The impact of organizational redesign of acute care hospitals according to the Magnet© principles of organizational redesign on mental health and wellbeing of health professionals Other
Conditions
Interventions
A multicenter hospital-based matched pairs usual-practice wait-list cluster randomized controlled trial with a nested mixed-methods process evaluation is used. The order in which hospitals receive the
hospitals in the wait-list group start 12 months later with the intervention. The design of the study inherently makes it impossible to blind hospitals to the intervention.
A multicomponent interven
Sponsors
KU Leuven
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Hospitals: 1. No Magnet© designation by the American Nursing Credentialing Center (ANCC) has been acquired in the past or at the time of the start of the intervention 2.Bed size greater or equal to 150 3. The hospital is focused on acute care for adults, including at least wards on internal medicine and/or surgery Health professionals: 1. They have direct patient contact 2. Meet the minimum qualifications as stipulated by Directive 2013/55/EU amending Directive 2005/35/EC on the recognition of professional qualifications 3. Work on adult inpatient units including intensive care units (ICU) and the emergency room (ER)
Exclusion criteria
Exclusion criteria: Hospitals: 1. Highly specialized hospitals, e.g. psychiatric hospitals, tropical medicines or pediatrics Health professionals: 1. Working in neonatology, pediatrics, obstetrics, psychiatry, operating room, pathology, microbiology, radiology and medical imaging
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 26/05/2020: Measured among nurses at each measurement occasion i.e. at month 9, 17, 29 and 41 in both the immediate intervention group and the wait-list control group: 1. Work engagement (UWES-3) 2. Job satisfaction measured using a single question 3. Depression (PHQ-2) 4. Anxiety (GAD-2) 5. General health (SF-8) 6. Sleep quality (PSQ) 7. Intent to leave the hospital measured using two items 8. Absenteeism (HPQ) and presenteeism (HPQ) 9. Workability measured using a single question 10. Work-life conflict measured using a single question 11. Team commitment measured using a single question 12. Organizational commitment measured using a single question 13. Whether clinicians would recommend the hospital measured using two items 14. Work environment (PES-NWI) 15. Various measures of staffing and workload (NPQS) 16. Safety and quality measured using 10 items 17. Necessary nursing care left undone measured using a single question 18. Operational failures measured using a single question 19. Emotional demands (SIMPH) 20. Red tape measured using a single question 21. Role conflicts (NPQS) 22. Job control measured using a single question 23. Skill use measured using a single question 24. Value congruence measured using a single question 25. Performance feedback measured using three items 26. Opportunities for learning and development measured using a single question 27. Task variety (QEEW) 28. Role clarity (NPQS) 29. Intrinsic motivation (WEIMS) 30. Additional survey items to quantify associations will be measured among nurses in measurement occasions 2 and 4 (i.e. month 17 and 41) in the wait-list control group: 30.1. Emotional dissonance measured using a single question 30.2. Qualitative job insecurity measured using a single question 30.3. Basic need satisfaction measured using a six items 30.4. Engaging leadership measured using a twelve items 31. To survey physicians at each measurement occasion in both the immedia | — |
Primary
| Measure | Time frame |
|---|---|
| Burnout measured among nurses and physicians using the validated Emotional Exhaustion subscale of the Maslach Burnout Inventory (9-items) and the Burnout Assessment Tool (12-items). Burnout is measured at every measurement occasion, i.e. at month 9, 17, 29 and 41 in the intervention group and the wait-list control group. | — |
Countries
Belgium, England, Germany, Ireland, Norway, Sweden, United Kingdom
Contacts
Public ContactWalter Sermeus
Outcome results
None listed