Health Promotion Work Research Articles

Promotion of the quality of life of workers in a higher education institution: a scope review

The present study aimed to map the evidence to provide an overview of actions implemented/executed and scales used in public higher education institutions to promote worker health. A scoping review based on the PCC (Population, Concept, and Context) mnemonic was conducted in PubMed, CINAHL, Scopus and Virtual Health Library (VHL). Population included workers from a higher education institution, the concept referred to studies focusing on the assessment of quality of life and health promotion actions and the context to higher education institutions. Electronic searches were held on December 2019. A qualitative synthesis of the data extracted from included studies (i.e. author, year, study design, sample, country, aims, action implemented/performed, thematic focus, evaluation) was performed. Electronic searches retrieved 3,330 articles that were screened by tittles and abstracts. Of these, 34 studies were fully appraised, of which four reported that actions implemented/executed related to sedentariness, posture and stress. The studies show 49 scales were identified to measuring at least one quality of life item. Through this scoping review the available evidence to provide an overview of actions implemented/executed and scales used in public higher education institutions to promote worker health. Future studies should consider more rigorous designs and objective measures to measure the quality of life of these professionals, and develop target interventions based on factors associated with the work. It is also necessary to evaluate whether the strategies work.

The Oxford Royal College of General Practitioners Clinical Informatics Digital Hub: Protocol to Develop Extended COVID-19 Surveillance and Trial Platforms.

BackgroundRoutinely recorded primary care data have been used for many years by sentinel networks for surveillance. More recently, real world data have been used for a wider range of research projects to support rapid, inexpensive clinical trials. Because the partial national lockdown in the United Kingdom due to the coronavirus disease (COVID-19) pandemic has resulted in decreasing community disease incidence, much larger numbers of general practices are needed to deliver effective COVID-19 surveillance and contribute to in-pandemic clinical trials.ObjectiveThe aim of this protocol is to describe the rapid design and development of the Oxford Royal College of General Practitioners Clinical Informatics Digital Hub (ORCHID) and its first two platforms. The Surveillance Platform will provide extended primary care surveillance, while the Trials Platform is a streamlined clinical trials platform that will be integrated into routine primary care practice.MethodsWe will apply the FAIR (Findable, Accessible, Interoperable, and Reusable) metadata principles to a new, integrated digital health hub that will extract routinely collected general practice electronic health data for use in clinical trials and provide enhanced communicable disease surveillance. The hub will be findable through membership in Health Data Research UK and European metadata repositories. Accessibility through an online application system will provide access to study-ready data sets or developed custom data sets. Interoperability will be facilitated by fixed linkage to other key sources such as Hospital Episodes Statistics and the Office of National Statistics using pseudonymized data. All semantic descriptors (ie, ontologies) and code used for analysis will be made available to accelerate analyses. We will also make data available using common data models, starting with the US Food and Drug Administration Sentinel and Observational Medical Outcomes Partnership approaches, to facilitate international studies. The Surveillance Platform will provide access to data for health protection and promotion work as authorized through agreements between Oxford, the Royal College of General Practitioners, and Public Health England. All studies using the Trials Platform will go through appropriate ethical and other regulatory approval processes.ResultsThe hub will be a bottom-up, professionally led network that will provide benefits for member practices, our health service, and the population served. Data will only be used for SQUIRE (surveillance, quality improvement, research, and education) purposes. We have already received positive responses from practices, and the number of practices in the network has doubled to over 1150 since February 2020. COVID-19 surveillance has resulted in tripling of the number of virology sites to 293 (target 300), which has aided the collection of the largest ever weekly total of surveillance swabs in the United Kingdom as well as over 3000 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) serology samples. Practices are recruiting to the PRINCIPLE (Platform Randomised trial of INterventions against COVID-19 In older PeopLE) trial, and these participants will be followed up through ORCHID. These initial outputs demonstrate the feasibility of ORCHID to provide an extended national digital health hub.ConclusionsORCHID will provide equitable and innovative use of big data through a professionally led national primary care network and the application of FAIR principles. The secure data hub will host routinely collected general practice data linked to other key health care repositories for clinical trials and support enhanced in situ surveillance without always requiring large volume data extracts. ORCHID will support rapid data extraction, analysis, and dissemination with the aim of improving future research and development in general practice to positively impact patient care.International Registered Report Identifier (IRRID)DERR1-10.2196/19773

