在医院环境中实施综合健康保护/健康促进干预措施：“健康工作，工作健康”研究的经验教训
Implementing an Integrated Health Protection/Health Promotion Intervention in the Hospital Setting: Lessons Learned From the Be Well, Work Well Study.
作者信息
Sorensen Glorian, Nagler Eve M, Hashimoto Dean, Dennerlein Jack T, Theron Julie V, Stoddard Anne M, Buxton Orfeu, Wallace Lorraine M, Kenwood Christopher, Nelson Candace C, Tamers Sara L, Grant Michael P, Wagner Gregory
机构信息
Center for Community-Based Research (Dr Sorensen, Dr Nagler, Ms Theron, Ms Wallace), Dana-Farber Cancer Institute, Boston, MA; Department of Environmental Health (Dr Dennerlein and Dr Wagner); Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health (Dr Sorensen, Dr Nagler, Ms Grant, Dr Nelson), Boston, MA; Partners HealthCare (Dr Hashimoto), Boston, MA; Boston College Law School (Dr Hashimoto), Newton, MA; Harvard Medical School (Dr Hashimoto, Dr Buxton), Boston, MA; Bouvé College of Health Sciences (Dr Dennerlein), Northeastern University, Boston, MA; Statistical Consultant (Dr Stoddard), Pelham, MA; Department of Biobehavioral Health (Dr Buxton), The Pennsylvania State University, University Park, PA; Department of Medicine (Dr Buxton), Brigham and Women's Hospital, Boston, MA (Dr Buxton); New England Research Institutes (Mr Kenwood), Watertown, MA; and Office for Total Worker Health Coordination and Research Support (Dr Tamers), Office of the Director (Dr Wagner), National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Washington DC.
出版信息
J Occup Environ Med. 2016 Feb;58(2):185-94. doi: 10.1097/JOM.0000000000000592.
OBJECTIVE
This study reports findings from a proof-of-concept trial designed to examine the feasibility and estimates the efficacy of the "Be Well, Work Well" workplace intervention.
METHODS
The intervention included consultation for nurse managers to implement changes on patient-care units and educational programming for patient-care staff to facilitate improvements in safety and health behaviors. We used a mixed-methods approach to evaluate feasibility and efficacy.
RESULTS
Using findings from process tracking and qualitative research, we observed challenges to implementing the intervention due to the physical demands, time constraints, and psychological strains of patient care. Using survey data, we found no significant intervention effects.
CONCLUSIONS
Beyond educating individual workers, systemwide initiatives that respond to conditions of work might be needed to transform the workplace culture and broader milieu in support of worker health and safety.
目的
本研究报告了一项概念验证试验的结果，该试验旨在检验“健康工作，高效工作”职场干预措施的可行性并评估其效果。
方法
该干预措施包括为护士长提供咨询，以便在患者护理单元实施变革，并为患者护理人员提供教育课程，以促进安全和健康行为的改善。我们采用混合方法来评估可行性和效果。
结果
利用过程跟踪和定性研究的结果，我们观察到由于患者护理的体力需求、时间限制和心理压力，在实施干预措施时存在挑战。利用调查数据，我们未发现显著的干预效果。
结论
除了对个体工人进行教育之外，可能还需要采取应对工作条件的全系统举措，以转变职场文化和更广泛的环境，以支持工人的健康和安全。
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