Unit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institute, 17177 Stockholm, Sweden.
Unit of Clinical Medicine, Occupational and Environmental Medicine, Department of Health, Medicine and Caring Sciences, Linköping University, 58183 Linköping, Sweden.
Int J Environ Res Public Health. 2020 Oct 6;17(19):7285. doi: 10.3390/ijerph17197285.
This study is a process evaluation of a trial examining the effects of an organizational intervention (Productivity Measurement and Enhancement System or ProMES) on employee stress. The aims were to explore the implementation process and fidelity to the intervention guidelines, examine the influence of contextual factors (hindrances and facilitators) and explore participants' experience of working with ProMES. We used the UK Medical Research Council (MRC) guidance to guide the process evaluation. The recruitment, reach and dose delivered were satisfactory and participation high. The employees felt ProMES clarified priorities, gave control and increased participation in decision-making. However, difficulty in obtaining statistical productivity data from the central administration office (a central feature of the intervention) hindered full implementation and regular feedback meetings. Staffing shortages interfered with the implementation process, while having seven design teams and one consultant prevented all occupational groups from working simultaneously. A detailed examination of access to necessary organizational data should be undertaken before implementing ProMES. We recommend a better introduction for new employees, more work on design and packaging and giving employees more training in how to use the software program. The study contributes to our understanding of process evaluations in research into organizational stress management interventions.
本研究是对一项试验的过程评估，该试验旨在检验组织干预（生产力衡量与增强系统或 ProMES）对员工压力的影响。目的是探索实施过程和对干预指南的遵从性，考察情境因素（阻碍因素和促进因素）的影响，并探讨参与者使用 ProMES 的体验。我们使用英国医学研究理事会（MRC）的指南来指导过程评估。招募、可达性和干预措施的实施情况良好，参与度高。员工们认为 ProMES 明确了工作重点，给予了控制，并增加了对决策的参与。然而，从中央行政办公室获取统计生产力数据的困难（干预的一个核心特征）阻碍了全面实施和定期反馈会议。人员短缺干扰了实施过程，而七个设计团队和一名顾问的存在则阻止了所有职业群体同时工作。在实施 ProMES 之前，应该对获取必要组织数据的途径进行详细审查。我们建议为新员工提供更好的入职培训，更多地关注设计和包装，并为员工提供更多关于如何使用软件程序的培训。本研究有助于我们理解组织压力管理干预研究中的过程评估。
