Feasibility, psychological outcomes and practical use of a stress-preventive leadership intervention in the workplace hospital: the results of a mixed-method phase-II study
ObjectivesHospitals are psychologically demanding workplaces with a need for context-specific stress-preventive leadership interventions. A stress-preventive interprofessional leadership intervention for middle management has been developed. This phase-II study investigates its feasibility and outco...
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Published in | BMJ open Vol. 12; no. 2; p. e049951 |
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Main Authors | , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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England
British Medical Journal Publishing Group
23.02.2022
BMJ Publishing Group LTD BMJ Publishing Group |
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Abstract | ObjectivesHospitals are psychologically demanding workplaces with a need for context-specific stress-preventive leadership interventions. A stress-preventive interprofessional leadership intervention for middle management has been developed. This phase-II study investigates its feasibility and outcomes, including work-related stress, well-being and transformational leadership.DesignThis is a mixed-methods study with three measure points (T0: baseline, T1: after the last training session, T2: 3-month follow-up). Additionally, focus groups were conducted to assess participants’ change in everyday work.SettingA tertiary hospital in Germany.ParticipantsN=93 leaders of different professions.InterventionAn interactive group setting intervention divided in five separate sessions ((1) self-care as a leader, (2) leadership attitudes and behaviour, (3) motives, needs and stressors of employees, (4) strengthen the resource ‘team’, (5) reflection and focus groups). The intervention was conducted between June 2018 and March 2020 in k=5 runs of the intervention.Outcome measuresFeasibility and acceptance were measured with a self-developed intervention specific questionnaire. Psychological outcomes were assessed with the following scales: work-related strain with the Irritation Scale, well-being with the WHO-5 Well-being Index and transformational leadership with the Questionnaire of Integrative Leadership.ResultsAfter the intervention at T2, over 90% of participants reported that they would recommend the intervention to another coworker (92.1%, n=59) and all participants (n=64) were satisfied with the intervention and rated the intervention as practical relevant for their everyday work. Participants’ self-rated cognitive irritation was reduced, whereas their well-being and transformational leadership behaviour were improved over time. Focus group discussions revealed that participants implemented intervention contents successfully in their everyday work.ConclusionsThis intervention was feasible and showed first promising intraindividual changes in psychological outcomes. Participants confirmed its practical relevance. As a next step, the intervention will be evaluated as part of a multicentre—randomised controlled trial within the project SEEGEN (SEElische GEsundheit am Arbeitsplatz KrankeNhaus). |
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AbstractList | Objectives
Hospitals are psychologically demanding workplaces with a need for context-specific stress-preventive leadership interventions. A stress-preventive interprofessional leadership intervention for middle management has been developed. This phase-II study investigates its feasibility and outcomes, including work-related stress, well-being and transformational leadership.
Design
This is a mixed-methods study with three measure points (T0: baseline, T1: after the last training session, T2: 3-month follow-up). Additionally, focus groups were conducted to assess participants’ change in everyday work.
Setting
A tertiary hospital in Germany.
Participants
N=93 leaders of different professions.
Intervention
An interactive group setting intervention divided in five separate sessions ((1) self-care as a leader, (2) leadership attitudes and behaviour, (3) motives, needs and stressors of employees, (4) strengthen the resource ‘team’, (5) reflection and focus groups). The intervention was conducted between June 2018 and March 2020 in k=5 runs of the intervention.
Outcome measures
Feasibility and acceptance were measured with a self-developed intervention specific questionnaire. Psychological outcomes were assessed with the following scales: work-related strain with the Irritation Scale, well-being with the WHO-5 Well-being Index and transformational leadership with the Questionnaire of Integrative Leadership.
Results
After the intervention at T2, over 90% of participants reported that they would recommend the intervention to another coworker (92.1%, n=59) and all participants (n=64) were satisfied with the intervention and rated the intervention as practical relevant for their everyday work. Participants’ self-rated cognitive irritation was reduced, whereas their well-being and transformational leadership behaviour were improved over time. Focus group discussions revealed that participants implemented intervention contents successfully in their everyday work.
