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The Washington State Psychiatric Hospital Work, Stress, and Health Project: final report to the Washington Department of Social and Health Services and Eastern State Hospital.

Yragui-NL; Johnson-W; Demsky-C
Olympia, WA: Washington State Department of Labor and Industries, 87-5-2013, 2013 Feb; :1-74
The growing demand for healthy workplaces creates a hospital climate in which direct care provider wellbeing and safety and have become critical strategic priorities for hospitals. Research can help identify and prioritize key influences on workplace violence and disruptive behavior, and increase understanding of how direct care provider working conditions influence health, family, and work outcomes. Therefore, the Washington State Psychiatric Hospital Work, Stress, and Health (WWSH) Project addressed two important research needs. Research Need #1: Work stress and health research needs to describe both the critical context resources and work experiences that influence workplace violence such as patient assaults, disruptive behavior, and witnessing disruptive behavior. Research Need #2: Workplace violence research needs an empirically-supported model linking work context resources to workplace violence and to health, family, and work outcomes. Design and Methods: The Washington Work, Stress, and Health (WWSH) Project involves collaboration between the Washington State Psychiatric Hospitals and the Washington State Department of Labor & Industries SHARP research program. The research in this report consists of a survey study involving qualitative and quantitative assessments. In early 2012, 485 direct care providers and supervisors completed a survey assessing workplace violence assaults, disruptive behavior, and workplace context characteristics expected to influence workplace violence and health, family and work outcomes. Of these respondents, 196 were from Eastern State Hospital. Survey respondents also provided qualitative descriptions of significant assault experiences, and suggested changes to improve the quality of their work life. The WWSH project was designed following a prior qualitative assessment of workplace violence and work context, the results of which were presented to ESH stakeholders in The Eastern State Hospital Workplace Violence Project: Final Report to Washington DSHS Mental Health Division and Eastern State Hospital (February 22, 2011). The findings from the current survey are now being used by our Western State Hospital (WSH) Intervention Development Team, consisting of key WSH management, union and direct care provider stakeholders to develop and pilot a workplace violence prevention intervention with supervisory nurses and care providers. In addition, an ongoing process evaluation documents, in three phases, the details of the current state of the organization's culture and practices (Phase I); intervention development (Phase II); and intervention pilot implementation (Phase III). The completed intervention will be provided to Eastern State Hospital for their modification and use.
Medical-facilities; Safety-measures; Safety-programs; Workers; Work-environment; Behavior; Force; Stress; Worker-health; Psychology; Psychological-stress; Psychological-reactions; Psychological-responses
Nanette L. Yragui, Ph.D., Occupational Health Research Psychologist, Washington Department of Labor & Industries, Safety & Health & Research for Prevention (SHARP), PO Box 44330, Olympia, WA 98504-4330
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The Washington State Psychiatric Hospital Work, Stress, and Health Project: final report to the Washington Department of Social and Health Services and Eastern State Hospital.
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Washington State Department Lab and Industry