Hochschule für Angewandte Psychologie FHNW
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Publikation Managers perception of hospital employees’ effort-reward imbalance(BioMed Central, 2023) Heming, Meike; Siegrist, Johannes; Erschens, Rebecca; Genrich, Melanie; Hander, Nicole R.; Junne, Florian; Küllenberg, Janna; Müller, Andreas; Worringer, Britta; Angerer, PeterAbstract Objective Hospitals are frequently associated with poor working conditions that can lead to work stress and increase the risk for reduced employee well-being. Managers can shape and improve working conditions and thereby, the health of their teams. Thus, as a prerequisite, managers need to be aware of their employees’ stress levels. This study had two objectives: At first, it aimed to test the criterion validity of the Effort-Reward Imbalance (ERI) questionnaire measuring psychosocial workload in hospital employees. Secondly, mean scales of the ERI questionnaire filled in by employees were compared with mean scales of an adapted ERI questionnaire, in which managers assessed working conditions of their employees. Methods Managers (n = 141) from three hospitals located in Germany assessed working conditions of their employees with an adapted external, other-oriented questionnaire. Employees (n = 197) of the mentioned hospitals completed the short version of the ERI questionnaire to assess their working conditions. Confirmatory factor analyses (CFA) were applied to test factorial validity, using the ERI scales for the two study groups. Criterion validity was assessed with multiple linear regression analysis of associations between ERI scales and well-being among employees. Results The questionnaires demonstrated acceptable psychometric properties in terms of internal consistency of scales, although some indices of model fit resulting from CFA were of borderline significance. Concerning the first objective, effort, reward, and the ratio of effort-reward imbalance were significantly associated with well-being of employees. With regard to the second objective, first tentative findings showed that managers’ ratings of their employees’ effort at work was quite accurate, whereas their reward was overestimated. Conclusions With its documented criterion validity the ERI questionnaire can be used as a screening tool of workload among hospital employees. Moreover, in the context of work-related health promotion, managers’ perceptions of their employees’ workload deserve increased attention as first findings point to some discrepancies between their perceptions and those provided by employees.01A - Beitrag in wissenschaftlicher ZeitschriftPublikation Mental health in the workplace hospital – results of the RCT “SEEGEN”(Karger, 2024) Hander, Nicole R.; Klein, Thomas; Mulfinger, Nadine; Jarczok, Marc; Rieger, Monika A.; Junne, Florian; Erschens, Rebecca; Maatouk, Imad; Küllenberg, Janna; Ruhle, Sascha; Süß, Stefan; Puschner, Bernd; Sander, Anja; Müller, Andreas; Angerer, Peter; Gündel, Harald; Rothermund, EvaAbstracts of the 27th ICPM World Congress in Tübingen September 202401A - Beitrag in wissenschaftlicher ZeitschriftPublikation „Also Stress ist jeden Tag“ – Ursachen und Bewältigung von arbeitsbedingten Fehlbelastungen im Krankenhaus aus Sicht der Beschäftigten. Eine qualitative Studie(Thieme, 20.05.2021) Stiawa, Maja; Peters, Martin; Mulfinger, Nadine; Krumm, Silvia; Worringer, Britta; Maatouk, Imad; Küllenberg, Janna; Junne, Florian; Genrich, Melanie; Gündel, Harald; Puschner, BerndZiel der Studie Befragung von Mitarbeitern im Krankenhaus zu arbeitsbedingten Fehlbelastungen und Stressfolgen sowie Konsequenzen für Interventionen zur Stressreduktion am Arbeitsplatz. Methodik Es wurden 6 Fokusgruppen und 7 semistrukturierte Interviews mit 34 Krankenhausmitarbeitern durchgeführt, welche inhaltsanalytisch ausgewertet wurden. Ergebnisse Mitarbeiter berichteten von Stressfolgen durch Personalmangel, hohes Arbeitsaufkommen, fehlende Rückzugs- und Versorgungsmöglichkeiten, fehlende Absprachen, intransparente Arbeitsabläufe, Teamkonflikte und fehlende Wertschätzung. Berichtete Faktoren, die zur Reduktion von Stressfolgen führten, waren soziale Unterstützung, Arbeitszeitreduktion, Sport und Entscheidungskompetenzen. Schlussfolgerung Interventionen zur Reduktion arbeitsbedingter Fehlbelastungen im Krankenhaus sollten sowohl berufsgruppenspezifische Interventionsangebote sowie organisationale Normen und strukturelle Rahmenbedingungen berücksichtigen.01A - Beitrag in wissenschaftlicher ZeitschriftPublikation Cluster-randomised trial evaluating a complex intervention to improve mental health and well-being of employees working in hospital – a protocol for the SEEGEN trial(BioMed Central, 17.12.2019) Mulfinger, Nadine; Sander, Anja; Stuber, Felicitas; Brinster, Regina; Junne, Florian; Limprecht, Ronald; Jarczok, Marc N.; Seifried-Dübon, Tanja; Rieger, Monika; Zipfel, Stephan; Peters, Martin; Stiawa, Maja; Maatouk, Imad; Helaß, Madeleine; Nikendei, Christoph; Rothermund, Eva; Hander, Nicole; Ziegenhain, Ute; Gulde, Manuela; Genrich, Melanie; Worringer, Britta; Küllenberg, Janna; Blum, Karl; Süss, Stefan; Gesang, Elena; Ruhle, Sascha; Müller, Andreas; Schweitzer-Rothers, Jochen; Angerer, Peter; Gündel, HaraldBackground Health care employees in Germany and worldwide are exposed to a variety of stressors. However, most of the hospitals in Germany lack a systematic workplace health management. Thus, this study aims at the evaluation of the effects of a behavioural as well as organisational (´complex´) intervention on the mental health and well-being of hospital staff. Methods Mental health in the hospital workplace (SEElische GEsundheit am Arbeitsplatz KrankeNhaus – SEEGEN) is an unblinded, multi-centred cluster-randomised open trial with two groups (intervention group (IG) and waitlist control group (CG)). Study participants in the intervention clusters will receive the complex intervention; study participants in the waitlist control clusters will receive the complex intervention after the last follow-up measurement. The intervention consists of five behavioural and organisational intervention modules that are specifically tailored to hospital employees at different hierarchical and functional levels. Hospital staff may select one specific module according to their position and specific needs or interests. Towards the end of the intervention roundtable discussions with representatives from all professional groups will be held to facilitate organisational change. Primary outcome is the change in emotional and cognitive strain in the working environment, from baseline (T0) to 6 month-follow up (T1), between IG and CG. In addition, employees who do not participate in the modules are included in the trial by answering shorter questionnaires (cluster participants). Furthermore, using mixed methods, a process evaluation will identify uptake of the intervention, and mediators and moderators of the effect. Discussion There seems to be growing psychological strain on people working in the health care sector worldwide. This study will examine whether investing directly in the hospital staff and their interpersonal relationship may lead to measurable benefits in subjective well-being at the workplace and improved economic performance indicators of the hospital. In case of a positive outcome, health promotion strategies looking at behavioural as well as organisational components within the hospital may gain additional importance, especially in regard of the growing financial pressure within the health sector.01A - Beitrag in wissenschaftlicher Zeitschrift