Prevention, Health Promotion, and Social Work: Aligning Health and Human Service Systems Through a Workforce for Health

The seminal Consensus Study by the National Academies of Science, Engineering, and Medicine released in September 2019 describes the benefits of integrating health and social care service delivery, underscoring the central role of social determinants of health (SDOH) in health outcomes. Although the report's focus on the integration of health and social care contributes a much needed perspective to the national discourse on SDOH and offers a useful framework for organizing service delivery activities, the omission of prevention and health promotion throughout the report is a substantial limitation.We call for increased attention to and investment in prevention and health promotion in the proposed 5As framework. We contend that effectively addressing SDOH and improving alignment between health and social systems require reconceptualization of the traditional health care workforce and renewed state and national advocacy efforts.A paradigm shift encompassing a broader "workforce for health" that is well trained in prevention, health promotion, and advocacy is critical to addressing SDOH, improving population health outcomes, and achieving health equity. Given their professional mission, training, expertise, and scope of practice, social workers are well positioned to lead this effort.

A Resourceful Work Environment Moderates the Relationship between Presenteeism and Health. A Study Using Repeated Measures in the Swedish Working Population.

The objective of this study was to investigate if the psychosocial work environment moderates the proposed negative impact of presenteeism on future general health. We expect that the negative impact of presenteeism on general health is weaker if the psychosocial work environment is resourceful, and more pronounced if the environment is stressful. Data were derived from the 2008–2018 biennial waves of the Swedish Longitudinal Occupational Survey of Health (SLOSH). The final analytic sample consisted of n = 15,779 individuals. We applied repeated measures regression analyses through generalized estimating equations (GEE). Results from the autoregressive GEE models showed statistically significant interaction terms between presenteeism and all four investigated moderators, i.e., job demands, job control, job support and job strain. The results indicate that the psychosocial work environment moderates the negative association between presenteeism and general health and illustrates a buffering effect of the psychosocial work environment. A possible explanation for these results may be that psychosocially resourceful work environments give room for adjustments in the work situation and facilitate recovery. The results also indicate that by investing the psychosocial work environment employers may be able to promote worker health as well as prevent reduced job performance due to presenteeism.

Enfermeiro do trabalho na prevenção de riscos biológicos ocupacionais: uma revisão de literatura no âmbito hospitalar

O enfermeiro do trabalho atribui-se de forma significativa no âmbito hospitalar o desenvolvimento de ações para medidas de segurança, detecção e minimização dos riscos ocupacionais de acordo com a atividade realizada e os agravos biológicos a que estão expostos os profissionais de enfermagem, com o objetivo de melhorar as condições laborais. Trata-se de uma pesquisa bibliográfica de abordagem qualitativa, com objetivo de descrever a atuação do enfermeiro do trabalho para a redução do risco biológico no âmbito hospitalar. Após a associação de todos os descritores foram encontrados 151 artigos, excluídos 138 e selecionados 13. Posterior à leitura reflexiva emergiram quatro categorias: Principais eventos adversos biológicos; O Enfermeiro do Trabalho na prevenção dos riscos ocupacionais. Dentre os riscos a que os trabalhadores estão expostos ressalta-se a infecção hospitalar, a potencial transmissão do Vírus da Imunodeficiência Adquirida (HIV), do Vírus da Hepatite B (HBV) e da Hepatite C (HCV), além de outras ocorrências danosas a saúde do trabalhador. O papel do Enfermeiro do trabalho passou por transformações e evoluções, sendo hoje considerado um profissional de extrema importância para qualquer organização, à medida que por meio de sua orientação e atenção, seja prevenido os acidentes e doenças laborais e também aconteça a promoção da saúde dos trabalhadores. Conclui-se que o enfermeiro tem a formação voltada para o gerenciamento além de estar apto a realizar procedimentos de menor e maior complexidade bem como prescrever ações, adotando medidas de precaução universal de biossegurança. Sua atuação prevê um planejamento estratégico, o que facilita para a elaboração de pesquisa de acidentes ocupacionais e consequentemente a prevenção destes.

Integrating pharmacists into care teams: a qualitative systematic review protocol.

