Evidence map›Paper›PMID 35197332›Full record

Trial reportBMJ open2022

Feasibility, psychological outcomes and practical use of a stress-preventive leadership intervention in the workplace hospital: the results of a mixed-method phase-II study.

Felicitas Stuber, Tanja Seifried-Dübon, Elena Tsarouha, Zahra Rahmani Azad, Rebecca Erschens, Ines Armbruster, Susanne Schnalzer, Nadine Mulfinger, Andreas Müller, Peter Angerer and 9 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Felicitas StuberDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany felicitas.stuber@med.uni-tuebingen.de.ORCID 0000-0002-7503-3881
Tanja Seifried-DübonDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany.ORCID 0000-0001-5935-539X
Elena TsarouhaInstitute of Occupational and Social Medicine and Health Services Research, University Hospital Tuebingen, Tuebingen, Germany.
Zahra Rahmani AzadDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany.
Rebecca ErschensDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany.ORCID 0000-0002-4433-9378
Ines ArmbrusterDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany.
Susanne SchnalzerEcht:Zeit Coaching, Esslingen, Germany.
Nadine MulfingerDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany.
Andreas MüllerInstitute of Psychology, Work and Organisational Psychology, University of Duisburg-Essen, Essen, Germany.
Peter AngererInstitute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, University of Duesseldorf, Duesseldorf, Germany.
Madeleine HelaßDepartment for General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany.
Imad MaatoukDepartment for General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany.
Christoph NikendeiDepartment for General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany.
Sascha RuhleChair of Business Administration, Human Resource Management and Organisation Studies, Heinrich Heine University Duesseldorf, Duesseldorf, Germany.ORCID 0000-0001-7855-2647
Bernd PuschnerPsychiatry and Psychotherapy II, Ulm University, Ulm, Germany.ORCID 0000-0002-2929-4271
Harald GündelDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany.
Monika A RiegerInstitute of Occupational and Social Medicine and Health Services Research, University Hospital Tuebingen, Tuebingen, Germany.
Stephan ZipfelDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany.
Florian JunneDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tuebingen, Tuebingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHospitals are psychologically demanding workplaces with a need for context-specific stress-preventive leadership interventions. A stress-preventive interprofessional leadership intervention for middle management has been developed. This phase-II study investigates its feasibility and outcomes, including work-related stress, well-being and transformational leadership.

designThis is a mixed-methods study with three measure points (T0: baseline, T1: after the last training session, T2: 3-month follow-up). Additionally, focus groups were conducted to assess participants' change in everyday work.

settingA tertiary hospital in Germany.

participantsN=93 leaders of different professions.

interventionAn interactive group setting intervention divided in five separate sessions ((1) self-care as a leader, (2) leadership attitudes and behaviour, (3) motives, needs and stressors of employees, (4) strengthen the resource 'team', (5) reflection and focus groups). The intervention was conducted between June 2018 and March 2020 in k=5 runs of the intervention. OUTCOME MEASURES: Feasibility and acceptance were measured with a self-developed intervention specific questionnaire. Psychological outcomes were assessed with the following scales: work-related strain with the Irritation Scale, well-being with the WHO-5 Well-being Index and transformational leadership with the Questionnaire of Integrative Leadership.

resultsAfter the intervention at T2, over 90% of participants reported that they would recommend the intervention to another coworker (92.1%, n=59) and all participants (n=64) were satisfied with the intervention and rated the intervention as practical relevant for their everyday work. Participants' self-rated cognitive irritation was reduced, whereas their well-being and transformational leadership behaviour were improved over time. Focus group discussions revealed that participants implemented intervention contents successfully in their everyday work.

conclusionsThis intervention was feasible and showed first promising intraindividual changes in psychological outcomes. Participants confirmed its practical relevance. As a next step, the intervention will be evaluated as part of a multicentre-randomised controlled trial within the project SEEGEN (SEElische GEsundheit am Arbeitsplatz KrankeNhaus).

Indexed as

LeadershipWorkplaceFeasibility StudiesHospitalsHumansSurveys and Questionnaireseducation & training (see medical education & training)mental healthoccupational & industrial medicinepublic health

Identifiers

PMID35197332
PMCPMC8867373

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.