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护士和学前教师参与沟通密集型工作环境中的参与式干预项目的经验。

Nurses' and preschool teachers' experiences of taking part in a participatory intervention project in communication-intense working environments.

机构信息

Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.

Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.

出版信息

Work. 2022;73(3):857-869. doi: 10.3233/WOR-211009.

Abstract

BACKGROUND

Noise is a common workplace problem that can affect health and performance. High sound levels have been found in sectors that largely has been overlooked in noise research such as health care and education. In these communication-intense environments the work requires speech communication, thus making it difficult to wear hearing protection.

OBJECTIVE

To explore nurses' and preschool teachers' experiences of taking part in a participatory intervention project aiming to improve the sound environment and the psychosocial work environment.

METHODS

One preschool and one obstetrics ward took part in the study, and a qualitative design was used to evaluate the experience of the participatory intervention approach.

RESULTS

Five main themes were found in the analysis: Awareness; Taking control of the sound environment; Influence of the building and interior design; Circumstances influencing the intervention process; and Motivation to maintain change.

CONCLUSIONS

Despite demanding working situations and lack of financial resources, preschool and obstetrics staff described being creative in planning and implementing several different solutions to improve the sound environment at their workplaces, while interventions specifically improving the psychosocial work environment were fewer. Hence, our study suggest that a participatory intervention approach may facilitate participation and motivation, but resources and support are needed for a comprehensive and effective implementation.

摘要

背景

噪声是一种常见的工作场所问题,会影响健康和工作表现。在很大程度上被噪声研究忽视的一些领域,如医疗保健和教育领域,已经发现了高噪声水平。在这些需要大量言语交流的环境中,工作需要进行言语交流,因此佩戴听力保护器变得很困难。

目的

探讨护士和幼儿园教师参与旨在改善声音环境和心理社会工作环境的参与式干预项目的体验。

方法

一家幼儿园和一家产科病房参与了这项研究,采用定性设计来评估参与式干预方法的经验。

结果

分析中发现了五个主要主题:意识;控制声音环境;建筑和室内设计的影响;影响干预过程的情况;以及维持变革的动机。

结论

尽管工作环境要求苛刻且缺乏资金,幼儿园和产科工作人员还是描述了他们在规划和实施改善工作场所声音环境的各种不同解决方案方面的创造力,而专门改善心理社会工作环境的干预措施则较少。因此,我们的研究表明,参与式干预方法可以促进参与和积极性,但需要资源和支持才能全面有效地实施。

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