The role of managerial leadership in sickness absence in health and social care: antecedent or moderator in the association between psychosocial working conditions and register-based sickness absence? A longitudinal study based on a swedish cohort

Abstract Background The prevalence of sickness absence is particularly high among employees in health and social care, where psychosocial work stressors are pertinent. Managerial leadership is known to affect sickness absence rates, but the role leadership plays in relation to sickness absence is no...

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Autores principales:	Johanna Stengård, Paraskevi Peristera, Gun Johansson, Anna Nyberg
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Leadership Sickness absence Psychological demands Decision authority Workplace violence Longitudinal Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/13fb56880b1949e2acbad550b3aba97b
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spelling	oai:doaj.org-article:13fb56880b1949e2acbad550b3aba97b2021-12-05T12:09:48ZThe role of managerial leadership in sickness absence in health and social care: antecedent or moderator in the association between psychosocial working conditions and register-based sickness absence? A longitudinal study based on a swedish cohort10.1186/s12889-021-12236-z1471-2458https://doaj.org/article/13fb56880b1949e2acbad550b3aba97b2021-12-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12236-zhttps://doaj.org/toc/1471-2458Abstract Background The prevalence of sickness absence is particularly high among employees in health and social care, where psychosocial work stressors are pertinent. Managerial leadership is known to affect sickness absence rates, but the role leadership plays in relation to sickness absence is not fully understood; that is, whether poor leadership (i) is associated with sickness absence directly, (ii) is associated with sickness absence indirectly through the establishment of poor psychosocial working conditions, or (iii) whether good leadership rather has a buffering role in the association between work stressors and sickness absence. Methods Four biennial waves from the Swedish Longitudinal Occupational Survey of Health (SLOSH, 2010–2016, N=2333) were used. Autoregressive cross-lagged analyses within a multilevel structural equation modelling (MSEM) framework were conducted to test hypotheses i)–iii), targeting managerial leadership, register-based sickness absence and psychosocial work stressors (high psychological demands, poor decision authority and exposure to workplace violence). Results A direct association was found between poor leadership and sickness absence two years later, but no associations were found between leadership and the psychosocial work stressors. Finally, only in cases of poor leadership was there a statistically significant association between workplace violence and sickness absence. Conclusions Poor managerial leadership may increase the risk of sickness absence among health and social care workers in two ways: first, directly and, second, by increasing the link between workplace violence and sickness absence.Johanna StengårdParaskevi PeristeraGun JohanssonAnna NybergBMCarticleLeadershipSickness absencePsychological demandsDecision authorityWorkplace violenceLongitudinalPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Leadership Sickness absence Psychological demands Decision authority Workplace violence Longitudinal Public aspects of medicine RA1-1270
spellingShingle	Leadership Sickness absence Psychological demands Decision authority Workplace violence Longitudinal Public aspects of medicine RA1-1270 Johanna Stengård Paraskevi Peristera Gun Johansson Anna Nyberg The role of managerial leadership in sickness absence in health and social care: antecedent or moderator in the association between psychosocial working conditions and register-based sickness absence? A longitudinal study based on a swedish cohort
description	Abstract Background The prevalence of sickness absence is particularly high among employees in health and social care, where psychosocial work stressors are pertinent. Managerial leadership is known to affect sickness absence rates, but the role leadership plays in relation to sickness absence is not fully understood; that is, whether poor leadership (i) is associated with sickness absence directly, (ii) is associated with sickness absence indirectly through the establishment of poor psychosocial working conditions, or (iii) whether good leadership rather has a buffering role in the association between work stressors and sickness absence. Methods Four biennial waves from the Swedish Longitudinal Occupational Survey of Health (SLOSH, 2010–2016, N=2333) were used. Autoregressive cross-lagged analyses within a multilevel structural equation modelling (MSEM) framework were conducted to test hypotheses i)–iii), targeting managerial leadership, register-based sickness absence and psychosocial work stressors (high psychological demands, poor decision authority and exposure to workplace violence). Results A direct association was found between poor leadership and sickness absence two years later, but no associations were found between leadership and the psychosocial work stressors. Finally, only in cases of poor leadership was there a statistically significant association between workplace violence and sickness absence. Conclusions Poor managerial leadership may increase the risk of sickness absence among health and social care workers in two ways: first, directly and, second, by increasing the link between workplace violence and sickness absence.
format	article
author	Johanna Stengård Paraskevi Peristera Gun Johansson Anna Nyberg
author_facet	Johanna Stengård Paraskevi Peristera Gun Johansson Anna Nyberg
author_sort	Johanna Stengård
title	The role of managerial leadership in sickness absence in health and social care: antecedent or moderator in the association between psychosocial working conditions and register-based sickness absence? A longitudinal study based on a swedish cohort
title_short	The role of managerial leadership in sickness absence in health and social care: antecedent or moderator in the association between psychosocial working conditions and register-based sickness absence? A longitudinal study based on a swedish cohort
title_full	The role of managerial leadership in sickness absence in health and social care: antecedent or moderator in the association between psychosocial working conditions and register-based sickness absence? A longitudinal study based on a swedish cohort
title_fullStr	The role of managerial leadership in sickness absence in health and social care: antecedent or moderator in the association between psychosocial working conditions and register-based sickness absence? A longitudinal study based on a swedish cohort
title_full_unstemmed	The role of managerial leadership in sickness absence in health and social care: antecedent or moderator in the association between psychosocial working conditions and register-based sickness absence? A longitudinal study based on a swedish cohort
title_sort	role of managerial leadership in sickness absence in health and social care: antecedent or moderator in the association between psychosocial working conditions and register-based sickness absence? a longitudinal study based on a swedish cohort
publisher	BMC
publishDate	2021
url	https://doaj.org/article/13fb56880b1949e2acbad550b3aba97b
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The role of managerial leadership in sickness absence in health and social care: antecedent or moderator in the association between psychosocial working conditions and register-based sickness absence? A longitudinal study based on a swedish cohort

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