Design of the DIRECT-project: Interventions to Increase Job Resources and Recovery Opportunities to Improve Job-related Health, Well-being, and Performance Outcomes in Nursing Homes

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2010 Jun 1

PMID 20509923

Citations 5

Authors

Ellen Spoor

Jan de Jonge

Jan P H Hamers

Affiliations

Soon will be listed here.

Abstract

Background: Because of high demands at work, nurses are at high risk for occupational burnout and physical complaints. The presence of job resources (such as job autonomy or social support) and recovery opportunities could counteract the adverse effect of high job demands. However, it is still unclear how job resources and recovery opportunities can be translated into effective workplace interventions aiming to improve employee health, well-being, and performance-related outcomes. The aim of the current research project is developing and implementing interventions to optimize job resources and recovery opportunities, which may lead to improved health, well-being and performance of nurses.

Methods/design: The DIRECT-project (DIsc Risk Evaluating Controlled Trial) is a longitudinal, quasi-experimental field study. Nursing home staff of 4 intervention wards and 4 comparison wards will be involved. Based on the results of a base-line survey, interventions will be implemented to optimize job resources and recovery opportunities. After 12 and 24 month the effect of the interventions will be investigated with follow-up surveys. Additionally, a process evaluation will be conducted to map factors that either stimulated or hindered successful implementation as well as the effectiveness of the interventions.

Discussion: The DIRECT-project fulfils a strong need for intervention research in the field of work, stress, performance, and health. The results could reveal (1) how interventions can be tailored to optimize job resources and recovery opportunities, in order to counteract job demands, and (2) what the effects of these interventions will be on health, well-being, and performance of nursing staff.

Citing Articles

Understanding and measuring the work-related quality of life among those working in adult social care: A scoping review.

Silarova B, Brookes N, Palmer S, Towers A, Hussein S Health Soc Care Community. 2022; 30(5):1637-1664.

PMID: 35066964 PMC: 9543435. DOI: 10.1111/hsc.13718.

Evaluation of the Persian Version of Maslach Burnout Inventory-Human Services Survey among Iranian Nurses: Validity and Reliability.

Moalemi S, Kavosi Z, Beygi N, Deghan A, Karimi A, Parvizi M Galen Med J. 2021; 7:e995.

PMID: 34466422 PMC: 8343696. DOI: 10.22086/gmj.v0i0.995.

Working in small-scale, homelike dementia care: effects on staff burnout symptoms and job characteristics. A quasi-experimental, longitudinal study.

Zwakhalen S, Hamers J, van Rossum E, Ambergen T, Kempen G, Verbeek H J Res Nurs. 2018; 23(2-3):109-122.

PMID: 29805471 PMC: 5956566. DOI: 10.1177/1744987118757838.

Preventing occupational stress in healthcare workers.

Ruotsalainen J, Verbeek J, Marine A, Serra C Cochrane Database Syst Rev. 2015; (4):CD002892.

PMID: 25847433 PMC: 6718215. DOI: 10.1002/14651858.CD002892.pub5.

Design of the DISCovery project: tailored work-oriented interventions to improve employee health, well-being, and performance-related outcomes in hospital care.

Niks I, de Jonge J, Gevers J, Houtman I BMC Health Serv Res. 2013; 13:66.

PMID: 23421647 PMC: 3582504. DOI: 10.1186/1472-6963-13-66.

References

Smedley J, Inskip H, Trevelyan F, Buckle P, Cooper C, Coggon D . Risk factors for incident neck and shoulder pain in hospital nurses. Occup Environ Med. 2003; 60(11):864-9. PMC: 1740408. DOI: 10.1136/oem.60.11.864. View

Wu S, Zhu W, Wang Z, Wang M, Lan Y . Relationship between burnout and occupational stress among nurses in China. J Adv Nurs. 2007; 59(3):233-9. DOI: 10.1111/j.1365-2648.2007.04301.x. View

de Jonge J, Dormann C . Stressors, resources, and strain at work: a longitudinal test of the triple-match principle. J Appl Psychol. 2006; 91(6):1359-74. DOI: 10.1037/0021-9010.91.5.1359. View

Piko B . Burnout, role conflict, job satisfaction and psychosocial health among Hungarian health care staff: a questionnaire survey. Int J Nurs Stud. 2005; 43(3):311-8. DOI: 10.1016/j.ijnurstu.2005.05.003. View

Richardson K, Rothstein H . Effects of occupational stress management intervention programs: a meta-analysis. J Occup Health Psychol. 2008; 13(1):69-93. DOI: 10.1037/1076-8998.13.1.69. View

Goldenhar L, LaMontagne A, Katz T, Heaney C, Landsbergis P . The intervention research process in occupational safety and health: an overview from the National Occupational Research Agenda Intervention Effectiveness Research team. J Occup Environ Med. 2001; 43(7):616-22. DOI: 10.1097/00043764-200107000-00008. View

van Hooff M, Geurts S, Kompier M, Taris T . Workdays, in-between workdays and the weekend: a diary study on effort and recovery. Int Arch Occup Environ Health. 2007; 80(7):599-613. PMC: 1915645. DOI: 10.1007/s00420-007-0172-5. View

Norman G, Sloan J, Wyrwich K . Interpretation of changes in health-related quality of life: the remarkable universality of half a standard deviation. Med Care. 2003; 41(5):582-92. DOI: 10.1097/01.MLR.0000062554.74615.4C. View

Sonnentag S, Bayer U . Switching off mentally: predictors and consequences of psychological detachment from work during off-job time. J Occup Health Psychol. 2005; 10(4):393-414. DOI: 10.1037/1076-8998.10.4.393. View

10.

Van Den Tooren M, de Jonge J . Managing job stress in nursing: what kind of resources do we need?. J Adv Nurs. 2008; 63(1):75-84. DOI: 10.1111/j.1365-2648.2008.04657.x. View

11.

Hobfoll S . Conservation of resources. A new attempt at conceptualizing stress. Am Psychol. 1989; 44(3):513-24. DOI: 10.1037//0003-066x.44.3.513. View

12.

Ilhan M, Durukan E, Taner E, Maral I, Bumin M . Burnout and its correlates among nursing staff: questionnaire survey. J Adv Nurs. 2007; 61(1):100-106. DOI: 10.1111/j.1365-2648.2007.04476.x. View

13.

Kompier M, Taris T . Assessing methodological quality and biological plausibility in occupational health psychology. Scand J Work Environ Health. 2004; 30(2):81-3. DOI: 10.5271/sjweh.768. View

14.

Winwood P, Lushington K . Disentangling the effects of psychological and physical work demands on sleep, recovery and maladaptive chronic stress outcomes within a large sample of Australian nurses. J Adv Nurs. 2006; 56(6):679-89. DOI: 10.1111/j.1365-2648.2006.04055.x. View

15.

Scharf T, Chapman L, Collins J, Limanowski J, Heaney C, Goldenhar L . Intervention effectiveness evaluation criteria: promoting competitions and raising the bar. J Occup Health Psychol. 2008; 13(1):1-9. DOI: 10.1037/1076-8998.13.1.1. View

16.

Winwood P, Bakker A, Winefield A . An investigation of the role of non-work-time behavior in buffering the effects of work strain. J Occup Environ Med. 2007; 49(8):862-71. DOI: 10.1097/JOM.0b013e318124a8dc. View

17.

George J, Zhou J . When openness to experience and conscientiousness are related to creative behavior: an interactional approach. J Appl Psychol. 2001; 86(3):513-24. DOI: 10.1037/0021-9010.86.3.513. View