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

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.

Which work environment challenges are top of mind among eldercare workers and how would they suggest to act upon them in everyday practice? Process evaluation of a workplace health literacy intervention.

The purpose of this study was to identify challenges and action plans from 2.497 structured communication sessions between employee and supervisor and to gain insight into the processes of a quasi-experimental stepped wedge clustered intervention, which implemented workplace health literacy for reducing musculoskeletal pain among eldercare workers. Most challenges concerned staffing (17%), organisation of tasks (15%) and team work (14%).

Evaluation and Dissemination of a Checklist to Improve Implementation of Work Environment Initiatives in the Eldercare Sector: Protocol for a Prospective Observational Study.

Background: To measure sustainable improvements in the work environment, a flexible and highly responsive tool is needed that will give important focus to the implementation process. A digital checklist was developed in collaboration with key stakeholders to document the implementation of changes in eldercare sector workplaces.

Objective: This paper describes the study protocol of a dissemination study that aims to examine when, why, and how the digital checklist is spread to the Danish eldercare sector following a national campaign particularly targeting nursing homes and home care.

The effect of strengthening health literacy in nursing homes on employee pain and consequences of pain ‒ a stepped-wedge intervention trial.

Objective This study examined the effectiveness of a workplace health literacy intervention on pain intensity, bothersomeness of pain, and sickness absence. Methods The quasi-experimental stepped-wedge cluster trial evaluated an intervention with two elements: (i) courses for employees and management to organize a joint foundation of knowledge about pain prevention and management with communication tools, and (ii) structured dialogs between employee and supervisor, to develop action plans to prevent and reduce pain. Monthly measurements were taken of pain intensity (0-10 scale), bothersomeness (days/month), and pain-related absence (days/month).

The role of managers in addressing employees with musculoskeletal pain: a mixed methods study.

Purpose: This study investigates management awareness of employee musculoskeletal pain and conditions that shape managers' handling of employees with pain.

Methods: We used a mixed methods design including data from a questionnaire survey and focus group sessions. All employees and managers from seven nursing homes were invited to participate in the questionnaire survey and 327 employees (81%) and 31 managers (82%) responded.

Organizing workplace health literacy to reduce musculoskeletal pain and consequences.

Background: Despite numerous initiatives to improve the working environment for nursing aides, musculoskeletal disorders (pain) is still a considerable problem because of the prevalence, and pervasive consequences on the individual, the workplace and the society. Discrepancies between effort and effect of workplace health initiatives might be due to the fact that pain and the consequences of pain are affected by various individual, interpersonal and organizational factors in a complex interaction. Recent health literacy models pursue an integrated approach to understanding health behavior and have been suggested as a suitable framework for addressing individual, organizational and interpersonal factors concomitantly.

Adoption of workplaces and reach of employees for a multi-faceted intervention targeting low back pain among nurses' aides.

Background: Workplace adoption and reach of health promotion are important, but generally poorly reported. The aim of this study is therefore to evaluate the adoption of workplaces (organizational level) and reach of employees (individual level) of a multi-faceted workplace health promotion and work environment intervention targeting low back pain among nurses' aides in elderly care.

Methods: Percentage of adopters was calculated among eligible workplaces and differences between adopters and non-adopters were evaluated through workplace registrations and manager questionnaires from all eligible workplaces.