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MSSL Action Research Project

            JEFFREY TABOR
     MOUNTAIN STATE UNIVERSITY
     GSL 630 STRATEGIC THINKING
         WAYNE OPPEL, PH.D.
             APRIL 15, 2012
Project Overview

 The project is based on a theory that wellness
  programs can be more effective if they are influenced
  by the people who will be participating in the
  program. The theory will apply to any program, but
  this project will focus on workplace wellness.
 The research takes place in a hospital, and asks the
  hospital to take on the role of a servant to its
  employees. The servant role in this case would use
  the resources it has to help employees make the
  choice to be healthy and live a life of wellness.
Project Overview

 As a servant, the hospital will use the resources such
  as a Dietician, Medical Doctors, Physical Therapists,
  and other staff to offer learning experiences that are
  tailored to the needs expressed by employees.
 In addition, the hospital can call on its network of
  connections to access wellness education from other
  hospitals, health insurance providers, and area
  businesses.
Project Overview

 It is my belief that people do not make a choice to
  live an unhealthy lifestyle. I believe that people who
  live an unhealthy lifestyle know that they lack the
  knowledge, commitment, or ability to make a
  change.
 A well designed wellness program can be the impact
  on their life that helps them to make a lifestyle
  change. As an employer, it is our role to provide that
  impact and offer them a chance at a better life.
Review of the Literature on the Topic

 The literature that has been reviewed for the project
 is outlined here. There are numerous writings on
 employee wellness. The topic has been a growing
 interest as healthcare costs rise and employers and
 thinkers everywhere look for ways to reduce costs.
Servant Leadership

 Robert Greenleaf originally communicated the concept of
    Servant Leadership through a book that he wrote.
   The book is very detailed and provides many examples
    for many walks of life.
   This project is focusing on Servant Leadership in the
    workplace.
   In particular it will focus on the development of a
    wellness plan that will provide employees the needs that
    they communicate through research.
   The people will get the wellness program that they ask for
    and that will help achieve their needs.
The Need for Wellness

 The United States faces a huge burden to treat the
  growing population of sick people.
 Although our nation has a very developed healthcare
  system, many believe that the focus is too much on
  sickness and not enough of wellness.
 Many people know that wellness is something that
  they should commit to in their life, but don’t know
  how to start.
 The US ranks low compared to the rest of the world
  for healthcare effectiveness.
Knowing and Doing

 “As many as 42 percent of Americans say weight loss is
  one of their top goals for the New Year. When asked
  which resolution they failed to achieve the previous year,
  most said weight loss” (Hubbuch, 2011).
 Many people simply don’t know how to get started, or
  how to stay committed.
 Many make a resolution once a year, only to set
  themselves up for failure.
 "On a day-to-day basis we're fairly myopic… Once a year
  we sit back and look at the future. And then we switch to
  normal day-to-day mode"” (Hubbuch, 2011).
What Creates Failure

 “The number 1 reason a ton of people fail to achieve
  their fitness goals is they don’t have the correct
  mindset that is congruent with their fitness goals”
  (Wellness Tips for You, 2011).
 Another theory is that the types of food many eat
  when dieting metabolically causes the body to
  become stressed, this response causes them to retain
  weight.
 The average person would not know any of this and
  they would not have enough time to research this
  and stay proficient on the subject.
Workplaces and Wellness

 Workplaces can provide support by creating a
  wellness program that takes all of the research out of
  it for individuals.
 It is beneficial to the workplace because people have
  fewer health insurance claims, and are present more
  at work.
 It is beneficial to the employees because they
  immediately have a support system in their
  workplace through their coworkers.
What Creates Failure...in Workplaces?

