Process Evaluation of a Participative Organizational Intervention as a Stress Preventive Intervention for Employees in Swedish Primary Health Care
This study is a process evaluation of a trial examining the effects of an organizational intervention (Productivity Measurement and Enhancement System or ProMES) on employee stress. The aims were to explore the implementation process and fidelity to the intervention guidelines, examine the influence...
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doaj-bf4042ddbd4a4348924d9dff6deb1fcf2020-11-25T03:44:58ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012020-10-01177285728510.3390/ijerph17197285Process Evaluation of a Participative Organizational Intervention as a Stress Preventive Intervention for Employees in Swedish Primary Health CareBozana Arapovic-Johansson0Irene Jensen1Charlotte Wåhlin2Christina Björklund3Lydia Kwak4Unit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institute, 17177 Stockholm, SwedenUnit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institute, 17177 Stockholm, SwedenUnit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institute, 17177 Stockholm, SwedenUnit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institute, 17177 Stockholm, SwedenUnit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institute, 17177 Stockholm, SwedenThis study is a process evaluation of a trial examining the effects of an organizational intervention (Productivity Measurement and Enhancement System or ProMES) on employee stress. The aims were to explore the implementation process and fidelity to the intervention guidelines, examine the influence of contextual factors (hindrances and facilitators) and explore participants’ experience of working with ProMES. We used the UK Medical Research Council (MRC) guidance to guide the process evaluation. The recruitment, reach and dose delivered were satisfactory and participation high. The employees felt ProMES clarified priorities, gave control and increased participation in decision-making. However, difficulty in obtaining statistical productivity data from the central administration office (a central feature of the intervention) hindered full implementation and regular feedback meetings. Staffing shortages interfered with the implementation process, while having seven design teams and one consultant prevented all occupational groups from working simultaneously. A detailed examination of access to necessary organizational data should be undertaken before implementing ProMES. We recommend a better introduction for new employees, more work on design and packaging and giving employees more training in how to use the software program. The study contributes to our understanding of process evaluations in research into organizational stress management interventions.https://www.mdpi.com/1660-4601/17/19/7285process evaluationorganizational level interventionimplementationConsolidated Framework for Implementation Researchmixed method designprimary health care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bozana Arapovic-Johansson Irene Jensen Charlotte Wåhlin Christina Björklund Lydia Kwak |
spellingShingle |
Bozana Arapovic-Johansson Irene Jensen Charlotte Wåhlin Christina Björklund Lydia Kwak Process Evaluation of a Participative Organizational Intervention as a Stress Preventive Intervention for Employees in Swedish Primary Health Care International Journal of Environmental Research and Public Health process evaluation organizational level intervention implementation Consolidated Framework for Implementation Research mixed method design primary health care |
author_facet |
Bozana Arapovic-Johansson Irene Jensen Charlotte Wåhlin Christina Björklund Lydia Kwak |
author_sort |
Bozana Arapovic-Johansson |
title |
Process Evaluation of a Participative Organizational Intervention as a Stress Preventive Intervention for Employees in Swedish Primary Health Care |
title_short |
Process Evaluation of a Participative Organizational Intervention as a Stress Preventive Intervention for Employees in Swedish Primary Health Care |
title_full |
Process Evaluation of a Participative Organizational Intervention as a Stress Preventive Intervention for Employees in Swedish Primary Health Care |
title_fullStr |
Process Evaluation of a Participative Organizational Intervention as a Stress Preventive Intervention for Employees in Swedish Primary Health Care |
title_full_unstemmed |
Process Evaluation of a Participative Organizational Intervention as a Stress Preventive Intervention for Employees in Swedish Primary Health Care |
title_sort |
process evaluation of a participative organizational intervention as a stress preventive intervention for employees in swedish primary health care |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2020-10-01 |
description |
This study is a process evaluation of a trial examining the effects of an organizational intervention (Productivity Measurement and Enhancement System or ProMES) on employee stress. The aims were to explore the implementation process and fidelity to the intervention guidelines, examine the influence of contextual factors (hindrances and facilitators) and explore participants’ experience of working with ProMES. We used the UK Medical Research Council (MRC) guidance to guide the process evaluation. The recruitment, reach and dose delivered were satisfactory and participation high. The employees felt ProMES clarified priorities, gave control and increased participation in decision-making. However, difficulty in obtaining statistical productivity data from the central administration office (a central feature of the intervention) hindered full implementation and regular feedback meetings. Staffing shortages interfered with the implementation process, while having seven design teams and one consultant prevented all occupational groups from working simultaneously. A detailed examination of access to necessary organizational data should be undertaken before implementing ProMES. We recommend a better introduction for new employees, more work on design and packaging and giving employees more training in how to use the software program. The study contributes to our understanding of process evaluations in research into organizational stress management interventions. |
topic |
process evaluation organizational level intervention implementation Consolidated Framework for Implementation Research mixed method design primary health care |
url |
https://www.mdpi.com/1660-4601/17/19/7285 |
work_keys_str_mv |
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