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From Awareness to Action Using the Survey Feedback Method

Journal of Health Science 2014年第7期2卷 325-329页

作者： Ann Fridner Birgit Pingel Lise Tevik Lovseth marie gustafsson senden Karin Schenck-gustafsson Department of Psychology Centre of Gender Medicine Karolinska Institutet Stockholm University Stockholm SE-10691Sweden Centre of Gender Medicine Karolinska lnstitutet and Cardiac Unit Department of Medicine Karolinska University HospitalStockholm SE-10691 Sweden Department of Research and Development Trondheim St. Olavs University Hospital Norway

Reports from European university hospitals show an increase in work-related mental strain. Four European university hospitals started a comprehensive research program called Health and Organisation among University hospitals Physicians in Europe-the HOUPE Study in the year 2003. Based on the results from the HOUPE study, the authors conducted an intervention project together with HR-consultants at one of the participating hospitals. A collected cross-sectional survey in 2005 among permanently employed academic physicians (N = 1800, response rate 60%) at Karolinska University Hospital in Sweden. Results from the study were used in survey feedback seminars (N = 250). This method is a way of systematic collection of data to process and give feedback to the organisation"s members in order to initiate organisational change. By providing results based on the total sample, on each division, and unpublished data from each clinic the authors aimed to improve physicians" health and work satisfaction and thereby enhance the health of the physicians. Feedback seminars can arouse many emotions and might make people defensive. The role of resistance in the process of change is a paradox in that resistance slows down change. However, without resistance there will be no change at all. The authors conducted 20 feedback seminars of three hours duration where results were discussed relating mainly to the psychosocial work environment, psychological distress, and career paths, i. e., job demands, control at work, social interactions, leadership, commitment to the organisation, harassment at work, burnout, depression and suicide ideation. Altogether, 250 physicians participated in these meetings. To achieve acceptance for organisational change, data about relevant conditions in the organisation have to be processed in a systematic way in collaboration with all those who will benefit from changes, in concrete work units as divisions and clinics.

关键词：健康科学保健法心理健康医学心理学生活习惯

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