 Jeppesen notes that 71% of employers offering
  wellness initiatives say their programs are not very
  effective at lowering costs” (Bruce, 2011).
 In spite of all of the efforts of the employers across
  the nation, they still fall short.
 One of the main reasons that they fail is due to a lack
  of participation.
 Lack of participation likely is a result of poor design.
What Does it Take

 Ellen Lindahl, RN, MPA says it takes “multi-level
  management support, program goals and metrics, strong
  communications strategy, wellness committees and
  champions, program incentives, ready access to
  programs, a culture of health, medical self-care and
  consumerism, health assessment, and participation”
  (Lindahl, 2011).
 Many consultants have found success as experts on the
  subject matter.
 Many programs find success from health coaches who
  help people commit and carry on a lifestyle change.
The Research

 The research takes place in a rural hospital with about
  300 employees.
 Employees have been offered the chance to complete a
  survey in exchange for a chance to be entered into a
  drawing for one of five small gift cards to a grocery store.
 The survey asks questions about basic wellness topics.
 Most questions are answered by checking a space for
  either yes or no. There are also a few free text questions
  that employees can answer with their own thoughts.
The Results

 Eighty-four employees completed surveys.
 Ninety-one percent of respondents feel like they
  know enough about their current health status to
  know if they need to make a lifestyle change.
 Eighty-percent of the respondents feel like they do
  need to make a lifestyle change.
 Sixty-five percent feel like making a lifestyle change
  is overwhelming.
The Results

 Ninety percent of the survey takers have tried to
  make a lifestyle change before.
 Sixty-three percent of those people were succesful on
  their previous attempt.
 Ninety-four percent of the people felt like a wellness
  program could help their efforts to make a lifestyle
  change.
 Only twenty-six percent of the people have ever
  completed a health risk assessment, while ninety
  percent are willing to do one.
The Results

 Eighty-three percent of the respondents would
  accept a referral to an in-house provider based on
  the results of a health risk assessment.
 Sixty-nine percent of the people would participate in
  wellness support groups.
 Sixty-four percent of the people would participate in
  wellness competitions.
 Thirty-four percent of the survey takers responded
  that they would participate in a wellness committee.
The Results

 The free text responses listed things that employees
    suggest to help, or that have helped them previously.
   Many respondents said that smoking cessation
    programs could help or have helped them in the past.
   Another popular response was nutrition education,
    how to cook healthy meals, and what to eat.
   A popular response about mental health was related
    to stress management and time management.
   Many other participants noted the importance of
    making the educational opportunities available to all
    shifts.
Action Plan

 The development of a wellness committee is the first
  step.
 From the main wellness committee, a more broad set
  of committees will be created with responsibilities
  such as nutrition, exercise, and education.
 Sub-committees will have responsibility for topics
  that are influenced by their specialty. For example,
  the nutrition sub-committee will be headed by the
  Director of Nutrition Services.
Action Plan

