HEALTHY WORK ORGANIZATION--INTERVENTION EFFECTIVENESS

这项订正建议的总目标是评估旨在改善健康工作组织的实地干预措施的有效性。健康的工作组织是一个有吸引力的概念，因为它假设改善员工健康和福祉的行动也有利于“底线”财务绩效。研究涉及健康工作组织的各个方面，但几乎没有注意评估实际工作环境中的相关干预措施。建议的干预使用数据驱动的问题解决团队，该团队结合了全面质量管理（TQM）、工人参与和社区参与的元素。家得宝公司是该项目的合作伙伴。该研究有三个具体目的：1)调查健康/安全和财务绩效作为解决问题干预措施的功能的变化；2)研究干预如何影响组织氛围，特别是参与和信息交流的相关维度；3)探讨问题解决干预对支撑本研究的健康工作组织理论模型的外生和内生成分的影响。在第一年，将使用基于理论模型开发的健康组织审计，从家得宝中南部地区所有商店的员工中收集基线数据。同时，将收集组织效率数据（健康/安全和财务绩效结果）。10对匹配的商店将被随机分配到治疗和控制条件。将在干预开始后8个月和20个月收集后续组织有效性数据。数据将使用层次线性和结构方程建模技术进行分析。焦点小组和组织线人访谈形式的定性数据将补充定量措施。该现场验证与NORA的两个优先事项有关，即工作组织和干预有效性，并且对鼓励企业在工作场所安全和健康方面采取主动和全面的举措具有潜在的重要意义。

The overall goal of this revised proposal is to evaluate the effectiveness of a field-based intervention designed to improve healthy work organization. Healthy work organization is an attractive concept because it assumes that actions taken to improve employee health and well-being also benefit "bottom line" financial performance. Research has addressed the dimensions of healthy work organization, but virtually no attention has been given to evaluating relevant interventions in real work settings. The proposed intervention uses data-driven problem-solving teams that combine elements from total quality management (TQM), worker involvement, and community engagement. Home Depot, Inc. is the corporate partner for this project. The research has three specific aims: 1) to investigate changes in both health/safety and financial performance as a function of the problem-solving intervention; 2) to investigate how the intervention impacts organizational climate, specifically dimensions related to participation and information exchange; and 3) to explore the impact of the problem-solving intervention on the exogenous and endogenous components of the theoretical model of healthy work organization which undergirds this study. During year 1, baseline data will be collected from employees in all stores in Home Depot's mid-south region, using the healthy organization audit developed on the basis of the theoretical model. At the same time, organizational effectiveness data (both health/safety and financial performance outcomes) will be collected. Ten matched pairs of stores will be randomly assigned to treatment and control conditions. Follow-up organizational effectiveness data will be collected at 8 and 20 months after the start of the intervention. Data will be analyzed using hierarchical linear and structural equation modeling techniques. Qualitative data in the form of focus groups and organizational informant interviews will supplement the quantitative measures. This field validation is pertinent to two NORA priorities, Work Organization and Intervention Effectiveness, and has potentially important implications for encouraging businesses to embrace proactive and comprehensive initiatives in workplace safety and health.