Conclusions
This intervention was feasible and showed first promising intraindividual changes in psychological outcomes. Participants confirmed its practical relevance. As a next step, the intervention will be evaluated as part of a multicentre—randomised controlled trial within the project SEEGEN (SEElische GEsundheit am Arbeitsplatz KrankeNhaus). ObjectivesHospitals are psychologically demanding workplaces with a need for context-specific stress-preventive leadership interventions. A stress-preventive interprofessional leadership intervention for middle management has been developed. This phase-II study investigates its feasibility and outcomes, including work-related stress, well-being and transformational leadership.DesignThis is a mixed-methods study with three measure points (T0: baseline, T1: after the last training session, T2: 3-month follow-up). Additionally, focus groups were conducted to assess participants’ change in everyday work.SettingA tertiary hospital in Germany.ParticipantsN=93 leaders of different professions.InterventionAn interactive group setting intervention divided in five separate sessions ((1) self-care as a leader, (2) leadership attitudes and behaviour, (3) motives, needs and stressors of employees, (4) strengthen the resource ‘team’, (5) reflection and focus groups). The intervention was conducted between June 2018 and March 2020 in k=5 runs of the intervention.Outcome measuresFeasibility and acceptance were measured with a self-developed intervention specific questionnaire. Psychological outcomes were assessed with the following scales: work-related strain with the Irritation Scale, well-being with the WHO-5 Well-being Index and transformational leadership with the Questionnaire of Integrative Leadership.ResultsAfter the intervention at T2, over 90% of participants reported that they would recommend the intervention to another coworker (92.1%, n=59) and all participants (n=64) were satisfied with the intervention and rated the intervention as practical relevant for their everyday work. Participants’ self-rated cognitive irritation was reduced, whereas their well-being and transformational leadership behaviour were improved over time. Focus group discussions revealed that participants implemented intervention contents successfully in their everyday work.ConclusionsThis intervention was feasible and showed first promising intraindividual changes in psychological outcomes. Participants confirmed its practical relevance. As a next step, the intervention will be evaluated as part of a multicentre—randomised controlled trial within the project SEEGEN (SEElische GEsundheit am Arbeitsplatz KrankeNhaus). Hospitals are psychologically demanding workplaces with a need for context-specific stress-preventive leadership interventions. A stress-preventive interprofessional leadership intervention for middle management has been developed. This phase-II study investigates its feasibility and outcomes, including work-related stress, well-being and transformational leadership. This is a mixed-methods study with three measure points (T0: baseline, T1: after the last training session, T2: 3-month follow-up). Additionally, focus groups were conducted to assess participants' change in everyday work. A tertiary hospital in Germany. N=93 leaders of different professions. An interactive group setting intervention divided in five separate sessions ((1) self-care as a leader, (2) leadership attitudes and behaviour, (3) motives, needs and stressors of employees, (4) strengthen the resource 'team', (5) reflection and focus groups). The intervention was conducted between June 2018 and March 2020 in k=5 runs of the intervention. Feasibility and acceptance were measured with a self-developed intervention specific questionnaire. Psychological outcomes were assessed with the following scales: work-related strain with the Irritation Scale, well-being with the WHO-5 Well-being Index and transformational leadership with the Questionnaire of Integrative Leadership. After the intervention at T2, over 90% of participants reported that they would recommend the intervention to another coworker (92.1%, n=59) and all participants (n=64) were satisfied with the intervention and rated the intervention as practical relevant for their everyday work. Participants' self-rated cognitive irritation was reduced, whereas their well-being and transformational leadership behaviour were improved over time. Focus group discussions revealed that participants implemented intervention contents successfully in their everyday work. This intervention was feasible and showed first promising intraindividual changes in psychological outcomes. Participants confirmed its practical relevance. As a next step, the intervention will be evaluated as part of a multicentre-randomised controlled trial within the project SEEGEN (SEElische GEsundheit am Arbeitsplatz KrankeNhaus). Hospitals are psychologically demanding workplaces with a need for context-specific stress-preventive leadership interventions. A stress-preventive interprofessional leadership intervention for middle management has been developed. This phase-II study investigates its feasibility and outcomes, including work-related stress, well-being and transformational leadership.OBJECTIVESHospitals are psychologically demanding workplaces with a need for context-specific stress-preventive leadership interventions. A stress-preventive interprofessional leadership intervention for middle management has been developed. This phase-II study investigates its feasibility and outcomes, including work-related stress, well-being and transformational leadership.This is a mixed-methods