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"The largest initiative to improve hospital work environments to date has officially begun."
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The pervasiveness and growing levels with which mental health morbidity is reported by hospital clinicians is alarming. Underlying causes are strikingly similar and rooted within the work environment. This provides compelling rationale for prioritizing the redesign of hospital environments to prevent mental health morbidity. Magnet4Europe aims to transfer, modify, scale up, and evaluate the evidence-based Magnet® model of organizational redesign of clinical work environments. Magnet® is based on features of high-performance institutions such as flat organizational structures and high functioning teams that can inform workplace redesign. It has been successful internationally in improving workers’ mental health, reducing burnout and turnover, by promoting clinician involvement in institutional policies about flexible scheduling and promoting shared governance that offers increased opportunities in institutional decision-making. It has however not yet been implemented in Europe despite interest, especially in the hospital sector where worker shortages are threatening the quality and availability of health care services. Magnet4Europe implements the Magnet® model blueprint in about 60 aspiring European hospitals in 7 countries through one-to-one twinning with about 60 Magnet® recognized hospitals, a learning collaborative to promote success and sustainability, a critical mass of hospitals promoting innovation to attract public interest and foster replication, and continuous evaluation of the gap between actual and desired performance. Magnet4Europe uses a matched pairs usual-practice wait-list cluster randomized trial with a nested qualitative process evaluation to determine the effect of Magnet® hospital organizational redesign on nurse and physician wellbeing, with risk of emotional exhaustion as primary outcome measure.
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At a glance
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Duration
Budget
Coordinator
Partners
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01 January 2020 - 31 December 2023
€ 4 000 000 Horizon 2020
Katholieke Universiteit Leuven, Belgium
University of Pennsylvania, United States
University of Southampton, United Kingdom University College Cork - National University of Ireland, Ireland Technische Universität Berlin, Germany Karolinska Institutet, Sweden London School of Hygiene and Tropical Medicine, United Kingdom King's College London, United Kingdom Meplis nv, Belgium Universitair Ziekenhuis Antwerpen, Belgium |
"Magnet4Europe transfers, modifies, scales up, and evaluates the evidence-based Magnet model of organizational redesign of clinical health care work environments in 7 European countries."
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Objectives
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The overall objective is to improve the mental health and wellbeing of physicians, nurses, and other health professionals in European hospitals.
Specific objectives include:
Specific objectives include:
- To implement an evidence-based and stakeholder co-created intervention (Magnet4Europe) to achieve better clinical work environments as a strategy to improve worker mental health and wellbeing
- To evaluate the effectiveness of the intervention on mental health and wellbeing of health professionals
- To evaluate the effectiveness of the intervention on productivity and patient outcomes
- To evaluate the cost-effectiveness of the Magnet4Europe intervention balancing intervention costs, productivity gains from improved mental health and wellbeing, and improved patient outcomes
- To identify barriers and enablers for the successful implementation of the Magnet4Europe model of organizational intervention in hospitals
- To foster stakeholder buy-in for spreading and scaling to a larger set of hospitals, other health care settings, and the wider health sector throughout Europe
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Work Packages |
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WP1 Intervention and Study Protocol |
WP2 Twinning and Learning Collaborative |
WP3 Data Collection Management |
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Aim of WP1 is to develop cross-country detailed and work plan, the instruments, and questionnaires for the Magnet4Europe intervention. This work package also relates to the pairing and randomizing hospitals in an intervention and control group.
Led by University of Pennsylvania. |
Objective of WP2 is to twin European with Magnet® recognized hospitals and to create an interactive learning community using a software platform by Meplis specifically designed for this purpose.
Led by University College Cork - University of Ireland |
Main objectives of WP3 include the development of the data management plan and the installation of the software platforms for data collection and for participating hospitals.
Led by Meplis NV |
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WP4 Intervention Monitoring and Evaluation |
WP5 Data Integration and Analysis |
WP6 Evidence Synthesis |
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Aim of WP4 is to evaluate the intervention process and to explore barriers and enablers of implementation and experiences of the change process by means of qualitative data.
Led by Karolinska Institutet |
As part of WP5 an analysis plan with accompanying data dictionary for health care worker, patient, and cost data will be created.
Led by Katholieke Universiteit Leuven |
WP6 seeks to facilitate the production of a coherent and accessible body of scientific research and establish practices and procedures that support widespread and effective dissemination and knowledge transfer.
Led by University of Southampton |
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WP7 Impact, Exploitation, and Transferibility |
WP8 Project Management |
WP9 Ethics Requirements |
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WP7 deals with the dissemination and exploitation of results and the communication during the course of the study in order to maximize impact of the project.
Led by Technische Universität Berlin |
WP8 responsible for setting up an effective management structure and implementing management procedures that address the needs of all partners involved in Magnet4Europe.
Led by Katholieke Universiteit Leuven |
WP9 aims to ensure compliance with ethical requirements throughout the course of the project.
Led by Katholieke Universiteit Leuven |