Nature-Based Rehabilitation for Patients with Long-Standing Stress-Related Mental Disorders: A Qualitative Evidence Synthesis of Patients’ Experiences

Stress-related mental disorders contribute to work disabilities globally and are a common cause for sick leave. Nature-based rehabilitation (NBR) is a multi-disciplinary approach offered to this patient group on a limited scale. Qualitative studies provide insight into patients’ experiences of NBR, and there is a need to synthesize and assess the certainty of evidence for patient-experienced benefits. The aim was to identify, appraise, and synthesize studies reporting experiences and perceived benefits of participation in multidisciplinary, group-based NBR of adult patients with long-standing stress-related mental disorders. PubMed, Embase, CINAHL, AMED, APA PsycInfo, and the Cochrane Library were searched from inception to December 2020. Reference lists of relevant publications were searched. After title and abstract screening, full-text articles were retrieved and assessed for inclusion. The methodological quality of the included studies was assessed, and certainty of evidence was appraised according to CERQual. The search yielded 362 unique records; 19 full-text publications were assessed for eligibility, and 5 studies were included in the synthesis. The studies were considered relevant regarding context, population, and intervention, and quality was generally assessed as moderate to high. Extracted texts were inductively coded and organized into 16 descriptive themes and 4 broad, analytical themes: Instilling calm and joy; Needs being met; Gaining new insights; and Personal growth. Experiences and perceived benefits of participating in NBR and spending time in a nature environment were described as positive for recovery. Nine of the descriptive themes were based on explicit results from at least four of the five studies. Confidence in the evidence of the qualitative findings ranged from moderate to low. Moderate-to-low certainty evidence from the included studies suggests that patients with long-standing stress-related mental disorders experience positive health effects from participating in NBR.

Transnational Activism for Global Crises: Resources Matter! Transnational Solidarity Organisations in Comparative Perspective

In recent years, the global financial crisis and the ensuing austerity measures in European countries have resulted in dire cuts to public services, massive job losses, and diminished incomes. At the same time, and parallel to the economic crisis, a refugee crisis has arisen. In this context, ordinary citizens and new or re-energised networks of cooperation among civil society actors (e.g. non-governmental organisations (NGOs), churches, trade unions, cooperatives, grassroots initiatives) foster (transnational) solidarity practices. These practices grow in importance as they try to address people’s needs, often unmet by national governments given their lack of financial resources. This article investigates whether and to what extent civic initiatives and organisations are involved in transnational solidarity activities. Moreover, it seeks to identify those factors that seem to promote or inhibit the scope of transnational activities. The article critically analyses the initiatives and practices of Transnational Solidarity Organisations (TSOs) in eight European countries on the basis of data on transnationally oriented civic groups and organisations committed to organising solidarity activities in three fields of work (disabilities, unemployment, and assistance to refugees). The analysis aims to contribute, through fresh empirical data, to the scholarly discussion in the field of transnational solidarity mobilisation and organisations by pointing out that most solidarity organisations remain active primarily at the local and/or national level(s) and that only a minority of solidarity organisations are engaged in cross-national activities. Transnational activities are associated with formalisation and professionalisation. Moreover, maintaining a web of transnational partners, being able to communicate with such partners, and conventional action repertoires seem to be conducive to transnational activism. Organisational values linked to cosmopolitanism are also important, but their impact on transnational solidarity actions is mediated and conditioned by the TSOs’ level of formalisation.

Introduction to NJWLS 2019-1

In this issue, we present four articles that illuminate working life in the Nordic coun- tries. These articles span a diverse area of work practices and accentuate different aspects of regulative mechanisms and policies that structure the unfolding of contemporary work in Norway, Sweden, Finland, and Denmark. The research examines the minute and subtle practices and narratives of human resource experts in Sweden that are active in organizational recruitment processes, and it explores pension schemes in Norwegian companies. In the articles, we learn about the temporary liminal spaces of professionals in Finland, and we get a review of the literature on employer strategies for preventing mental health related work disabilities (...)

Mental Health Problems Among Whistleblowers: A Comparative Study

Whistleblowers play a very important and indispensable role in society and health care sector, but their act may elicit retaliation and other negative effects, which may impact their mental health. The main aim of the present comparative study is to assess to what extent whistleblowers ( N = 27) more often suffer from severe mental health problems than other population-based groups in the Netherlands, i.e., matched controls ( N = 135), cancer patients ( N = 130), persons with (partial) work disabilities ( N = 194), physically “healthy” persons ( N = 200), and general population ( N = 1026), using the 36-Item Short-Form Health Survey scales (for general mental health) and the Symptom Checklist-90-Revised scales (for specific mental health problems: depression, anxiety, agoraphobia, interpersonal sensitivity and distrust, and sleeping problems). Logistic regression analyses showed that the prevalence of general mental health problems was much higher than among matched controls and people with work disabilities but similar to cancer patient when controlling for demographics. About 85% suffered from severe to very severe anxiety, depression, interpersonal sensitivity and distrust, agoraphobia symptoms, and/or sleeping problems, and 48% reached clinical levels of these specific mental health problems. These specific mental health problems were much more prevalent than among the general population.