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Reports from European university hospitals show an increase in work-related mental strain. Four European university
hospitals started a comprehensive research program called Health and Organisation among University hospitals Physicians in
Europe—the HOUPE Study in the year 2003. Based on the results from the HOUPE study, the authors conducted an intervention project
together with HR-consultants at one of the participating hospitals. A collected cross-sectional survey in 2005 among permanently
employed academic physicians (N = 1800, response rate 60%) at Karolinska University Hospital in Sweden. Results from the study were
used in survey feedback seminars (N = 250). This method is a way of systematic collection of data to process and give feedback to the
organisation’s members in order to initiate organisational change. By providing results based on the total sample, on each division, and
unpublished data from each clinic the authors aimed to improve physicians’ health and work satisfaction and thereby enhance the health
of the physicians.Feedback seminars can arouse many emotions and might make people defensive. The role of resistance in the process
of change is a paradox in that resistance slows down change. However, without resistance there will be no change at all. The authors
conducted 20 feedback seminars of three hours duration where results were discussed relating mainly to the psychosocial work
environment, psychological distress, and careerpaths, i.e., job demands, control at work, social interactions, leadership, commitment to
the organisation, harassment at work, burnout, depression and suicide ideation. Altogether, 250 physicians participated in these meetings.
To achieve acceptance for organisational change, data about relevant conditions in the organisation have to beprocessed in a systematic
way in collaboration with all those who will benefit from changes, in concrete work units as divisions and clinics.