 Each sub-committee will develop goals for their area
  of expertise, while the main wellness committee will
  also make some overall goals for the entire program.
 The plan must be developed by and for the people
  that it will affect. Follow-up surveys will be
  implemented to measure the effectiveness of the
  initial efforts.
 Modifications will be made as necessary.
 The plan will be offered to area businesses as a tool
  to develop their own program that can help them to
  meet the needs of their own population.
References
   (2012, January 6). EDITORIAL: Staying resolved. Frederick News-Post, The (MD).
   Aubele, M. (2011, November 26). Schools put new emphasis on getting, staying fit. Valley News Dispatch (Tarentum, PA).
   Bruce, S. (2011, July 18). Why Do Traditional Wellness Programs Fail?—HR Daily Advisor—BLR. HR Daily Advisor - Practical
    Tips for Human Resource Professionals. Retrieved December 4, 2011, from
    http://hrdailyadvisor.blr.com/archive/2011/07/18/HR_Policies_Procedures_Wellness_Programs.aspx
   Corporate Wellness Programs Need Total Redesign: From Focus on Health to Values. (2011). Electronic Ardell Wellness Report
    (E-AWR), (559), 2.
   Cummins, H. J. (2007, August 13). Businesses getting workers, bottom lines in shape. Star Tribune (Minneapolis, MN).
   Evans, A. (2008, July 31). Ex-Puebloan finding healthy profits in Denver: Colleen Reilly scores with employee wellness programs.
    Pueblo Chieftain, The (CO).
   Greenleaf, R. K.. Servant Leadership: A Journey into the Nature of Legitimate Power and Greatness.. 25th Anniversary ed. New
    York: Paulist Press, 2002. Print.
   Hubbuch, C. (2011, December 28). Americans uniquely determined, unable to lose weight. La Crosse Tribune (WI).
   Kampis, J. (2012, January 1). New Year's resolutions — why can't we keep them?. Decatur Daily, The (AL).
   Kristof, N. D. (n.d.). Op-Ed Columnist - Unhealthy America - NYTimes.com. The New York Times - Breaking News, World News
    & Multimedia. Retrieved January 7, 2012, from http://www.nytimes.com/2009/11/05/opinion/05kristof.html
   Lerner, M. (2011, December 30). Health coaches pay off at Medica. Star Tribune (Minneapolis, MN).
   Lindahl, E. (2011). Employee Wellness Programs. American Fitness, 29(5), 54-56.
   Simpson, E. (2011, November 14). Employers use incentives to reward healthy behavior. Virginian-Pilot, The (Norfolk, VA).
   Why A Ton Of People Fail To Achieve Their Fitness Goals. (2011, October 9). Wellness Tips For You | Your Guide To Health,
    Wellness & Fitness. Retrieved December 4, 2011, from http://wellnesstipsforyou.com/why-a-ton-of-people-fail-to-achieve-their-
    fitness-goals/
   Why Do Most Diet Fail. (n.d.). Health and Wellness Digest Online. Retrieved December 4, 2011, from
    http://www.healthwellnessdigest.com/why-do-most-diet-fail/
   Workplace Wellness | LIVESTRONG.COM. (n.d.). LIVESTRONG.COM - Lose Weight & Get Fit with Diet, Nutrition & Fitness
    Tools | LIVESTRONG.COM. Retrieved January 7, 2012, from http://www.livestrong.com/article/12518-need-workplace-wellness/

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Action Research Project Servant Leadership Approach to Employee Wellness

