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In this study, we explore the theoretical model and structural dimensions of employee well-being (EWB) in organizations. Specifically, using both qualitative and quantitative methods, we find that EWB comprises three dimensions: life well-being, workplace well-being, and psychological well-being. We establish the reliability and validity of the newly developed EWB scale through a series of quantitative studies, which indicate that EWB is significantly correlated with affective organizational commitment and job performance based on the data collected from multiple sources at two points in time. We find that EWB has measurement invariance (configural invariance) across Chinese and American contexts. We also discuss the theoretical contributions of these findings to cross-cultural organizational behavior studies, along with the practical implications of our results.

Aims and ObjectivesThe wellbeing of ED staff has been identified by RCEM as a priority area for research, and the 2022 GMC survey identified EM as the specialty with the highest burnout levels. There is currently little evidence on the impact of rota design on the wellbeing of ED staff, although RCEM published guidance on implementing self-rostering in 2019. The aim of this study was to investigate the impact of self-rostering on EM trainee wellbeing.Method and DesignAn online survey was distributed to UK EM trainees between Feb – May 2024, attached to the established EMTA survey. The survey included demographic data, closed Likert-scale questions regarding the impact of their rota on their wellbeing and training needs, and the Need For Recovery (NFR) scale, a validated measure of recovery between shifts with a maximum score of 100 indicating poor recovery.Results and Conclusion224 participants (10% of all UK EM trainees) completed the survey, with representation from all grades, nations, and deaneries. 34.8% of respondents were self-rostered at the time of completing the survey. Self-rostered trainees had a significantly lower median NFR score at 63.6 compared to 81.8 for those on traditional rotas. (p = 0.03) Self-rostered participants also showed significant differences in median response to the Likert items. (Table 1)Abstract 2863 Table 1Mean responses to Likert scale survey items – self-rostered and traditional rota trainees Question Mean response P value* Please state the degree to which you agree with the following statements (1 = strongly disagree, 5 = strongly agree) Self-rostered (n=78) Traditional rota (n=146) I have control over when I work 4.291.75<0.001 I am happy with my current rota 4.182.58<0.001 My current rota is easy to understand 4.273.45<0.001 My current rota interferes with my personal or family life 2.443.77<0.001 My current rota negatively impacts my physical or mental wellbeing 2.353.51<0.001 It is generally easy to swap shifts on my current rota 3.312.29<0.001 It is generally easy to take leave on my current rota 4.373.23<0.001 My current rota is conducive to my training needs 4.033.02<0.001 *Two-sample t test This study demonstrates that self-rostering is associated with improved wellbeing in UK EM trainees, with better access to leave, improved perception of the impact of their rotas on wellbeing, and improved rest between shifts. However, staff wellbeing has numerous drivers not investigated in this study, and the presence of self-rostering may well identify departments with a greater overall focus on trainee wellbeing. Further research is needed into the impact of variance in rota design on staff wellbeing, and subgroup analysis of this study is planned to identify the impact of self-rostering on different demographic groups.

Max enjoys a busy day at school.

Background: Nature Based Social Prescribing (NBSP) is a means of connecting people with non-clinical, nature-based community-led interventions delivered by 3rd sector organisations using local community assets. NBSP can support well-being and help alleviate pressure on mental health services addressing local health and wellbeing needs. This research used a mixed-method Social Return on Investment (SROI) evaluation of a six-month pilot ‘Making Well’ NBSP programme to support individuals with chronic mental health conditions in Wales.              Charitable organisations and 3rd sector community organisations deliver socially prescribed programmes within local communities heavily rely on public funding to support their activity. This SROI evaluation incorporated a forecast for The Fathom Trust, an emerging Wales-based charity to demonstrate financial transparency to demonstrate efficiency and effective to ensure long-term sustainable creation of social value and public health outcomes. Methods: The ’Making Well’ programme costs were estimated in consultation with The Fathom Trust and well-being benefits and their monetary value were based on a recent SROI evaluation of a six-month Making Well programme pilot. The projected 20% overheads, including governance, programme development, staff training and fund-raising costs, were incorporated to reflect sustainable costs as the charity develops and more accurately estimate the future social value expected to be generated. The ‘Making Well’ project delivered two separate programmes between October 2021 and April 2022. Data was collected from participants (n=12) at baseline and eight-week follow-up along with interviews to collect in-depth data on individuals lived experience of participating in the programme. The ‘Making Well’ programme costs were estimated and financial proxies from the HACT Social Value (SV) bank were applied to identified benefits. Results: The estimated cost of ‘Making Well’ programme inputs were £1,312 per participant and the net value of well-being benefits were £4,313 to £6,130 per participant, giving a range of SVR’s between £3.30 to £4.70 for every £1 invested in this NBSP intervention. The SROI forecast provides a three-year projection of the annual social value created and the estimated forecast cost of programme inputs was £797 per participant. The net value of well-being benefits was £4,313 to £6,130 per participant, giving a range of social value ratios between £5.40 to £7.70 for every £1 invested. Significant wellbeing outcomes reported by participants included achieving higher self-confidence, increased feelings of social connection, and improved mental health. Conclusions: The SROI results demonstrate that the ‘Making Well’ programme is an effective NBSP intervention for supporting people with enduring mild to moderate mental health conditions. This SROI contributes to emerging evidence on the use of community assets and NBSP in generating a return on investment and positive social value. SROI forecasting for socially prescribed interventions delivered by local community assets, such as The Fathom Trust, can help organisations demonstrate transparent and effective investment of public funds and support optimal future social value creation and long-term public health outcomes.    

