职业紧张风险评估

The purpose of the pilot study conducted by the authors was to assess occupational risk in selected areas of psychosocial risk factors among health professions in a pilot study. Medical staff working in the healthcare sector experience stress, job burnout and bullying on a daily basis. Monitoring occupational risks in the above areas provides an opportunity to take appropriate preventive measures. The prospective online survey included 143 health care workers from various professional groups. Eighteen participants did not complete the survey, and the results of 125 participants were eventually included in the analysis. The study used health and safety questionnaires in the healthcare sector, which are not widely used as screening tools in Poland. The following statistical methods were performed in the study: the Mann-Whitney test, Kruskal-Wallis test, Dunn's test. In addition, multivariate analysis was performed. The results obtained in the study indicate that the questionnaires used in the study can be widely used by employers or occupational medicine as screening tools. Our findings show that level of education attainment in healthcare is correlated with higher chance of experiencing stress and burnout. Among the surveyed professions, nurses reported a higher amount of stress and burnout. Paramedics reported the highest chance of being bullied at work. This can be explained by their nature of work which requires directly interacting with patients and their families. In addition, it should be noted that the tools used can be successfully applied in workplaces as elements of workplace ergonomics assessment in the context of cognitive ergonomics.

Existing occupational stress questionnaires are mostly based on Western work environments and were generally developed earlier, with insufficient cultural adaptation and incomplete coverage of emerging stressors in Chinese work environments. Their applicability has also been constrained by cultural differences and by the lack of validation in non-Western populations. This study aimed to develop and evaluate an instrument to measure the level of occupational stress among workers and the risk of occupational stress in the workplace. The study was carried out in two stages: questionnaire development and item screening with subsequent questionnaire evaluation. The Occupational Stress Check and Assessment Questionnaire (OSCAQ) was developed based on three classical models: the NIOSH Model of Job Stress, the Job Demand-Control-Support (JDCS) Model, and the Effort-Reward Imbalance (ERI) Model. The initial questionnaire was developed through a comprehensive literature review, reference to existing scales, expert consultation, and a preliminary survey conducted among the target population. During July 2023 to November 2024, a valid sample of 13,019 respondents was collected in Beijing, China, through an online platform. Item analysis and exploratory factor analysis (EFA) were conducted on a sample of 6,453 workers to screen questionnaire items and investigate the factorial structure. Validity testing was conducted on a sample of 6,566 workers using confirmatory factor analysis (CFA) to assess the construct validity, convergent validity, and discriminant validity. Cronbach's α coefficients and Spearman-Brown coefficients were used to determine the questionnaire's internal consistency reliability. Through item analysis and EFA, a total of 10 items were removed from the OSCAQ, resulting in a final questionnaire consisting of 75 items. The retained items were categorized into three subscales: work stressors, social support factors, and stress reactions. The work stressors and social support factors were jointly analysed, explaining 66.99% of the total variance, while the stress reactions were analysed separately, accounting for 64.43% of the total variance. A good model fit was indicated by CFA, as evidenced by root mean square error of approximation (RMSEA) = 0.063, comparative fit index (CFI) = 0.908, tucker-lewis index (TLI) = 0.905, and standardized root mean square residual (SRMR) = 0.067. Convergent validity was demonstrated, with all latent constructs exceeding the combined reliability (CR) threshold (> 0.70), and most average variance extracted (AVE) values above 0.50, except for the work stressors subscale (AVE = 0.443). Discriminant validity was supported, as the square root of AVE for each dimension was greater than its correlations with other dimensions. The questionnaire demonstrated good internal consistency, with Cronbach's α coefficients ranging from 0.911 to 0.952 across subscales and from 0.770 to 0.927 across dimensions, and Spearman-Brown coefficients ranging from 0.850 to 0.895 and 0.671 to 0.919, respectively. The OSCAQ was demonstrated to possess satisfactory reliability and validity, and can be considered a suitable instrument for assessing the status of occupational stress.

