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

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

health policy, human resource management, mental health, organisation of health services, protocols & guidelines
2044-6055
Sermeus, Walter
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Aiken, Linda H
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Ball, Jane
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Bridges, Jackie
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Bruyneel, Luk
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Busse, Reinhard
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De Witte, Hans
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Dello, Simon
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Drennan, Jonathan
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Eriksson, Lars E
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Griffiths, Peter
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Kohnen, Dorothea
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Köppen, Julia
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Lindqvist, Rikard
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Maier, Claudia Bettina
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Mchugh, Matthew D
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Mckee, Martin
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Rafferty, Anne Marie
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Schaufeli, Wilmar B
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Sloane, Douglas M
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Alenius, Lisa Smeds
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Smith, Herbert
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Sermeus, Walter
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Aiken, Linda H
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Ball, Jane
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Bridges, Jackie
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Bruyneel, Luk
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Busse, Reinhard
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De Witte, Hans
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Dello, Simon
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Drennan, Jonathan
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Eriksson, Lars E
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Griffiths, Peter
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Kohnen, Dorothea
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Köppen, Julia
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Lindqvist, Rikard
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Maier, Claudia Bettina
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Mchugh, Matthew D
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Mckee, Martin
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Rafferty, Anne Marie
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Schaufeli, Wilmar B
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Sloane, Douglas M
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Alenius, Lisa Smeds
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Smith, Herbert
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Sermeus, Walter, Aiken, Linda H, Ball, Jane, Bridges, Jackie, Bruyneel, Luk, Busse, Reinhard, De Witte, Hans, Dello, Simon, Drennan, Jonathan, Eriksson, Lars E, Griffiths, Peter, Kohnen, Dorothea, Köppen, Julia, Lindqvist, Rikard, Maier, Claudia Bettina, Mchugh, Matthew D, Mckee, Martin, Rafferty, Anne Marie, Schaufeli, Wilmar B, Sloane, Douglas M, Alenius, Lisa Smeds and Smith, Herbert (2022) 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, 12 (7), [e059159]. (doi:10.1136/bmjopen-2021-059159).

Record type: Article

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.

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Accepted/In Press date: 14 July 2022
e-pub ahead of print date: 28 July 2022
Additional Information: © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.
Keywords: health policy, human resource management, mental health, organisation of health services, protocols & guidelines

Identifiers

Local EPrints ID: 473282
URI: http://eprints.soton.ac.uk/id/eprint/473282
ISSN: 2044-6055
PURE UUID: d9d92049-da73-493c-8c67-c73ab7190461
ORCID for Jane Ball: ORCID iD orcid.org/0000-0002-8655-2994
ORCID for Jackie Bridges: ORCID iD orcid.org/0000-0001-6776-736X
ORCID for Jonathan Drennan: ORCID iD orcid.org/0000-0001-7365-4345

Catalogue record

Date deposited: 13 Jan 2023 17:47
Last modified: 06 Jun 2024 01:54

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Contributors

Author: Walter Sermeus
Author: Linda H Aiken
Author: Jane Ball ORCID iD
Author: Jackie Bridges ORCID iD
Author: Luk Bruyneel
Author: Reinhard Busse
Author: Hans De Witte
Author: Simon Dello
Author: Lars E Eriksson
Author: Peter Griffiths
Author: Dorothea Kohnen
Author: Julia Köppen
Author: Rikard Lindqvist
Author: Claudia Bettina Maier
Author: Matthew D Mchugh
Author: Martin Mckee
Author: Anne Marie Rafferty
Author: Wilmar B Schaufeli
Author: Douglas M Sloane
Author: Lisa Smeds Alenius
Author: Herbert Smith

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