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沐浴、文化与冲突解决:员工对工作场所健康机会认知的定性研究。

Showers, Culture, and Conflict Resolution: A Qualitative Study of Employees' Perceptions of Workplace Wellness Opportunities.

机构信息

Division of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts (Mr Seward, Ms Linakis, Mr Werth, Dr Block); Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts (Dr Goldman); Department of Family Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island (Dr Goldman); Dartmouth-Hitchcock Medical Center, Department of Orthopaedic Surgery, Lebanon, New Hampshire (Mr Werth); Department of Psychology, Saint Louis University, St. Louis, Missouri (Mr Werth); and Department of Medical Ethics & Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (Dr Roberto).

出版信息

J Occup Environ Med. 2019 Oct;61(10):829-835. doi: 10.1097/JOM.0000000000001671.

DOI:10.1097/JOM.0000000000001671
PMID:31361680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6774881/
Abstract

OBJECTIVE

Research on employee opinions of workplace wellness programs is limited.

METHODS

At a large academic medical center in Boston, we conducted 12 focus groups on employee perceptions of wellness programs. We analyzed data using the immersion-crystallization approach. Participant mean age (N = 109) was 41 years; 89% were female; 54% were white.

RESULTS

Employees cited prominent barriers to program participation: limited availability; time and marketing; disparities in access; and workplace culture. Encouraging supportive, interpersonal relationships among employees and perceived institutional support for wellness may improve workplace culture and improve participation. Employees suggested changes to physical space, including onsite showers and recommended that a centralized wellness program could create and market initiatives such as competitions and incentives.

CONCLUSION

Employees sought measures to address serious constraints on time and space, sometimes toxic interpersonal relationships, and poor communication, aspects of workplaces not typically addressed by wellness efforts.

摘要

目的

针对员工对工作场所健康计划意见的研究有限。

方法

在波士顿的一家大型学术医疗中心,我们针对员工对健康计划的看法进行了 12 个焦点小组讨论。我们使用沉浸式结晶方法分析数据。参与者的平均年龄(N=109)为 41 岁;89%为女性;54%为白人。

结果

员工列举了参与计划的明显障碍:可用性有限;时间和营销;获取方面的差距;以及工作场所文化。鼓励员工之间的支持性人际关系和对健康的机构支持,可以改善工作场所文化并提高参与度。员工建议对物理空间进行更改,包括现场淋浴,并建议集中的健康计划可以创建和推广竞赛和奖励等举措。

结论

员工寻求解决时间和空间严重受限、有时是有毒人际关系以及沟通不畅等方面的措施,这些方面通常不是健康计划所关注的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a456/6774881/b184450d665e/nihms-1535627-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a456/6774881/b184450d665e/nihms-1535627-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a456/6774881/b184450d665e/nihms-1535627-f0001.jpg

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本文引用的文献

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Effect of a Workplace Wellness Program on Employee Health and Economic Outcomes: A Randomized Clinical Trial.工作场所健康计划对员工健康和经济结果的影响:一项随机临床试验。
JAMA. 2019 Apr 16;321(15):1491-1501. doi: 10.1001/jama.2019.3307.
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Employer and Employee Opinions About Workplace Health Promotion (Wellness) Programs: Results of the 2015 Harris Poll Nielsen Survey.雇主与雇员对职场健康促进(健康)项目的看法:2015年哈里斯民意调查尼尔森调查结果
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Workplace Wellness Programs Study: Final Report.职场健康计划研究:最终报告。
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Development and validity of a scale to measure workplace culture of health.衡量工作场所健康文化量表的开发与效度验证
J Occup Environ Med. 2015 May;57(5):571-7. doi: 10.1097/JOM.0000000000000409.
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Perceptions of a Culture of Health: Implications for Communications and Programming.对健康文化的认知:对传播与规划的启示
Health Promot Pract. 2015 Nov;16(6):796-804. doi: 10.1177/1524839914559942. Epub 2014 Nov 24.
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Do workplace health promotion (wellness) programs work?工作场所健康促进(健康养生)计划是否有效?
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Nursing assistants' response to participation in the pilot worksite heart health improvement project (WHHIP): a qualitative study.护理助理对参与试点工作场所心脏健康改善项目(WHHIP)的反应:一项定性研究。
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A hospital system's wellness program linked to health plan enrollment cut hospitalizations but not overall costs.医院系统的健康计划与健康计划参与率相关,可降低住院率,但不会降低总体成本。
Health Aff (Millwood). 2013 Mar;32(3):477-85. doi: 10.1377/hlthaff.2012.0090.
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A systematic review of the evidence concerning the economic impact of employee-focused health promotion and wellness programs.员工为导向的健康促进和健康计划的经济影响的证据进行系统回顾。
J Occup Environ Med. 2013 Feb;55(2):209-22. doi: 10.1097/JOM.0b013e3182728d3c.