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J Occup Environ Med. 2016 Feb;58(2):185-94. doi: 10.1097/JOM.0000000000000592.

Implementing an Integrated Health Protection/Health Promotion Intervention in the Hospital Setting: Lessons Learned From the Be Well, Work Well Study.

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Center for Community-Based Research (Dr Sorensen, Dr Nagler, Ms Theron, Ms Wallace), Dana-Farber Cancer Institute, Boston, MA; Department of Environmental Health (Dr Dennerlein and Dr Wagner); Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health (Dr Sorensen, Dr Nagler, Ms Grant, Dr Nelson), Boston, MA; Partners HealthCare (Dr Hashimoto), Boston, MA; Boston College Law School (Dr Hashimoto), Newton, MA; Harvard Medical School (Dr Hashimoto, Dr Buxton), Boston, MA; Bouvé College of Health Sciences (Dr Dennerlein), Northeastern University, Boston, MA; Statistical Consultant (Dr Stoddard), Pelham, MA; Department of Biobehavioral Health (Dr Buxton), The Pennsylvania State University, University Park, PA; Department of Medicine (Dr Buxton), Brigham and Women's Hospital, Boston, MA (Dr Buxton); New England Research Institutes (Mr Kenwood), Watertown, MA; and Office for Total Worker Health Coordination and Research Support (Dr Tamers), Office of the Director (Dr Wagner), National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Washington DC.



This study reports findings from a proof-of-concept trial designed to examine the feasibility and estimates the efficacy of the "Be Well, Work Well" workplace intervention.


The intervention included consultation for nurse managers to implement changes on patient-care units and educational programming for patient-care staff to facilitate improvements in safety and health behaviors. We used a mixed-methods approach to evaluate feasibility and efficacy.


Using findings from process tracking and qualitative research, we observed challenges to implementing the intervention due to the physical demands, time constraints, and psychological strains of patient care. Using survey data, we found no significant intervention effects.


Beyond educating individual workers, systemwide initiatives that respond to conditions of work might be needed to transform the workplace culture and broader milieu in support of worker health and safety.

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