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Berthelsen, Hanne, Odont.Dr. MPH, Docent i ledarskap och organisationORCID iD iconorcid.org/0000-0002-4573-4548
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Publications (10 of 68) Show all publications
Forssell, R., Berthelsen, H. & Jönsson, S. (2026). Negotiating for influence and resources: A study of Swedish teachers' and principals' experiences of aggressive emails from parents. Educational Management Administration & Leadership, 54(1), 257-278
Open this publication in new window or tab >>Negotiating for influence and resources: A study of Swedish teachers' and principals' experiences of aggressive emails from parents
2026 (English)In: Educational Management Administration & Leadership, ISSN 1741-1432, E-ISSN 1741-1440, Vol. 54, no 1, p. 257-278Article in journal (Refereed) Published
Abstract [en]

This article focuses on teachers’ and principals’ experiences of aggressive emails in home–school collaborations with parents. Semi-structured interviews with 31 teachers and principals from primary, lower and upper secondary schools in Sweden were conducted. Three categories were identified in the material which illuminate the phenomenon of cyberaggression towards principals and teachers from parents: ‘aggressive emails as reactions to principals and teachers’ performances’, ‘aggressive emails as a way of imposing power’ and ‘aggressive emails as a source of anxiety, loss of joy, and decreased focus on core tasks’. The study concludes that cyberaggression in emails from parents is centred around the act of negotiating and that email communication opens up spaces for negotiation to take place. The study also concludes that email cyberaggression tends to be instrumental in character, intended to result in a specific outcome rather than to cause harm. However, cyberaggression influences professional practice and can create a vicious circle of administrative obligation.

Place, publisher, year, edition, pages
Sage Publications, 2026
National Category
Other Social Sciences
Research subject
Organisational studies
Identifiers
urn:nbn:se:mau:diva-66619 (URN)10.1177/17411432241242263 (DOI)001193820100001 ()2-s2.0-85189133521 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, grant no. 2016-07220AFA Insurance, Dnr 190182
Available from: 2024-04-04 Created: 2024-04-04 Last updated: 2026-01-08Bibliographically approved
Forssell, R., Jönsson, S. & Berthelsen, H. (2025). Employee and Managerial Approaches to Cyber Mistreatment—Implications for Human Resource Management. International Journal of Bullying Prevention
Open this publication in new window or tab >>Employee and Managerial Approaches to Cyber Mistreatment—Implications for Human Resource Management
2025 (English)In: International Journal of Bullying Prevention, ISSN 2523-3653Article in journal (Refereed) Epub ahead of print
Abstract [en]

The emergence of cyber mistreatment among frontline workers in their digital interactions with customers, clients and patients represents a significant but relatively new work environment risk within the service sector. Human resource management has a key role in digital transformation, which includes securing safe and healthy workplaces and fostering sustainable practices for handling cyber mistreatment. Departing from the context of the educational sector, the aim of this study is to analyse how cyber mistreatment is managed in workplaces and to explore the approaches employed to prevent and mitigate its negative impact. By identifying existing approaches, gaps in sustainable HRM practices can be identified. Qualitative methods were used to explore teachers’ and principals’ experiences of cyber mistreatment and their approaches to handling and preventing such exposure. The empirical data are based on in-depth interviews with 31 informants (16 teachers and 15 principals) using a cross-sectional design. The data were analysed using a qualitative content analysis framework. The study clearly shows that the approaches utilised to address cyber mistreatment are predominantly reactive and individual-centred, with few proactive and organisationally anchored approaches identified. These findings implicate the need for HRM to develop ethical organisational approaches that do not force service workers to resort to individual coping strategies. We suggest sustainable and ethical approaches that target the problems rather than the symptoms, and that work against a normalisation of cyber mistreatment within the service sector.

Place, publisher, year, edition, pages
Springer, 2025
Keywords
Coping strategies, Cyber mistreatment, Educational workers, Human resource management, Organisational outsiders, Reactive and proactive approaches, Work life
National Category
Work Sciences
Identifiers
urn:nbn:se:mau:diva-74563 (URN)10.1007/s42380-025-00289-2 (DOI)2-s2.0-85218151994 (Scopus ID)
Available from: 2025-03-05 Created: 2025-03-05 Last updated: 2025-03-05Bibliographically approved
Leineweber, C., Stengård, J. & Berthelsen, H. (2025). Pandemin - ett kvasi-experiment på samhällsnivå med avtryck på arbetsmiljön. Arbetsmarknad & Arbetsliv, 31(2), 54-73
Open this publication in new window or tab >>Pandemin - ett kvasi-experiment på samhällsnivå med avtryck på arbetsmiljön
2025 (Swedish)In: Arbetsmarknad & Arbetsliv, ISSN 1400-9692, E-ISSN 2002-343X, Vol. 31, no 2, p. 54-73Article in journal (Refereed) Published
Abstract [sv]

