Effect modifiers in intervention research at hospitals in three Nordic countries
Introduction: The impact of ergonomic interventions may be offset by other changes at the work place, primarily rationalizations. These have previously been shown to imply a dominant negative effect on health and risk factors, thus causing effect modification (Westgaard & Winkel 2011). The prese...
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ftchalmersuniv:oai:research.chalmers.se:244970 2023-05-15T16:52:53+02:00 Effect modifiers in intervention research at hospitals in three Nordic countries Winkel, Jörgen Edwards, Kasper Jarebrant, Caroline Birgisdóttir, Birna D Johansson Hanse, Jan Gunnarsdóttir, Sigrun Ny Harlin, Ulrika Ulin, Kerstin 2016 text https://research.chalmers.se/en/publication/244970 unknown https://research.chalmers.se/en/publication/244970 Production Engineering Human Work Science and Ergonomics Work Sciences Applied Psychology Public Health Global Health Social Medicine and Epidemiology Method Intervention Healthcare Effect modification 2016 ftchalmersuniv 2022-12-11T07:10:11Z Introduction: The impact of ergonomic interventions may be offset by other changes at the work place, primarily rationalizations. These have previously been shown to imply a dominant negative effect on health and risk factors, thus causing effect modification (Westgaard & Winkel 2011). The present paper aims to present assessment of potential effect modifiers in intervention studies at hospital wards in Denmark, Iceland and Sweden.Material and methods: The effect modifiers were assessed by a newly developed method (the EMA method; Edwards & Winkel 2016). It is a type of group interview including 3-6 participants representing all occupational groups in the investigated organization. The group is asked to write down significant changes at the workplace during the investigated period. The method also includes a semi-qualitative assessment of the potential Work Environment (WE) impact of each modifier. It aims to capture both the individual and collective account of all significant events that may have caused a significant impact in relation to the specific aim of the investigated intervention. Thirteen hospital wards went through interventions based on either the lean tool VSM (Value Stream Mapping) (6 wards) or the ErgoVSM method (Jarebrant et al, 2010) where additional focus is on ergonomic issues (7 wards). Results: In total 120 interventions were implemented. However, 322 significant modifiers were assessed to have occurred during the intervention period. Of these, 120 were assessed to imply impaired WE, 166 a positive impact, 33 no impact and 3 were not assessable.The number of significant modifier events varied between wards from 8-48, while the number of implemented interventions varied from 0-28. The semi-qualitative assessments suggested a major impact on WE due to modifiers. At seven wards the dominating impact of the modifiers was estimated to improve WE; at two wards the modifiers were estimated mainly to impair WE while four wards showed a mixture of modifiers, some estimated to improve and ... Other/Unknown Material Iceland Chalmers University of Technology: Chalmers research |
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Chalmers University of Technology: Chalmers research |
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Production Engineering Human Work Science and Ergonomics Work Sciences Applied Psychology Public Health Global Health Social Medicine and Epidemiology Method Intervention Healthcare Effect modification |
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Production Engineering Human Work Science and Ergonomics Work Sciences Applied Psychology Public Health Global Health Social Medicine and Epidemiology Method Intervention Healthcare Effect modification Winkel, Jörgen Edwards, Kasper Jarebrant, Caroline Birgisdóttir, Birna D Johansson Hanse, Jan Gunnarsdóttir, Sigrun Ny Harlin, Ulrika Ulin, Kerstin Effect modifiers in intervention research at hospitals in three Nordic countries |
topic_facet |
Production Engineering Human Work Science and Ergonomics Work Sciences Applied Psychology Public Health Global Health Social Medicine and Epidemiology Method Intervention Healthcare Effect modification |
description |
Introduction: The impact of ergonomic interventions may be offset by other changes at the work place, primarily rationalizations. These have previously been shown to imply a dominant negative effect on health and risk factors, thus causing effect modification (Westgaard & Winkel 2011). The present paper aims to present assessment of potential effect modifiers in intervention studies at hospital wards in Denmark, Iceland and Sweden.Material and methods: The effect modifiers were assessed by a newly developed method (the EMA method; Edwards & Winkel 2016). It is a type of group interview including 3-6 participants representing all occupational groups in the investigated organization. The group is asked to write down significant changes at the workplace during the investigated period. The method also includes a semi-qualitative assessment of the potential Work Environment (WE) impact of each modifier. It aims to capture both the individual and collective account of all significant events that may have caused a significant impact in relation to the specific aim of the investigated intervention. Thirteen hospital wards went through interventions based on either the lean tool VSM (Value Stream Mapping) (6 wards) or the ErgoVSM method (Jarebrant et al, 2010) where additional focus is on ergonomic issues (7 wards). Results: In total 120 interventions were implemented. However, 322 significant modifiers were assessed to have occurred during the intervention period. Of these, 120 were assessed to imply impaired WE, 166 a positive impact, 33 no impact and 3 were not assessable.The number of significant modifier events varied between wards from 8-48, while the number of implemented interventions varied from 0-28. The semi-qualitative assessments suggested a major impact on WE due to modifiers. At seven wards the dominating impact of the modifiers was estimated to improve WE; at two wards the modifiers were estimated mainly to impair WE while four wards showed a mixture of modifiers, some estimated to improve and ... |
author |
Winkel, Jörgen Edwards, Kasper Jarebrant, Caroline Birgisdóttir, Birna D Johansson Hanse, Jan Gunnarsdóttir, Sigrun Ny Harlin, Ulrika Ulin, Kerstin |
author_facet |
Winkel, Jörgen Edwards, Kasper Jarebrant, Caroline Birgisdóttir, Birna D Johansson Hanse, Jan Gunnarsdóttir, Sigrun Ny Harlin, Ulrika Ulin, Kerstin |
author_sort |
Winkel, Jörgen |
title |
Effect modifiers in intervention research at hospitals in three Nordic countries |
title_short |
Effect modifiers in intervention research at hospitals in three Nordic countries |
title_full |
Effect modifiers in intervention research at hospitals in three Nordic countries |
title_fullStr |
Effect modifiers in intervention research at hospitals in three Nordic countries |
title_full_unstemmed |
Effect modifiers in intervention research at hospitals in three Nordic countries |
title_sort |
effect modifiers in intervention research at hospitals in three nordic countries |
publishDate |
2016 |
url |
https://research.chalmers.se/en/publication/244970 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
https://research.chalmers.se/en/publication/244970 |
_version_ |
1766043371343708160 |