Assessing organizational readiness for a participatory occupational health/health promotion intervention in skilled nursing facilities

Details

• Personal Author:
  Flum M ; Punnett, Laura ; West C ; Zhang Y
• Description:
  The long-term care sector is characterized by high morbidity and employee turnover, along with associated costs. Effective health protection and health promotion are important to improve physical and psychosocial well-being of caregivers. Assessment of organizational readiness for change is an essential precursor to the successful implementation of workplace programs addressing work climate, structure of tasks and relationships, and other issues that may be perceived as challenging by some within the institution. This study qualitatively assessed readiness of five skilled nursing facilities for a participatory occupational health/health promotion intervention. Selection criteria were developed to screen for program feasibility and ability to conduct prospective evaluations, and information was collected from managers and employees (interviews and focus groups). Three centers were selected for the program, and the first year of formative evaluation and intervention experience was then reviewed to evaluate and modify our selection criteria after the fact. Lessons learned include adding assessment of communication and the structure of problem solving to our selection criteria, improving methods to assess management support in a concrete (potentially nonverbal) form, and obtaining a stated financial commitment and resources to enable the team to function. Assessment of organizational readiness for change is challenging, although necessary to implement effective and sustainable health promotion programs in specific organizations. [Description provided by NIOSH]
• Subjects:
  Health Care Facilities Workforce And Services Health Personnel Health Promotion Occupational Health Safety
• Keywords:
  Author Keywords: Health Promotion Health Care Facilities Health Care Personnel Health Promotion Intervention Readiness Occupational Health Total Worker Health TWH Worker Participation
• ISSN:
  1524-8399
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  16
• Issue:
  5
• NIOSHTIC Number:
  nn:20047446
• Citation:
  Health Promot Pract 2015 Sep; 16(5):724-732
• Contact Point Address:
  Yuan Zhang, School of Nursing, University of Massachusetts Lowell, 113 Wilder Street, Lowell, MA 01854, USA
• Email:
  yuan_zhang@uml.edu
• Federal Fiscal Year:
  2015
• NORA Priority Area:
  Healthcare and Social Assistance
• Performing Organization:
  University of Massachusetts, Lowell
• Peer Reviewed:
  True
• Start Date:
  20060701
• Source Full Name:
  Health Promotion Practice
• End Date:
  20210831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:7796c85c44745f98408f74881cd33f5643dfb4ea44c35a88d12885ca558551f344143cdd723b80d81cd143a2b911b5b61dcbf7db15683a41bfb6783489939cef
• Download URL:
  https://stacks.cdc.gov/view/cdc/202506/cdc_202506_DS1.pdf
• File Type:
  [PDF - 390.75 KB ]