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Intervention studies in the health care work environment : Lessons learned

TLDR
Five different methods of integration are proposed: a qualitative approach as a foundation for the design of a quantitative study, qualitative studies to gain deeper insight and better analyses of the results from a qualitative study, quantitative research to study frequencies and distributions of phenomena discovered by qualitative approaches, parallel and integrated use of qualitative and quantitative approaches, and quantifying qualitative data.
Abstract
The old controversy between qualitative and quantitative approaches to the study of workplace stressors and workers ́ health may be bypassed by looking at them as complementary to each other. Especially, intervention research would profit from the integrated use of both approaches when it comes to validity and reliability of the data. This applies to assessment of both the work and health related problems as well as the effects of the intervention. Also quite practical issues must be considered, such as the question of status for the two approaches within the research group, the possibility to integrate the two methods, not only conduct them in separate and parallel processes, and the sequencing of the approaches. Five different methods of integration are proposed: 1) a qualitative approach as a foundation for the design of a quantitative study, 2) qualitative studies to gain deeper insight and better analyses of the results from a quantitative study, 3) quantitative research to study frequencies and distributions of phenomena discovered by qualitative approaches, 4) parallel and integrated use of qualitative and quantitative approaches, and 5) quantifying qualitative data.

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Journal ArticleDOI

Reliability, validity, and health issues arising from questionnaires used to measure Psychosocial and Organizational Work Factors (POWFs) among hospital nurses: a critical review.

TL;DR: The Practice Environment Scale–Nursing Work Index (PES–NWI) seems to be one of the most promising instruments because of its appropriateness, its structure, which has a rather good fit, and its ability to discriminate magnet hospitals like other NWI derivates (discriminant validity).
Journal ArticleDOI

Workplace restructurings in intervention studies – a challenge for design, analysis and interpretation

TL;DR: The (lack of) stability in units of analysis in occupational health and safety intervention projects directed toward worksites is described to raise serious questions concerning design, analyses and interpretation of results.
Journal ArticleDOI

Do psychosocial strain and physical exertion predict onset of low-back pain among nursing aides?

TL;DR: The results of the analyses with time lag (longitudinal) did not support the hypothesis that psychosocial and physical strain from 1 day of work predicts pain onset the following day, but physical exertion, stress, and, to some extent, time pressure were associated with pain on the day of onset.
Journal ArticleDOI

Age related work load—a work environment intervention with a life course perspective

TL;DR: The results showed that the experience of workload, ergonomic troubles, psychosocial troubles and work stress had decreased at the same time as theExperience of stimulation and of joy at work had increased.
References
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Book ChapterDOI

The Learning Organisation

Jacky Lumby
Journal ArticleDOI

The nursing practice environment, staff retention, and quality of care.

TL;DR: The belief that aspects of the practice environment affect staff nurse retention, and most importantly, the quality of care delivered on hospital nursing units, is substantiated.
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TL;DR: This summary draws together the findings form over 80 studies published over three decades, finding that nursing is among the high risk occupations with respect to low back problems, and one of the popular notions is generally proven, that more frequent patient handling appears to correlate with increased incidence of low back pain.
Journal ArticleDOI

Reducing back stress to nursing personnel: an ergonomic intervention in a nursing home

TL;DR: An appropriate ergonomic intervention programme offers great promise in reducing physical stress and risk of low-back pain to nursing personnel, but large-scale studies in different nursing homes are needed to confirm the above findings.
Journal ArticleDOI

Organizational role conflict: Its antecedents and consequences

TL;DR: In this article, the linkages and underlying structure of a comprehensive model relating role conflict to its antecedents and consequences were tested using multivariate behavioral research methodology using data drawn from professional-level employees representing five major roles in nine organizations.