The multidimensional and multifaceted aspects of the problem render the role and activity of the Occupational Health Physician (OHP) extremely complex and delicate, as both appraisal and implications cover a number of different domains (psychology, physiology, sociology, economy, work organisation and law), both in terms of risk assessment and stress evaluation, at collective and individual level. In this context, it is not only important to quantify the "external" work load, but mainly the individual "response", which in most cases is the crucial factor of the imbalance. that is, risk assessment has to be made more in "relative" terms rather than according to "absolute" criteria, and not only from the perspective of medical surveillance, but above all from that of risk prevention. When a health disability potentially connected to stress has to be assessed, there are three steps: a) stress exposure must be clearly assessed, both directly and indirectly; b) disease must be clearly identified; c) the biological plausibility of the relationship between stress and disease must be carefully checked, taking into account that stress disorders are typically psychosomatic and multi-causal. Consequently, cooperation with a psychologist and an accurate psycho-diagnostic approach are necessary, as well as consultation with other specialists and pertinent laboratory and instrumental tests.

The operating theatre staff is exposed to various constraints such as excessive working hours, severe medical conditions and dreadful consequences in case of malpractice. These working conditions may lead to high and chronic levels of stress, which can interfere with medical staff well-being and patients quality of care. The aim of this study is toassess the impact of music therapy on stress levels and burnout risk on the operating room staff. This is a pre-experimental study including the operating rooms staff of urology and maxillofacial surgery in the academic hospital of Sahloul Sousse (Tunisia) over a period of six weeks. The study consisted of three phases. The first was an initial assessment of stress level with a predefined survey. The second included three music therapy sessions per day over one month. The third was an immediate stress level reassessment following the intervention. Stress levels were evaluated using the Perceived Stress Scale version PSS-10 and the Maslach Burnout Inventory. The overall response rate was 73.9%.The average age of the study population was 37.8 ± 7.7 years with a female predominance (64.7%). After the music therapy program, Perceived Stress Scale average score decreased from 22 ± 8.9 to 16 ± 7.9 (p = 0.006). Concerning the burnout, only the average score of emotional exhaustion decreased significantly from 27 ± 10.8 to 19.2 ± 9.5 (p = 0.004). Music therapy is an innovative approach that seems to reduce operating theatre staff stress. It must be considered as a non pharmacological, simple, economic and non invasive preventive tool.

Occupational stress is becoming a common phenomenon around the world. Being in a high occupational stress state for a long time may destroy the metabolic balance of the body, thereby increasing the risk of metabolic diseases. There is limited evidence regarding the correlation between occupational stress and metabolic syndrome (MetS), particularly in the petrochemical workers. A total of 1683 workers of a petrochemical enterprise in China were included in the survey by cluster sampling method. The occupational stress assessment was carried out by the Job Content Questionnaire and the Effort-Reward Imbalance Questionnaire, and the general demographic characteristics, work characteristics, occupational hazards, lifestyle and health examination data of the participants were collected. Logistic regression and multiple linear regression were used to analyze the correlations and influencing factors between occupational stress and its dimensions with MetS and its components. A total of 1683 questionnaires were sent out, and 1608 were effectively collected, with an effective recovery rate of 95.54%. The detection rates of occupational stress in Job Demand-Control (JDC) and Effort-Reward Imbalance (ERI) models were 28.4% and 27.2%, respectively. In this study, 257 participants (16.0%) were diagnosed with MetS. Compared with the non-MetS group, body mass index (BMI), waist circumference (WC), systolic blood pressure (SBP), diastolic blood pressure (DBP), triglycerides (TG) and fasting blood-glucose (FBG) levels were significantly higher in the MetS group, and high density lipoprotein-cholesterol (HDL-C) levels were significantly lower (P < 0.001). The results of multiple linear regression showed that after adjusting for nation, marital status, education, work system, smoking and drinking, and further adjusting for occupational hazards, the D/C ratio was significantly negatively correlated with SBP in the JDC model. Social support was negatively correlated with WC. In the ERI model, there was a significant positive correlation between over-commitment and FBG. The detection rates of occupational stress and MetS were high in workers of a petrochemical enterprise. In the JDC model, occupational stress was negatively correlated with SBP, and social support was negatively correlated with WC. In the ERI model, there was a significantly positive correlation between over-commitment and FBG.

