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Background and research question <p>Nurses are the largest occupational group in the healthcare sector in Germany and are exposed to a&#xa0;high level of physical and mental stress in their daily work. Workplace health promotion (WHP), preferably as part of a&#xa0;workplace health management system, can help to reduce stress. This article outlines the main challenges for the implementation of health promotion in hospitals.</p> Methods <p>Between February and October 2022, 39&#xa0;guideline-based expert interviews were conducted as part of the „Gute gesunde Arbeit in der Pflege“ projects. The interviews were analysed according to Mayring’s content-structuring qualitative content analysis.</p> Results <p>The challenges can be grouped into three areas: lack of prioritisation, lack of structures and resources, and additional effort in designing and organising WHP. Lack of prioritisation (e.g. due to cost pressure, limited concept of WHP) has a&#xa0;major influence on the structures and resources used to design and organise WHP. In general, unclear decision-making and responsibility structures (e.g. due to multiple staff responsibilities) complicate the implementation of WHP and cooperation with external stakeholders such as social insurance institutions. Due to the special conditions in hospitals (e.g. shift work, heterogeneity of the target groups, increased effort to activate the target group), the design and organisation require additional effort. The interaction of the different aspects is illustrated in a&#xa0;model.</p> Conclusion <p>Nurses’ health needs to be given a&#xa0;higher priority at different levels. Sustainable management structures to reduce stress and promote health should be created by improving the provision of financial, human and time resources within the company and with support from external stakeholders.</p>

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„Das ist ein Fünftel meiner Arbeit. Ich habe noch vier Fünftel andere Sachen“ – Herausforderungen für Gesundheitsförderung in der Pflege

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年2月10日

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  • Catrin Nathalie Roßbach,
  • Julie Haeger,
  • Susanne Hartung,
  • Hanna Janetzke

摘要

Background and research question

Nurses are the largest occupational group in the healthcare sector in Germany and are exposed to a high level of physical and mental stress in their daily work. Workplace health promotion (WHP), preferably as part of a workplace health management system, can help to reduce stress. This article outlines the main challenges for the implementation of health promotion in hospitals.

Methods

Between February and October 2022, 39 guideline-based expert interviews were conducted as part of the „Gute gesunde Arbeit in der Pflege“ projects. The interviews were analysed according to Mayring’s content-structuring qualitative content analysis.

Results

The challenges can be grouped into three areas: lack of prioritisation, lack of structures and resources, and additional effort in designing and organising WHP. Lack of prioritisation (e.g. due to cost pressure, limited concept of WHP) has a major influence on the structures and resources used to design and organise WHP. In general, unclear decision-making and responsibility structures (e.g. due to multiple staff responsibilities) complicate the implementation of WHP and cooperation with external stakeholders such as social insurance institutions. Due to the special conditions in hospitals (e.g. shift work, heterogeneity of the target groups, increased effort to activate the target group), the design and organisation require additional effort. The interaction of the different aspects is illustrated in a model.

Conclusion

Nurses’ health needs to be given a higher priority at different levels. Sustainable management structures to reduce stress and promote health should be created by improving the provision of financial, human and time resources within the company and with support from external stakeholders.