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Improving the psychosocial work environment.

Mélanie Lavoie-Tremblay1, Renée Bourbonnais, Chantal Viens

  • 1CHSRF/CIHR, Nursing Health Services Research Unit (NHSRU), Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. melanie.lavoie-tremblay@mcgill.ca

Journal of Advanced Nursing
|March 2, 2005
PubMed
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Participatory interventions in long-term care units significantly improved the psychosocial work environment, reducing burnout and absenteeism. These initiatives require strong leadership and trust-building for sustained success.

Area of Science:

  • Healthcare Management
  • Occupational Health Psychology
  • Organizational Behavior

Background:

  • Healthcare reforms in Quebec since the 1990s have negatively impacted the work environment for healthcare professionals.
  • Increased rates of burnout and absenteeism among nurses and other healthcare workers are linked to these systemic changes.

Purpose of the Study:

  • To pilot a participatory organizational intervention aimed at enhancing the psychosocial work environment in a long-term care unit.
  • To evaluate the intervention's effectiveness in improving healthcare worker well-being and reducing workplace stressors.

Main Methods:

  • A participatory organizational intervention was implemented with 60 healthcare workers in a long-term care unit.
  • The intervention involved identifying work constraints and developing an action plan through a work team.

Related Experiment Videos

  • Effectiveness was assessed using pre- and post-intervention questionnaires including the Job Content Questionnaire and Effort-Reward Imbalance Questionnaire.

    • Main Results:

    • A significant increase in perceived reward (P < 0.01) and a significant decrease in Effort-Reward Imbalance (P < 0.01) were observed.
    • Absenteeism rates dropped from 8.26% to 1.86% in the unit, while remaining stable institution-wide.
    • A significant decrease in social support from supervisors was noted post-intervention (P < 0.05).

    Conclusions:

    • Healthcare worker participation and targeted action plans are crucial for improving the psychosocial work environment and health outcomes.
    • Challenges include engaging managers, ensuring full participant involvement, and rebuilding trust within teams.
    • Re-establishing recognition, respect, and supervisor support is vital throughout intervention processes.