The Flipside Of Work Engagement: A Qualitative Evaluation Of A Stress Management Intervention In The Workplace (Preprint)

2019 ◽  
Author(s):  
Dominik Mihalits ◽  
Birgitta Schiller ◽  
Amira Barrech ◽  
Natalie Riedel ◽  
Jian Li ◽  
...  

UNSTRUCTURED Studies on the effectiveness of Stress Management Interventions (SMIs) currently lack long-term evaluations. Accordingly, this article addresses questions of how workers who experience SMIs evaluate change after the intervention as well as how SMIs’ implementation can be improved. By processing 50 semi-structured interviews by a qualitative analysis, results indicate that participants perceive themselves as highly engaged and motivated at work. Attributing their engagement at work as a positive coping strategy, the in depth qualitative analysis reveals forms of over-engagement: temporary over-engagement is considered a positive reaction to an increased work demand in the past, it fails to work for the new cumulative stress that workers face. Additionally, identifying four different groups of SMI utilizers, we conclude that specific groups of participants benefit from individualized intervention strategies. SMIs effectiveness increases, both for the individual productivity and for the corporate productivity, when focusing on the individual work engagement and providing individualized interventions.

Human Arenas ◽  
2021 ◽  
Author(s):  
Dominik Stefan Mihalits ◽  
Birgitta Schiller ◽  
Amira Barrech ◽  
Natalie Riedel ◽  
Jian Li ◽  
...  

2019 ◽  
Vol 46 (6) ◽  
pp. 922-929
Author(s):  
Ulrik Terp ◽  
Birgitta Bisholt ◽  
Fredrik Hjärthag

Background. Stress-related problems are an increasing challenge within nurse education since it affects learning, professional development, and mental health negatively. Despite this, knowledge is scarce regarding nursing students’ experiences of being in stress management interventions. Aim. This study aimed to describe how nursing students experienced a preventive cognitive behavioral therapy–based stress management intervention. Method. Data were collected through 14 semistructured interviews with nursing students who had participated in a stress management intervention, and analyzed using inductive qualitative content analysis. Results. The analysis yielded one theme, Turning points, which consisted of four categories: (1) more in touch with reality, (2) increased self-confidence, (3) improved communication skills, and (4) a new way of reflecting. Discussion. Findings emphasize the importance of both theoretical and structural aspects when planning a stress management training intervention. A group format delivery in combination with a multicomponent cognitive behavioral intervention can be interrelated elements for positive stress–related changes. Conclusion. Our findings indicate that participants developed new and more adaptive coping strategies, which were attributed to the intervention. The participants expressed that they had increased their ability to reflect, which led to increased insight and self-reflection. The intervention constitutes an example of a contribution to stress management research and provides information for stress management training initiatives in nurse education.


2020 ◽  
Author(s):  
Ulrik Terp ◽  
Birgitta Bisholt ◽  
Fredrik Hjärthag

Abstract Background: Stress related psychological problems are growing in nursing education and constitute an essential challenge for educators. This makes research about strategies and interventions to meet these problems important. Before implementing stress management interventions, they need to be tested for feasibility and acceptability before conducting large scale RCTs. The objective of our study was to assess the feasibility and acceptability of a newly developed cognitive behavioral stress management intervention for nursing students. Methods: Data were collected using a combination of standardized measurements and newly created questionnaires in combination with qualitative data. Our data included recruitment capability, sample characteristics, intervention acceptability and preliminary evaluation of participant psychological changes. Results: Findings suggested that the feasibility of conducting a full-scale evaluation was confirmed for recruitment, acceptability, data collection, and adherence to the intervention. However, difficulties relating to homework were also identified. The intervention was found feasible and acceptable to nursing students and a potential intervention for the nurse education context. Conclusions: Overall, this study provides an insight into the challenges and complexities of developing and evaluating a new brief cognitive behavioral based stress management training intervention in a nurse education setting. Support in the organization and scheduling are important aspects of implementation. In order to deal with the challenge of stress-related problems in nursing education, the thresholds for participation in effective interventions need to be low.


2021 ◽  
Author(s):  
Katrine Bostrøm ◽  
Cecilie Varsi ◽  
Hilde Eide ◽  
Elin Børøsund ◽  
Olof B Kristjansdottir ◽  
...  

