An Organizational-Level Intervention to Enhance Sustainable Employability of Long-Term Care Workers: A Process Evaluation of the Healthy Working Approach.

Abstract

The aims of the study were to evaluate whether the Healthy Working Approach was implemented as planned and to gain insight into perceived positive outcomes and barriers and facilitators to the implementation. We conducted a mixed methods process evaluation on a team-based approach for sustainable employability of long-term care workers. We examined context, recruitment, reach, dose delivered, dose received, fidelity, satisfaction, perceived positive outcomes, and barriers and facilitators. Reach was 11% whereas dose delivered, dose received, fidelity, and satisfaction were above 60%. Perceived positive outcomes included improved team coherence, faster problem solving, and professional development. Barriers and facilitators included collaboration in working groups, motivation, and scheduling meetings. For the teams reached, the approach was implemented according to protocol and perceived as positive. Future implementation should focus on increasing reach and dose delivered from working groups to teams.