ArticleBMC health services research2015
Discrepancies in assessing home care workers' working conditions in a Norwegian home care service: differing views of stakeholders at three organizational levels.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Antecedents of well-being of home care workers: a mixed-methods systematic review.The Gerontologist · 2026Pooled it
- Key elements of home care workforce capability to provide integrated home care to older people: scoping review.BMJ open · 2025Article
- In-home work environment for home care workers in Northern Sweden before and during the Covid-19 pandemic.BMC health services research · 2025Article
- Exploring a career pathway for home support workers in Ireland: a systematic scoping review of the international evidence.Frontiers in health services · 2024Article
- Home care service employees' contribution to patient safety in clients with dementia who use dietary supplements: a Norwegian survey.Scandinavian journal of primary health care · 2021Article
- Home care workers' experiences of work conditions related to their occupational health: a qualitative study.BMC health services research · 2021Article
- Meeting psychosocial needs for persons with dementia in home care services - a qualitative study of different perceptions and practices among health care providers.BMC geriatrics · 2017Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe present study is a follow-up study of factors contributing to an undesirable quality of work environment and sick leave rate in the home care services in a Norwegian municipality. The underlying assumption is that organizational discrepancies in the perceptions and appraisals of significant factors and processes in an organization have detrimental effects on the management of the organization and on work environment conditions. Thus, the study aim is to explore potential organizational discrepancies in the appraisals of factors relating to home care workers' working conditions.
methodsThe study, using a mixed-methods design, comprised six home care units. It included survey responses of home care workers (80 respondents, response rate 54 %) and qualitative descriptions of stakeholders' appraisals of organizational issues gathered through semi-structured interviews (33 interviews with stakeholders at three organizational levels).
resultsEmployees at different organizational levels in the home care services expressed divergent appraisals of factors related to the working conditions of home care workers, including impact of organizational measures (i.e. time pressure, work tasks, a new work program, organizational changes, budget model, budget allocation and coping strategies). Survey responses supported interview descriptions by home care workers. Results suggest that organizational discrepancy serve as an important barrier to a sustainable, well-functioning organization in general and to quality-enhancing changes to work procedures in particular.
conclusionsIt is recommended to improve communication channels and facilitate the exchange of information across levels to ensure a common understanding of matters significant to the organization of the home care services and to the work environment of home care workers. The prevalence and impact of organizational discrepancy should be included in organization research, particularly when exploring explanatory factors of an unhealthy organization.
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