The effects of different types of organisational workplace mental health interventions on mental health and wellbeing in healthcare workers: a systematic review.

IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Birgit Aust, Caleb Leduc, Johanna Cresswell-Smith, Clíodhna O'Brien, Reiner Rugulies, Mallorie Leduc, Doireann Ni Dhalaigh, Arilda Dushaj, Naim Fanaj, Daniel Guinart, Margaret Maxwell, Hanna Reich, Victoria Ross, Anvar Sadath, Katharina Schnitzspahn, Mónika Ditta Tóth, Chantal van Audenhove, Jaap van Weeghel, Kristian Wahlbeck, Ella Arensman, Birgit A Greiner
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引用次数: 0

Abstract

Objective: To determine if and which types of organisational interventions conducted in small and medium size enterprises (SMEs) in healthcare are effective on mental health and wellbeing.

Methods: Following PRISMA guidelines, we searched six scientific databases, assessed the methodological quality of eligible studies using QATQS and grouped them into six organisational intervention types for narrative synthesis. Only controlled studies with at least one follow-up were eligible.

Results: We identified 22 studies (23 articles) mainly conducted in hospitals with 16 studies rated of strong or moderate methodological quality. More than two thirds (68%) of the studies reported improvements in at least one primary outcome (mental wellbeing, burnout, stress, symptoms of depression or anxiety), most consistently in burnout with eleven out of thirteen studies. We found a strong level of evidence for the intervention type "Job and task modifications" and a moderate level of evidence for the types "Flexible work and scheduling" and "Changes in the physical work environment". For all other types, the level of evidence was insufficient. We found no studies conducted with an independent SME, however five studies with SMEs attached to a larger organisational structure. The effectiveness of workplace mental health interventions in these SMEs was mixed.

Conclusion: Organisational interventions in healthcare workers can be effective in improving mental health, especially in reducing burnout. Intervention types where the change in the work environment constitutes the intervention had the highest level of evidence. More research is needed for SMEs and for healthcare workers other than hospital-based physicians and nurses.

Abstract Image

不同类型的组织工作场所心理健康干预措施对医护人员心理健康和幸福感的影响:系统性综述。
目的确定在中小型企业(SMEs)中开展的医疗保健组织干预是否对心理健康和幸福感有效,以及哪种类型的组织干预有效:按照 PRISMA 指南,我们检索了六个科学数据库,使用 QATQS 评估了符合条件的研究的方法学质量,并将其归类为六种组织干预类型,以便进行叙述性综合。只有至少有一次随访的对照研究才符合条件:我们确定了 22 项研究(23 篇文章),主要在医院进行,其中 16 项研究被评为方法学质量较高或中等。超过三分之二(68%)的研究报告了至少一项主要结果(心理健康、职业倦怠、压力、抑郁或焦虑症状)的改善情况,其中以职业倦怠的改善最为明显,在 13 项研究中有 11 项。我们发现,"工作和任务调整 "干预类型的证据水平较高,"灵活工作和时间安排 "和 "改变实际工作环境 "类型的证据水平中等。其他类型的证据不足。我们没有发现针对独立中小型企业的研究,但有五项研究涉及隶属于大型组织结构的中小型企业。在这些中小型企业中,工作场所心理健康干预措施的效果参差不齐:结论:对医护人员进行组织干预可以有效改善心理健康,尤其是减少职业倦怠。以改变工作环境作为干预措施的干预类型具有最高的证据水平。需要对中小型企业以及除医院医生和护士以外的医护人员进行更多的研究。
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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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