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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

  • CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands; Maastricht University Medical Center+, Department of Clinical Pharmacy and Toxicology, Maastricht, The Netherlands. Electronic address: [email protected].
  • University of Pennsylvania
  • National Oceanography Centre Southampton, University of Southampton, Southampton SO14 3ZH, United Kingdom; [email protected].
  • Technical University of Berlin
  • Occupational & Organisational Psychology and Professional Learning
  • University College Cork
  • Karolinska Institutet
  • London School of Hygiene and Tropical Medicine
  • King's College London
  • KU Leuven

Research output: Contribution to journalArticleAcademicpeer-review

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.

Original languageEnglish
Article numbere059159
Pages (from-to)1-11
JournalBMJ Open
Volume12
Issue number7
DOIs
Publication statusPublished - 28 Jul 2022

Bibliographical note

Funding Information:
This study is funded by the European Union’s Horizon 2020 research and innovation programme under the project Magnet4Europe: Improving Mental Health and Wellbeing in the Health Care Workplace (Grant Agreement Number 848031), starting 1 January 2020 until 31 December 2023. The materials presented here are the responsibility of the authors only. The EU Commission takes no responsibility for any use made of the information set out.

Publisher Copyright:
©

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • health policy
  • human resource management
  • mental health
  • organisation of health services
  • protocols & guidelines

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