Abstract Background:Chronic pain conditions entail significant personal and societal burdens and improved outreach of evidence-based pain self-management programs are needed. Digital cognitive-behavioral self-management interventions have shown promise. However, evidence is still scarce and several challenges with such interventions for chronic pain exist. Exploring patients' experiences and engagement with digital interventions may be an essential step towards developing meaningful digital self-management interventions for those living with chronic pain. Objectives:This study aimed to gain insight into the experiences of people with chronic pain when engaging with EPIO, an application (app)-based cognitive-behavioral pain self-management intervention program.Methods: Participants (N=50) living with chronic pain received access to the EPIO intervention for 3 months. During this time, all participants received a follow-up phone call at 2-3 weeks, and a subsample (n=15) also participated in individual semi-structured interviews after 3 months. A qualitative design was used and thematic analysis was employed aiming to capture participants’ experiences when engaging with the EPIO intervention program. Results:Findings identifying program-related experiences and engagement were organized into three main topics, each with three sub-themes: (1) Engaging with EPIO; motivation to learn, fostering joy and enthusiasm, and helpful reminders and personalization, (2) Coping with pain in everyday life; awareness, practice and using EPIO, and (3) The value of engaging with the EPIO program; EPIO – a friend, making peace with the presence of pain, and fostering communication and social support. Conclusions: The current study explored participants’ experiences and engagement with EPIO, a digital self-management intervention program for people living with chronic pain. Findings highlighted identifying valued aspects related to motivation for engagement, incorporating content in support of daily coping, and encouraging a sense of acceptance and relatedness as vital components for facilitating program engagement.Trial Registration: ClinicalTrials.gov NCT03705104; https://clinicaltrials.gov/ct2/show/NCT03705104


2019 ◽  
Vol 10 (3) ◽  
pp. 770-780 ◽  
Author(s):  
Elin Børøsund ◽  
Cecilie Varsi ◽  
Matthew M Clark ◽  
Shawna L Ehlers ◽  
Michael A Andrykowski ◽  
...  

Abstract Psychosocial eHealth intervention programs for cancer survivors are still in their infancy, with inconsistent findings so far in the scientific literature. The aim of this study was to explore system use, usefulness, ease of use, and preliminary effects of Stress Proffen, an app-based cognitive-behavioral stress management intervention for patients with cancer. A feasibility pilot project tested the intervention with cancer survivors (N = 25). The intervention contained (a) one face-to-face introduction session, (b) 10 app-based modules with stress management educational material and exercises, and (c) one follow-up phone call. Post-intervention interviews were conducted and user log-data were extracted. Outcome measures—Perceived Stress Scale (PSS), Anxiety and Depression (Hospital Anxiety and Depression Scale [HADS]), Health-Related Quality of Life (HRQoL; SF-36), and Self-Regulatory Fatigue (SRF-18)—were completed at baseline and post-intervention. Participants were primarily women (84%), age 34–71 (mean 48) and represented a variety of cancer diagnoses (majority breast cancer: 40%). Twenty-two participants completed all (pre–post) questionnaires. Sixteen participants (67%) completed at least 7 of 10 modules within the 8-week study period. Post-intervention interviews described StressProffen as providing a new, appreciated, and easily accessible stress management tool for the cancer survivors. Dependent/paired t-tests showed significant pre–post intervention effects with significant decrease in stress (p = .008), anxiety (p = .019), and self-regulatory fatigue (p = .025), and improved HRQoL (Role Physical, General Health, Vitality, and Role Emotional, all p’s <.01). App-based stress management interventions such as StressProffen can provide appreciated support for cancer survivors, should be easy to use, can provide significant stress reduction, and improve emotional well-being. Further testing in a randomized controlled trial is warranted and is in progress. Clinicaltrials.gov: NCT0293961.


2020 ◽  
Vol 45 (7) ◽  
pp. 812-824
Author(s):  
Anna L Marsland ◽  
Catherine P Walsh ◽  
Jennifer L Cleary ◽  
Alina D Vaisleib ◽  
Chelsea Farrell ◽  
...  

Abstract Objective Mothers of children with cancer confront life stress that can impact their psychological and physical health and, in turn, the health of the family. Recommendations advocate preemptive stress-management interventions; however, few studies have investigated their efficacy. Here, we report results of a parallel randomized pilot trial examining health benefits of a stress management intervention designed to teach coping skills. Methods One hundred twenty mothers (age 36 ± 8 years) of children newly diagnosed with cancer were randomized to a 12-session stress management intervention (n = 60) or usual care (n = 60). Sessions took place in the inpatient or outpatient setting of a children’s hospital. Primary outcome variables included psychological function and physical health assessed preintervention and postintervention and at 6-month follow-up (∼12 months postdiagnosis). Results Enrollment, retention, and satisfaction data supported feasibility and acceptability. Latent change score models showed the intervention reduced perceived stress (d = −0.37, p = 0.03), anxiety symptoms (ds = −0.38 and −0.56, ps < .03) and, a nonsignificant effect for depressive symptoms (d = −0.29, p = .11) across the 6 months following diagnosis. Intervention participants also endorsed fewer depressive symptoms than controls ∼12 months after diagnosis. The intervention improved stress management skills, which associated with the psychological benefits of participation. There were no intervention-related changes in perceived health or markers of inflammation. Conclusion Intervention-related improvements in stress management skills may result in better psychological health in the face of caring for a child with cancer. Trial Registration ClinicalTrials.gov identifier: NCT02022449


