Zhang Yuan, Flum Marian, Kotejoshyer Rajashree, Fleishman Jane, Henning Robert, Punnett Laura
J Gerontol Nurs. 2016 Jun 1;42(6):34-42. doi: 10.3928/00989134-20160308-03. Epub 2016 Mar 16.
Nursing home employees experience high physical and psychosocial workloads, resulting in poor health outcomes. An occupational health/health promotion program, designed to facilitate employee participation, was initiated in three nursing homes. The aim of the current study was to evaluate facilitators and barriers of the program after 3-year implementation. Focus groups with employees and in-depth interviews with top and middle managers were conducted. The Social Ecological Model was used to organize the evaluation. Facilitators and barriers were reported from both managers' and employees' perspectives, and were categorized as intrapersonal, interpersonal, institutional, and corporate level. Management support, financial resources, and release time for participation were identified as the three most important factors. Supports from multiple levels including both human and environment, and managers and employees, are important for a successful participatory occupational health/health promotion program. [Journal of Gerontological Nursing, 42(6), 34-42.].
养老院员工承受着高强度的身体和心理社会工作量，导致健康状况不佳。一项旨在促进员工参与的职业健康/健康促进项目在三家养老院启动。本研究的目的是评估该项目实施三年后的促进因素和障碍。对员工进行了焦点小组访谈，并对高层和中层管理人员进行了深入访谈。采用社会生态模型来组织评估。从管理人员和员工的角度报告了促进因素和障碍，并分为个人层面、人际层面、机构层面和公司层面。管理支持、财务资源和参与的脱产时间被确定为三个最重要的因素。包括人力和环境、管理人员和员工在内的多层次支持对于成功的参与式职业健康/健康促进项目很重要。[《老年护理杂志》，42(6)，34 - 42。]