Covid-19-pandemin ledde till stora samhällsförändringar. Fastän pandemin har påverkat vårt sätt att arbeta avsevärt har få studier undersökt dess effekter på förekomsten av illegitima arbetsuppgifter, alltså sysslor som upplevs som antingen onödiga eller oskäliga. Syftet med denna studie är att undersöka förekomsten av illegitima arbetsuppgifter före, under och efter pandemin för legitimerade sjuksköterskor, lärare, byggnadsarbetare och IT-specialister. Vi observerar att lärare rapporterar fler onödiga och oskäliga arbetsuppgifter än övriga yrkesgrupper och en generell minskning av illegitima arbetsuppgifter över tid i alla grupper (med undantaget onödiga arbetsuppgifter hos lärare).

Abstract [en]

The COVID-19 pandemic led to major societal changes. Although the pandemic has had a significant impact on the way we work, few studies have examined its effects on the prevalence of illegitimate tasks, i.e. tasks that are perceived as either unnecessary or unreasonable. The aim of this study is to examine the prevalence of illegitimate tasks before, during and after the pandemic for nurses, teachers, construction workers and IT specialists. We observe that teachers report more unnecessary and unreasonable tasks than other occupational groups. Also, a general decrease in illegitimate tasks over time in all groups (with the exception of unnecessary tasks in teachers) can be observed. 

Place, publisher, year, edition, pages
Karlstads universitet; Göteborgs universitet, 2025
Keywords
covid-19 pandemic, illegitimate tasks, slosh, covid-19-pandemin, illegitima arbetsuppgifter, slosh, arbetsmiljö
National Category
Work Sciences
Research subject
Arbete och organisation
Identifiers
urn:nbn:se:mau:diva-81215 (URN)10.58236/aa.26337 (DOI)
Available from: 2025-12-15 Created: 2025-12-15 Last updated: 2025-12-16Bibliographically approved
Berthelsen, H. & Cowen Forssell, R. (2025). Using Design Thinking to Develop a Capacity-Building Toolkit of Healthy Digital Relations in Schools. Journal of Applied Behavioral Science
Open this publication in new window or tab >>Using Design Thinking to Develop a Capacity-Building Toolkit of Healthy Digital Relations in Schools
2025 (English)In: Journal of Applied Behavioral Science, ISSN 0021-8863, E-ISSN 1552-6879Article in journal (Refereed) Epub ahead of print
Abstract [en]

This article illustrates how design thinking can structure the development process of a practical toolkit for schools to address cyber mistreatment from pupils, parents, and other parties as a workplace issue. The process included an exploratory phase to identify gaps in schools' understanding and handling, followed by iterative generative and evaluative phases. Based on the Psychosocial Safety Climate framework, necessary organizational capacities were defined. Prototypes of toolkit components, including vignette videos for discussions among staff, a text guide for policy and infrastructure development, and an informative video, were refined through stakeholder feedback. A summative evaluation confirmed the usefulness of these resources for engaging staff and fostering discussions on cyber mistreatment. A themed webpage was created for free access to the toolkit. This study contributes to existing debates on how academic research can impact practice by emphasizing the usefulness of design thinking in creating innovative, user-centered solutions for capacity development.

Place, publisher, year, edition, pages
Sage Publications, 2025
Keywords
capacity development, cyber mistreatment, occupational safety and health management, psychosocial safety climate, risk management, teacher
National Category
Public Health, Global Health and Social Medicine
Identifiers
urn:nbn:se:mau:diva-79220 (URN)10.1177/00218863251369536 (DOI)001554960000001 ()2-s2.0-105024697085 (Scopus ID)
Available from: 2025-09-02 Created: 2025-09-02 Last updated: 2026-01-07Bibliographically approved
Stengård, J., Leineweber, C. & Berthelsen, H. (2024). Illegitimate work tasks: an investigation of psychometric properties of the Swedish version of the BITS instrument and its suitability in human versus 'non-human' service occupations. BMC Public Health, 24(1), Article ID 1935.
Open this publication in new window or tab >>Illegitimate work tasks: an investigation of psychometric properties of the Swedish version of the BITS instrument and its suitability in human versus 'non-human' service occupations
2024 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 24, no 1, article id 1935Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Illegitimate tasks, i.e. working tasks that are perceived as unnecessary or unreasonable, are commonly measured by the Bern Illegitimate Tasks Scale (BITS). Despite a growing research attention paid to illegitimate tasks, the Swedish version of BITS needs yet to be properly evaluated. Moreover, previous multiorganizational studies in this field have taken for granted, without really testing it, that the instrument functions invariantly in different contexts; a prerequisite for meaningful comparisons.

