Contextualizing Violence Prevention – How Contextual Aspects Influence the Implementation of a Violence Prevention Initiative in Prisons and Psychiatry

The aim of this study was to investigate which contextual aspects and mechanisms are decisive in the implementation of an integrated, tailored intervention to prevent violence and threats of violence from patients or inmates towards employees in psychiatric units and in prisons and detention centers...

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Main Authors: Sofie Østergaard Jaspers, Dorte Raaby Andersen, Iben Louise Karlsen, Anna Helene Meldgaard Pedersen, Lars Peter Sønderbo Andersen, Paul Maurice Conway, Birgit Aust, Johnny Dyreborg
Format: Article
Language:English
Published: Stockholm University Press 2022-02-01
Series:Scandinavian Journal of Work and Organizational Psychology
Subjects:
Online Access:https://account.sjwop.com/index.php/su-j-sjwop/article/view/141
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author Sofie Østergaard Jaspers
Dorte Raaby Andersen
Iben Louise Karlsen
Anna Helene Meldgaard Pedersen
Lars Peter Sønderbo Andersen
Paul Maurice Conway
Birgit Aust
Johnny Dyreborg
author_facet Sofie Østergaard Jaspers
Dorte Raaby Andersen
Iben Louise Karlsen
Anna Helene Meldgaard Pedersen
Lars Peter Sønderbo Andersen
Paul Maurice Conway
Birgit Aust
Johnny Dyreborg
author_sort Sofie Østergaard Jaspers
collection DOAJ
description The aim of this study was to investigate which contextual aspects and mechanisms are decisive in the implementation of an integrated, tailored intervention to prevent violence and threats of violence from patients or inmates towards employees in psychiatric units and in prisons and detention centers. Based on a standardized implementation degree assessment of fidelity, reach and dose delivered, we selected two workplace cases from each sector, one with a high and one with a low implementation degree. Using a realist evaluation framework, we conducted a thematic analysis of the four selected workplace cases to identify prevalent contextual aspects and mechanisms underlying the implementation degree. We found that prioritization, synergy with parallel change processes, and intervention fit, were decisive mechanisms for the successful implementation of the intervention. We also found that lack of resources (staff instability, insufficient time, poor mental resources) and resource-demanding parallel change processes, were contextual aspects that “blocked” all mechanisms. That is, when resources were not available, none of the mechanisms for implementing the intervention was activated. Our findings point to the importance of investigating the role of contextual aspects when assessing the effectiveness of organizational interventions.
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spelling doaj.art-0536bfe9354a4980b94084a93460cffb2023-04-17T07:42:12ZengStockholm University PressScandinavian Journal of Work and Organizational Psychology2002-28672022-02-01714410.16993/sjwop.14184Contextualizing Violence Prevention – How Contextual Aspects Influence the Implementation of a Violence Prevention Initiative in Prisons and PsychiatrySofie Østergaard Jaspers0https://orcid.org/0000-0002-0292-9660Dorte Raaby Andersen1https://orcid.org/0000-0002-1961-0891Iben Louise Karlsen2https://orcid.org/0000-0002-7923-5800Anna Helene Meldgaard Pedersen3https://orcid.org/0000-0001-7538-8554Lars Peter Sønderbo Andersen4https://orcid.org/0000-0003-0320-7974Paul Maurice Conway5https://orcid.org/0000-0002-9236-9731Birgit Aust6https://orcid.org/0000-0002-4184-6577Johnny Dyreborg7https://orcid.org/0000-0002-5452-5596Department of Psychology, University of Copenhagen, Copenhagen; National Research Centre for the Working Environment, CopenhagenDepartment of Occupational Medicine – University Research Clinic, Danish Ramazzini Centre, Regional Hospital West Jutland, HerningNational Research Centre for the Working Environment, CopenhagenDepartment of Occupational Medicine – University Research Clinic, Danish Ramazzini Centre, Regional Hospital West Jutland, HerningDepartment of Occupational Medicine – University Research Clinic, Danish Ramazzini Centre, Regional Hospital West Jutland, HerningDepartment of Psychology, University of Copenhagen, CopenhagenNational Research Centre for the Working Environment, CopenhagenNational Research Centre for the Working Environment, CopenhagenThe aim of this study was to investigate which contextual aspects and mechanisms are decisive in the implementation of an integrated, tailored intervention to prevent violence and threats of violence from patients or inmates towards employees in psychiatric units and in prisons and detention centers. Based on a standardized implementation degree assessment of fidelity, reach and dose delivered, we selected two workplace cases from each sector, one with a high and one with a low implementation degree. Using a realist evaluation framework, we conducted a thematic analysis of the four selected workplace cases to identify prevalent contextual aspects and mechanisms underlying the implementation degree. We found that prioritization, synergy with parallel change processes, and intervention fit, were decisive mechanisms for the successful implementation of the intervention. We also found that lack of resources (staff instability, insufficient time, poor mental resources) and resource-demanding parallel change processes, were contextual aspects that “blocked” all mechanisms. That is, when resources were not available, none of the mechanisms for implementing the intervention was activated. Our findings point to the importance of investigating the role of contextual aspects when assessing the effectiveness of organizational interventions.https://account.sjwop.com/index.php/su-j-sjwop/article/view/141violence preventionorganizational interventionrealistic evaluationcontext evaluationimplementationpsychiatryprison and probation servicedenmark
spellingShingle Sofie Østergaard Jaspers
Dorte Raaby Andersen
Iben Louise Karlsen
Anna Helene Meldgaard Pedersen
Lars Peter Sønderbo Andersen
Paul Maurice Conway
Birgit Aust
Johnny Dyreborg
Contextualizing Violence Prevention – How Contextual Aspects Influence the Implementation of a Violence Prevention Initiative in Prisons and Psychiatry
Scandinavian Journal of Work and Organizational Psychology
violence prevention
organizational intervention
realistic evaluation
context evaluation
implementation
psychiatry
prison and probation service
denmark
title Contextualizing Violence Prevention – How Contextual Aspects Influence the Implementation of a Violence Prevention Initiative in Prisons and Psychiatry
title_full Contextualizing Violence Prevention – How Contextual Aspects Influence the Implementation of a Violence Prevention Initiative in Prisons and Psychiatry
title_fullStr Contextualizing Violence Prevention – How Contextual Aspects Influence the Implementation of a Violence Prevention Initiative in Prisons and Psychiatry
title_full_unstemmed Contextualizing Violence Prevention – How Contextual Aspects Influence the Implementation of a Violence Prevention Initiative in Prisons and Psychiatry
title_short Contextualizing Violence Prevention – How Contextual Aspects Influence the Implementation of a Violence Prevention Initiative in Prisons and Psychiatry
title_sort contextualizing violence prevention how contextual aspects influence the implementation of a violence prevention initiative in prisons and psychiatry
topic violence prevention
organizational intervention
realistic evaluation
context evaluation
implementation
psychiatry
prison and probation service
denmark
url https://account.sjwop.com/index.php/su-j-sjwop/article/view/141
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