Work environment, well-being, and quality of care and safety Other
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Employed as care staff or a registered nurse in either the intervention or comparison group. 2. Belong to units included in the study (approximately 154 care staff and 39 nurses in the intervention group; 161 care staff and 34 nurses in the comparison group). 3. Willing and able to provide informed consent for participation. For patient/relative surveys: Care recipient (or relative living in the same household) involved in an acute nurse contact during the study period at intervention or comparison units.
Exclusion criteria
Exclusion criteria: 1. Staff who are on long-term leave (e.g., sick leave, parental leave) during the data collection period. 2. Individuals who do not provide informed consent. 3. Care recipients or relatives who are unable to complete questionnaires due to severe cognitive impairment or language barriers without available support. 4. Care recipients or relatives who do not reside in the same household (for the relative survey component).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Work environment is measured with the Safety, Communication, Operational Reliability, and Engagement (SCORE)* scale (factors teamwork, learning environment, leadership, communication/collaboration, workload, development opportunities, participations in decision making, work life balance) and the Condition of Work Effectiveness Questionnaire (CWEQ) II (factors opportunities, information, resources, support, formal and informal power) before and approximately 12 months after implementation of the app. SCORE is also measured approximately 6 months after implementation of the app. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Well-being is measured using the Copenhagen Psychosocial Questionnaire (COPSOQ III) – health factor and SCORE – factors: burnout, resilience before and approximately 12 months after implementation of the app. Furthermore, The Brief index of affective job satisfaction, The Psychological empowerment scale (factors meaning, self-determination and impact) and from the Satisfaction with work questionnaires one factor of stress symptoms, study specific question about sick leave and whether they feel secure in their job role. All are measured before and approximately 12 months after implementation of the app. The question whether they feel secure in their job role is also measured approximately 6 months after implementation of the app. 2. Learning is measured using the thriving scale (factors learning and vitality) before, and approximately 6 and 12 months after the implementation of the app. 3. Competence is measured before and approximately 12 months after implementation of the app using The Psychological empowerment scale (factor competence), The Nurse Professional competence scale (six factors about different competence areas), and a study-specific knowledge test and study specific question about competence. 4. Care quality is measured before and approximately 12 months after implementation of the app using the Staff satisfaction with given care scale 5. Patient safety is measured before and approximately 12 months after implementation of the app using the SCORE factor safety climate 6. System usability is measured in the intervention group approximately 6 and 12 months after implementation of the app using the System usability scale (SUS) 7. Sick leave using study specific question before and approximately 12 months after implementation of the app and figures from the unit one year before and one year after the implementation of the app 8.Staff turnover using the Satisfaction with work questionnaire one question about turnover intention before and approximatel | — |
Countries
Sweden