Dwayne Van Eerd1, Era Mae Ferron2, Teresa D'Elia2, Derek Morgan3, Frances Ziesmann3, Benjamin C Amick4. 1. Institute for Work & Health, 481 University Ave, Toronto, Ontario, Canada; School of Public Health and Health Systems, University of Waterloo, 200 University Ave, Waterloo, Ontario, Canada. Electronic address: dvaneerd@iwh.on.ca. 2. Institute for Work & Health, 481 University Ave, Toronto, Ontario, Canada. 3. Public Services Health and Safety Association, 4950 Yonge St #1800, North York, Ontario, Canada. 4. Institute for Work & Health, 481 University Ave, Toronto, Ontario, Canada; Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th Street, AHC5 505, Miami, FL 33199, USA.
Abstract
BACKGROUND: Long-term care (LTC) workers are at significant risk for occupational-related injuries. Our objective was to evaluate the implementation process of a participatory change program to reduce risk. METHODS: A process evaluation was conducted in three LTC sites using a qualitative approach employing structured interviews, consultant logs and a focus group. RESULTS: Findings revealed recruitment/reach themes of being "voluntold", using established methods, and challenges related to work schedules. Additional themes about dose were related to communication, iterative solution development, participation and engagement. For program fidelity and satisfaction, themes emerged around engagement, capacity building and time demands. CONCLUSION: Process evaluation revealed idiosyncratic approaches to recruitment and related challenges of reaching staff. Solutions to prioritized hazards were developed and implemented, despite time challenges. The iterative solution development approach was embraced. Program fidelity was considered good despite early program time demands. Post implementation reports revealed sustained hazard identification and solution development.
BACKGROUND: Long-term care (LTC) workers are at significant risk for occupational-related injuries. Our objective was to evaluate the implementation process of a participatory change program to reduce risk. METHODS: A process evaluation was conducted in three LTC sites using a qualitative approach employing structured interviews, consultant logs and a focus group. RESULTS: Findings revealed recruitment/reach themes of being "voluntold", using established methods, and challenges related to work schedules. Additional themes about dose were related to communication, iterative solution development, participation and engagement. For program fidelity and satisfaction, themes emerged around engagement, capacity building and time demands. CONCLUSION: Process evaluation revealed idiosyncratic approaches to recruitment and related challenges of reaching staff. Solutions to prioritized hazards were developed and implemented, despite time challenges. The iterative solution development approach was embraced. Program fidelity was considered good despite early program time demands. Post implementation reports revealed sustained hazard identification and solution development.
Authors: Astrid R Bosma; Cécile R L Boot; Rosanne Schaap; Frederieke G Schaafsma; Johannes R Anema Journal: J Occup Environ Med Date: 2022-06-09 Impact factor: 2.306