BMJ Open (Jul 2022)
A workplace organisational intervention to improve hospital nurses’ and physicians’ mental health: study protocol for the Magnet4Europe wait list cluster randomised controlled trial
- ,
- Peter Griffiths,
- Martin McKee,
- Jonathan Drennan,
- Jackie Bridges,
- Luk Bruyneel,
- Jane Ball,
- Linda H Aiken,
- Douglas M Sloane,
- Anners Lerdal,
- Matthew McHugh,
- Herbert Smith,
- Anne Marie Rafferty,
- Reinhard Busse,
- Walter Sermeus,
- Julia Köppen,
- Lars E Eriksson,
- Kaat Siebens,
- Matthew D McHugh,
- Anne Scott,
- Ingeborg Strømseng Sjetne,
- Sydney Anstee,
- Peter Van Bogaert,
- Rikard Lindqvist,
- Linda Aiken,
- Douglas Sloane,
- Hans De Witte,
- Wilmar B Schaufeli,
- Hans De Witte,
- Simon Dello,
- Dorothea Kohnen,
- Claudia Bettina Maier,
- Lisa Smeds Alenius,
- Mary Del Guidice,
- Timothy Cheney,
- Claudia Maier,
- Joan Kleine,
- Elaine Lehane Vera McCarthy,
- Noeleen Brady,
- Monica Bukkøy Kjetland,
- Paul Van Aken,
- Danny Van Heusden
Affiliations
- Peter Griffiths
- 1 National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (Wessex), University of Southampton, Southampton, UK
- Martin McKee
- professor of European public health
- Jonathan Drennan
- 1 Catherine McAuley School of Nursing & Midwifery, University College Cork National University of Ireland, Cork, Ireland
- Jackie Bridges
- 1 School of Health Sciences, University of Southampton, Southampton, UK
- Luk Bruyneel
- 5 Leuven Insititute for Healthcare Policy, KU Leuven, Leuven, Belgium
- Jane Ball
- 2 School of Health Sciences, University of Southampton, UK
- Linda H Aiken
- Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA
- Douglas M Sloane
- School of Nursing, University of Pennsylvania, Center for Health Outcomes and Policy Research, Philadelphia, Pennsylvania, USA
- Anners Lerdal
- Department of Interdiciplinary Health Sciencies, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway
- Matthew McHugh
- 1 School of Nursing, Center for Health Outcomes and Policy Research, University of Pennsylvania, Philadelphia, Pennsylvania, USA
- Herbert Smith
- 1 School of Nursing, Center for Health Outcomes and Policy Research, University of Pennsylvania, Philadelphia, Pennsylvania, USA
- Anne Marie Rafferty
- professor of nursing policy
- Reinhard Busse
- Department of Health Care Management, Technical University Berlin, Berlin, Germany
- Walter Sermeus
- 2 Leuven Institute for Healthcare Policy, School of Public Health & Primary Care, KU Leuven, Leuven, Belgium
- Julia Köppen
- Department of Healthcare Management, Technical University of Berlin, Berlin, Germany
- Lars E Eriksson
- Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden
- Kaat Siebens
- 6Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium
- Matthew D McHugh
- Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA
- Anne Scott
- Edinburgh Heart Centre, Royal Infirmary of Edinburgh, Edinburgh, UK
- Ingeborg Strømseng Sjetne
- Department of Quality Measurement and Patient Safety, The Norwegian Knowledge Centre for the Health Services, Oslo, Norway
- Sydney Anstee
- National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre (NETSCC), University of Southampton, Southampton, UK
- Peter Van Bogaert
- Division of Nursing and Midwifery Sciences, University of Antwerp, Antwerp, Belgium
- Rikard Lindqvist
- 13Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, Sweden
- Linda Aiken
- Douglas Sloane
- Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA
- Hans De Witte
- 3Research Group Work, Organisational and Personnel Psychology (KU Leuven), Leuven, Belgium
- Wilmar B Schaufeli
- 2Department of Social and Organizational Psychology, Utrecht University, Utrecht, The Netherlands
- Hans De Witte
- Occupational & Organisational Psychology and Professional Learning, Katholieke Universiteit Leuven, Leuven, Flanders, Belgium
- Simon Dello
- Department of Public Health and Primary Care, Katholieke Universiteit Leuven, Leuven, Flanders, Belgium
- Dorothea Kohnen
- Occupational & Organisational Psychology and Professional Learning, Katholieke Universiteit Leuven, Leuven, Flanders, Belgium
- Claudia Bettina Maier
- Department of Healthcare Management, Technical University of Berlin, Berlin, Germany
- Lisa Smeds Alenius
- Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden
- Mary Del Guidice
- Timothy Cheney
- Claudia Maier
- Joan Kleine
- Elaine Lehane Vera McCarthy
- Noeleen Brady
- Monica Bukkøy Kjetland
- Paul Van Aken
- Danny Van Heusden
- DOI
- https://doi.org/10.1136/bmjopen-2021-059159
- Journal volume & issue
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Vol. 12,
no. 7
Abstract
Introduction The increasing burden of mental distress reported by healthcare professionals is a matter of serious concern and there is a growing recognition of the role of the workplace in creating this problem. Magnet hospitals, a model shown to attract and retain staff in US research, creates positive work environments that aim to support the well-being of healthcare professionals.Methods and analysis Magnet4Europe is a cluster randomised controlled trial, with wait list controls, designed to evaluate the effects of organisational redesign, based on the Magnet model, on nurses’ and physicians’ well-being in general acute care hospitals, using a multicomponent implementation strategy. The study will be conducted in more than 60 general acute care hospitals in Belgium, England, Germany, Ireland, Norway and Sweden. The primary outcome is burnout among nurses and physicians, assessed in longitudinal surveys of nurses and physicians at participating hospitals. Additional data will be collected from them on perceived work environments, patient safety and patient quality of care and will be triangulated with data from medical records, including case mix-adjusted in-hospital mortality. The process of implementation will be evaluated using qualitative data from focus group and key informant interviews.Ethics and dissemination This study was approved by the Ethics Committee Research UZ/KU Leuven, Belgium; additionally, ethics approval is obtained in all other participating countries either through a central or decentral authority. Findings will be disseminated at conferences, through peer-reviewed manuscripts and via social media.Trial registration number ISRCTN10196901.
