Prospective Evaluation of Fidelity, Impact and Sustainability of Participatory Workplace Health Teams in Skilled Nursing Facilities
Bibliographic Data
| ID | 15469590 |
|---|---|
| Authors | Rajashree Kotejoshyer (0000-0001-7329-0959, University of Massachusetts Lowell, corresponding author), Yuan Zhang (0000-0002-0902-9585, University of Massachusetts Lowell), Marian Flum (University of Massachusetts Lowell), Jane Fleishman (Widener University), Laura Punnett (0000-0001-9270-9946, University of Massachusetts Lowell) |
| Year | 2019 |
| Volume | 16 |
| Issue | 9 |
| Pages | 1494-1494 |
| Publication date | 2019-04-27 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph16091494 |
| PMID | 31035568 |
| OpenAlex | W2940454754 |
| Language | EN |
| References cited | 43 |
Organizational features of work often pose obstacles to workforce health, and a participatory change process may address those obstacles. In this research, an intervention program sought to integrate occupational safety and health (OSH) with health promotion (HP) in three skilled nursing facilities. Three facilities with pre-existing HP programs served as control sites. The intervention was evaluated after 3-4 years through focus groups, interviews, surveys, and researcher observations. We assessed process fidelity in the intervention sites and compared the two groups on the scope of topics covered (integration), program impact, and medium-term sustainability. The intervention met with initial success as workers readily accepted and operationalized the concept of OSH/HP integration in all three intervention facilities. Process fidelity was high at first but diminished over time. At follow-up, team members in two intervention sites reported higher employee engagement and more attention to organizational issues. Two of the three control facilities remained status quo, with little OSH/HP integration. The intervention had limited but positive impact on the work environment and health climate: staff awareness and participation in activities, and organizational factors such as decision-making, respect, communication, and sharing of opinions improved slightly in all intervention sites. Resources available to the teams, management support, and changing corporate priorities affected potential program sustainability
Business · Focus group · Health promotion · Intervention (counseling · Occupational safety and health · Operationalization · Participatory action research · Political science · Public health · Sociology · Status quo · Sustainability · Workforce · Workplace health promotion · Agriculture and Farm Safety · Medicine · Nursing · Occupational Health and Safety Research · Psychology · Workplace Health and Well-being · Marketing
Chronic stress at work and the metabolic syndrome
Perceptions of safety at work
Uncovering the Benefits of Participatory Research
Negative Impacts of Shiftwork and Long Work Hours
The Job Content Questionnaire (JCQ)
Applied public health research - falling through the cracks
Participatory action research
Moving Beyond Randomized Controlled Trials
The effects of a health promotion-health protection intervention on behavior change
| Highly cited | No |
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