METHODS: Two occupational groups that differs hugely-966 human services workers (teachers and registered nurses) and 750 non-'human service' workers (construction and IT-workers) were targeted utilizing questionnaires data collected 2018 within the Swedish Longitudinal Occupational Survey of Health (SLOSH) study. Psychometric properties, i.e., reliability, dimensionality, and measurement invariance between the occupations were examined using confirmatory factor analyses and structural equation models. Also, the associations between the two dimensions of illegitimate tasks and job satisfaction and emotional exhaustion, respectively, were tested.

RESULTS: Good reliability was supported and two- versus one-dimensionality showed better psychometric properties. Partial scalar measurement invariance was satisfactory supported with only 25% relaxed constraints of equal intercepts between groups. Examining the two subdimensions revealed different associations with emotional exhaustion, where the associations was more substantial for unreasonable tasks. Nevertheless, the findings point to potential improvements for future investigation.

CONCLUSIONS: This study shows that the Swedish version of BITS is working satisfactory and allows for meaningful comparisons of occupational groups. Furthermore, construct validity of the two dimensions was corroborated.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024
Keywords
BITS, Dimensionality, Illegitimate tasks, Measurement invariance, Psychometric properties, Swedish version of BITS
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:mau:diva-70071 (URN)10.1186/s12889-024-19393-x (DOI)001272755700011 ()39026291 (PubMedID)2-s2.0-85199075232 (Scopus ID)
Funder
Afa Sjukförsäkringsaktiebolag, 210203Swedish Research Council, 2017 − 00624
Available from: 2024-08-02 Created: 2024-08-02 Last updated: 2024-08-02Bibliographically approved
Farley, S., Cowen Forssell, R., Holm, K. & Berthelsen, H. (2024). Predictors of work-related cyberaggression in a random sample of the Swedish working population. International Journal of Workplace Health Management, 17(1), 57-71
Open this publication in new window or tab >>Predictors of work-related cyberaggression in a random sample of the Swedish working population
2024 (English)In: International Journal of Workplace Health Management, ISSN 1753-8351, E-ISSN 1753-836X, Vol. 17, no 1, p. 57-71Article in journal (Refereed) Published
Abstract [en]

Purpose: With greater numbers of employees using computer-mediated communication, cyberaggression is becoming a more pressing problem for employees and their organizations. However, while a growing body of research illustrates its harmful effects, little is known about the factors that drive its occurrence. The authors therefore sought to identify factors that increase the risk of cyberaggression among employees.

Design/methodology/approach: A random sample of the Swedish working population (N = 11,556) was surveyed via Statistics Sweden (SCB), which produced a final sample of N = 2,847 (response rate = 24.6%).

Findings: Logistic regression analysis showed that emotionally demanding work, availability expectations, low perceived work quality, public sector work and being in a managerial position were related to higher levels of experienced cyberaggression. In addition, exploratory analyses indicated that some of these factors were more strongly related to cyberaggression enacted by organizational insiders compared to organizational outsiders.

Originality/value: Together, the authors' findings suggest that situational factors are stronger antecedents of cyberaggression victimization than personal factors. This has implications for organizations, as practical steps can be taken to reduce cyberaggression among employees.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2024
Keywords
Cyberaggression, General aggression model, Antecedents, Organizational outsiders, Computer-mediated communication
National Category
Work Sciences
Identifiers
urn:nbn:se:mau:diva-65483 (URN)10.1108/IJWHM-09-2023-0123 (DOI)001146875600001 ()2-s2.0-85183051519 (Scopus ID)
Available from: 2024-01-29 Created: 2024-01-29 Last updated: 2024-09-18Bibliographically approved
Cowen Forssell, R., Ringblom, L., Jönsson, S. & Berthelsen, H. (2024). Work-related cyber mistreatment from guardians, members of the public, and pupils in the context of educational work: From incivility to aggression. Teaching and Teacher Education: An International Journal of Research and Studies, 145, 1-10, Article ID 104603.
Open this publication in new window or tab >>Work-related cyber mistreatment from guardians, members of the public, and pupils in the context of educational work: From incivility to aggression
2024 (English)In: Teaching and Teacher Education: An International Journal of Research and Studies, ISSN 0742-051X, E-ISSN 1879-2480, E-ISSN 1879-2480, Vol. 145, p. 1-10, article id 104603Article in journal (Refereed) Published
Abstract [en]