This study explores the relationship between occupational stress and tinnitus among firefighters, a group often exposed to two tinnitus risk factors: high stress and noise. This cross-sectional study includes 240 firefighters in the United States. Data describing demographic characteristics, occupational stress, noise exposure, and tinnitus were collected by survey. Occupational stress was measured using the short version of the Effort-Reward Imbalance Questionnaire. Forty-three percent of participants reported experiencing tinnitus within the past month. For occupational stress, higher effort (odds ratio, 1.25; 95% confidence interval, 1.05 to 1.49) and higher effort-reward ratio (odds ratio, 12.28; 95% confidence interval, 3.08 to 48.86) were associated with increased odds of tinnitus, after adjustment for demographic characteristics and noise exposure. Occupational stress may increase the likelihood of tinnitus for firefighters, an already at-risk group of workers. Health providers should incorporate stress assessment into tinnitus management programs.

To evaluate the prevalence of overactive bladder (OAB) and other lower urinary tract symptoms (LUTS), and their association with occupational stress in female nurses in China. From September 2010 to March 2011, 1,135 registered female nurses with one or more years of nursing experience, were cluster-sampled. The participants completed questionnaires on LUTS-related symptoms and Occupational Stress Inventory-Revised (OSI-R) tests. Multiple logistic regressions were performed to evaluate the independent impact of perceived occupational stress on OAB and other LUTS, adjusting for age, body mass index (BMI), and history of childbearing and pelvic surgery. 1,070 valid responses to questionnaires were obtained. The prevalence of OAB was 27.57% (95% CI: 24.89-30.25%). LUTS of any types occured in 89.63% of nurses, with 64.39% reporting urgency, 27.10% reporting increased daytime frequency, 17.88% reporting nocturia and 21.03% reporting urge incontinence. The occupational stress and psychological strain levels of nurses were higher than those of normative populations, while their coping resources were lower. Most of the sub-scales of occupational stress and psychological strain showed higher results for nurses with OAB than for those OAB-free, while coping resources were not found to make any statistically significant differences. After adjusting age, BMI, and childbearing and pelvic surgery history, each sub-scale of OSI-R was found to be associated with at least one type of LUTS. The prevalence of OAB and other LUTS is high among female nurses in China, and occupational stress may be a contributing factor.

The nature of physiotherapists' work involves an increased risk of occupational stress and burnout, particularly during the COVID-19 pandemic. Therefore, the aim of the study was to analyse the level of perceived generalised stress, the occupational stress and the occupational burnout syndrome among physiotherapists during the COVID-19 pandemic. One hundred seventy professionally active physiotherapists participated in the study: 100-during the pandemic and 70 before the COVID-19 pandemic. The study was carried out using the authors' survey, the Subjective Work Assessment Questionnaire (SWAQ), the Oldenburg Burnout Inventory (OLBI), the Perceived Stress Scale (PSS-10), and the Brief Coping Orientation to Problems Experienced (Mini-COPE) inventory. The physiotherapists examined prior to the pandemic exhibited a higher level of generalised stress and higher level of occupational stress and occupational burnout (p = 0.0342; p < 0.00001; p < 0.00001, respectively). The key factors which caused intensified occupational stress in both groups included the lack of rewards at work, social interaction, and the lack of support. The results suggest that healthcare professionals including physiotherapists are exposed to occupational stress and a high risk of occupational burnout, not only during the COVID-19 pandemic. Occupational stress prevention programmes should be based on the identification and elimination of all occupational risks.

