An Occupational Health Literacy Intervention in Nursing Homes Improved Organizational Health Literacy-A Quasi-Experimental Stepped Wedge Cluster Trial.

Anne Konring Larsen, Lau Caspar Thygesen, Mia Nyvang Stilling, Charlotte Diana Nørregaard Rasmussen, Richard H Osborne, Marie Birk Jørgensen
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Abstract

Objective: This study examined the effectiveness of a workplace health literacy intervention on individual, interpersonal, and organizational health literacy.

Method: Using a quasi-experimental stepped wedge cluster design, we evaluated an intervention for 509 nursing home employees with two elements: 1) courses for employees and management on pain prevention, management, and communication and 2) structured dialogues between employees and supervisors, emphasizing pain prevention.

Results: One organizational health literacy item improved, with supervisors helping with pain prevention increasing by 0.42 points (95% CI 0.11;0.73). Positive trends were observed in supervisor actions when informed about pain (0.39 points, 95% CI -0.09;0.86), ease of finding workplace pain solutions (0.12 points, 95% CI -0.03;0.79), and employees having pain management information (0.44 points, 95% CI -0.03;0.92).

Conclusion: The intervention improved one organizational health literacy item, with positive trends in three other items.

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养老院职业健康素养干预提高了组织健康素养--准实验性阶梯楔形群试验。
研究目的本研究探讨了工作场所健康素养干预对个人、人际和组织健康素养的影响:采用准实验性楔形群组设计,我们评估了针对 509 名疗养院员工的干预措施,其中包括两个要素:1)为员工和管理层开设有关疼痛预防、管理和沟通的课程;2)员工与主管进行结构化对话,强调疼痛预防:结果:一项组织健康素养项目有所改善,主管帮助预防疼痛的程度提高了 0.42 分(95% CI 0.11;0.73)。在主管了解疼痛情况后采取的行动(0.39 分,95% CI -0.09;0.86)、找到工作场所疼痛解决方案的难易程度(0.12 分,95% CI -0.03;0.79)以及员工掌握疼痛管理信息(0.44 分,95% CI -0.03;0.92)方面,观察到了积极的趋势:干预改善了一个组织健康素养项目,并在其他三个项目中呈现出积极趋势。
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