study with three measure points (T0: baseline, T1: after the last training session, T2: 3-month follow-up). Additionally, focus groups were conducted to assess participants' change in everyday work.DESIGNThis is a mixed-methods study with three measure points (T0: baseline, T1: after the last training session, T2: 3-month follow-up). Additionally, focus groups were conducted to assess participants' change in everyday work.A tertiary hospital in Germany.SETTINGA tertiary hospital in Germany.N=93 leaders of different professions.PARTICIPANTSN=93 leaders of different professions.An interactive group setting intervention divided in five separate sessions ((1) self-care as a leader, (2) leadership attitudes and behaviour, (3) motives, needs and stressors of employees, (4) strengthen the resource 'team', (5) reflection and focus groups). The intervention was conducted between June 2018 and March 2020 in k=5 runs of the intervention.INTERVENTIONAn interactive group setting intervention divided in five separate sessions ((1) self-care as a leader, (2) leadership attitudes and behaviour, (3) motives, needs and stressors of employees, (4) strengthen the resource 'team', (5) reflection and focus groups). The intervention was conducted between June 2018 and March 2020 in k=5 runs of the intervention.Feasibility and acceptance were measured with a self-developed intervention specific questionnaire. Psychological outcomes were assessed with the following scales: work-related strain with the Irritation Scale, well-being with the WHO-5 Well-being Index and transformational leadership with the Questionnaire of Integrative Leadership.OUTCOME MEASURESFeasibility and acceptance were measured with a self-developed intervention specific questionnaire. Psychological outcomes were assessed with the following scales: work-related strain with the Irritation Scale, well-being with the WHO-5 Well-being Index and transformational leadership with the Questionnaire of Integrative Leadership.After the intervention at T2, over 90% of participants reported that they would recommend the intervention to another coworker (92.1%, n=59) and all participants (n=64) were satisfied with the intervention and rated the intervention as practical relevant for their everyday work. Participants' self-rated cognitive irritation was reduced, whereas their well-being and transformational leadership behaviour were improved over time. Focus group discussions revealed that participants implemented intervention contents successfully in their everyday work.RESULTSAfter the intervention at T2, over 90% of participants reported that they would recommend the intervention to another coworker (92.1%, n=59) and all participants (n=64) were satisfied with the intervention and rated the intervention as practical relevant for their everyday work. Participants' self-rated cognitive irritation was reduced, whereas their well-being and transformational leadership behaviour were improved over time. Focus group discussions revealed that participants implemented intervention contents successfully in their everyday work.This intervention was feasible and showed first promising intraindividual changes in psychological outcomes. Participants confirmed its practical relevance. As a next step, the intervention will be evaluated as part of a multicentre-randomised controlled trial within the project SEEGEN (SEElische GEsundheit am Arbeitsplatz KrankeNhaus).CONCLUSIONSThis intervention was feasible and showed first promising intraindividual changes in psychological outcomes. Participants confirmed its practical relevance. As a next step, the intervention will be evaluated as part of a multicentre-randomised controlled trial within the project SEEGEN (SEElische GEsundheit am Arbeitsplatz KrankeNhaus). |
Author | Gündel, Harald Erschens, Rebecca Nikendei, Christoph Mulfinger, Nadine Zipfel, Stephan Tsarouha, Elena Rieger, Monika A Helaß, Madeleine Maatouk, Imad Angerer, Peter Müller, Andreas Puschner, Bernd Armbruster, Ines Junne, Florian Rahmani Azad, Zahra Stuber, Felicitas Schnalzer, Susanne Seifried-Dübon, Tanja Ruhle, Sascha |
AuthorAffiliation | 8 Chair of Business Administration, Human Resource Management and Organisation Studies , Heinrich Heine University Duesseldorf , Duesseldorf , Germany 4 Department of Psychosomatic Medicine and Psychotherapy , Ulm University Medical Center , Ulm , Germany 5 Institute of Psychology, Work and Organisational Psychology , University of Duisburg-Essen , Essen , Germany 2 Institute of Occupational and Social Medicine and Health Services Research , University Hospital Tuebingen , Tuebingen , Germany 10 Department of Psychosomatic Medicine and Psychotherapy , Otto von Guericke University Magdeburg , Magdeburg , Germany 9 Psychiatry and Psychotherapy II , Ulm University , Ulm , Germany 7 Department for General Internal Medicine and Psychosomatics , University Hospital Heidelberg , Heidelberg , Germany 1 Department of Psychosomatic Medicine and Psychotherapy , University Hospital Tuebingen , Tuebingen , Germany 3 Echt:Zeit Coaching , Esslingen , Germany 6 Institute of Occupational, Social and Environment |
