Self-management Work Research Articles

The Effect of Self-Management Practice and Non-Physical Work Environment on Work Productivity in PT. Central Mega Kencana (Frank & Co)

This study aims to explore the impact of self-management practices and work environments to support the increase in the productivity of individual workers and teams and even productivity in quality and quantity. The methodology of this study is based on survey data from 182 workers at PT Central Mega Kencana (Frank & Co). The analysis used to test the dimensions of self-management practice and work environment in work productivity is multiple regression analysis with the help of the SPSS 25 data processing system. The results of this study show that self-management practice and work environment affect the work productivity of PT. Central Mega Kencana (Frank&Co). The magnitude of the influence of self-management practices and work environments on employee work productivity was 35.3%.

The formation of self-management teams in higher education institutions. Satisfaction and effectiveness

ABSTRACT This paper explores how self-management work groups are formed in higher education institutions and how this affects the effectiveness of the teams. For this, we investigated the experiences of 560 students who were members of self-management learning teams, using factorial analysis, cluster analysis and ordinal logit regression. We focus on self-management teams, where students form work groups autonomously, and making decisions with whom to collaborate. Thus, students influence the composition of their groups, which will condition the internal dynamic of teams, and its subsequent effect on the effectiveness of the groups. Our paper contributes to the literature on student-centred perspectives highlighting how the formation of self-management teams has an impact on their satisfaction and effectiveness. Moreover, we identify four criteria (competencies, academic level, social relationships, and ad hoc) during the formation of self-management teams that have a differential impact on the effectiveness and potential conflict in the team. Additionally, our results reveal three groups of students, regarding the formation criteria of self-management teams: a first group where the academic level criteria prevails, a second group based on competencies, and finally, a group that combines social relationships and ad hoc criteria. Moreover, we find that self-management teams based on the competencies and academic level criteria have a higher level of effectiveness and satisfaction than the formation of self-management teams based on social relations and ad hoc decisions. Moreover, the results show that the exclusive use of academic level as a formation criteria is potentially a source of conflict in the self-management team.

The medication self-management work system of patients and informal carers from a human factors & ergonomics perspective: A scoping reviewprotocol.

Background: Healthcare is increasingly delivered closer to the patients' homes, which increases the level of responsibility that patients and informal carers take for managing their medication-taking, although this is associated with hazards. Medication self-management has been conceptualised as work taking place in non-formal settings ( e.g., households), which are complex systems. Human factors and ergonomics (HFE) models provide a framework for studying such systems. The Systems Engineering Initiative for Patient Safety (SEIPS) is one framework that considers work system elements and how they interact with each other to shape processes that lead to outcomes ( e.g., safety). Given the increasing amount of diverse research on patient and carer work and on system-shaping factors, the objectives of this review are to: (i) identify available evidence in a structured and systems-oriented way, (ii) explore approaches that have been applied and (iii) highlight research gaps. Methods: An evidence-informed patient, public and carer involvement (PPCI) approach will be implemented at all post-protocol stages to ensure the relevance, uptake and translation of the scoping review. The review will systematically search MEDLINE, Embase, PsycInfo, CINAHL and Web of Science to identify relevant qualitative studies. The methodological approach will be guided by Johanna Briggs Institute methodology and will be reported according to the PRISMA-ScR standards. Data charting and qualitative content analysis directed by SEIPS will explore how the work system and its constituting elements have been described in the literature and identify specific gaps and opportunities for future research. Borrowing from realist approaches, included studies will be assessed in terms of richness and relevance to our review question. Discussion: Strengths of this scoping review include PPCI and a converging focus on medication safety, medication self-management and HFE. Ultimately, this approach will advance our understanding of this complex system and guide opportunities to broaden and strengthen the evidence base.

