1. Tihomir Ratkajec, MD, PhD

2.  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

3.  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)………

4.  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

5.  Contract, part-time, flexible (location, hours)  Precarius  Managment style  Corporate culture  Scheduling (overtime, shift work, longer…  Career development

6.  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

7. In Occupational Health Service Rogaska In company

8. 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)

9. kindergartenWe should give Report

10. 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