The purpose of this study was to identify challenges and action plans from 2.497 structured communication sessions between employee and supervisor and to gain insight into the processes of a quasi-experimental stepped wedge clustered intervention, which implemented workplace health literacy for reducing musculoskeletal pain among eldercare workers.

Most challenges concerned staffing (17%), organisation of tasks (15%) and team work (14%). Most action plans concerned communication (18%), team-work (16%) and handling residents (14%). Half of the plans were solved at another level in the organisation than the challenge appeared. Actions planned on the individual level had the highest implementation rate (52%).

The results underline the advantages in considering solutions to work environment and health challenges broadly at all levels in the organisation and the relevance of involving both the employee and the organisation/management in identifying and implementing solutions.

本研究的目的是从员工和主管之间的 2.497 次结构化沟通会议中确定挑战和行动计划，并深入了解准实验性阶梯楔形集群干预的过程，该干预实施工作场所健康素养以减少老年护理人员的肌肉骨骼疼痛.

大多数挑战涉及人员配备 (17%)、任务组织 (15%) 和团队合作 (14%)。大多数行动计划涉及沟通（18%）、团队合作（16%）和处理居民（14%）。一半的计划是在组织中的另一个级别解决的，而不是出现的挑战。在个人层面计划的行动的实施率最高（52%）。

结果强调了在组织的各个层面广泛考虑工作环境和健康挑战的解决方案的优势，以及让员工和组织/管理层参与确定和实施解决方案的相关性。