Factors that help people with disability to self-manage their support

Disability policy in many countries encourages people to self-manage their disability support funds, yet few people do. This is also the case with Australia’s National Disability Insurance Scheme (NDIS). Little is known about who chooses self-management and how they sustain it. This project explored the conditions and resources conducive to self-management in the interests of the person with disability. It used Katzman and Kinsella’s typology of self-management work to analyse the current conditions that facilitate or hinder self-management. The research demonstrated unequal take-up of self-management, particularly by location and disability type. Often, a family member self-manages on behalf of the person with disability. Conditions and resources people needed to sustain self-management included prior experience and socio-economic advantage, or resources to fill these gaps. Implications are that resources such as advocates, peers, organisations or support coordination can help fill the gap between people with and without personal and social advantages. Points of interest: In many countries, people with disability have the option to self-manage their disability support funds. But many people do not choose to do so. We asked people who self-manage their funds or who self-manage on behalf of their family member with disability about how they do it and what helps them to make it successful. Their experiences show that self-managing is easier if they have money, education and prior knowledge about managing. People without these advantages can also self-manage. They may need support from peers, organisations, advocates or support coordinators.

P1.06: Exploration of the Influencing Factors of the Selfmanagement in Renal Transplant Recipients Based on the Health Promotion Model

Background: Self-management is the key point to maintain the graft kidney function and the survival of renal transplant recipients. However, the level of self-management is not adequate and the factors influencing self-management in renal transplant recipients were not studied sufficiently. Objective: This study was to explore the influencing factors of the self-management in renal transplant recipients based on the Health Promotion Model. Methods: Data was collected from 270 kidney transplant recipients who were regularly followed up at the outpatient clinics of three tertiary hospitals by convenience sampling method. The survey tools used included General Information Questionnaire, Kidney Transplant Recipient Self-management Support Scale, Self-efficacy for Managing Chronic Disease 6-Item Scale, Kidney Transplant Recipient Self-management Scale, and Hospital Anxiety and Depression Scales. SAS 9.40 and Amos 24.0 were used for statistical analysis of the data. Results: The self-management scores of renal transplant recipients were: Problem solving was 35.00 (30.00, 40.00), Partnership was 14.00 (12.00, 16.00), Self-care was 45.00(40.00, 49.00), and the score indexes were 86.54%, 87.50% and 87.50% respectively. The results of structural equation model showed that the final model had significant consistency with the data. Economic burden, work status, habitual residence, education level, depression, anxiety, self-efficacy and self-management support accounted for 42% of the variance on self-management. The order of the total effect of each factor on self-management from high to low is: self-management support (β=0.566), anxiety (β=-0.243), education level (β=0.166), self-efficacy (β=0.165), habitual residence (β=-0.112), economic burden (β=-0.019), depression (β=-0.017), and work status (β=-0.013). Conclusion: We can explain the influencing factors of self-management in renal transplant recipients using the Health Promotion Model. The overall level of self-management in renal transplantation recipients is high, but there are still differences among different groups of characteristics. The self-management in renal transplant recipients was mainly affected by self-management support and anxiety. The transplant professionals should pay attention to these influencing factors when making interventions to improve the level of self management in renal transplant recipients. Keywords: health promotion model; kidney transplantation; self-management; self-management support This study was supported by National Natural Science Foundation of China, funding number: 82072553.

"I Just Can't Help But Smile Sometimes": Collaborative Self-Management of Depression

Depression is a challenging condition that requires individuals to manage their moods and emotions over time. Within CSCW, there has been an interest in understanding how individuals seek and share support on social media and in online communities. However, less attention has been paid to how collaboration as an aspect of self-management of depression unfolds in people's daily lives. In this paper, we explore the collaborative self-management work of 28 individuals managing depression who live in the United States. Data collection included remote semi-structured interviews with an associated cognitive mapping exercise. Our findings describe who participants turn to for day-to-day collaborative support, how collaborative activities are enacted (across both mood-focused and preventative support practices), and where these often technology-mediated interactions occur across text, phone, video, and picture-based channels. We discuss collaborative self-management in the depression support context, including key characteristics: agency, reciprocity, time, and interaction. We also present a four-step model of how the process occurs over time (awareness, planning, interaction, and reflection). We conclude by discussing how technology ecosystems support individuals' collaborative self-management.

