Van Simaeys Hendrik, Mannaerts Lore, Serraes Brecht, Clays Els
Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Clinical Nursing and Allied Health Research and Development Group (CNuAH-RD), Nursing and Paramedical Department, Vitaz Hospital and Health Care, Sint-Niklaas, Belgium.
BMC Public Health. 2025 Jul 17;25(1):2480. doi: 10.1186/s12889-025-23540-3.
Occupational stress among healthcare professionals, especially those in emergency departments, is associated with high job demands and inadequate resources, impacting both service delivery and worker well-being. This study explored a participatory organizational intervention intended to reduce stress and improve working conditions among emergency department staff.
A one-group pretest‒posttest design was used to examine changes in outcomes among healthcare professionals (n = 59). Standardized self-report questionnaires administered before and after the intervention assessed perceived stress levels, psychosocial work factors, and general satisfaction. The nine-week intervention consisted of structured group discussions to identify stressors and co-develop solutions, followed by targeted adjustments in work processes and the environment. The primary outcome was perceived stress (Perceived Stress Scale-10, PSS-10). Secondary outcomes included working conditions (Danish Psychosocial Work Environment Questionnaire, DPQ). Paired samples t-tests compared pre- and posttest scores, and Pearson correlations assessed associations between process indicators and changes in perceived stress.
Postintervention findings indicated a marginally significant reduction in perceived stress and improvements in several aspects of the psychosocial work environment, including work‒life balance and supervisory recognition. These results suggest that the participatory intervention may be associated with improvements in the perceived work environment. Process evaluation results indicated moderate employee engagement, with generally positive perceptions of involvement and overall satisfaction. A marginally significant negative correlation was found between employee involvement and stress reduction, suggesting that greater involvement was associated with greater decreases in perceived stress.
While the absence of a control group limits causal inference, the study offers exploratory evidence that participatory organizational approaches may be linked to perceived improvements in staff well-being and working conditions in emergency care settings. Further research using comparative designs is needed to confirm these preliminary findings and to better understand how participatory interventions might contribute to workforce sustainability in healthcare.
医疗保健专业人员，尤其是急诊科人员的职业压力与高工作要求和资源不足有关，这会影响服务提供和工作人员的幸福感。本研究探索了一种参与式组织干预措施，旨在减轻急诊科工作人员的压力并改善工作条件。
采用单组前测-后测设计来检验医疗保健专业人员（n = 59）的结果变化。在干预前后使用标准化的自我报告问卷来评估感知压力水平、心理社会工作因素和总体满意度。为期九周的干预包括结构化的小组讨论，以识别压力源并共同制定解决方案，随后对工作流程和环境进行有针对性的调整。主要结果是感知压力（感知压力量表-10，PSS-10）。次要结果包括工作条件（丹麦心理社会工作环境问卷，DPQ）。配对样本t检验比较前测和后测分数，Pearson相关性评估过程指标与感知压力变化之间的关联。
干预后的结果表明，感知压力略有显著降低，心理社会工作环境的几个方面有所改善，包括工作与生活的平衡和上级认可。这些结果表明，参与式干预可能与感知工作环境的改善有关。过程评估结果表明员工参与度适中，对参与和总体满意度的看法普遍积极。员工参与度与压力减轻之间存在微弱的显著负相关，这表明更高的参与度与感知压力的更大降低相关。
虽然没有对照组限制了因果推断，但该研究提供了探索性证据，表明参与式组织方法可能与急诊护理环境中工作人员幸福感和工作条件的感知改善有关。需要使用比较设计进行进一步研究，以证实这些初步发现，并更好地理解参与式干预如何有助于医疗保健领域的劳动力可持续性。