  • 1. MSSL Action Research Project JEFFREY TABOR MOUNTAIN STATE UNIVERSITY GSL 630 STRATEGIC THINKING WAYNE OPPEL, PH.D. APRIL 15, 2012
  • 2. Project Overview  The project is based on a theory that wellness programs can be more effective if they are influenced by the people who will be participating in the program. The theory will apply to any program, but this project will focus on workplace wellness.  The research takes place in a hospital, and asks the hospital to take on the role of a servant to its employees. The servant role in this case would use the resources it has to help employees make the choice to be healthy and live a life of wellness.
  • 3. Project Overview  As a servant, the hospital will use the resources such as a Dietician, Medical Doctors, Physical Therapists, and other staff to offer learning experiences that are tailored to the needs expressed by employees.  In addition, the hospital can call on its network of connections to access wellness education from other hospitals, health insurance providers, and area businesses.
  • 4. Project Overview  It is my belief that people do not make a choice to live an unhealthy lifestyle. I believe that people who live an unhealthy lifestyle know that they lack the knowledge, commitment, or ability to make a change.  A well designed wellness program can be the impact on their life that helps them to make a lifestyle change. As an employer, it is our role to provide that impact and offer them a chance at a better life.
  • 5. Review of the Literature on the Topic  The literature that has been reviewed for the project is outlined here. There are numerous writings on employee wellness. The topic has been a growing interest as healthcare costs rise and employers and thinkers everywhere look for ways to reduce costs.
  • 6. Servant Leadership  Robert Greenleaf originally communicated the concept of Servant Leadership through a book that he wrote.  The book is very detailed and provides many examples for many walks of life.  This project is focusing on Servant Leadership in the workplace.  In particular it will focus on the development of a wellness plan that will provide employees the needs that they communicate through research.  The people will get the wellness program that they ask for and that will help achieve their needs.
  • 7. The Need for Wellness  The United States faces a huge burden to treat the growing population of sick people.  Although our nation has a very developed healthcare system, many believe that the focus is too much on sickness and not enough of wellness.  Many people know that wellness is something that they should commit to in their life, but don’t know how to start.  The US ranks low compared to the rest of the world for healthcare effectiveness.
  • 8. Knowing and Doing  “As many as 42 percent of Americans say weight loss is one of their top goals for the New Year. When asked which resolution they failed to achieve the previous year, most said weight loss” (Hubbuch, 2011).  Many people simply don’t know how to get started, or how to stay committed.  Many make a resolution once a year, only to set themselves up for failure.  "On a day-to-day basis we're fairly myopic… Once a year we sit back and look at the future. And then we switch to normal day-to-day mode"” (Hubbuch, 2011).
  • 9. What Creates Failure  “The number 1 reason a ton of people fail to achieve their fitness goals is they don’t have the correct mindset that is congruent with their fitness goals” (Wellness Tips for You, 2011).  Another theory is that the types of food many eat when dieting metabolically causes the body to become stressed, this response causes them to retain weight.  The average person would not know any of this and they would not have enough time to research this and stay proficient on the subject.
  • 10. Workplaces and Wellness  Workplaces can provide support by creating a wellness program that takes all of the research out of it for individuals.  It is beneficial to the workplace because people have fewer health insurance claims, and are present more at work.  It is beneficial to the employees because they immediately have a support system in their workplace through their coworkers.
  • 11. What Creates Failure...in Workplaces?  Jeppesen notes that 71% of employers offering wellness initiatives say their programs are not very effective at lowering costs” (Bruce, 2011).  In spite of all of the efforts of the employers across the nation, they still fall short.  One of the main reasons that they fail is due to a lack of participation.  Lack of participation likely is a result of poor design.
  • 12. What Does it Take  Ellen Lindahl, RN, MPA says it takes “multi-level management support, program goals and metrics, strong communications strategy, wellness committees and champions, program incentives, ready access to programs, a culture of health, medical self-care and consumerism, health assessment, and participation” (Lindahl, 2011).  Many consultants have found success as experts on the subject matter.  Many programs find success from health coaches who help people commit and carry on a lifestyle change.
  • 13. The Research  The research takes place in a rural hospital with about 300 employees.  Employees have been offered the chance to complete a survey in exchange for a chance to be entered into a drawing for one of five small gift cards to a grocery store.  The survey asks questions about basic wellness topics.  Most questions are answered by checking a space for either yes or no. There are also a few free text questions that employees can answer with their own thoughts.
