Reducing sickness absence among public-sector healthcare employees: the difference-making roles of managerial and employee participation

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cris.lastimport.scopus2025-08-29T03:13:58Z
dc.abstract.enPurpose: Evaluations of organizational-level interventions to prevent work-related illness have identified enabling factors, but knowledge of necessary and sufficient conditions for intervention success is needed. The aim was to identify difference-making factors that distinguish intervention groups with and without a positive intervention effect on sickness absence. Methods: An organizational-level intervention designed to decrease sickness absence by providing support from process facilitators was implemented at eight healthcare workplaces in Sweden between 2017 and 2018. We applied coincidence analysis (CNA) to analyze 34 factors and determine which factors were necessary and sufficient for a successful implementation of tailored interventional measures on an organizational level (dichotomous) and reduced sickness absence (trichotomous). Results: Two factors perfectly explained both the presence and absence of a successful implementation: “a high sense of urgency” and “good anchoring and participation from the strategic management”. The presence of either of these factors alone was sufficient for successful implementation, whereas the joint absence of both conditions was necessary and sufficient for the absence of successful implementation and an intervention effect. In addition, high employee participation was both necessary and sufficient for a high intervention effect. For organizations without high employee participation, successful implementation led to a medium-effect size. Conclusions: This study identified participation as a difference-maker in the implementation process. Participation from different stakeholders turned out to be important in different phases. When implementing organizational-level interventions, high participation from both strategic management and employees appears to be crucial in terms of the intervention’s effect on sickness absence.
dc.affiliationInstytut Psychologii
dc.contributor.authorAkerstrom, Magnus
dc.contributor.authorSeverin, J. Jacobi
dc.contributor.authorMiech, E. J.
dc.contributor.authorWikström, E.
dc.contributor.authorRoczniewska, Marta
dc.date.access2024-02-27
dc.date.accessioned2024-07-09T06:36:19Z
dc.date.available2024-07-09T06:36:19Z
dc.date.created2024-01-16
dc.date.issued2024-02-27
dc.description.accesstimebefore_publication
dc.description.additionalvorUzupełnienie numeru i stron: Volume 97, pages 341–351, (2024)
dc.description.physical341-351
dc.description.versionfinal_published
dc.description.volume97
dc.identifier.doi10.1007/s00420-024-02048-0
dc.identifier.eissn1432-1246
dc.identifier.issn0340-0131
dc.identifier.urihttps://share.swps.edu.pl/handle/swps/531
dc.identifier.weblinkhttps://link.springer.com/article/10.1007/s00420-024-02048-0
dc.languageen
dc.pbn.affiliationpsychologia
dc.rightsCC-BY
dc.rights.questionYes_rights
dc.share.articleOTHER
dc.subject.enProcess evaluation
dc.subject.enAbsenteeism
dc.subject.enWorkplace interventions
dc.subject.enOrganization
dc.subject.enWork environment
dc.subject.enPublic sector
dc.subject.enOrganizational-level intervention
dc.subject.enCoincidence analysis
dc.subject.enConfigurational comparative methods
dc.swps.sciencecloudsend
dc.titleReducing sickness absence among public-sector healthcare employees: the difference-making roles of managerial and employee participation
dc.title.journalInternational Archives of Occupational and Environmental Health
dc.typeJournalArticle
dspace.entity.typeArticle