VILLAGE FUND MANAGEMENT (VILLAGE CASE STUDY IN TANJUNG JABUNG TIMUR REGENCY)

This study aims to determine the process of planning, implementation, administration, reporting, and accountability for using village funds in several villages in the Tanjung Jabung Timur Regency Government. The object of this research is the realization of villages in East Tanjung Jabung Regency where the absorption of village funds is less than 50%. The study used qualitative methods using the Nvivo 12 plus analysis tool. The data in this study were obtained through interviews and supported by documents as data. The selection of sources is made by the purposive sampling method. The results showed that the planning process involved the village community in formulating village development plans. The process of implementing and administering development, rehabilitation, and maintenance of infrastructure is carried out in a self-managed manner under SKB Number 49 of 2015 using resources, local raw materials, and labor from the local village community. The reporting and accountability process has been carried out by making reports in several stages and reports on the realization of the use of village funds. As a form of transparency, an information board was created to contain the village's funds, funding sources, and activity plans. There are still several obstacles to the non-absorption of village funds caused by the Village Fund, including the lack of human resource capabilities at the village level in terms of managing and reporting self-management work. In addition, there are natural factors that hinder, such as rainfall and demanding access to work locations. Acquired workshops for village assistants whom the government trains to assist the implementation of village fund management.

Living with cancer and multimorbidity: A qualitative study of self-management experiences of older adults with cancer.

Older adults are most commonly diagnosed with cancer but needs related to managing multiple chronic conditions (multimorbidity) are often overlooked. Although self-management is a growing imperative in cancer care, the experiences of older adults managing multimorbidity alongside a cancer diagnosis have been less explored. In this study we interviewed older adults with cancer and multimorbidity to understand their experiences with cancer self-management while living with multimorbidity. We used a descriptive qualitative approach and interviewed older adults (n=14) about their experiences and had them complete the Multimorbidity Treatment Questionnaire; qualitative data were analyzed using thematic analysis. We identified three themes, including: Situating cancer and aging: personal, illness, and caregiving experiences; enacting and engaging in self-management; and challenges of living with cancer and navigating multimorbidity. Older adults demonstrated many strengths in engaging in self-management work but faced many challenges as they navigated the siloed healthcare system. Oncology nurses play a critical role in supporting self-management for older adults with cancer. We propose that more in-depth research is needed to explore older adults' experiences with cancer self-management to ensure that they are able to engage in the self-management that is required in our healthcare system.

The self-management work of food hypersensitivity.

Food hypersensitivity (FH) has received considerable attention in the scientific community in recent years. However, little attention has been given to the efforts people make to manage their FH. We aimed to explore these efforts by using Normalization Process Theory, which is a conceptual framework formerly used to describe the self-management 'work' of long-term conditions. We carried out qualitative individual interviews with 16 women with FH. Transcripts from recorded interviews were analyzed using template analysis. 16 women participated; some had diagnoses from conventional medicine (celiac disease, lactose intolerance, food allergies, irritable bowel syndrome) and some did not. Participants described carrying out several tasks, some of which were time-consuming, to manage their FH. Women who had clarified once and for all what food(s) caused symptoms, described that they could concentrate on carrying out a restricted diet, which could become routine. Conversely, participants who had not achieved such clarification described carrying out tasks to identify what food(s) caused symptoms, and to implement and evaluate a tentative diet. Participants' descriptions also revealed a heightened vigilance when they ate food that others had prepared, and some made efforts to conceal their FH. Self-management of FH may, like the self-management of other long-term conditions, imply a large workload and burden of treatment. Efforts made to conceal FH may be considered part of this workload, while help in clarifying which food(s) cause symptoms has the potential to reduce the workload.

Analysis of time management and self-management work practice by leaders – a focus group study

Nowadays excellent leadership is one of the foundations of high organizational performance. Leadership excellence is a complex topic but efficiency and effectiveness are important components of it. These are closely linked to self-management and time management. In our focus group research, we asked senior executives about how they organize their average workday. We used two theoretical models: the Blue Ocean model and the Franklin Covey time-matrix. According to the participants the key component of effective self-management is the time management. In their leadership practice they often use a digital task manager, a workshop, an informal meeting as a tool and they find knowledge sharing also very important. They try to approach their employees empathetically. They would like to reduce the administrative tasks, spend less time on correspondence, travel and “small talks”. They would like to spend more time on automation and communication, further training and team work and dealing with the employees. They think that strategic planning, market analysis, sales, knowledge development and transfer should require more planning.
 JEL code: M12

What makes women with food hypersensitivity do self-management work?

