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Employee well-being in organizations: Theoretical model, scale development, and cross-cultural validation
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.
Journal Article
2863 Investigating the impact of self-rostering on EM trainee wellbeing and recovery: a national survey
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.
Journal Article
Design principles for the development of health technology with and for older adults to enhance well-being and aging in place
Introduction: Discussion of newly developed design principles for the development of health technology with and for older adults to enhance well-being and aging in place. Who is it for? The networking session is aimed at a broad audience including policymakers, practitioners, clinicians, and others interested in learning and contributing. The overall aim is to identify how our research can inspire and benefit others and help add value in the future planning of inclusive digital health services for older adults served by both primary and secondary healthcare services with cross-disciplinary teams. The networking session aims in collaboration with the participants to discuss and develop new principles for the design of health technology-, and services for older adults who live with physical or mental impairments. During the workshop we will share knowledge and data from an EU research project between EU and Canada called SMILE and develop design guidelines to involve older adults in the design and implementation of health technology. The purpose is to inspire the participants and spread the word about inclusive service design, to reduce inequity in health, and to increase accessibility, by including those not normally heard in the development of new health technologies. Ultimately, the aim is to make sure that a broader population of older in the future will gain the full benefit from future technologies. Two specific themes are addressed in the session, inclusion and stratification of users using the READHY instrument and how the ‘Epital Care Model’ can inform horizontal and vertical infrastructure in the development of an ecosystem. Who are you involving and engaging with? In the EU project SMILE, a new digital health technology is being designed with older adults living with one or more chronic conditions, and with different levels of digital and health literacy. The co-creational technology design approach pursued in SMILE is iterative, and includes initial interviews with end-users, workshops with developers, three phases of design workshops with end-users, and questionnaires. What are you doing or propose to do? Please explain the initiative or intervention. Developing technology with older adults with one or more chronic conditions, based on their needs and preferences, to increase well-being and ageing in place. In this process focus has been on including a broad variety of people to avoid inequity in access to health services, including, older with frailty or impairments, who are not normally included in the co-creation process and or development of new health technology. What is the problem or question you want their help to solve? - Input on how to include and design with older adults with frailty or impairments. - Reflection on the two models for stratified inclusion and design for different needs to avoid inequity in the digital transformation. - Feedback on how the ECM framework can be enhanced to ensure the involvement of informal caregivers, what works and what is missing.
Journal Article
Increasing help seeking – Working together creating opportunities for early intervention to support well-being
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.
Journal Article
Increasing help seeking – Working together creating opportunities for early intervention to support well-being
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.
Journal Article