This review will systematically examine the qualitative literature reporting on strategies that have been used (or could be developed) by health care services to integrate pharmacists into a multidisciplinary health care team. Delivery models of pharmaceutical care have been developed, trialed and refined since this concept was first defined more than 30 years ago. Delivery models that integrate pharmacists within a multidisciplinary team allow pharmacists to play a pivotal role in improving health outcomes for patients and contributing to patient self-management. Systematic reviews clearly demonstrate the effectiveness of these models; however, the attitudes, beliefs, expectations, understandings, perceptions and experiences of these multidisciplinary teams is less clear. The populations of interest in this review are health care providers, including hospital specialists, general practitioners, nurses, health workers, pharmacists, allied health workers, aged care workers, Indigenous health workers and health promotion workers. The phenomena of interest are attitudes, beliefs, expectations, understandings, perceptions and experiences of the populations of interest arising from experiencing, developing or implementing strategies that have or could support the integration of pharmacists into multidisciplinary health care teams. The databases to be searched include PubMed, Cochrane, EBSCO (CINAHL), Embase, MedNar, Trove and Australian Indigenous Health Infonet. Studies published from 2011 onwards and in English will be considered for inclusion. Selected studies will be assessed for methodological quality by two independent reviewers, using standardized critical appraisal instruments. Where possible, qualitative research findings will be pooled. Where textual pooling is not possible, the findings will be presented in narrative form.

What do young women living in regional and rural Victoria say about chlamydia testing? A qualitative study.

Semistructured interviews were conducted with 11 women aged between 18 and 30 years residing in north-east Victoria, Australia. Interviews were transcribed verbatim and analysed thematically. Themes were grouped under four categories: (1) chlamydia and stigma; (2) the application of stigma to self and others; (3) factors affecting testing; and (4) knowledge. A chlamydia infection was associated with stigma. The young women in this study anticipated self-stigma in relation to a positive diagnosis, but resisted stigmatising others. Increased knowledge about chlamydia prevalence was associated with reduced self-stigma. The most consistent factor affecting testing decisions was personal risk assessment. Knowledge gaps about symptoms, testing and treatment were also identified, with participants not always accessing information from reputable sources. Chlamydia testing was viewed as a positive activity among this cohort. However, there is considerable perceived stigma about being diagnosed with an infection. Interventions that communicate prevalence, reduce stigma and provide factual information about testing and risk are still needed. Clinicians have an opportunity to convey this information at consultation. Health promotion workers should continue to develop and run campaigns at a community level to encourage regular screening.

Corporate worker health promotion programs — Review of foreign publications

Corporate worker health promotion programs — Review of foreign publications

Work analysis tool for higher education: Development and validation of the german student measure WA-S Screening

BACKGROUND:Work demands, resources and stressors affecting health, well-being and motivation also exist in the work of university students. There is a shortage of measures for analyzing work characteristics in this setting.OBJECTIVE:This article addresses that shortage of measures and describes the development and the validation of the short Work Analysis Measure for Students (WA-S Screening).METHODS:In study 1 (N = 422 students in Austria) the final version of the measure was developed based on analyzing the factor structure and psychometric properties of items and scales. Study 2 (N = 333 German-speaking students in Germany, Austria and Switzerland) was conducted for a cross validation and analyzing the criterion validity.RESULTS:An eight-scale structure of the WA-S Screening was supported in study 1 and 2. The scales have shown to be significantly associated with burnout and work engagement in study 2.CONCLUSIONS:The examinations indicate that the WA-S Screening is a short, reliable and valid instrument to identify critical, health-promoting work characteristics in the context of studying at university.

