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在护理工作场所实施健康促进——不同护理环境下的过程评估。

Implementing workplace health promotion in nursing - A process evaluation in different care settings.

作者信息

Lützerath Jasmin, Bleier Hannah, Gernert Madeleine, Schaller Andrea

机构信息

German Sport University Cologne, 50933, Cologne, Germany.

Institute for Workplace Health Promotion, 51063, Cologne, Germany.

出版信息

BMC Nurs. 2024 Aug 22;23(1):582. doi: 10.1186/s12912-024-02272-6.

Abstract

OBJECTIVE

Workplace health promotion (WHP) in Germany is receiving increasing support from health insurance funds. Nevertheless, there is hardly any knowledge on the process of how health outcomes are achieved, especially in nursing. The aim of the study was to find out how and what can be implemented in different care settings and to examine the reactions and interactions of the participants under routine conditions.

METHODS

Guided by a logic model, a holistic WHP approach was implemented in four acute care hospitals, seven inpatient care facilities and four outpatient care services from April 2021 to October 2022. Data on realized WHP interventions, participant assessment and topics of work design was collected and analyzed descriptively.

RESULTS

The realized WHP interventions were adapted depending on the content and context. Mainly short relaxation interventions were delivered or those with an event character were received by participants. The highest participation rate of planned participants was achieved in team building training. Participants predominantly assessed WHP interventions as useful, the quality as (very) good and were generally (very) satisfied with the intervention components. For work design topics, intentions for the design of work organization were mainly documented in action plans.

CONCLUSION

Cooperation with practitioners in research should be continued as a contribution to quality development. This could provide suggestions as to which content adjustments lead to greater acceptance by the target group in a specific context.

TRIAL REGISTRATION

The project was registered in the German Clinical Trial Register (DRKS00024961, 2021/04/09).

摘要

目的

德国的工作场所健康促进(WHP)正获得健康保险基金越来越多的支持。然而,对于如何实现健康成果的过程却几乎一无所知,尤其是在护理领域。本研究的目的是了解在不同护理环境中如何实施以及可以实施什么,并在常规条件下考察参与者的反应和互动情况。

方法

在逻辑模型的指导下,于2021年4月至2022年10月在四家急症护理医院、七家住院护理机构和四家门诊护理服务机构实施了一种整体的WHP方法。收集并对已实施的WHP干预措施、参与者评估和工作设计主题的数据进行描述性分析。

结果

已实施的WHP干预措施根据内容和背景进行了调整。主要提供了简短的放松干预措施,或者参与者接受了具有活动性质的干预措施。团队建设培训中计划参与者的参与率最高。参与者主要认为WHP干预措施有用,质量(非常)好,并且总体上(非常)满意干预内容。对于工作设计主题,工作计划中主要记录了工作组织设计的意图。

结论

应继续与从业者合作开展研究,以促进质量发展。这可以就哪些内容调整能在特定背景下获得目标群体更大的接受度提供建议。

试验注册

该项目已在德国临床试验注册中心注册(DRKS00024961,2021/04/09)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fd6/11340093/04b3412619bd/12912_2024_2272_Figa_HTML.jpg

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