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Experiences managing pregnant hospital staff members using an active management policy—A qualitative study

Backhausen, Mette G. ; Iversen, Mette Langeland ; Sköld, Margrethe Bordado ; [et al.]

Public Library of Science (PLoS) ; 2021

In: PLOS ONE Vol. 16, No. 2 ( 2021-2-26), p. e0247547-

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In: PLOS ONE, Public Library of Science (PLoS), Vol. 16, No. 2 ( 2021-2-26), p. e0247547-

Abstract: During pregnancy, absence from work increases significantly. Job adjustments have been shown to decrease absences; however, studies show only half of pregnant women who need job adjustments receive them. Little is known about the viewpoints of managers and possible challenges in the management of pregnant employees. The aim of this study was to investigate the experiences and considerations of managers in relation to managing pregnant hospital staff members and to describe the experiences of an active management policy for pregnant individuals. Methods A qualitative study based on five focus group interviews was conducted at five public hospitals in Zealand, Denmark with participation of 19 hospital managers, from 17 different wards, representing six different medical specialties. The interviews took place from February to May 2019. Thematic analysis was used to analyze the data. Results Four themes were identified: (1) The everyday management, (2) Managerial dilemmas, (3) Acknowledging the workplace culture, and (4) Dialogue as a means for the working relationship. The managers’ experiences revolved around investing a lot of effort into the working relationship with pregnant staff members by adjusting job tasks and work schedules while balancing work tasks between all staff members. The dialogue was considered central in order to identify the needs of the individual staff member. Conclusions Overall, management dialogue constituted a central tool in order to identify the needs of the individual staff member. A proactive and open approach increased the chances of a fruitful dialogue. The individual staff member, the influence of the workplace culture, and the everyday management of the workplace all shaped the experiences of the managers. The concept of an active management policy for pregnant individuals was perceived to entail useful elements, but also as replicating what managers already did.

Type of Medium: Online Resource

ISSN: 1932-6203

URL: Article

DOI: 10.1371/journal.pone.0247547

DOI: 10.1371/journal.pone.0247547.t001

DOI: 10.1371/journal.pone.0247547.t002

DOI: 10.1371/journal.pone.0247547.s001

DOI: 10.1371/journal.pone.0247547.s002

DOI: 10.1371/journal.pone.0247547.s003

DOI: 10.1371/journal.pone.0247547.s004

DOI: 10.1371/journal.pone.0247547.r001

DOI: 10.1371/journal.pone.0247547.r002

DOI: 10.1371/journal.pone.0247547.r003

DOI: 10.1371/journal.pone.0247547.r004

Language: English

Publisher: Public Library of Science (PLoS)

Publication Date: 2021

detail.hit.zdb_id: 2267670-3

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Postnatal quietness - the dilemma of visiting hours. A qualitative interview study with maternity care staff

Backhausen, Mette G. ; Broberg, Lotte ; Rosted, Elizabeth E. ; [et al.]

Elsevier BV ; 2023

In: Sexual & Reproductive Healthcare Vol. 36 ( 2023-06), p. 100860-

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In: Sexual & Reproductive Healthcare, Elsevier BV, Vol. 36 ( 2023-06), p. 100860-

Type of Medium: Online Resource

ISSN: 1877-5756

URL: Article

DOI: 10.1016/j.srhc.2023.100860

Language: English

Publisher: Elsevier BV

Publication Date: 2023

detail.hit.zdb_id: 2541869-5

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Compliance with national recommendations for exercise during early pregnancy in a Danish cohort

Broberg, Lotte ; Ersbøll, Anne S. ; Backhausen, Mette G. ; [et al.]

Springer Science and Business Media LLC ; 2015

In: BMC Pregnancy and Childbirth Vol. 15, No. 1 ( 2015-12)

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In: BMC Pregnancy and Childbirth, Springer Science and Business Media LLC, Vol. 15, No. 1 ( 2015-12)

Type of Medium: Online Resource

ISSN: 1471-2393

URL: Article

DOI: 10.1186/s12884-015-0756-0

Language: English

Publisher: Springer Science and Business Media LLC

Publication Date: 2015

detail.hit.zdb_id: 2059869-5

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The effects of an unsupervised water exercise program on low back pain and sick leave among healthy pregnant women – A randomised controlled trial

Backhausen, Mette G. ; Tabor, Ann ; Albert, Hanne ; [et al.]

