Effectiveness of an integrated platform-based intervention for promoting psychosocial safety climate and mental health in nursing staff
A pragmatic cluster randomised controlled trial
Publication date
2025-03-31
Document type
Forschungsartikel
Author
Boß, Leif
Ross, Jennifer
Reis, Dorota
Mallwitz, Tim
Brückner, Hanna
Tanner, Grit
Nissen, Helge
Kalon, Lina
Schümann, Marlies
Lennefer, Thomas
Janneck, Monique
Ducki, Antje
Lehr, Dirk
Organisational unit
Scopus ID
Publisher
Elsevier
Series or journal
International Journal of Nursing Studies
ISSN
Periodical volume
167
Article ID
105076
Peer-reviewed
✅
Part of the university bibliography
✅
Language
English
Keyword
Digital health
Internet-based intervention
Mental health
Occupational health
Occupational stress
Abstract
Background: Organisational and individual factors cause strain in the daily lives of nurses and other healthcare professionals, who have a high prevalence of stress-related disorders. Accordingly, there is a strong need for integrated occupational health promotion interventions that include both work-directed and person-directed interventions. The psychosocial safety climate is seen as an overarching occupational health objective and can potentially be improved by implementing integrated mental health interventions. Objective: Following an integrated approach, we developed an occupational e-mental health platform, Care4Care, which integrates both work- and person-directed interventions for promoting mental health in nurses. We evaluated the effects of the platform compared with those of an extended care-as-usual control condition. Design: Clustered randomised controlled trial. Setting: Healthcare service facilities in Germany nationwide. Participants: 347 nursing staff members (intervention: 211, control: 136) from 33 healthcare service facilities. Methods: The participants received either immediate access to the platform or access to two short subcomponents of the platform plus routine occupational health promotion offerings as well as delayed access to the whole platform after 6 months. The primary outcome was improvement in the psychosocial safety climate after 6 months. The secondary outcomes included perceived stress, depressive symptoms, and other strain-related indicators. Results: Bayesian multilevel analyses revealed an improvement of approximately 2 points (Cohen's d = 0.25) in the psychosocial safety climate in the intervention group compared with the control group. Applying a 95 % credible interval, this effect contained zero (− 0.32, 4.44), which indicated uncertainty about the effectiveness of the intervention on the psychosocial safety climate. The analyses of the secondary outcomes revealed effects in the expected direction with high credibility for a decreasing effect on perceived stress and considerable uncertainty with regard to all other secondary and tertiary outcomes. A total of 85 (40 %) participants in the intervention group used Care4Care, whereas 37 (27 %) participants in the control group used the two subcomponents of the platform. Conclusions: This study highlights the potential of an occupational e-mental health platform that combines work- and person-directed interventions with face-to-face components for nursing staff. The findings emphasise the necessity of conducting more in-depth implementation studies to identify the factors that facilitate the successful implementation and uptake of occupational e-mental health platforms. Registration: German Clinical Trials Register – DRKS (DRKS00027869). Registration date: February 23, 2022. Start of recruitment: June 21, 2022.
Description
This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
Version
Published version
Access right on openHSU
Metadata only access