Healing work

PurposeThe purpose of this paper is to explore women’s experiences in one such social enterprise, and to analyze the ways in which this social enterprise supports and/or undermines its employees’ health and well-being. Finding and keeping employment during recovery from addiction is a strong predictor of women’s ability to maintain sobriety and accomplish other important life goals. Many treatment organizations have programs that support job readiness and acquisition; however, less priority is placed on the quality of the workplaces and their consequences for continued health and well-being. Social enterprises that exist for the purpose of employing women in recovery have the potential to be health-promoting workspaces, but understanding how health is supported for this particular population is important.Design/methodology/approachThis paper provides an ethnographic account of Light Collective, a social enterprise run by women in recovery from addiction. Data were collected through 2 years of participant observation, 38 interviews and 2 focus groups. Data were analysed using a grounded theory approach.FindingsLight Collective provides a health-promoting workplace by keeping barriers to employment low and making work hours and expectations individualized and flexible. Furthermore, the organization creates a setting in which work is developmentally nurturing, provides the opportunity for meaningful mastery and serves to build community amongst women who are often marginalized and isolated in more traditional contexts.Originality/valueThis study contributes to literature exploring the potential for social enterprises to create health-promoting workplaces by focusing the types of workplace commitments required to support a particularly vulnerable population. This study also explores some of the challenges and contradictions inherent in trying to create health-promoting work environments vis-à-vis the constraints of broader economic systems.

Models and evidence of intersectoral cooperation in prevention and health promotion

Abstract Background Inter-sectoral coalitions are regarded as a key principle of health promotion. The study examines the questions of how these are defined, which scientific theories and models are available, and which methods and parameters are used for their evaluation. Methods The scoping review in three databases (PubMed, Web of Science, LIVIVO) included studies in English and German published in 1/2010 to 5/2018. The results were analyzed qualitatively. In addition, relevant websites and textbooks in the field of public health, health promotion and social work were subjected to a document analysis in an iterative procedure. Results The database searches yielded 186 hits, of which 48 publications were systematically examined. Document analysis revealed 128 materials. Six common terms on inter-sectoral cooperation (network, collaboration, partnership, coalition, cooperation, alliance) were identified. Uniform definitions and unambiguous distinctions do not exist. Overall, only a few of the identified inter-sectoral collaborations are theoretically based, nine publications present models. Only seven studies provide insights into the effectiveness of model/theory-based strategies, whereby these almost exclusively examine output parameters. In particular, there are parameters on structure and process (e.g. team functioning, coalition capacity). Qualitative success factors and barriers were identified (e.g. integration of different actors, development of new financial sources, formalization). Eight validated instruments are identified. Four studies also examine the outcome level and demonstrate intended effects on behavioral parameters. Conclusions For research and practice, it is necessary to sharpen the terminology of intersectoral cooperation. Existing models should be systematically used and evaluated. In the future, an evaluation of the outcome of inter-sectoral cooperation and long-term effects will be increasingly necessary. Key messages Inter-sectoral coalitions are an evolving field, and both their theoretical foundation and empirical testing are still in their infancy. While success factors are well investigated, evaluations at the outcomes level are particularly necessary.

Clinical psychologists in primary mental health care in Norway - what to do?

Abstract Background The past 20 years Norwegian health authorities have put significant effort into increasing the number of clinical psychologists in primary health care. By 2020, all Norwegian municipalities are required by law to have clinical psychologists available. In 2018, only about half of the 422 municipalities had fulfilled this requirement, and the number of vacant positions is growing. The purpose of this study was to investigate the usefulness of clinical psychologists in a primary care setting as perceived from primary mental health care leaders/employees and those who educate clinical psychologists at the universities. Methods We combined the use of open-ended questions in a survey (N = 456) among leaders and employees of primary mental health services in Norway, with data from semi-structured focus group and individual interviews (N = 15) with academic staff at the four universities in Norway that provides education for clinical psychologists. Results The discussion on utilisation and usefulness of clinical psychologists in Norwegian primary care often condensates into weighing time spent on a never-ending demand for individual therapy against time spent on health promotion, prevention and system level work. Traditionally, Norwegian psychologists have received education mostly focusing on treatment methodology and individual therapy most suitable for the specialist services. The curricula are now changing towards more health promotion/prevention in primary care, but still lacks focus on system level approaches like collaboration with and guidance of other professions - which are the qualities asked for from those who hire clinical psychologists in primary mental health care. Conclusions Interdisciplinary collaboration with a wide spectre of professionals and thereby ’working with and through others’ in the health and welfare services, was suggested to be the most efficient way of utilising psychological clinical competence. Key messages The Norwegian clinical psychologists’ education is becoming more primary care friendly. Psychologists in primary care must be part of interdisciplinary teams where they can work with and trough others.

Language, Culture, and Collectivism: Uniting Coalition Partners and Promoting Holistic Health in the Menominee Nation.

