Reducing sickness absence among public-sector healthcare employees: the difference-making roles of managerial and employee participation.

IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
M Akerstrom, J Severin, E J Miech, E Wikström, M Roczniewska
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引用次数: 0

Abstract

Purpose: Evaluations of organizational-level interventions to prevent work-related illness have identified enabling factors, but knowledge of necessary and sufficient conditions for intervention success is needed. The aim was to identify difference-making factors that distinguish intervention groups with and without a positive intervention effect on sickness absence.

Methods: An organizational-level intervention designed to decrease sickness absence by providing support from process facilitators was implemented at eight healthcare workplaces in Sweden between 2017 and 2018. We applied coincidence analysis (CNA) to analyze 34 factors and determine which factors were necessary and sufficient for a successful implementation of tailored interventional measures on an organizational level (dichotomous) and reduced sickness absence (trichotomous).

Results: Two factors perfectly explained both the presence and absence of a successful implementation: "a high sense of urgency" and "good anchoring and participation from the strategic management". The presence of either of these factors alone was sufficient for successful implementation, whereas the joint absence of both conditions was necessary and sufficient for the absence of successful implementation and an intervention effect. In addition, high employee participation was both necessary and sufficient for a high intervention effect. For organizations without high employee participation, successful implementation led to a medium-effect size.

Conclusions: This study identified participation as a difference-maker in the implementation process. Participation from different stakeholders turned out to be important in different phases. When implementing organizational-level interventions, high participation from both strategic management and employees appears to be crucial in terms of the intervention's effect on sickness absence.

减少公共部门医疗保健员工的病假:管理者和员工参与的不同作用。
目的:对预防工作相关疾病的组织层面干预措施进行评估后发现了一些有利因素,但还需要了解干预措施成功的必要条件和充分条件。我们的目的是找出区别干预组对病假有积极干预效果和无积极干预效果的差异因素:2017年至2018年期间,在瑞典的八个医疗保健工作场所实施了一项组织层面的干预措施,旨在通过流程促进者提供支持来减少病假。我们运用巧合分析法(CNA)对34个因素进行了分析,并确定哪些因素是在组织层面成功实施量身定制的干预措施(二分法)和减少病假(三分法)的必要和充分条件:有两个因素完美地解释了成功实施措施的存在与否:"高度的紧迫感 "和 "战略管理层的良好支持和参与"。单独存在这两个因素中的任何一个都足以保证成功实施,而同时不存在这两个条件则是缺乏成功实施和干预效果的必要条件和充分条件。此外,高员工参与度既是高干预效果的必要条件,也是充分条件。对于员工参与度不高的组织而言,成功实施的干预效果为中等:本研究发现,参与是实施过程中的差异制造者。不同利益相关者的参与在不同阶段都很重要。在实施组织层面的干预措施时,战略管理层和员工的高度参与似乎对干预措施的病假效果至关重要。
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来源期刊
International Archives of Occupational and Environmental Health
International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
6.70%
发文量
127
审稿时长
3 months
期刊介绍: International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.
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