دانلود رایگان مقاله انگلیسی سلامت کل کارکنان کسب و کار کوچک: روش شناختی برای تسهیل تغییر سازمانی - اشپرینگر 2018

Abstract

Nearly half of Americans are employed by small businesses, and future projections suggest that the number of those employed by small businesses will rise. Despite this, there is relatively little small business intervention research on the integration of health protection and health promotion, known as Total Worker Health® (TWH). We first discuss the importance of studying small businesses in TWH research and practice. Second, we describe an example of a small business TWH intervention, Health Links™ plus TWH owner/senior manager leadership training, that we are evaluating via the Small+Safe+Well (SSWell) study. Key features of the intervention and the SSWell study include attention to multi-level influences on worker health, safety and well-being; organizational change; and dissemination and implementation science strategies via the RE-AIM model. We offer several considerations for future small business TWH research and practice both in terms of the small business context as well as intervention development and evaluation. Our goal is to provide TWH researchers and practitioners with a framework and an example of how to approach small business TWH interventions. Ultimately, through the SSWell study, we aim to provide small businesses with strong evidence to support the use of TWH strategies that are practical, effective and sustainable.

Conclusions

In this paper, we outline the gaps in and the need for small business TWH intervention research. While small businesses may face barriers to implementing TWH strategies, we believe that with community support they can overcome these barriers. Our community-based, organizational-level study aims to test the impact of a TWH intervention that assists small businesses in their efforts to undergo both transactional and transformational organizational change. By applying the RE-AIM program evaluation framework, we hope to highlight the importance of applying best-practices in dissemination and implementation science to TWH interventions. Finally, we have emphasized the importance of recognizing both contextual and intervention design factors to consider when researchers design and evaluate small business TWH interventions. Through the SSWell study, we offer an example of how to test both a theoretical framework and practical solution, in order to provide small businesses with strong evidence to support the use of TWH strategies that are practical, effective and sustainable.