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医疗保健领域中参与工作场所健康促进的组织促进因素和障碍:一项针对护士的定性访谈研究

Organizational facilitators and barriers for participation in workplace health promotion in healthcare: A qualitative interview study among nurses.

作者信息

Bleier Hannah, Lützerath Jasmin, Schaller Andrea

机构信息

Working Group Physical Activity-Related Prevention Research, Institute of Movement Therapy and Movement-oriented Prevention and Rehabilitation, German Sport University Cologne, Cologne, Germany.

Institute for Workplace Health Promotion, Cologne, Germany.

出版信息

Front Psychol. 2023 Mar 2;14:1101235. doi: 10.3389/fpsyg.2023.1101235. eCollection 2023.

Abstract

BACKGROUND

There is evidence for the positive effects of workplace health promotion (WHP) for nurses. Although this highly stressed target group also actively desires WHP, the number of participants is low. Individual reasons play a role in the decision to engage in WHP activities, yet it is interesting to consider which organizational factors a company could address to improve participation. In this regard, the question arises of what organizational factors facilitate participation in WHP activities from the perspective of nurses in inpatient care facility (ICF), outpatient care service (OCS), and acute care hospitals (ACH).

METHOD

Sixteen semi-structured interviews were conducted in different care settings between May and September 2021. Questions about everyday working life, WHP activities, and organizational framework conditions were asked.

RESULT

The results show that there is a wide range of influencing factors at the organizational level, some overall settings, and others setting-specific. High workload and the fit of WHP activities with shift times were particularly inhibiting overall settings. A negative association with the employer worked as a barrier in ICF and ACH.

CONCLUSION

When implementing WHP activities, it can be useful to consider organizational facilitators and barriers to promote sustainable and attractive WHP activities and higher participation rates in the different settings of nursing.

摘要

背景

有证据表明工作场所健康促进(WHP)对护士有积极影响。尽管这个压力极大的目标群体也积极渴望WHP,但参与者数量较少。个人因素在参与WHP活动的决策中起作用,然而考虑公司可以解决哪些组织因素以提高参与度是很有意思的。在这方面,从住院护理机构(ICF)、门诊护理服务(OCS)和急症护理医院(ACH)的护士角度来看,出现了哪些组织因素有助于参与WHP活动的问题。

方法

2021年5月至9月期间,在不同护理环境中进行了16次半结构化访谈。询问了有关日常工作生活、WHP活动和组织框架条件的问题。

结果

结果表明,在组织层面、一些总体环境以及其他特定环境中存在广泛的影响因素。高工作量以及WHP活动与轮班时间的契合度是特别抑制总体环境的因素。在ICF和ACH中,与雇主的负面关联起到了障碍作用。

结论

在实施WHP活动时,考虑组织促进因素和障碍可能有助于在不同护理环境中推广可持续且有吸引力的WHP活动并提高参与率。

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