Tihomir Ratkajec, MD, PhD
Work has a very central role spend a large part of ours life at work. working situations are changed the increasing complexity globalisation tendency to profit likely have importance consequences for people's mental as well as physical health
Demands at work are increasing Control at work and life are decreasing Complexity and variability of work psychosocial situation require development of models (questionnaries): Demand-control-suport (DC); Effort-reward imbalance(ERI), Copenhagen Psychosocial Questionnaire (COPSOQ), Work Ability Index (WAI), Nordic Musculoskeletal Questionnaire (NMSQ ),Copenhagen Burnout Inventory (CBI)………
To use: DC, NMSQ (connection MSD –stress at work), CBI, WAI, COPSOQ Estimate: Anxiety-depression, life events, socioeconomic status, organisational factors at work to teach and find association: Diseases –psychosocial factors at work (PSF) (Cardiovascluar, musculoskeletal… WAI -PSF need for recovery (fatigue)-PSF –burnout Absenteeism -PSF
Contract, part-time, flexible (location, hours) Precarius Managment style Corporate culture Scheduling (overtime, shift work, longer… Career development
What task, how are done, how many, job rotation, machine pacing, repetitive, task variety, rest breaks, short deadline, to much responsibility, unclear task, lack of informal contacts Superior do not take employee s opinion Workspace is small, canteen, lack of other facilities
In Occupational Health Service Rogaska In company
DCOrganisation at work Da,pogosto 1 Da, občasno 2 Ne, redko 3 Ne, nikoli 4 Ali od vas zahtevajo, da hitite pri delu ali da ga takoj opravite? Ali pri delu vlagate veliki napor? Ali mora biti vaše delo opravljeno natančno (do popolnosti)? Ali imate dovolj časa, da opravite vse naložene delovne naloge? Ali se pojavljajo pri vašem delu nasprotujoče si zahteve, ki izzivajo konflikte (med sodelavci, z nadrejenimi)? ORGANIZACIJSKI DEJAVNIKI Da, po go sto 4 Da, občasn o 3 Ne, redko 2 Ne, niko li 1 Mislim, da preveč delam, sem preobremenjen Na mojem delovnem mestu je premalo delavcev Imamo premalo odmorov med delom, glede koliko delamo Naloge, ki jih dobim od nadrejenih so nejasno opredeljene Nadrejeni ne upoštevajo dovolj mnenje podrejenih o težavah in organizaciji dela Dobimo premalo priznanja za opravljeno delo (ne cenijo naš prispevek) Ne dobimo dovolj informacij o kakovosti in rezultatih našega dela (manjka komunikacije) Ne morem vplivati na delovnik (koriščenje nadur, prostih ur ali dopustov)? Nimamo dovolj pripomočkov in ustrezne opreme (materiala), da bi lažje delali Prostori so utesnjeni, kar nam oteža delo Čutim, da ravnajo z mano nepravično (me trpinčijo)
kindergartenWe should give Report
What we found ? Advice, cooperation, involvement ICD (diseases ) in working population Prevalence of high strain (job strain) and mental health poor suport superiors, coworkers Lack of good work organisation To propose At company level -- Changes in work organisation, ergonomic improvement.. At indidivual level how to improve a mental health