Public Library of Science (PLoS) ; 2017

In: PLOS ONE Vol. 12, No. 9 ( 2017-9-6), p. e0182114-

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In: PLOS ONE, Public Library of Science (PLoS), Vol. 12, No. 9 ( 2017-9-6), p. e0182114-

Type of Medium: Online Resource

ISSN: 1932-6203

URL: Article

DOI: 10.1371/journal.pone.0182114

DOI: 10.1371/journal.pone.0182114.g001

DOI: 10.1371/journal.pone.0182114.g002

DOI: 10.1371/journal.pone.0182114.t001

DOI: 10.1371/journal.pone.0182114.t002

DOI: 10.1371/journal.pone.0182114.t003

DOI: 10.1371/journal.pone.0182114.t004

DOI: 10.1371/journal.pone.0182114.t005

DOI: 10.1371/journal.pone.0182114.s001

DOI: 10.1371/journal.pone.0182114.s002

Language: English

Publisher: Public Library of Science (PLoS)

Publication Date: 2017

detail.hit.zdb_id: 2267670-3

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Pregnancy planning and lifestyle prior to conception and during early pregnancy among Danish women

Backhausen, Mette G. ; Ekstrand, Maria ; Tydén, Tanja ; [et al.]

Informa UK Limited ; 2014

In: The European Journal of Contraception & Reproductive Health Care Vol. 19, No. 1 ( 2014-02), p. 57-65

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In: The European Journal of Contraception & Reproductive Health Care, Informa UK Limited, Vol. 19, No. 1 ( 2014-02), p. 57-65

Type of Medium: Online Resource

ISSN: 1362-5187 , 1473-0782

URL: Article

DOI: 10.3109/13625187.2013.851183

Language: English

Publisher: Informa UK Limited

Publication Date: 2014

detail.hit.zdb_id: 2053756-6

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Adherence to recommended physical activity restrictions due to threatened preterm delivery – a descriptive multi-center study

Bendix, Jane M. ; Backhausen, Mette G. ; Hegaard, Hanne K. ; [et al.]

Springer Science and Business Media LLC ; 2023

In: BMC Pregnancy and Childbirth Vol. 23, No. 1 ( 2023-01-24)

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In: BMC Pregnancy and Childbirth, Springer Science and Business Media LLC, Vol. 23, No. 1 ( 2023-01-24)

Abstract: Threatened preterm delivery is a serious obstetrical complication and has for decades been prescribed physical activity restrictions (AR). Adherence to the recommended level of physical AR is however unknown. This study aimed to assess the objectively measured different physical positions and activities of pregnant women recommended AR due to threatened preterm delivery complications, compared to a reference group of uncomplicated pregnant women without restrictions, and to explore if admission status influenced adherence to AR. Methods A Danish descriptive, clinical multi-center study included singleton pregnancies between 22–33 gestational weeks admitted to an antenatal ward or during midwife consultations either prescribed AR due to threatened preterm delivery or uncomplicated controls without restrictions. For seven days participants wore two tri-axial accelerometric SENS® monitors. Accelerometric data included time spent in five different positions, activities, and step counts. At inclusion demographic and obstetric information was collected. Results Seventy-two pregnant women participated; 31% were prescribed strict AR, 15% moderate, 3% light, 8% unspecified, and 43% had no AR. Strict AR participants rested in the supine/lateral position for 17.7 median hours/day (range:9.6–24.0); sat upright 4.9 h/day (0.11–11.7); took 1,520steps/day (20–5,482), and 64% were inpatients. Moderate AR participants rested in the supine/lateral position for 15.1 h/day (11.5–21.6); sat upright 5.6 h/day (2.0–9.3); took 3,310steps/day (467–6,968), and 64% were outpatients. Participants with no AR rested 10.5 h/day (6.3–15.4) in supine/lateral position; sat upright 7.6 h/day (0.1–11.4) and took 9,235steps/day (3,225–20,818). Compared to no restrictions, participants with strict or moderate AR spent significant more time in physical resting positions and took significant fewer mean steps. Among strict AR admission status did not alter time spent in the physical positions, nor the step count. Conclusions Overall, participants adhered highly to the recommended AR. However, discriminating between strict and moderate AR recommendations did not alter how physical resting positions and activities were carried out. The admission status did not influence how participants adhered to strict AR.