The workplace's health hazard remains a significant concern to workers in the mining industry, where miners are continually exposed to various kinds of exposure sources. First, the determinants of miners' health were systematically extracted from 259 publications, comprising chemical, physical, ergonomic, and psychosocial stressors, vulnerability factors, and common health outcomes. Then, 16 meta-analyses were performed to ascertain the epidemiological evidence for associations between four stressors and three health outcomes. The seven top contributing factors affecting miners' health were identified through 166 available prospective studies. Finally, based on the classic and domestic measurement scales, a cross-sectional survey of 559 Chinese miners was conducted to determine the core psychosocial predictors. In addition to the traditional mechanisms, complex interactive networks among the antecedents and consequences and the reversed effects of consequences were also obtained, where 379 strong association rules were yielded via the Apriori algorithm. The results showed that occupational dust, NO This study presents a case for identifying the most significant occupational risk factors related to individuals' health, which could be extended and applied to other industries, as working populations around the world are suffering from various chemical, physical, ergonomic, and psychosocial stressors. Identifying the significant occupational risk factors affecting workers' health conditions is essential for comprehensive occupational health risk assessment and management. Therefore, this study could be important for health management in mines and other industries.

La valutazione approfondita del rischio stress lavoro-correlato (SLC), oltre a soddisfare un obbligo normativo, rappresenta un momento per riflettere sulle condizioni di salute di un'organizzazione e sugli elementi su cui intervenire per migliorarle. Nel presente contributo vengono riportati i risultati ottenuti dalla valutazione approfondita dello SLC condotta in un'azienda di facility management tramite la somministrazione dell'HSE Management Standards Indicator Tool (HSE-MS IT) e ulteriori misure atte a valutare lo stress percepito, la soddisfazione lavorativa e la motivazione al lavoro. Hanno partecipato allo studio 196 operai di un'azienda che si occupa di pulizie ospedaliere, industriali e civili. Dalla valutazione approfondita è emersa la presenza di rischio nelle dimensioni Domanda, Relazioni, e Supporto dei Colleghi e di rischio grave nella dimensione Controllo. L'analisi delle correlazioni e delle regressioni multiple hanno permesso di identificare le aree organizzative significativamente associate allo stress percepito, alla soddisfazione lavorativa e alla motivazione. Tramite modelli di path analysis si è inoltre valutato l'effetto diretto e indiretto dei Management Standards su queste tre misure di output. Domanda, Controllo e Relazioni hanno un effetto diretto sullo stress percepito, mentre il Supporto dei Colleghi e il Supporto dei Superiori influiscono rispettivamente sulla soddisfazione e sulla motivazione al lavoro. Lo stress percepito ha inoltre un effetto diretto sulla soddisfazione lavorativa, che a sua volta influenza la motivazione al lavoro. In conclusione, una valutazione approfondita del rischio SLC che integri il tradizionale approccio basato sui Management Standards considerando ulteriori misure di benessere organizzativo costituisce un'occasione utile per identificare non solo i fattori che possono produrre SLC, ma anche le aree di gestione che possono incidere su dimensioni, quali ad esempio la motivazione e la soddisfazione lavorativa, che contribuiscono criticamente al benessere complessivo di un'azienda. Introduzione. Le spondilodiscopatie vengono usualmente annoverate tra le “work-related diseases”, ovvero tra quelle patologie cronico-degenerative ad eziologia multifattoriale rispetto alle quali l’ambiente di lavoro può assumere talvolta il ruolo di concausa diretta ed efficiente. La lombalgia rappresenta la principale causa di limitazione funzionale e di assenza lavorativa nel mondo occidentale, determinando un enorme onere economico sia a livello individuale che sociale. Obiettivi. Il presente lavoro è stato ideato per fornire un inquadramento dell’impatto che le rachipatie lombari hanno sulla sorveglianza sanitaria, evidenziando le correlazioni tra gravità della patologia, caratterizzazione del rischio professionale ed emissione del giudizio d’idoneità alla mansione specifica. Materiali e metodi. È stata analizzata una casistica di denunce di rachipatie lombari pervenute all’INAIL nell’intera regione Abruzzo nel corso del 2017, ultimo anno disponibile nel database al momento dello studio. Esaminando ogni pratica, sono stati raccolti dati estrapolati dal DVR, dalla cartella sanitaria e di rischio, dagli esami strumentali e dalle visite specialistiche. Per l’analisi statistica del campione è stato utilizzato il Software “Epi Info” versione 7, fornito dal CDC (Centers for Disease Control and Prevention) di Atlanta. Risultati. L’espressione di una idoneità con limitazioni e/o prescrizioni da parte dei medici competenti è correlata alla sola sintomatologia clinica e non al riscontro di ernia del disco agli esami TC o RMN. L’esposizione ai rischi “movimentazione manuale dei carichi” e “vibrazioni a corpo intero”, documentati nel DVR, non sono correlati al riscontro strumentale di ernia discale. Non è risultata alcuna differenza significativa dell’età media tra i lavoratori riconosciuti affetti da tecnopatia rispetto a quelli senza riconoscimento. Conclusioni. Nonostante il sovraccarico biomeccanico sia considerato come importante elemento di usura del disco intervertebrale, influenze genetiche e fattori costituzionali sembrano essere elementi maggiormente implicati nello sviluppo della patologia erniaria discale.

