Prospective Evaluation of Fidelity, Impact and Sustainability of Participatory Workplace Health Teams in Skilled Nursing Facilities

Details

• Alternative Title:
  Using Total Worker Health to Advance Worker Health and Safety [2020]: Prospective Evaluation of Fidelity, Impact and Sustainability of Participatory Workplace Health Teams in Skilled Nursing Facilities
• Personal Author:
  Fleishman, Jane ; Flum, Marian ; Kotejoshyer, Rajashree ; Punnett, Laura ; Zhang, Yuan
• Description:
  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. [Description provided by NIOSH]
• Subjects:
  Health Personnel Health Promotion Occupational Health Safety Workplace
• Keywords:
  Author Keywords: Occupational Safety And Health Group Behavior Health Care Workers Health Promotion Integration Intervention Effectiveness Nurses Participatory Workplace Program Process Fidelity Program Impact Sustainability Total Worker Health TWH Work Environment Worker Motivation Work Organization Workplace Health Promotion Workplace Studies

  More +
• ISBN:
  9783039219926
• Publisher:
  MDPI
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Name as Subject:
  Total Worker Health
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1 ; OSHA Region 3 ; Pennsylvania
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  19 pdf pages
• NIOSHTIC Number:
  nn:20061340
• Citation:
  Using Total Worker Health to advance worker health and safety. Rohlman DS, Kelly KM, eds. Basel, Switzerland: MDPI, 2020 Sep; :248-264
• Contact Point Address:
  Rajashree Kotejoshyer, Center for the Promotion of Health in the New England Workplace (CPHNEW), University of Massachusetts Lowell, Lowell, MA 01854, USA
• Email:
  rkotejoshyer@uchc.edu
• Editor(s):
  Rohlman, Diane S. ; Kelly, Kevin M.
• Federal Fiscal Year:
  2020
• NORA Priority Area:
  Public Safety ; Healthcare and Social Assistance
• Performing Organization:
  University of Massachusetts, Lowell
• Peer Reviewed:
  True
• Start Date:
  20060701
• Source Full Name:
  Using Total Worker Health to advance worker health and safety
• End Date:
  20210831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:0358a9153a5f39ee2c6ec2eee8fd38e6a880c8d73ab9becf9cacb8fb57cf005a74c691ca3aee731df5ec38b52196e2af7667be5e6aade3107a84c63eea9a8a0d
• Download URL:
  https://stacks.cdc.gov/view/cdc/182950/cdc_182950_DS1.pdf
• File Type:
  [PDF - 503.61 KB ]