Editorial: Healthy Healthcare: Empirical Occupational Health Research and Evidence-Based Practice

Lange, Annet de; Løvseth, Lise Tevik; Teoh, Kevin; Christensen, Marit

doi:10.3389/fpsyg.2020.02236

Cited by 16 publications

(21 citation statements)

References 41 publications

(38 reference statements)

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“…This is in line with taking a systemic approach to explaining and improving healthcare workers' experience (e.g. Kinman et al, 2020;De Lange et al, 2020).…”

supporting

confidence: 58%

Commentary: Nurses’ intention to stay in the work environment in acute healthcare: a systematic review

Bayliss

2022

Journal of Research in Nursing

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“…This is in line with taking a systemic approach to explaining and improving healthcare workers' experience (e.g. Kinman et al, 2020;De Lange et al, 2020).…”

supporting

confidence: 58%

Commentary: Nurses’ intention to stay in the work environment in acute healthcare: a systematic review

Bayliss

2022

Journal of Research in Nursing

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“…This means that, on the one hand, team PSC is derived from a collective perception of individuals working within the team while, on the other hand, it is also constrained and influenced by other factors, such as leadership. We focus our sample on health care workers in view of the importance of maintaining their good psychological health (de Lange et al, 2020). While convergence of perceptions happens through daily interactions, health care workers are expected to have high levels of collaboration and cooperation with other team members, facilitating the convergence process.…”

Section: The Present Studymentioning

confidence: 99%

How psychosocial safety climate (PSC) gets stronger over time: A first look at leadership and climate strength.

Loh¹,

Dollard²,

McLinton³

et al. 2021

Journal of Occupational Health Psychology

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Psychosocial safety climate (PSC) reflects the priority an organization sets for the psychological health and safety of its employees, important to predict future job design and worker health. PSC is assessed by aggregating employee perceptions to determine PSC level (mean scores) and strength (converging perceptions). Theoretically, the ideal climate is when PSC is high and strong, yet we do not know how to build these fundamentals. Since team leaders may transmit and shape PSC as set down by senior management, we explore their role (i.e., PSC and transformational leadership) in increasing and converging PSC perceptions in a team. We used three-wave longitudinal data (6-month lags) from 49 team leaders and 281 Australian health care workers nested in 49 teams. Multilevel analysis showed that team PSC levels increased over time. Using the consensus emergence model, PSC strength was moderated by PSC leadership. Considering PSC starting levels, when low, high PSC leaders were associated with increasing PSC, but if starting levels were high, low PSC leaders were associated with decreasing PSC levels and strength while high PSC leaders were associated with sustaining PSC strength. Transformational leaders had smaller effects than PSC leaders on PSC levels and no effect on strength. Mid-leaders' values and actions for employee psychological health are important to build PSC level and sustain strength. In this, they can reinforce PSC certainty and its safety signal effect which is shown to be important for reducing psychological problems.

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“…Instead, it requires ownership of the problem by those who have influence over the organizations and systems in which nurses and midwives work and who can implement change. At its roots, supporting the mental wellbeing of nurses and midwives is crucial for the provision of safe and high‐quality care (de Lange et al, 2020), so a more unified approach is required for both efforts. The recommendations provided here at different levels offer a starting point, or a list of actions, for different stakeholders to follow through.…”

Section: Discussionmentioning

confidence: 99%

Recommendations to support the mental wellbeing of nurses and midwives in the United Kingdom: A Delphi study

Teoh

Kinman

Harriss

et al. 2022

Journal of Advanced Nursing

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Aim:To use the Delphi technique to identify and prioritize recommendations for research and practice to improve the mental wellbeing of nurses and midwives in the United Kingdom (UK).Background: Although there is evidence that self-reported mental wellbeing among nurses and midwives in the UK is poor, interventions have not adequately considered the wider context in which they work. The wide range of individual, organizational, occupational and wider sector-level factors that can influence wellbeing requires the involvement of different stakeholders to identify the most pressing actions required. Design: A three-round Delphi technique was conducted in 2019.Methods: In the first round, 16 subject matter experts generated, reviewed and discussed recommendations from a review of the research evidence with potential to support the mental wellbeing of nurses. A second group with 23 stakeholder representatives then rated and provided feedback on the developed recommendations through two additional rounds. Recommendations that received an 'essential' or 'important' rating from at least 80% of participants were retained and prioritized. Results:In total, 45 recommendations met the consensus agreement and were retained. More than half (57%) involved action at the organizational level, 27% to public policy and 13% to research. Only one recommendation is related to the individual.Collectively, these recommendations highlight the importance of taking direct action to tackle poor mental wellbeing among the workforce and initiating change at the policy and organizational level. Conclusion:Our findings emphasize the need to take a systemic approach to improving the mental health of nurses and midwives in the UK with input from different stakeholders. There is a clear consensus that action is needed at the organization and policy levels, rather than at the individual level as is current practice. Impact:This study provides a framework, alongside a set of practical recommendations, that provides a starting point for different stakeholders to understand, address and support the mental wellbeing of nurses and midwives. Although UK-focused, it has relevance to healthcare workforces internationally.

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Editorial: Healthy Healthcare: Empirical Occupational Health Research and Evidence-Based Practice

Cited by 16 publications

References 41 publications

Commentary: Nurses’ intention to stay in the work environment in acute healthcare: a systematic review

Commentary: Nurses’ intention to stay in the work environment in acute healthcare: a systematic review

How psychosocial safety climate (PSC) gets stronger over time: A first look at leadership and climate strength.

Recommendations to support the mental wellbeing of nurses and midwives in the United Kingdom: A Delphi study

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