Work Related stress evaluation in a changing health company: methodology and first results

Cinzia Biondani, Alessia Ambrosi, Valentina Franchi, Angela Sperotto, Claudio Soave

Abstract


The Italian legislative decree 81/08 requires stress risk evaluation for all workers, including health personnel. This paper
describes the experience at the University Hospital of Verona Integrated (AOUI), regarding risk assessment of work-related
stress: procedure and results of the preliminary assessment. Actually, AOUI is making structural and organizational
changes like adoption of departmental model divided into complex operative units (UOC) and categories of assistants
(MDA). We analyzed 2 models and methods for the definition and measurement of stress in the workplace: one model
relates the “working environment” and the “work content” [EU-OSHA, 2000]; another one model is based on the review
of the major scientific models of reference, and on the experiences and methods used in the EU, following the issue of
the Legislative Decree 81/2008 and subsequent amendments. The methodology used to assess the risk of work-related
stress is suggested by INAIL [INAIL, 2011], and reflects the second proposed model. In the preliminary phase we used
a checklist, able to assess the contextual and content factors, and information from company achieves used as indicators
of stress. The results of the preliminary phase show an overall risk of work-related stress at mid-level. The critical
issues are more related to objective indicators of stress (number of transfers requested by staff, absences from work, turnover).
The comparison of the Units (UU.OO.) highlights the highest percentage of work-related stress risk in the structures
of the medical- surgical Area, and less risk in the technical-administrative Area and services. More evaluations and
studies are needed to get a complete picture of workers’ health and well-being perception, and to intervene with appropriate
actions for improvement.


Keywords


Preliminary phase; change; organizational health; prospective; actions for improvement; psychosocial risk factors

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References


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