  • 14. The Results  Eighty-four employees completed surveys.  Ninety-one percent of respondents feel like they know enough about their current health status to know if they need to make a lifestyle change.  Eighty-percent of the respondents feel like they do need to make a lifestyle change.  Sixty-five percent feel like making a lifestyle change is overwhelming.
  • 15. The Results  Ninety percent of the survey takers have tried to make a lifestyle change before.  Sixty-three percent of those people were succesful on their previous attempt.  Ninety-four percent of the people felt like a wellness program could help their efforts to make a lifestyle change.  Only twenty-six percent of the people have ever completed a health risk assessment, while ninety percent are willing to do one.
  • 16. The Results  Eighty-three percent of the respondents would accept a referral to an in-house provider based on the results of a health risk assessment.  Sixty-nine percent of the people would participate in wellness support groups.  Sixty-four percent of the people would participate in wellness competitions.  Thirty-four percent of the survey takers responded that they would participate in a wellness committee.
  • 17. The Results  The free text responses listed things that employees suggest to help, or that have helped them previously.  Many respondents said that smoking cessation programs could help or have helped them in the past.  Another popular response was nutrition education, how to cook healthy meals, and what to eat.  A popular response about mental health was related to stress management and time management.  Many other participants noted the importance of making the educational opportunities available to all shifts.
  • 18. Action Plan  The development of a wellness committee is the first step.  From the main wellness committee, a more broad set of committees will be created with responsibilities such as nutrition, exercise, and education.  Sub-committees will have responsibility for topics that are influenced by their specialty. For example, the nutrition sub-committee will be headed by the Director of Nutrition Services.
  • 19. Action Plan  Each sub-committee will develop goals for their area of expertise, while the main wellness committee will also make some overall goals for the entire program.  The plan must be developed by and for the people that it will affect. Follow-up surveys will be implemented to measure the effectiveness of the initial efforts.  Modifications will be made as necessary.  The plan will be offered to area businesses as a tool to develop their own program that can help them to meet the needs of their own population.
  • 20. References  (2012, January 6). EDITORIAL: Staying resolved. Frederick News-Post, The (MD).  Aubele, M. (2011, November 26). Schools put new emphasis on getting, staying fit. Valley News Dispatch (Tarentum, PA).  Bruce, S. (2011, July 18). Why Do Traditional Wellness Programs Fail?—HR Daily Advisor—BLR. HR Daily Advisor - Practical Tips for Human Resource Professionals. Retrieved December 4, 2011, from http://hrdailyadvisor.blr.com/archive/2011/07/18/HR_Policies_Procedures_Wellness_Programs.aspx  Corporate Wellness Programs Need Total Redesign: From Focus on Health to Values. (2011). Electronic Ardell Wellness Report (E-AWR), (559), 2.  Cummins, H. J. (2007, August 13). Businesses getting workers, bottom lines in shape. Star Tribune (Minneapolis, MN).  Evans, A. (2008, July 31). Ex-Puebloan finding healthy profits in Denver: Colleen Reilly scores with employee wellness programs. Pueblo Chieftain, The (CO).  Greenleaf, R. K.. Servant Leadership: A Journey into the Nature of Legitimate Power and Greatness.. 25th Anniversary ed. New York: Paulist Press, 2002. Print.  Hubbuch, C. (2011, December 28). Americans uniquely determined, unable to lose weight. La Crosse Tribune (WI).  Kampis, J. (2012, January 1). New Year's resolutions — why can't we keep them?. Decatur Daily, The (AL).  Kristof, N. D. (n.d.). Op-Ed Columnist - Unhealthy America - NYTimes.com. The New York Times - Breaking News, World News & Multimedia. Retrieved January 7, 2012, from http://www.nytimes.com/2009/11/05/opinion/05kristof.html  Lerner, M. (2011, December 30). Health coaches pay off at Medica. Star Tribune (Minneapolis, MN).  Lindahl, E. (2011). Employee Wellness Programs. American Fitness, 29(5), 54-56.  Simpson, E. (2011, November 14). Employers use incentives to reward healthy behavior. Virginian-Pilot, The (Norfolk, VA).  Why A Ton Of People Fail To Achieve Their Fitness Goals. (2011, October 9). Wellness Tips For You | Your Guide To Health, Wellness & Fitness. Retrieved December 4, 2011, from http://wellnesstipsforyou.com/why-a-ton-of-people-fail-to-achieve-their- fitness-goals/  Why Do Most Diet Fail. (n.d.). Health and Wellness Digest Online. Retrieved December 4, 2011, from http://www.healthwellnessdigest.com/why-do-most-diet-fail/  Workplace Wellness | LIVESTRONG.COM. (n.d.). LIVESTRONG.COM - Lose Weight & Get Fit with Diet, Nutrition & Fitness Tools | LIVESTRONG.COM. Retrieved January 7, 2012, from http://www.livestrong.com/article/12518-need-workplace-wellness/