This systematic review unpacked 22 studies to understand the effects of organisational mental health interventions on healthcare workers’ mental health and wellbeing.
Shared under an Open Access licence.
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Extracts:
· Interventions included flexible and better designed schedules, redesigned work processes and competency training, team-building and civility initiatives, participatory workplace-change programs, improved physical environments such as gardens or nap facilities, and changes in models of patient care.
· 2/3 of studies reported improvements in at least one primary outcome, like mental wellbeing, burnout, stress, symptoms of depression, and “most consistently in burnout”
· Strong evidence was found for “Job and task modifications” and a moderate level of evidence for the types “Flexible work and scheduling” and “Changes in the physical work environment”
· All other types had insufficient evidence to draw firm conclusions
· “Organisational interventions in healthcare workers can be effective in improving mental health, especially in reducing burnout”
· “Intervention types where the change in the work environment constitutes the intervention had the highest level of evidence”
· The review defines Job and task modifications as “Interventions that implement enhanced work processes resulting from organisational, administrative and/or technical changes or increased professional competence”
· “burnout… was the outcome that had the highest percentage of positive effects (11 of 13 studies, 85%)”
· “intervention types that consist of actual changes, i.e., where the change in the work environment constitutes the intervention, have a higher chance of producing positive mental health and wellbeing effects than other types of organisational interventions”
· No studies that measured depressive symptoms found an effect
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