BackgroundManaging a chronic condition takes work, and it is considered important that patients carry out this work. However, knowledge is lacking on what elements enhance self-management work.Persons with food hypersensitivity (FH) seem to do self-management work despite the relatively little support they receive. Our aim is to explore what makes women with FH carry out the work of managing their condition. Our research will shed light on the health care needs of women with FH and contribute to the knowledge on self-management among persons with chronic conditions.MethodsWe used the Self-determination theory and the Conservation of resources theory to analyze 16 qualitative individual interviews with women with FH aged 39–67 years.ResultsOur participants reported that eating selected foods resulted in uncomfortable symptoms, and their main motivation for carrying out self-management work was the wish to avoid these symptoms and their consequences.Participants’ individual resources were crucial to the management of FH, and those who had a social network that included people with relevant competencies clearly benefited from this.Hindrances to the management of FH included competing priorities and not wanting to break with the social expectation of sharing a meal.ConclusionsWomen with FH carried out self-management work because they were highly motivated. Important motivators included the uncomfortable symptoms that resulted from consuming some foods, which had negative consequences on their lives or could bring shame. The ability to perform self-management work was dependent on the availability of individual and social resources. Indeed, women with FH who have the individual and social resources necessary to manage their condition may not need health services, whereas those who do not have these resources, or have significant competing priorities, may need assistance from health services.The desire to avoid uncomfortable symptoms can be a motivator for persons with chronic conditions to do self-management work, while a lack of symptoms can reduce motivation. The competing role of basic needs can take two forms: when fulfilled, these needs may contribute to self-management work; however, people may opt out of self-management in order to fulfil basic needs.

Procesos de organización y participación comunitaria en prácticas académicas de la Universidad de La Guajira

El objetivo del presente artículo, se basa en el análisis de los procesos de organización y participación comunitaria en las prácticas académicas de la Universidad de la Guajira, específicamente en el núcleo de la facultad de ciencias sociales y humanas. Asimismo, la muestra del estudio estuvo constituida por (5) personas que dirigen las practicas académicas en esta facultad y (156) habitantes de las comunidades de Riohacha; de igual forma, la investigación se basó en los aportes teóricos de González (2013), Uribe (2012), Galindo (2012), Acosta (2012), entre otros. En este sentido, se puede establecer que existen diversos procesos de organización y participativos comunales, que permiten la inclusión social de los sectores que involucran un determinado núcleo, en este caso, el de la Universidad de la Guajira, en el cual, la planeación de estos elementos, se concibe como procesos que deben atravesar diversos niveles de participación, admitiendo recursos de encuentro de poderes, distintos escenarios tanto locales como globales, además de la pluralidad de actores, que se enmarcan desde lo técnico, político, lo estructural, coyuntural y la articulación de recursos, así mismo: fortalecen la cultura organizacional de los actores públicos y privados; generando la responsabilidad social y el compromiso ético, de la gestión institucional, con el fin de impulsar los niveles de autogestión y/o sostenibilidad, promocionando la cooperación y coordinación interinstitucional, generando consigo, programas y proyectos a corto, mediano y largo plazo. Ante lo señalado, la facultad de Ciencias Sociales y Humanas de la Universidad de la Guajira, debe fomentar el trabajo autogestionario en las comunidades de la ciudad de Riohacha, para que ellas mismas participen en las soluciones de su problemáticas más sentidas

Trabajo por proyectos para el desarrollo de competencias en lengua y literatura

El trabajo en el aula para desarrollar y aplicar modelos y metodologías centradas en el estudiante es una oportunidad para atender la problemática que representa la comprensión y producción de textos; la educación superior supone que estas capacidades han sido desarrolladas en la trayectoria que corresponde a los niveles básico y medio superior; sin embargo aún en el estudio de licenciatura los alumnos presentan serias debilidades y deficiencias. Por ello se propone un trabajo sobre las estrategias didácticas, el objetivo es mejorar la adquisición de saberes teóricos y prácticos sobre la lengua y la literatura. La propuesta consiste en implementar el trabajo por proyectos como estrategia didáctica para el desarrollo de competencias en estudiantes de educación superior. Esta actividad se ha realizado en la licenciatura de Letras Hispánicas de la Universidad de Guadalajara en el Centro Universitario del Sur. La experiencia didáctica se apoya en una investigación cualitativa cuyos resultados preliminares son: desarrollo de habilidades de investigación, trabajo autogestivo, por objetivos y desarrollo del espíritu emprendedor que se traducen en logros sobre la comprensión de la literatura y la producción de textos, vinculados con una interacción entre los objetos de estudio, su contexto y sus saberes previos, que integran el uso de las tecnologías.

