Assessment of organizational readiness for participatory occupational safety, health and well-being programs.
Assessment of organizational readiness for participatory occupational safety, health and well-being programs.
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DOI：
10.3233/wor-213552
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Murphy LA
中科院分区：
文献类型：
--
作者：
Robertson MM;Tubbs D;Henning RA;Nobrega S;Calvo A;Murphy LA
对变革措施的组织准备情况进行了审查，以开发评估工具，用于指导基于工人全面健康（TWH）原则的职业安全和健康计划的实施。理论和实证同行评审文献中揭示了相当大的概念模糊性。开发并验证组织可用于准备实施参与式 TWH 计划的评估工具。纳入标准确定了 29 种相关出版物。分析揭示了组织变革成功的八个关键组织特征和预测因素。创建了一个概念框架，主题专家用它来生成前瞻性调查项目。通过与高层管理人员进行 10 次认知访谈进行预测试并在 5 个医疗机构进行试点测试后，对项目进行了修订。基于 Cronbach’s α 测试域子量表的可靠性。组织准备工具 (ORT) 在以下八个领域显示出足够的心理测量特性和特异性：1) 当前的安全/健康/福祉计划； 2) 当前的安全/健康/福祉组织方法； 3) 可用于安全/健康/福祉的资源； 4) 为改善安全/健康/福祉而采取变革举措的资源和准备情况； 5) 在计划性举措中使用团队的资源和准备情况； 6）团队合作； 7) 员工参与的资源和准备情况； 8) 关于安全/健康/福祉的管理层沟通。观察了域分量表内部一致性统计的可接受范围。组织准备变革的概念模型指导组织准备工具 (ORT) 的开发，这是一种调查工具，旨在为实施参与式 TWH 计划提供可行的指导。在实施参与性 Total Worker Health® 计划之前，在多个组织进行管理后，证明了最初的内部一致性。
Organizational readiness for change measures were reviewed to develop an assessment tool for guiding implementation of an occupational safety and health program based on Total Worker Health (TWH) principles. Considerable conceptual ambiguity in the theoretical and empirical peer-reviewed literature was revealed. Develop and validate an assessment tool that organizations can use to prepare for implementation of a participatory TWH program. Inclusion criteria identified 29 relevant publications. Analysis revealed eight key organizational characteristics and predictors of successful organizational change. A conceptual framework was created that subject matter experts used to generate prospective survey items. Items were revised after pretesting with 10 cognitive interviews with upper-level management and pilot-tested in five healthcare organizations. Reliability of the domain subscales were tested based on Cronbach’s α. The Organizational Readiness Tool (ORT) showed adequate psychometric properties and specificity in these eight domains: 1) Current safety/health/well-being programs; 2) Current organizational approaches to safety/health/well-being; 3) Resources available for safety/health/well-being; 4) Resources and readiness for change initiatives to improve safety/health/well-being; 5) Resources and readiness for use of teams in programmatic initiatives; 6) Teamwork; 7) Resources and readiness for employee participation; and 8) Management communication about safety/health/well-being. Acceptable ranges of internal consistency statistics for the domain subscales were observed. A conceptual model of organizational readiness for change guided development of the Organizational Readiness Tool (ORT), a survey instrument designed to provide actionable guidance for implementing a participatory TWH program. Initial internal consistency was demonstrated following administration at multiple organizations prior to implementation of a participatory Total Worker Health® program.