A journey towards a Healthy Hospital: implementation of a pilot project to promote wellness in a healthcare center.
e202502007
Keywords:
Promoción de la Salud, Hospital, Trabajadores de Salud, Determinantes sociales de la salud, BienestarAbstract
Health Week is an initiative carried out in a hospital in Madrid with the aim of promoting the health, well-being and self-careof its workers. It is a health promotion pilot project framed within a larger project to promote healthy lifestyles by offering activities during and outside the working day that generate physical, social and emotional well-being. Implementation of an intervention to promote healthy habits designed on the basis of the results of a previous exploratory study with a quantitative and qualitative approach. The Health Week took place in February 2024 with 12 activities, during 5 days. The most popular were Zumba, HosPilates, Choir and Mindfulness. A total of 125 out of 800 employees participated, 90% women, mainly administrative assistants, nurses and nursing assistants. An average of 1.63 activities per person and 12 attendees per activity. Satisfaction was high: 90% were very satisfied, 100% would repeat and recommend the event. According to middle management, there were no organizational problems or tensions among workers, and 72% perceived improvements in the work environment. No incidents were reported during the week. Implementing programs to promote healthy habits among hospital workers is feasible and replicable. It is crucial that they are based on social determinants, to address community health problems in a comprehensive and equitable manner. In addition, they can foster a culture of self-care, improve the well-being of health professionals, generate a positive work climate and become social role models.
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Chiou ST, Chiang JH, Huang N et al. Health behaviors and participation in health promotion activities among hospital staff: which occupational group performs better? BMC Health Serv Res 14, 474 (2014). https://doi.org/10.1186/1472-6963-14-474
West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. (2016). Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. The Lancet, 388(10057), 2272-2281. https://doi.org/10.1016/S0140-6736(16)31279-X
Salyers MP, Bonfils KA, Luther L, Firmin RL, White DA, Adams EL, Rollins AL, Gearhart T. (2017). The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis. Journal of General Internal Medicine, 32(4), 475-482. https://doi.org/10.1007/s11606-016-3886-9
Maslach C, Leiter MP. (2016). Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry, 15(2), 103-111. https://doi.org/10.1002/wps.20311
Monroe C, Loresto F, Horton-Deutsch S, Kleiner C, Eron K, Varney R, Grimm S. The value of intentional self-care practices: The effects of mindfulness on improving job satisfaction, teamwork, and workplace environments. Archives of Psychiatric Nursing, Volume 35, Issue 2, 2021, Pages 189-194, ISSN 0883-9417. https://doi.org/10.1016/j.apnu.2020.10.003
Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002 Oct 23-30; 288 (16): 1987-1993. https://doi.org/10.1001/jama.288.16.1987
Pereda AM. Explorando la teoría general de enfermería de Orem. Enf Neurol (Mex). 2011;10(3):163-167.
Linnan L, Bowling M, Childress J, Lindsay G, Blakey C, Pronk S, Wieker S, Royall P. Results of the 2004 National Worksite Health Promotion Survey. Am J Public Health. 2008 Aug;98(8):1503-1509. https://doi.org/10.2105/AJPH.2006.100313. Epub 29 nov 2007. PMID: 18048790; PMCID: PMC2446449.
Pelletier KR. A review and analysis of the clinical and cost-effectiveness studies of comprehensive health promotion and disease management programs at the worksite: update VIII 2008 to 2010. J Occup Environ Med. 2011 Nov;53(11):1310-1331. PMID: 22015548. https://doi.org/10.1097/JOM.0b013e3182337748
Shahrjerdi S, Mondalizadeh Z. The effects of an 8-week selective corrective exercises program on the worker’s productivity with the upper crossed syndrome-a randomized controlled trial. J Bodyw Mov Ther. 2024 Apr;38:299-305. https://doi.org/10.1016/j.jbmt.2023.09.007. Epub 2024 Feb 3. PMID: 38763573.
Pereira M, Comans T, Sjøgaard G, Straker L, Melloh M, O’Leary S, Chen X, Johnston V, Scand J. The impact of workplace ergonomics and neck-specific exercise versus ergonomics and health promotion interventions on office worker productivity: A cluster-randomized trial. Work Environ Health 2019;45(1):42-52. https://doi.org/10.5271/sjweh.3760
Alexander GK, Rollins K, Walker D, Wong L, Pennings J. Yoga for Self-Care and Burnout Prevention Among Nurses. Workplace Health Saf. 2015 Oct;63(10):462-470; quiz 471. https://doi.org/10.1177/2165079915596102. PMID: 26419795.
Groene O, editor. La implantación de la promoción de la salud en los hospitales: manual y formularios de autoevaluación [Internet]. Madrid: Ministerio de Sanidad y Consumo; 2007 [consultado 4 ene 2025]. Disponible en: https://www.sanidad.gob.es/areas/promocionPrevencion/entornosSaludables/docs/PromoSaludHospitales.pdf
Taylor MJ, McNicholas C, Nicolay C, Darzi A, Bell D, Reed JE. Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Qual Saf. 2014 Apr;23(4):290-298. https://doi.org/10.1136/bmjqs-2013-001862. Epub 11 sep 2013. PMID: 24025320; PMCID: PMC3963536.
Goetzel RZ, Ozminkowski RJ. The health and cost benefits of work site health-promotion programs. Annu Rev Public Health. 2008;29:303-323. PMID: 18173386. https://doi.org/10.1146/annurev.publhealth.29.020907.090930
Sorensen G, Landsbergis P, Hammer L, Amick BC 3rd, Linnan L, Yancey A, Welch LS, Goetzel RZ, Flannery KM, Pratt C. Workshop Working Group on Worksite Chronic Disease Prevention. Preventing chronic disease in the workplace: a workshop report and recommendations. Am J Public Health. 2011 Dec;101 Suppl 1(Suppl 1):S196-207. https://doi.org/10.2105/AJPH.2010.300075. Epub 21 jul 2011. PMID: 21778485; PMCID: PMC3222510.
Heidemann Ivonete Teresinha Schülter Buss. Promoción de la salud y la articulación con los determinantes sociales. Hacia promoc. Salud [Internet]. Enero de 2020 [consultado el 4 de enero de 2025]; 25(1): 9-10. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0121-75772020000100009&lng=en / https://doi.org/10.17151/hpsal.2020.25.1.1
Gil-Girbau M, Pons-Vigués M, Rubio-Valera M, Murrugarra G, Masluk B, Rodríguez-Martín B et al. Modelos teóricos de promoción de la salud en la práctica habitual en atención primaria de salud. Gac Sanit. Epub 22 nov 2021. https://dx.doi.org/10.1016/j.gaceta.2019.06.011
Comunidad-semFYC. https://comunidad.semfyc.es/article/un-plan-de-salud-comunitario-por-que-y-para-que
Miller F. Programas de salud comunitaria alrededor del mundo. Atención Primaria. 2008;40(2):55-58. https://www.elsevier.es/es-revista-atencion-primaria-27-articulo-programas-salud-comunitaria-alrededor-del-13116146
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Copyright (c) 2025 Claudia Ruíz-Huerta García de Viedma, Gema Vega González, Carmen Ferrer Arnedo, Natalia Cuenca Viñas, Carmen Ruíz Castro, Ana M. Palmar Santos
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