Signe Poulsen

Social shaping of food intervention initiatives at worksites: Canteen takeaway schemes at two Danish hospitals:

Aims: The aim of this article is to analyse the social shaping of worksite food interventions at two Danish worksites. The overall aims are to contribute first, to the theoretical frameworks for the planning and analysis of food and health interventions at worksites and second, to a foodscape approach to worksite food interventions. Methods: The article is based on a case study of the design of a canteen takeaway (CTA) scheme for employees at two Danish hospitals. This was carried out as part of a project to investigate the shaping and impact of schemes that offer employees meals to buy, to take home or to eat at the worksite during irregular working hours. Data collection was carried out through semi-structured interviews with stakeholders within the two change processes. Two focus group interviews were also carried out at one hospital and results from a user survey carried out by other researchers at the other hospital were included. Theoretically, the study was based on the social constitution approach to change processes at worksites and a co-evolution approach to problem–solution complexes as part of change processes. Results: Both interventions were initiated because of the need to improve the food supply for the evening shift and the work–life balance. The shaping of the schemes at the two hospitals became rather different change processes due to the local organizational processes shaped by previously developed norms and values. At one hospital the change process challenged norms and values about food culture and challenged ideas in the canteen kitchen about working hours. At the other hospital, the change was more of a learning process that aimed at finding the best way to offer a CTA scheme. Conclusions: Worksite health promotion practitioners should be aware that the intervention itself is an object of negotiation between different stakeholders at a worksite based on existing norms and values. The social contextual model and the setting approach to worksite health interventions lack reflections about how such norms and values might influence the shaping of the intervention. It is recommended that future planning and analyses of worksite health promotion interventions apply a combination of the social constitution approach to worksites and an integrated food supply and demand perspective based on analyses of the co-evolution of problem–solution complexes.

Implementing Tele Presence Robots in Distance Work: Experiences and Effects on Work

As companies move toward globalization, companies use distance work to accomplish work more effectively and efficiently. A telepresence robot (TPR) is a mobile remote presence device that allows a two-way communication and interaction between a distance manager and the employees. The objective of the study was to improve the understanding of how distance workers and managers experience the use of TPR in the daily management and in which tasks the TPR is suitable to ensure employee well-being and thus performance. The data collection included three phases – before, during and after the implementation of the TPR, where we conducted 25 semi-structured individual and group interviews, on-site observations of the TPR in use and research notes. The distance manager (user) controlled the TPR from a distant site when using it in the home office. The managers were able to create a sense of proximity and via the camera feature, enable eye-contact, which the managers considered essential and beneficial for assessing the employee’s feelings and well-being. The majority of the users had a positive experience regarding the TPR basic functionalities´ utilization. In all three cases the participants, both managers and employees, agreed that the TPR is most useful in planned project meetings. On the other hand, the lack of trust, problems with the technology, privacy issues and intrusive emotions affected the use of the TPR in a negative way in some cases. The TPR was not suitable for meetings where people needed to share physical documents or important meetings, i.e. private talks or decisions meetings.

Distance management – a challenge in participatory interventions in virtual organizations

Virtual organizations challenge the first line managers as they have to be able to manage from afar as distance managers. Investigating distance management in participatory multi-level interventions this paper presents a case study of four SMEs which have applied the multi-level participatory PoWRS program (Prevention of Work-Related Stress) over a six month period. Interviews were conducted with employees, in-house process facilitators, project managers and first line managers. The results show that distance managers are even more challenged in interventions especially regarding coordination of activities and ensuring commitment.

Design for Fidelity – Inscription of Intended Actions, Participation and Behavior in Intervention Frameworks

Occupational health interventions are designed by researchers and occupational health professionals to improve psychosocial working conditions in workplaces. Many intervention frameworks have been designed but with differing outcomes and varied implementation success. Previous intervention studies point to some factors which improve the chances of successful implementation e.g. employee participation, management support and a structured intervention process. Thus many frameworks take these factors into account. For researchers to conclude whether or not an intervention has been successful or worked as intended, researchers advocate fidelity is important. Fidelity describes the extent to which the intervention has been implemented as it was originally intended, and is regarded critical for determining the validity of the research results.