Recent perspectives on Indigenous health have recognized language, culture, and values as central to well-being and recovery from historical trauma. Health coalitions, which identify community health concerns and mobilize members to implement strategies for change, have begun to shift their focus from programs to policy, systems, and environmental change but have been slower to recognize the possibilities of centering Indigenous ways of being in their work. This article details a case study of the Menominee Wellness Initiative, an Indigenous health coalition that has increasingly made language, culture, and collective values the focus of their health promotion work, and often due to the participation and influence of community organizers in the coalition. The study is presented as a collaborative writing effort between coalition members and academic partners. Qualitative data were gathered through observations of coalition meetings; in-depth, semistructured interviews with coalition members; and interactive data analysis discussions within the collaborative writing team. In the results, we describe how the shift in the coalition's framework came to be and the influence this shift has had on the coalition, its activities, and its community impacts. These findings illustrate and extend understanding of several principles of Collaborating for Equity and Justice and supports literature and practice related to health promotion through the centering of Indigenous ways.

A multicountry European study on Succeed: a general quality improvement tool in HIV prevention.

The context-sensitive nature of the European HIV epidemic (e.g. differences in key populations, prevention settings, resource commitments) makes it challenging to monitor and evaluate HIV prevention and sexual health promotion programs. Systematic quality improvement (QI) tools and quality indicators adapted to HIV prevention are not widely known or implemented. The European 'Quality Action' introduced five such tools in 26 countries involving 45 nongovernmental and governmental organizations during 2014-2016. Approximately, half of the organizations used the tool 'Succeed'. This study aims to describe challenges and supportive factors in its use, and answers the research question if Succeed can be applied as a general QI tool despite the high contextuality of the European HIV prevention field. Mixed method research was conducted: data from quantitative pre- and post-training and implementation surveys were triangulated with qualitative data from multiple data sources analysed inductively. In a second analytical step, Chaudoir's evidence-based framework on implementation of innovations (2013) guided the data analysis on five levels: policy, organization, functionality of the tool, results and perceived innovations. Succeed contributed to goal and result orientation, facilitated stakeholders' participation and contributed to organizational development. Succeed was used in similar ways and with similar results across different policy contexts, types of organizations, target groups and interventions. Contributing factors for sustainable implementation were supporting environments, sufficient resources and a strategy for training tool users. Findings strongly support the use of Succeed as a general QI tool to monitor, document, adapt and improve HIV prevention and sexual health promotion work across Europe.

Translating systems thinking into practice for community action on childhood obesity.

SummaryWe report on the first 18 months of two communities' efforts using methods inspired by community‐based participatory system dynamics for the development, implementation, and evaluation of whole of community efforts to improve the health of children. We apply Foster‐Fishman's theoretical framework for characterizing systems change to describe the initiatives. Bounding the system began with defining leaders more broadly than standard health interventions to be those who had the ability to change environments to improve health, including food retailers, government, and business, and using high‐quality childhood monitoring data to define the problem. Widespread access to junk food, barriers to physical activity, and efforts to promote health predominantly through programmatic approaches were identified as potential root causes. System interactions existed in the form of relationships between stakeholder groups and organizations. The approach described built new relationships and strengthened existing relationships. Willingness in taking risks, changing existing practice, and redesigning health promotion work to have a community development focus, were levers for change. This approach has resulted in hundreds of community‐led actions focused on changing norms and environments. Insights from this approach may be useful to support other communities in translating systems theory into systems practice. Further empirical research is recommended to explore the observations in this paper.

Affective organizational commitment among nursing home employees: A longitudinal study on the influence of a health-promoting work environment.

AimTo investigate whether affective organizational commitment (AOC) among nursing home employees is enhanced by a health‐promoting work environment, conceptualized as high levels of job resources, work‐related sense of coherence (work‐SOC) and low levels of job demands.DesignThis study used a longitudinal design. Survey data were collected with a 1‐year interval between 2015/2016–2016/2017 among nursing home employees in Norway.MethodsStructural equation modelling was used to analyse the longitudinal data (N = 166) and cross‐sectional data from the first time point (N = 558).ResultsThe results supported that work‐SOC was strongly and positively related to AOC. Job resources and job demands were positively and negatively related, respectively, to work‐SOC but were not related to future AOC. The indirect effects of autonomy and supervisor support on AOC, via work‐SOC, were significant. The indirect effects regarding social community at work, emotional demands and role conflict were unclear.

