Department of Sports Science and Clinical Biomechanics, The Faculty of Health Science, University of Southern Denmark, 5000 Odense, Denmark.
Department of Sports Science and Clinical Biomechanics, Research Unit of Physical Activity and Health in Working Life, University of Southern Denmark, 5000 Odense, Denmark.
Int J Environ Res Public Health. 2023 Nov 20;20(22):7085. doi: 10.3390/ijerph20227085.
Exercise training at work has the potential to improve employees' productivity, health, and well-being. However, exercise interventions for healthcare workers in hospitals may be challenged by time pressure and the ongoing workflow with patient care.
The aim was to identify barriers and facilitators for participation in exercise training during work in a hospital department.
Eight semi-structured interviews of 13 individuals were conducted with hospital employees from different staff groups who participated in 12 weeks of exercise twice weekly. The data analysis was a thematic approach based on the Theoretical Domains Framework and the COM-B factors in the Behavior Change Wheel.
Barriers and facilitators varied between different groups. Barriers included limited structure, busyness, and a discouraging culture. Facilitators included gaining a feeling of community and psychological and physical well-being. Seven contextual subthemes were vital for successful implementation of exercise in a hospital setting: sharing of knowledge and information; involvement; administration and structure; culture; individualization; purpose and objective; and incentives.
The informants appreciated exercise training during work. Inpatient departments' informants found it difficult to participate in the intervention, whilst those with more administrative tasks found it easier. This study identified barriers and facilitators vital for a successful implementation of an exercise training intervention in a hospital department. The study explains how future interventions can improve reach, adoption, and implementation of exercise training interventions to hospital staffs.
工作中的锻炼训练有潜力提高员工的生产力、健康和幸福感。然而，医院医护人员的锻炼干预可能会受到时间压力和持续的患者护理工作流程的挑战。
目的是确定医院部门工作期间参与锻炼训练的障碍和促进因素。
对来自不同员工群体的 13 名医院员工进行了 8 次半结构化访谈，他们参加了 12 周的每周两次锻炼。数据分析采用基于理论领域框架和行为改变轮中的 COM-B 因素的主题方法。
障碍和促进因素因不同群体而异。障碍包括结构有限、忙碌和令人沮丧的文化。促进因素包括获得社区感和心理及身体健康。成功在医院环境中实施锻炼的七个情境子主题至关重要：知识和信息的共享；参与；管理和结构；文化；个性化；目的和目标；以及激励措施。
受访者赞赏工作中的锻炼训练。住院部的受访者发现很难参与干预，而那些有更多行政任务的受访者则发现更容易。本研究确定了成功实施医院部门锻炼训练干预的关键障碍和促进因素。该研究解释了未来的干预措施如何提高锻炼训练干预对医院工作人员的覆盖范围、采用和实施。