This study explores the nature of work-related cyber mistreatment from guardians, pupils, and members of the public as experienced by educational workers. Thematic analysis of data collected by semi-structured interviews with 31 teachers and principals resulted in two overarching themes; directly addressed cyber mistreatment in email and unwanted negative exposure on social media. The data spans over different types of cyber mistreatment, ranging from cyber incivility to cyberaggression. Educational workers typically feel powerless when exposed to mistreatment, and require support to manage these complex, novel, and distressing situations.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Cyber mistreatment Cyberaggressions Cyber incivility Digitalisation Organisational outsider Work environment Human service organisation
National Category
Other Social Sciences Work Sciences
Research subject
Organisational studies
Identifiers
urn:nbn:se:mau:diva-67047 (URN)10.1016/j.tate.2024.104603 (DOI)001235232800001 ()2-s2.0-85191187776 (Scopus ID)
Funder
AFA Insurance, 190182
Available from: 2024-05-02 Created: 2024-05-02 Last updated: 2024-11-22Bibliographically approved
Toivanen, S., Berthelsen, H. & Muhonen, T. (2023). Consequences of implementing activity-based flexible offices in academia: a follow-up study of perceived changes in the physical and psychosocial work environment after relocation. Facilities, 41(15/16), 129-145
Open this publication in new window or tab >>Consequences of implementing activity-based flexible offices in academia: a follow-up study of perceived changes in the physical and psychosocial work environment after relocation
2023 (English)In: Facilities, ISSN 0263-2772, E-ISSN 1758-7131, Vol. 41, no 15/16, p. 129-145Article in journal (Refereed) Published
Abstract [en]

Purpose: This study aims to investigate university staff relocation from multiple separate buildings to a new building with activity-based flexible offices (AFOs) at a University in Sweden. The aim was to assess staff perceptions of the physical and psychosocial work environment and whether there were any changes in these perceptions before and after the move.

Design/methodology/approach: A mixed-methods design was used, analyzing closed-ended survey data at two time points (T1, n = 169 and T2, n = 160) and open-ended responses (n = 180) at T2.

Findings: The main findings revealed that employees started working more from home and that there were significant decreases in perceptions of the physical and psychosocial work environment, as well as job satisfaction, after the move to the new premises.

Practical implications: A comprehensive analysis of existing work processes, tasks and collaborations is crucial when planning new university premises. The planning process needs to be done in close collaboration with different stakeholders with multiple perspectives.

Originality/value: Introduction of AFOs in an academic setting can lead to negative consequences for occupational health and efficiency.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2023
National Category
Work Sciences
Identifiers
urn:nbn:se:mau:diva-64354 (URN)10.1108/f-05-2023-0043 (DOI)001119182000001 ()2-s2.0-85179321139 (Scopus ID)
Available from: 2023-12-13 Created: 2023-12-13 Last updated: 2023-12-27Bibliographically approved
Jakobsson, J., Örmon, K., Axelsson, M. & Berthelsen, H. (2023). Exploring workplace violence on surgical wards in Sweden: a cross-sectional study. BMC Nursing, 22(1), Article ID 106.
Open this publication in new window or tab >>Exploring workplace violence on surgical wards in Sweden: a cross-sectional study
2023 (English)In: BMC Nursing, E-ISSN 1472-6955, Vol. 22, no 1, article id 106Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Workplace violence is a global threat to healthcare professionals' occupational health and safety and the situation has worsened during the COVID-19 pandemic. This study aimed to explore workplace violence directed against assistant and registered nurses working on surgical wards in Sweden.

METHODS: This cross-sectional study was conducted in April 2022. Using a convenience sampling procedure, 198 assistant and registered nurses responded to an online questionnaire developed for this specific study. The questionnaire comprised 52 items and included, among other items, subscales from validated and previously used instruments. Data analysis included descriptive statistics, the chi-square test, and independent-samples t-test.