Type of Medium: Online Resource

ISSN: 1471-2393

URL: Article

DOI: 10.1186/s12884-023-05371-5

Language: English

Publisher: Springer Science and Business Media LLC

Publication Date: 2023

detail.hit.zdb_id: 2059869-5

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A standardised individual unsupervised water exercise intervention for healthy pregnant women. A qualitative feasibility study

Backhausen, Mette G. ; Katballe, Malene ; Hansson, Helena ; [et al.]

Elsevier BV ; 2014

In: Sexual & Reproductive Healthcare Vol. 5, No. 4 ( 2014-12), p. 176-181

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In: Sexual & Reproductive Healthcare, Elsevier BV, Vol. 5, No. 4 ( 2014-12), p. 176-181

Type of Medium: Online Resource

ISSN: 1877-5756

URL: Article

DOI: 10.1016/j.srhc.2014.09.005

Language: English

Publisher: Elsevier BV

Publication Date: 2014

detail.hit.zdb_id: 2541869-5

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Low back pain intensity among childbearing women and associated predictors. A cohort study

Backhausen, Mette G. ; Bendix, Jane M. ; Damm, Peter ; [et al.]

Elsevier BV ; 2019

In: Women and Birth Vol. 32, No. 4 ( 2019-08), p. e467-e476

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In: Women and Birth, Elsevier BV, Vol. 32, No. 4 ( 2019-08), p. e467-e476

Type of Medium: Online Resource

ISSN: 1871-5192

URL: Article

DOI: 10.1016/j.wombi.2018.09.008

Language: English

Publisher: Elsevier BV

Publication Date: 2019

detail.hit.zdb_id: 2238614-2

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Effect of supervised group exercise on psychological well‐being among pregnant women with or at high risk of depression (the EWE Study): A randomized controlled trial

Broberg, Lotte ; Tabor, Ann ; Rosthøj, Susanne ; [et al.]

Wiley ; 2021

In: Acta Obstetricia et Gynecologica Scandinavica Vol. 100, No. 1 ( 2021-01), p. 129-138

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In: Acta Obstetricia et Gynecologica Scandinavica, Wiley, Vol. 100, No. 1 ( 2021-01), p. 129-138

Abstract: Depression is expected to be the leading cause of disability worldwide by 2030. The prevalence is increasing and is two‐fold higher in women than in men, women being at particularly high risk during hormonal transition phases such as pregnancy and the postpartum period. The objective for this trial was to assess the effect of supervised group exercise on psychological well‐being and symptoms of depression among pregnant women with or at high risk of depression. Material and methods This study was undertaken at the Department of Obstetrics, Copenhagen University Hospital, Rigshospitalet, Denmark, from August 2016 to September 2018. Pregnant women with a current or previous history of depression and/or anxiety requiring treatment within the last 10 years, or use of antidepressants 3 months before or during pregnancy, were randomly assigned to 12 weeks of supervised group exercise from 17 to 22 weeks of gestation twice weekly, or to a control group. The primary outcome was self‐reported psychological well‐being at 29‐34 weeks of gestation, measured by the five‐item World Health Organization Well‐being Index (WHO‐5). Secondary outcomes included delivery outcomes and psychological well‐being (WHO‐5) 8 weeks postpartum. Results The intention‐to‐treat analysis showed no significant effect on psychological well‐being on the primary outcome. Mean WHO‐5 score in the intervention group was 2.0 (95% CI −1.3 to 5.2, P = .2) higher than in the control group. Per protocol analysis of women who attended ≥75% of the exercise sessions showed a statistically significant higher mean WHO‐5 score relative to the control group at gestational weeks 29‐34. Eight weeks postpartum the intervention group reported higher psychological well‐being than the control group, mean difference in WHO‐5 score of 5.5 (95% CI 1.0‐10.1, P = .04). Conclusions Supervised group exercise did not improve psychological well‐being for women with or at high risk of depression at 29‐34 weeks of gestation. Eight weeks postpartum the intervention group reported significantly higher psychological well‐being than the control group. Based on our results, supervised exercise in groups is a safe complementary course of treatment alongside the existing antenatal care.

Type of Medium: Online Resource

ISSN: 0001-6349 , 1600-0412

URL: Issue

URL: Article

DOI: 10.1111/aogs.v100.1

DOI: 10.1111/aogs.13982

RVK:

YM 6500

Language: English

Publisher: Wiley

Publication Date: 2021

detail.hit.zdb_id: 2024554-3

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