The Impact of Mental Wellness on HIV Self-Management

As people living with HIV age, they face increasing self-management work related to HIV infection plus the prevention and mitigation of multiple chronic health conditions, including daily health practices (i.e., physical activity, nutrition), engaging in a supportive community, and accepting the chronicity of HIV. Our purpose was to describe the relationship between HIV self-management practices and mental wellness (depressive symptoms, perceived stress). Ninety-three adult people living with HIV on antiretroviral therapy were enrolled and completed a survey. We used descriptive statistics to summarize variables, and Spearman rank correlation and quantile regression to study associations between variables. Participants' average age was 48.6years, 56% were male, and 87% were African American. Daily self-management practices were associated with depressive symptoms (r=-0.19; p≤.01) and perceived stress (r=-0.14; p=.06); engaging with a supportive community and accepting the chronicity of HIV were not associated with mental wellness (all p>.05).

Long-Term Condition Self-Management Support in Online Communities: A Meta-Synthesis of Qualitative Papers.

BackgroundRecent years have seen an exponential increase in people with long-term conditions using the Internet for information and support. Prior research has examined support for long-term condition self-management through the provision of illness, everyday, and emotional work in the context of traditional offline communities. However, less is known about how communities hosted in digital spaces contribute through the creation of social ties and the mobilization of an online illness “workforce.”ObjectiveThe aim was to understand the negotiation of long-term condition illness work in patient online communities and how such work may assist the self-management of long-term conditions in daily life.MethodsA systematic search of qualitative papers was undertaken using various online databases for articles published since 2004. A total of 21 papers met the inclusion criteria of using qualitative methods and examined the use of peer-led online communities for those with a long-term condition. A qualitative meta-synthesis was undertaken and the review followed a line of argument synthesis.ResultsThe main themes identified in relation to the negotiation of self-management support were (1) redressing offline experiential information and knowledge deficits, (2) the influence of modeling and learning behaviors from others on self-management, (3) engagement that validates illness and negates offline frustrations, (4) tie formation and community building, (5) narrative expression and cathartic release, and (6) dissociative anonymity and invisibility. These translated into a line of argument synthesis in which four network mechanisms for self-management support in patient online communities were identified. These were (1) collective knowledge and identification through lived experience; (2) support, information, and engagement through readily accessible gifting relationships; (3) sociability that extends beyond illness; and (4) online disinhibition as a facilitator in the negotiation of self-management support.ConclusionsSocial ties forged in online spaces provide the basis for performing relevant self-management work that can improve an individual’s illness experience, tackling aspects of self-management that are particularly difficult to meet offline. Membership in online groups can provide those living with a long-term condition with ready access to a self-management support illness workforce and illness and emotional support. The substitutability of offline illness work may be particularly important to those whose access to support offline is either limited or absent. Furthermore, such resources require little negotiation online because information and support is seemingly gifted to the community by its members.

Brief encounters: what do primary care professionals contribute to peoples' self-care support network for long-term conditions? A mixed methods study.

