Implementation of an organizational intervention to improve low-wage food service workers' safety, health and wellbeing: findings from the Workplace Organizational Health Study.
Implementation of an organizational intervention to improve low-wage food service workers' safety, health and wellbeing: findings from the Workplace Organizational Health Study.
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DOI：
10.1186/s12889-021-11937-9
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发表时间：
2021-10-16
影响因子：
4.5
通讯作者：
Wagner GR
中科院分区：
文献类型：
--
作者：
Sorensen G;Peters SE;Nielsen K;Stelson E;Wallace LM;Burke L;Nagler EM;Roodbari H;Karapanos M;Wagner GR
许多组织的干预措施旨在改善工作条件，以促进和保护工人的安全、健康和福祉。工作场所组织健康研究使用过程评价来检查影响组织干预实施的因素。本文考察了计划实施干预的程度，实施干预的剂量，以及组织环境阻碍或促进实施干预的方式。这个概念验证试验是在一家大型跨国公司进行的，该公司通过与企业客户的合同安排提供食品服务。这项为期13个月的干预于2018年10月在五个干预点启动。我们报告基于过程跟踪和定性数据的干预实施结果。对25个干预后访谈和89个过程跟踪文件的定性数据进行编码和主题分析。在为期13个月的干预中，研究小组代表每月与现场管理人员会面，就安全和人体工程学、工作强度和工作丰富性提供咨询和技术援助。大约三分之二的计划的面对面或电话接触发生了。随着我们对环境、工作要求和关系的了解越来越多，我们为每个站点量身定制了干预措施。此外，研究团队还定期与高层领导和地区经理会面，他们为公司提供资源和指导。通过评估干预所处的餐饮服务环境，我们探索了阻碍和促进干预实施的因素。财政压力、相互竞争的优先事项和快节奏的工作环境限制了现场管理人员的可用性，并限制了干预措施的全面实施。尽管得到公司高层领导的大力支持，我们在工地和地区层面实施计划中的干预措施时遇到了障碍。这些因素包括提高工作强度的经济需求；场地和地区管理人员的更替破坏了干预措施实施的连续性；人员的限制进一步增加了工作量和速度。调查结果强调了父母雇主和寄宿客户双方持续承诺和支持的必要性。本研究回顾性登记于临床试验。Gov协议和结果系统于2021年6月2日发布，指定注册号为NCT04913168。
Many organizational interventions aim to improve working conditions to promote and protect worker safety, health, and well-being. The Workplace Organizational Health Study used process evaluation to examine factors influencing implementation of an organizational intervention. This paper examines the extent to which the intervention was implemented as planned, the dose of intervention implemented, and ways the organizational context hindered or facilitated the implementation of the intervention. This proof-of-concept trial was conducted with a large, multinational company that provides food service through contractual arrangements with corporate clients. The 13-month intervention was launched in five intervention sites in October 2018. We report findings on intervention implementation based on process tracking and qualitative data. Qualitative data from 25 post-intervention interviews and 89 process tracking documents were coded and thematically analyzed. Over the 13-month intervention, research team representatives met with site managers monthly to provide consultation and technical assistance on safety and ergonomics, work intensity, and job enrichment. Approximately two-thirds of the planned in-person or phone contacts occurred. We tailored the intervention to each site as we learned more about context, work demands, and relationships. The research team additionally met regularly with senior leadership and district managers, who provided corporate resources and guidance. By assessing the context of the food service setting in which the intervention was situated, we explored factors hindering and facilitating the implementation of the intervention. The financial pressures, competing priorities and the fast-paced work environment placed constraints on site managers’ availability and limited the full implementation of the intervention. Despite strong support from corporate senior leadership, we encountered barriers in the implementation of the planned intervention at the worksite and district levels. These included financial demands that drove work intensity; turnover of site and district managers disrupting continuity in the implementation of the intervention; and staffing constraints that further increased the work load and pace. Findings underscore the need for ongoing commitment and support from both the parent employer and the host client. This study was retrospectively registered with the Clinical Trials. Gov Protocol and Results System on June 2, 2021 with assigned registration number NCT04913168.
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影响因子：
2.4
作者：
Glasgow, Russell E.;Klesges, Lisa M.;Vogt, Thomas M.
通讯作者：
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影响因子：
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影响因子：
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通讯作者：
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影响因子：
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