Our Health Inequalities Report suggests large inequality gaps continue to exist for mental health indicators. Prescription rates for mood and anxiety disorders increased regionally and for most & least deprived areas between 2017 and 2021, with the rate in the most deprived areas 66% higher than in the least deprived areas There is an added concern. It is estimated in the UK, 17% of the general adult population have mental health problems with only 30% seeking any professional help. (McManus, S et.al. 2014). People tend to delay help seeking and problems tend to exacerbate. ‘Perceived need’ and accessibility of support are key barriers to help-seeking. (Brown, J.S.L et. Al, 2022) So what did we do?  We took 3 self-help resources, all developed with service user involvement:  Using Self Compassion, Bend Don’t Break: low intensity self-help and Building our Children's Developing Brain: aimed at parents to build emotional regulation in their children . An online pilot workshops was delivered in 2022 and 2023 with 203 attendees to explore the potential of this work. What did we find?  Evaluations of these workshops told us that 98% of respondents plan to use what they heard to improve their well-being, 99% said they would recommend the workshops to family and colleagues and the most stated way forward was to create on-line media platforms with visual clips of the content of the resources to support the work more effectively. What are we doing now? In partnership with ASCERT from the community and voluntary sector, we have created 3 on-line versions of the 3 interventions to enable people to do the work from these resources. In partnership with the Western Health & Social Care Trust Health Improvement Team psychoeducational workshops took place in September 2023 across Northern Ireland with the aim  to engage and motivate the use of these low intensity interventions. Each of these on-line interventions have an evaluation link to gauge qualitative impact. Promotion of these workshops is specifically targeting areas of need and vulnerable groups. To date 5 online psychoeducational workshops have been held with 210 participants. Four more workshops are planned monthly until March 2024. The evaluations to date from these workshops seen consistent with the findings from the pilot. 99% of participants stated that the workshops provided them with tools they can use to support their well-being. 99% of respondents would recommend the workshops to family members and colleagues and the on-line version of the work is appearing the most valued resource that is available through the workshop. This poster will outline the journey of the work to date and impact of making these interventions widely available and accessible across our population. The next step will be to engage with stakeholders and policy makers to consider the impact of these low-cost, accessible interventions and their sustainability in delivery.    

Our Health Inequalities Report suggests large inequality gaps continue to exist for mental health indicators. Prescription rates for mood and anxiety disorders increased regionally and for most & least deprived areas between 2017 and 2021, with the rate in the most deprived areas 66% higher than in the least deprived areas There is an added concern. It is estimated in the UK, 17% of the general adult population have mental health problems with only 30% seeking any professional help. (McManus, S et.al. 2014). People tend to delay help seeking and problems tend to exacerbate. ‘Perceived need’ and accessibility of support are key barriers to help-seeking. (Brown, J.S.L et. Al, 2022) So what did we do? We took 3 self-help resources, all developed with service user involvement:  Using Self Compassion, Bend Don’t Break: low intensity self-help and Building our Children's Developing Brain: aimed at parents to build emotional regulation in their children . An online pilot workshops was delivered in 2022 and 2023 with 203 attendees to explore the potential of this work. What did we find?  Evaluations of these workshops told us that 98% of respondents plan to use what they heard to improve their well-being, 99% said they would recommend the workshops to family and colleagues and the most stated way forward was to create on-line media platforms with visual clips of the content of the resources to support the work more effectively. What are we doing now? In partnership with ASCERT from the community and voluntary sector, we have created 3 on-line versions of the 3 interventions to enable people to do the work from these resources. In partnership with the Western Health & Social Care Trust Health Improvement Team psychoeducational workshops took place in September 2023 across Northern Ireland with the aim  to engage and motivate the use of these low intensity interventions. Each of these on-line interventions have an evaluation link to gauge qualitative impact. Promotion of these workshops is specifically targeting areas of need and vulnerable groups. To date 5 online psychoeducational workshops have been held with 210 participants. Four more workshops are planned monthly until March 2024. The evaluations to date from these workshops seen consistent with the findings from the pilot. 99% of participants stated that the workshops provided them with tools they can use to support their well-being. 99% of respondents would recommend the workshops to family members and colleagues and the on-line version of the work is appearing the most valued resource that is available through the workshop. This poster will outline the journey of the work to date and impact of making these interventions widely available and accessible across our population. The next step will be to engage with stakeholders and policy makers to consider the impact of these low-cost, accessible interventions and their sustainability in delivery.