2020 ◽  
Vol 18 (3) ◽  
pp. 263-270 ◽  
Author(s):  
Joseph G. Winger ◽  
Katherine Ramos ◽  
Karen E. Steinhauser ◽  
Tamara J. Somers ◽  
Laura S. Porter ◽  
...  

AbstractObjectivesThe objectives of this study were to obtain patient evaluations of the content, structure, and delivery modality of Meaning-Centered Pain Coping Skills Training (MCPC), a novel psychosocial intervention for patients with advanced cancer and pain. MCPC aims to help patients connect with valued sources of meaning in their lives (e.g., family relationships), while providing training in evidence-based cognitive and behavioral skills (e.g., guided imagery) to reduce pain.MethodsSemi-structured interviews were conducted with 12 patients with stage IV solid tumor cancers and persistent pain. Transcripts were analyzed using methods from applied thematic analysis.ResultsWhen evaluating MCPC's educational information and skills training descriptions, participants described ways in which this content resonated with their experience. Many coped with their pain and poor prognosis by relying on frameworks that provided them with a sense of meaning, often involving their personally held religious or spiritual beliefs. They also expressed a need for learning ways to cope with pain in addition to taking medication. A few participants offered helpful suggestions for refining MCPC's content, such as addressing common co-occurring symptoms of sleep disturbance and fatigue. Concerning MCPC's structure and delivery modality, most participants preferred that sessions include their family caregiver and described remote delivery (i.e., telephone or videoconference) as being more feasible than attending in-person sessions.Significance of resultsParticipants were interested in an intervention that concurrently focuses on learning pain coping skills and enhancing a sense of meaning. Using remote delivery modalities may reduce access barriers (e.g., travel) that would otherwise prevent many patients from utilizing psychosocial services.


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Åsa Cajander ◽  
Marta Larusdottir ◽  
Gustaf Hedström

Abstract Digitalising patient-centric services to address society’s challenges with an ageing population and healthcare provision is by many seen as important. Studying the effects of the digitalisation on the work engagement of the users of the new systems is vital in this context, especially since previous research has established that the work engagement at work in healthcare is problematic. Work engagement is defined as a positive, fulfilling, affective-motivational state of work related well being, as is closely connected to the experience of resources and demands in the work context. These resources can be for example digital support, experienced demands or empowerment whereas exhaustion is connected to work demand in a workplace. This study contributes to knowledge about the effects of digitalisation on work engagement and exhaustion in the context of patient-centred services and eHealth. Contextual interviews were conducted on site for 5 h with nurses using a new chat function and using telephone for medical advice to patients. Additionally, semi-structured interviews were conducted with all the nurses participating in this digitalisation project to gather more insights into their work engagement in the two work situations. Results were analysed in different themes of areas affected by the digitalisation in the two overarching themes: job demands and job resources. The results show that the change to a chat function when communicating with advice seekers had connection to work engagement in several ways. The nurses experienced less time pressure and emotional pressure, but also a loss of job control and feedback from colleagues working from home.


In this competing world, every organization is competing with one another to be top in their industry. To prove the worthiness of their organization in the industry, employers automatically give more stress to the employees which lead employees to be depressed. Every industry faces stress in their work. The banking industry is not an exceptional one. The banking industry is the backbone of the country’s economy. The job nature of banking staff is extremely tedious because it involves the direct client interaction with all the level. In order to overcome the problem, employers should adopt a long term stress management interventions at the workplace. The major objective of this research is to explore the impact of stress management interventions at the workplace on job motivation and to find out the reason for employee’s stress at the workplace. Data were collected from 305 respondents working in different private banks in Coimbatore, Tamil Nadu, India. To collect the data, Convenience Sampling Method was used. Multiple Regression, Correlation, and Weighted Mean Average were used to analyse the collected data. Analysis reveals that some of the stress management interventions like proper job role, recognition, employee grievance handling, reducing responsibility and effective communication have an impact on job motivation. Some of the major reasons for employee’s stress at workplace are work overload, poor relationships at work, reimbursement & Benefits, etc., found to be a stress inducer in private banks. Hence it is proved that long term stress management intervention has an impact on job satisfaction among private banks employees


Sign in / Sign up

Export Citation Format

Share Document