A workplace organisational intervention to improve hospital nurses’ and physicians’ mental health: study protocol for the Magnet4Europe wait list cluster randomised controlled trial

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 posi...

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Main Authors: Peter Griffiths, 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, 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
Format: Article
Language:English
Published: BMJ Publishing Group 2022-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/7/e059159.full
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author Peter Griffiths
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
author_facet Peter Griffiths
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
author_sort Peter Griffiths
collection DOAJ
description 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.
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spelling doaj-art-bb0d6628b7064d8f81f98eea431786992025-01-31T16:20:09ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-059159A workplace organisational intervention to improve hospital nurses’ and physicians’ mental health: study protocol for the Magnet4Europe wait list cluster randomised controlled trialPeter Griffiths0Jonathan Drennan1Jackie Bridges2Luk Bruyneel3Jane Ball4Linda H Aiken5Douglas M Sloane6Anners Lerdal7Matthew McHughHerbert Smith8Anne Marie Rafferty9Reinhard Busse10Walter Sermeus11Julia Köppen12Lars E Eriksson13Kaat Siebens14Matthew D McHugh15Anne ScottIngeborg Strømseng SjetneSydney AnsteePeter Van BogaertRikard Lindqvist16Linda AikenDouglas Sloane17Hans De WitteWilmar B Schaufeli18Hans De Witte19Simon Dello20Dorothea Kohnen21Claudia Bettina Maier22Lisa Smeds Alenius23Mary Del GuidiceTimothy CheneyClaudia MaierJoan Kleine24Elaine Lehane Vera McCarthyNoeleen BradyMonica Bukkøy KjetlandPaul Van AkenDanny Van HeusdenSchool of Health Sciences, University of Southampton, Southampton, UKSchool of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland1 School of Health Sciences, University of Southampton, Southampton, UK1 Department of Public Health and Primary Care - Leuven Institute for Healthcare Policy, KU Leuven, Leuven, Flanders, BelgiumSchool of Health Sciences, University of Southampton, Southampton, UKCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USACenter for Health Outcomes and Policy Research, University of Pennsylvania, Philadelphia, Pennsylvania, USADepartment of Interdiciplinary Health Sciencies, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway1 School of Nursing, Center for Health Outcomes and Policy Research, University of Pennsylvania, Philadelphia, Pennsylvania, USAFlorence Nightingale School of Nursing and Midwifery, Kings College London, London, UKDepartment of Healthcare Management, Technical University of Berlin, Berlin, GermanyLeuven Institute for Healthcare Policy, KU Leuven, Leuven, BelgiumDepartment of Healthcare Management, Technische Universität Berlin, Berlin, GermanyDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, SwedenCenter for Health Services and Nursing Research, Katholieke Universiteit, Leuven, BelgiumCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USADepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, SwedenCenter for Health Outcomes and Policy Research, University of Pennsylvania, Philadelphia, Pennsylvania, USAOccupational & Organisational Psychology and Professional Learning, Katholieke Universiteit Leuven, Leuven, Flanders, BelgiumOccupational & Organisational Psychology and Professional Learning, Katholieke Universiteit Leuven, Leuven, Flanders, BelgiumLeuven Institute for Healthcare Policy, KU Leuven, Leuven, BelgiumLeuven Institute for Healthcare Policy, KU Leuven, Leuven, BelgiumDepartment of Healthcare Management, Technical University of Berlin, Berlin, GermanyDepartment of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, SwedenDepartment of Healthcare Management, Technische Universität Berlin, Berlin, GermanyIntroduction 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.https://bmjopen.bmj.com/content/12/7/e059159.full
spellingShingle Peter Griffiths
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
A workplace organisational intervention to improve hospital nurses’ and physicians’ mental health: study protocol for the Magnet4Europe wait list cluster randomised controlled trial
BMJ Open
title A workplace organisational intervention to improve hospital nurses’ and physicians’ mental health: study protocol for the Magnet4Europe wait list cluster randomised controlled trial
title_full A workplace organisational intervention to improve hospital nurses’ and physicians’ mental health: study protocol for the Magnet4Europe wait list cluster randomised controlled trial
title_fullStr A workplace organisational intervention to improve hospital nurses’ and physicians’ mental health: study protocol for the Magnet4Europe wait list cluster randomised controlled trial
title_full_unstemmed A workplace organisational intervention to improve hospital nurses’ and physicians’ mental health: study protocol for the Magnet4Europe wait list cluster randomised controlled trial
title_short A workplace organisational intervention to improve hospital nurses’ and physicians’ mental health: study protocol for the Magnet4Europe wait list cluster randomised controlled trial
title_sort workplace organisational intervention to improve hospital nurses and physicians mental health study protocol for the magnet4europe wait list cluster randomised controlled trial
url https://bmjopen.bmj.com/content/12/7/e059159.full
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