RESULTS: The most frequently reported type of workplace violence was humiliation (28.8%), followed by physical violence (24.2%), threats (17.7%), and unwanted sexual attention (12.1%). Patients and patients' visitors were reported as the main perpetrators of all kinds of exposure. Additionally, one third of the respondents had experienced humiliation from colleagues. Both threats and humiliation showed negative associations with work motivation and health (p < 0.05). Respondents classified as working in a high- or moderate-risk environment were more frequently exposed to threats (p = 0.025) and humiliation (p = 0.003). Meanwhile, half of the respondents were unaware of any action plans or training regarding workplace violence. However, of those who indicated that they had been exposed to workplace violence, the majority had received quite a lot or a lot of support, mainly from colleagues (range 70.8-80.8%).

CONCLUSION: Despite a high prevalence of workplace violence, and especially of humiliating acts, there appeared to be low preparedness within the hospital organizations to prevent and/or handle such incidents. To improve these conditions, hospital organizations should place more emphasis on preventive measures as part of their systematic work environment management. To help inform such initiatives, it is suggested that future research should focus on the identification of suitable measures regarding different types of incidents, perpetrators, and settings.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Assistant nurse, Hospital organization, Questionnaire, Registered nurse, Surgical ward, Workplace violence
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:mau:diva-59297 (URN)10.1186/s12912-023-01275-z (DOI)000964222400001 ()37029387 (PubMedID)2-s2.0-85152664470 (Scopus ID)
Available from: 2023-04-20 Created: 2023-04-20 Last updated: 2024-07-04Bibliographically approved
Berthelsen, H., Owen, M. & Westerlund, H. (2023). Leadership, work environment and caries prevention: what is good for the staff, is also good for the patients. Acta Odontologica Scandinavica, 81(3), 196-201
Open this publication in new window or tab >>Leadership, work environment and caries prevention: what is good for the staff, is also good for the patients
2023 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 81, no 3, p. 196-201Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: Dental caries is a health problem that can be prevented. The aim of this study is to analyse if the quality of leadership, in Swedish Public Dental Health clinics, influences the extent to which patients with caries receive preventive care, and if any such effect is mediated through a collaborative work climate, clear role expectations and a low average level of burnout among staff.

METHODS: The multilevel cross-sectional design includes work environment data from surveys of 75 general public dental clinics, register-based data on preventive measures provided to 5398 patients who received a dental filling due to a caries diagnosis, and patient demographics. Using a multilevel path analysis with logistic regression, we tested a model with one direct and three indirect pathways, controlling for the potential confounding effect of patient demographic factors.

RESULTS: Leadership quality, as assessed by the staff at the clinic, was associated with increased odds of patients with caries receiving prevention, controlling for patient demographic factors. Leadership quality was also positively related to a collaborative work climate, clear role expectations and a low average level of burnout among staff. Against expectations, however, no indirect effect from leadership quality on prevention through the other work environment factors was found.

CONCLUSIONS: In conclusion, the quality of leadership in Swedish Public Dental Health clinics was positively related to a good work environment for staff and to delivery of preventive care to patients experiencing caries.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
COPSOQ, Leadership, caries prevention, dentistry, work environment
National Category
Dentistry
Identifiers
urn:nbn:se:mau:diva-54564 (URN)10.1080/00016357.2022.2111345 (DOI)000841832400001 ()35979905 (PubMedID)2-s2.0-85136176116 (Scopus ID)
Available from: 2022-08-26 Created: 2022-08-26 Last updated: 2023-04-20Bibliographically approved
Projects
Organisation och ett gott arbete - hållbart arbetsliv i vårdarbete. Exemplet tandvård i Sverige och Danmark.; Malmö högskola, Centre for Work Life and Evaluation Studies (CTA) (Closed down 2017-12-31)The importance of organizational and social work environment for dental quality; Malmö University; Publications
Karatuna, I., Owen, M., Westerlund, H. & Berthelsen, H. (2022). The Role of Staff-Assessed Care Quality in the Relationship between Job Demands and Stress in Human Service Work: The Example of Dentistry. International Journal of Environmental Research and Public Health, 19(19), 12795-12795
Organisational and social safety climate in human service organisations – Developing proactive approaches and tools for research, practice and intervention; Malmö UniversityEstablishment of national norm values for the organisational and social work environment at Swedish workplaces; Malmö University; Publications
Berthelsen, H. & Björk, J. (2022). Slutrapport. Etablering av nationella normvärden avseende den organisatoriska och sociala arbetsmiljönpå svenska arbetsplatser. Malmö
Threat and violence against healthcare professionals: The Hope study; Malmö UniversityDigital harassment and cyberbullying – A new work environmental risk in schools; Malmö University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4573-4548

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