Health Promotion Practices in Nursing for Elderly Persons in Municipal Home Care: An Integrative Literature Review

Elderly patients sometimes seek emergency services unnecessarily. Emergency clinics can be detrimental to the elderly. The purpose of this study was to find health promotion practices that enable a registered nurse in community health to reduce the need for home care clients to seek emergency care. The method of integrative literature review was used. Through health promotion work in the home, the registered nurses in community health (in conjunction with other professionals) can strengthen patients’ self-esteem and reduce their emergency care visits. Patient involvement is part of this work, and the registered nurses in community health needs to get to know patients to learn their health needs, design individual care plans, and find out whether they need education about their own health and/or health care services available to them. Registered nurses in community health experience difficulties in performing health promotion because they perceive that other tasks have higher priority.

Constructing better health and wellbeing? Understanding structural constraints on promoting health and wellbeing in the UK construction industry

Purpose The construction industry has high rates of work-related ill health. Whilst there have been more recent calls for a “health like safety” narrative within the industry, health has still predominantly been viewed via health risks rather than a more holistic conceptualisation of health and well-being. The workplace is viewed as a fruitful site for health promotion work, yet we know little about the possibilities and promise of health promotion within the construction industry. The paper aims to discuss these issues. Design/methodology/approach This paper explores the views of stakeholders with health-related roles and responsibilities within the UK construction industry. From the 21 semi-structured qualitative interviews, thematic analysis was conducted and two key themes emerged: the construction industry as anti-health promoting and understanding industry-specific health issues. Findings The construction industry faces significant constraint in attempting to promote better health and well-being due to its makeup, yet the health and well-being issues of the industry notably stress, and early retirement are major issues for both the industry and individuals. Practical implications The authors argue that only through understanding the structural constraints of the industry in this way can the possibilities and potentials for undertaking health promotion work be fully embedded within the industry in order to help create meaningful change for both employees and the industry as a whole. Originality/value This paper offers insight into the challenges that exist within construction for promoting positive employee health and well-being and takes an in-depth approach to exploring why health promotion may not be occurring within the industry.

Factors associated with health literacy in rural areas of Central China: structural equation model

BackgroundHealth literacy is a strong predictor of health status. This study develops and tests a structural equation model to explore the factors that are associated with the health literacy level of rural residents in Central China.MethodsThe participants were recruited from a county-level city in Central China (N = 1164). Face-to-face interviews were conducted to complete the self-designed questionnaire of each participant. The questionnaire included items for the (1) demographic information, (2) socioeconomic status, and (3) health literacy of the participants. Mplus analyses were performed to evaluate the proposed model.ResultsThe final model showed good fit for the data, and both demographic characteristics (i.e., age, BMI, and residence) and socioeconomic status (i.e., monthly income, occupation, and education level) were significantly associated with health literacy level. The effects of these two variables were − 0.277 (P < 0.05) and 0.615 (P < 0.001), respectively, and the model explained 70.2% of the variance in health literacy.ConclusionsHealth literacy was significantly associated with age, BMI, distance between residence and nearest medical institution, monthly income, occupation, and education level, whereas socioeconomic status was a dominant predictor of health literacy level. Targeting these factors might be helpful in allocating health resources rationally when performing health promotion work.

Mental well-being among students in Norwegian upper secondary schools: the role of teacher support and class belonging

Knowledge about factors in school that can promote adolescents’ mental health is of great value for national health policies and health promotion work. This cross-sectional study investigated levels of mental wellbeing measured with the Warwick-Edinburgh Mental Well-being Scale and the relationship with teacher support and class belonging among 574 Norwegian high school students, aged 16-17 (55.1% boys). The data stem from the COMPLETE-project. Results showed that students reported an average mental wellbeing of 3.50 (SD 0.88, range 1-5), with significant differences across gender, study specialization area and socioeconomic status groups. Class belonging partially mediated the observed relationship between teacher support and mental well-being after adjusting for covariates. The findings indicate that a supportive teacher may be a significant factor for both students’ class belonging and mental well-being, and suggests that school policies and programs should include a focus on promoting teachers’ supportive behavior.