Munch Pernille Kold, Jørgensen Marie Birk, Højberg Helene, Rasmussen Charlotte Diana Nørregaard
National Research Centre for the Working Environment, Copenhagen, Denmark.
Health and Safety, Municipality of Copenhagen, Copenhagen, Denmark.
Front Public Health. 2020 Dec 3;8:502106. doi: 10.3389/fpubh.2020.502106. eCollection 2020.
In this study, we evaluated the dissemination of a digital checklist for improving implementation of work environment initiatives in the Danish eldercare sector. We evaluated the impact of the checklist using the RE-AIM framework. Initiated in 2016, researchers and relevant stakeholders were responsible for disseminating the checklist to all workplaces in the eldercare sector in Denmark through a national campaign. The checklist guided the user to define an action plan to implement, and the checklist covered 11 implementation concept points that should be addressed to reach full implementation of the action in focus. One year after the launch of the campaign almost all municipalities in Denmark had visited the website hosting the checklist (96%), 17% of individual workers within the eldercare responding to a union survey was reached, 4% ( = 199) of all eligible eldercare workplaces in Denmark and 8% of all nursing homes had adopted the checklist. Of the workplaces that used the checklist, 46% typed an action in the checklist. There were 13% of the first time users that used the checklist twice and 29% of the actions were revised (maintenance) after working with the implementation. Finally, the workplaces that had used the checklist showed a higher prioritization of work environment compared to workplaces not using the checklist both at baseline and at follow up. In conclusion, this study employing various strategies, including a 1-year national campaign to disseminate a checklist shows potential to impact implementation of work environment initiatives in the Danish eldercare sector. While dissemination is satisfactory and likely to increase further with time, more efforts is needed to ensure maintenance.
在本研究中，我们评估了一份数字检查表的传播情况，该检查表旨在改善丹麦老年护理部门工作环境倡议的实施。我们使用RE-AIM框架评估了该检查表的影响。该项目于2016年启动，研究人员和相关利益攸关方负责通过全国性活动将检查表分发给丹麦老年护理部门的所有工作场所。该检查表指导用户制定实施行动计划，涵盖11个实施概念要点，要全面实施重点行动就应解决这些要点。活动开展一年后，丹麦几乎所有市镇都访问了托管检查表的网站（96%），老年护理部门内17%回复工会调查的个体工人收到了检查表，丹麦所有符合条件的老年护理工作场所中有4%（=199个）以及所有养老院中有8%采用了该检查表。在使用检查表的工作场所中，46%在检查表中录入了一项行动。有13%的首次使用者使用检查表两次，29%的行动在实施后进行了修订（维护）。最后，与未使用检查表的工作场所相比，使用检查表的工作场所在基线和随访时都对工作环境给予了更高的优先级。总之，本研究采用了各种策略，包括开展为期一年的全国性活动来分发检查表，显示出对丹麦老年护理部门工作环境倡议实施产生影响的潜力。虽然传播情况令人满意，且可能会随着时间进一步增加，但仍需要更多努力来确保维护。