AuthorAffiliation_xml | – name: 7 Department for General Internal Medicine and Psychosomatics , University Hospital Heidelberg , Heidelberg , Germany – name: 3 Echt:Zeit Coaching , Esslingen , Germany – name: 2 Institute of Occupational and Social Medicine and Health Services Research , University Hospital Tuebingen , Tuebingen , Germany – name: 9 Psychiatry and Psychotherapy II , Ulm University , Ulm , Germany – name: 1 Department of Psychosomatic Medicine and Psychotherapy , University Hospital Tuebingen , Tuebingen , Germany – name: 5 Institute of Psychology, Work and Organisational Psychology , University of Duisburg-Essen , Essen , Germany – name: 4 Department of Psychosomatic Medicine and Psychotherapy , Ulm University Medical Center , Ulm , Germany – name: 6 Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine , University of Duesseldorf , Duesseldorf , Germany – name: 8 Chair of Business Administration, Human Resource Management and Organisation Studies , Heinrich Heine University Duesseldorf , Duesseldorf , Germany – name: 10 Department of Psychosomatic Medicine and Psychotherapy , Otto von Guericke University Magdeburg , Magdeburg , Germany |
Author_xml | – sequence: 1 givenname: Felicitas orcidid: 0000-0002-7503-3881 surname: Stuber fullname: Stuber, Felicitas email: felicitas.stuber@med.uni organization: Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany – sequence: 2 givenname: Tanja orcidid: 0000-0001-5935-539X surname: Seifried-Dübon fullname: Seifried-Dübon, Tanja organization: Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany – sequence: 3 givenname: Elena surname: Tsarouha fullname: Tsarouha, Elena organization: Institute of Occupational and Social Medicine and Health Services Research, University Hospital Tuebingen, Tuebingen, Germany – sequence: 4 givenname: Zahra surname: Rahmani Azad fullname: Rahmani Azad, Zahra organization: Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany – sequence: 5 givenname: Rebecca orcidid: 0000-0002-4433-9378 surname: Erschens fullname: Erschens, Rebecca organization: Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany – sequence: 6 givenname: Ines surname: Armbruster fullname: Armbruster, Ines organization: Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany – sequence: 7 givenname: Susanne surname: Schnalzer fullname: Schnalzer, Susanne organization: Echt:Zeit Coaching, Esslingen, Germany – sequence: 8 givenname: Nadine surname: Mulfinger fullname: Mulfinger, Nadine organization: Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany – sequence: 9 givenname: Andreas surname: Müller fullname: Müller, Andreas organization: Institute of Psychology, Work and Organisational Psychology, University of Duisburg-Essen, Essen, Germany – sequence: 10 givenname: Peter surname: Angerer fullname: Angerer, Peter organization: Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, University of Duesseldorf, Duesseldorf, Germany – sequence: 11 givenname: Madeleine surname: Helaß fullname: Helaß, Madeleine organization: Department for General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany – sequence: 12 givenname: Imad surname: Maatouk fullname: Maatouk, Imad organization: Department for General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany – sequence: 13 givenname: Christoph surname: Nikendei fullname: Nikendei, Christoph organization: Department for General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany – sequence: 14 givenname: Sascha orcidid: 0000-0001-7855-2647 surname: Ruhle fullname: Ruhle, Sascha organization: Chair of Business Administration, Human Resource Management and Organisation Studies, Heinrich Heine University Duesseldorf, Duesseldorf, Germany – sequence: 15 givenname: Bernd orcidid: 0000-0002-2929-4271 surname: Puschner fullname: Puschner, Bernd organization: Psychiatry and Psychotherapy II, Ulm University, Ulm, Germany – sequence: 16 givenname: Harald surname: Gündel fullname: Gündel, Harald organization: Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany – sequence: 17 givenname: Monika A surname: Rieger fullname: Rieger, Monika A organization: Institute of Occupational and Social Medicine and Health Services Research, University Hospital Tuebingen, Tuebingen, Germany – sequence: 18 givenname: Stephan surname: Zipfel fullname: Zipfel, Stephan organization: Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany – sequence: 19 givenname: Florian surname: Junne fullname: Junne, Florian organization: Department of Psychosomatic Medicine and Psychotherapy, Otto von Guericke University Magdeburg, Magdeburg, Germany |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35197332$$D View this record in MEDLINE/PubMed |
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Keywords | occupational & industrial medicine education & training (see medical education & training) mental health public health |
Language | English |
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Snippet | ObjectivesHospitals are psychologically demanding workplaces with a need for context-specific stress-preventive leadership interventions. A stress-preventive... Hospitals are psychologically demanding workplaces with a need for context-specific stress-preventive leadership interventions. A stress-preventive... Objectives Hospitals are psychologically demanding workplaces with a need for context-specific stress-preventive leadership interventions. A stress-preventive... |
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SubjectTerms | education & training (see medical education & training) Feasibility Studies Focus groups Health care industry Health Services Research Hospitals Humans Leadership Medical personnel Mental disorders Mental health Mixed methods research occupational & industrial medicine Occupational stress Professional relationships Public health Surveys and Questionnaires Teams Transformational leadership Work environment Workplace |
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Title | Feasibility, psychological outcomes and practical use of a stress-preventive leadership intervention in the workplace hospital: the results of a mixed-method phase-II study |
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