Management of Psychosocial Work Environment: Outline of a Multidisciplinary Preventive Intervention in a Large North Italian Municipality
There is a need of evidence-based multidisciplinary intervention studies to prevent work-related stress in municipality workforces. This study was carried out with the aim of improving management of psychosocial work environment in a large municipality. A steering committee of two occupational physicians and a psychologist designed the intervention, consisting of: preliminary meetings with management; comprehensive data collection (risk assessment, health surveillance, assessments from psychologists, educators, mediators; training activities; collection of sentinel events, data from focus groups); qualitative and quantitative data analysis to identify critical points. The 1730 workers are employed in 7 areas, 32 sectors and 74 services. Psychosocial risk assessment was carried out by questionnaires developed by national and international bodies. Risk assessment identified critical areas and sectors and needs update. Low response rate and non-comparability of data were critical issues. Health surveillance often reported stress related problems, but no structured intervention or integration with other municipality functions were noted. Internal transfer and mobility were critical issues too. Psychologists and consultants evaluated many cases and often suggested operative solutions. Focus groups were few, with no clear participation rate. Based on these data, the committee designed an intervention entailing: (a) formal municipality policy for work-related stress; (b) a multidisciplinary working group, managed by a psychologist, involving occupational physicians and consultants to evaluate single cases and general issues, as well as to elaborate, adopt and monitor specific interventions; (c) use of evidence based risk assessment and health surveillance tools; (d) implementation of good practice in transfer and mobility management.
KeywordsPsychosocial work environment Municipality workforce Multidisciplinary intervention
This research has been funded by Brescia Municipality.
- 1.Dalsbø TK, Dahm KT, Austvoll-Dahlgren A, Knapstad M, Gundersen M, Reinar LM (2013) Workplace-based intervention for employees’ mental health. Accessed 21 May 2018. https://www.ncbi.nlm.nih.gov/books/NBK464819/pdf/Bookshelf_NBK464819.pdf
- 2.Elo AL, Leppanen A, Lindstrom K (1992) OSQ occupational stress questionnaire: users’ instruction. Review/Institute of Occupational Health 19. Helsinki (1992)Google Scholar
- 3.EU-OSHA (2012). Management of psychosocial risk at work: an analysis of the finding of the European Survey of Enterprises on new and emerging risks. European Agency for Safety and Health at Work, LuxemburgGoogle Scholar
- 4.European Agency for Safety and Health at Work (2014) Second European survey of enterprises on new and emerging risks (ESENER-2) overview report: managing safety and health at work. https://osha.europa.eu/it/tools-and-publications/publications/second-european-survey-enterprises-new-and-emerging-risks-esener
- 5.Hassard J, Teoh K, Cox T (2018) Job satisfaction: evidence for impact on reducing psychosocial risks. https://oshwiki.eu/wiki/Job_satisfaction:_evidence_for_impact_on_reducing_psychosocial_risks. Accessed 21 May 2018
- 6.INAIL (2011) Valutazione e gestione del rischio da stress lavoro-correlato. Manuale ad uso delle aziende in attuazione del D.Lgs 81/08 e s.m.iGoogle Scholar
- 7.INAIL (2017) La metodologia per la valutazione e gestione del rischio stress lavoro-correlato. Manuale ad Uso delle aziende in attuazione del D.Lgs 81/2008 e s.m.iGoogle Scholar
- 10.Leka S, Cox T (2008) PRIMA EF: guidance on the European framework for psychosocial risk management. http://www.prima-ef.org/uploads/1/1/0/2/11022736/prima-ef_ebook.pdf
- 11.McFarlane AC (2007) Stress-related musculoskeletal pain. Gen Musculoskeletal Conditions 21(3):549–565Google Scholar
- 12.Montano D (2014) Upper body and lower limbs musculoskeletal symptoms and health inequalities in Europe: an analysis of cross-sectional data. BMC Muscoloskeletal Disord 15:285 (2014). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4153890/pdf/12891_2014_Article_2230.pdf. Accessed 21 May 2018