work , 2001 .

[53]  L. Todres,et al.  Kinds of well-being: A conceptual framework that provides direction for caring , 2011, International journal of qualitative studies on health and well-being.

[54]  Alexander Styhre,et al.  Organization Theory: A Practice Based Approach , 2011 .

[55]  Ellinor Tengelin Creating proactive boundary awareness - Observations and feedback on lowerlevel health care managers’ time commitments and stress , 2012 .

[56]  L. Dellve,et al.  Span of control and the significance for public sector managers’ job demands: A multilevel study , 2014 .

[57]  Karyn E. Trader‐Leigh Case study: identifying resistance in managing change , 2002 .

[58]  U. Bronfenbrenner Environments in developmental perspective: Theoretical and operational models. , 1999 .

[59]  E. Kelloway,et al.  Job insecurity and health : The moderating role of workplace control , 1996 .

[60]  L. Dellve,et al.  The Association Between Poor Organizational Climate and High Work Commitments, and Sickness Absence in a General Population of Women and Men , 2010, Journal of occupational and environmental medicine.

[61]  S. Tengblad,et al.  The Work of Managers: Towards a Practice Theory of Management , 2012 .

[62]  Richard J. Holden,et al.  A Case Study of Three Swedish Hospitals’ Strategies for Implementing Lean Production , 2016 .

[63]  Göran Jutengren,et al.  Hur kan stödresurser understödja hållbart ledarskap bland chefer i vården , 2013 .

[64]  Madeline H. Schmitt,et al.  High Performance Healthcare: Using the power of relationships to achieve quality, efficiency, and resilience , 2010 .

[65]  M. Frings-Dresen,et al.  Psychosocial work environment and stress-related disorders, a systematic review. , 2010, Occupational medicine.

[66]  Lotta Dellve,et al.  Leadership in workplace health promotion projects: 1- and 2-year effects on long-term work attendance. , 2007, European journal of public health.

[67]  N. Bellé Experimental Evidence on the Relationship between Public Service Motivation and Job Performance , 2013 .

[68]  W. Schaufeli,et al.  Workaholism, Burnout, and Work Engagement: Three of a Kind or Three Different Kinds of Employee Well‐being? , 2008 .

[69]  Martha S. Feldman,et al.  Resources in Emerging Structures and Processes of Change , 2004, Organ. Sci..

[70]  T. Lawrence,et al.  Institutional Work: Refocusing Institutional Studies of Organization , 2011 .

[71]  Mari Kira,et al.  Routine-Generating and Regenerative Workplace Learning , 2010 .

[72]  Pascale Carayon,et al.  Human factors of complex sociotechnical systems. , 2006, Applied ergonomics.

[73]  L. Nordenfelt Quality of Life, Health and Happiness , 1993 .

[74]  Eva Vingård Psykisk ohälsa, arbetsliv och sjukfrånvaro : en kunskapsöversikt , 2015 .