BackgroundPrimary care professionals are presumed to play a central role in delivering long-term condition management. However the value of their contribution relative to other sources of support in the life worlds of patients has been less acknowledged. Here we explore the value of primary care professionals in people’s personal communities of support for long-term condition management.MethodsA mixed methods survey with nested qualitative study designed to identify relationships and social network member’s (SNM) contributions to the support work of managing a long-term condition conducted in 2010 in the North West of England. Through engagement with a concentric circles diagram three hundred participants identified 2544 network members who contributed to illness management.ResultsThe results demonstrated how primary care professionals are involved relative to others in ongoing self-care management. Primary care professionals constituted 15.5 % of overall network members involved in chronic illness work. Their contribution was identified as being related to illness specific work providing less in terms of emotional work than close family members or pets and little to everyday work. The qualitative accounts suggested that primary care professionals are valued mainly for access to medication and nurses for informational and monitoring activities. Overall primary care is perceived as providing less input in terms of extended self-management support than the current literature on policy and practice suggests. Thus primary care professionals can be described as providing ‘minimally provided support’. This sense of a ‘minimally’ provided input reinforces limited expectations and value about what primary care professionals can provide in terms of support for long-term condition management.ConclusionsPrimary care was perceived as having an essential but limited role in making a contribution to support work for long-term conditions. This coalesces with evidence of a restricted capacity of primary care to take on the work load of self-management support work. There is a need to prioritise exploring the means by which extended self-care support could be enhanced out-with primary care. Central to this is building a system capable of engaging network capacity to mobilise resources for self-management support from open settings and the broader community.Electronic supplementary materialThe online version of this article (doi:10.1186/s12875-016-0417-z) contains supplementary material, which is available to authorized users.

Chronic kidney disease (CKD) treatment burden among low-income primary care patients.

This study explored the self-management strategies and treatment burden experienced by low-income US primary care patients with chronic kidney disease. Semi-structured interviews were conducted with 34 patients from two primary care practices on Buffalo's East Side, a low-income community. Qualitative analysis was undertaken using an inductive thematic content analysis approach. We applied normalization process theory (NPT) to the concept of treatment burden to interpret and categorize our findings. The sample was predominantly African-American (79%) and female (59%). Most patients (79%) had a diagnosis of stage 3 CKD. Four major themes were identified corresponding to NPT and treatment burden: (1) coherence--making sense of CKD; (2) cognitive participation--enlisting support and organizing personal resources; (3) collective action--self-management work; and (4) reflexive monitoring--further refining chronic illness self-care in the context of CKD. For each component, we identified barriers hindering patients' ability to accomplish the necessary tasks. Our findings highlight the substantial treatment burden faced by inner-city primary care patients self-managing CKD in combination with other chronic illnesses. Health care providers' awareness of treatment burden can inform the development of person-centered care plans that can help patients to better manage their chronic illnesses.

The Work and Work Systems of Patients: A New Frontier for Macroergonomics in Health Care

To maintain and improve their health, patients perform many non-paid activities that may be conceptualized as self-care and self-management work. However, within the domain of health care, macroergonomists have almost exclusively focused on analyzing the work and work systems of those employed by the health care system rather than those served by it. This panel will focus on how macroergonomics principles and models originally developed within an institutional context may be adapted for the contexts in which patients are embedded. The discussion will be grounded in specific analyses of patients’ work and work systems within domains such as consumer health information technology design, self-care work performance, transitions of care, and patient safety. During each of these presentations, panelists will focus on lessons related to the conceptual, methodological and practice-related challenges of understanding and affecting patients’ work and work systems that may be applied by other researchers.

Understanding how self-management interventions work for disadvantaged populations living with chronic conditions: protocol for a realist synthesis

IntroductionSelf-management programmes are complex interventions aimed at improving the way individuals self-manage chronic conditions, but there are questions about the overall impact of these programmes on disadvantaged populations, in terms...

Daily self-management and employee work engagement

The present study adopts a bottom-up approach to work engagement by examining how self-management is related to employees' work engagement on a daily basis. Specifically, we hypothesized that on days that employees use more self-management strategies, they report higher resources at work and in turn, are more vigorous, dedicated, and absorbed in their work (i.e., engaged) on these days. We tested this hypothesis in a sample of 72 maternity nurses who filled out an online diary for 5days (N=360 data points). In line with our hypotheses, results of multilevel structural equation modeling analyses showed that daily self-management was positively related to the resourcefulness of the daily work environment (i.e., more skill variety, feedback, and developmental opportunities) and consequently, to employees' daily work engagement. However, contrary to our expectations, the measurement model showed that two of the five included self-management strategies (i.e., self-reward and self-punishment) loaded onto a separate factor and were unrelated to all job resources. The findings contribute to our understanding of employees' role in regulating their own daily work engagement.