The routine assessment of workplace stress is mostly based on standardized self-report tools, including generic psychosocial risk indicators (G-PRIs) designed to fit very heterogeneous occupational sectors. However, the use "by default" of such indicators might be inadequate when they fail to characterize the specificity of the work environment; hence, the inclusion of more contextualized indicators (C-PRIs) has been recommended. We aimed at evaluating the additional contribution of three C-PRIs (Work-Family Conflict, Emotional Demands, and Excessive Demands from Patients) in predicting individual outcomes (Emotional Exhaustion, Turnover Intentions) compared to commonly used G-PRIs (e.g., Demand, Control, Support), in a sample of 787 healthcare workers involved in a routine workplace stress assessment. Multilevel hierarchical regression supported the additional contributions of C-PRIs in predicting both outcomes over G-PRIs, sex, age and shift work. More robust and consistent evidence emerged for Emotional Exhaustion, which was significantly predicted by all C-PRIs, whereas Turnover Intentions was only predicted by the C-PRI Emotional Demands. Importantly, not all G-PRIs showed a relationship with the two outcomes. Taken together, our results support the importance of including C-PRIs in workplace stress assessment carried out by organizations, which should be selected based on literature search and discussion with the stakeholders.

In 2008, it was introduced by the Legislature legislation which provided the inclusion of Article 28, paragraph 1 of Legislative Decree. N. 81/2008, which stipulates for businesses and public authorities a duty to assess, among a variety of risks that could threaten the safety and health of workers (chemical, biological risk, etc) and also the work-related stress. The implementation of this decree is, therefore, specified as "work-related stress" as one of the subjects of mandatory assessment risks. The decree, then entrusted to the Permanent Consultative Commission for health and safety at work the task to "prepare the necessary information for the risk assessment of work-related stress", subsequently issued on 17/11/2010 in the form of a "methodological path which represents the minimum level of implementation of the obligation". In light of this regulatory framework, we established our pilot study, with the objective of analyzing a growing occupational discomfort. This objective has been diffused and palpable, but very difficult to define, in a sample of employees of the Judiciary Lazio Offices. The study was commissioned by Law Committee of Guarantee of Equal Opportunity Enhancement of Welfare Work and those against Discrimination (CUG) of the Judicial Offices Romans of the Court of Appeal of Rome also contributed to its realization. The data collected from the administration of two standardized questionnaires was analyzed (Questionnaire-gauge instrument INAIL and the SF-12 v1). More evidently in this pilot study, there was a serious problem in the organizational dimension, in specific, in Managerial Support. Just as it appears, the study sample is perceived "less healthy", both physically and mentally, than the Italian normative sample. Although the sample is only a part of the study population, 26% of workers of the Judicial Offices Romans, the data obtained shows however, from both a quantitative and qualitative view point, a significant occupational stress and suggests the need to broaden our search in order to find different possible solutions to improve the condition of workers and, consequently, the degree of citizens' satisfaction that caters to this delicate area of expertise. Nel 2008 è stata introdotta dal Legislatore la normativa che ha previsto l’inserimento dell’articolo 28, comma 1, D.Lgs. n. 81/2008, il quale sancisce per le imprese e per le pubbliche amministrazioni l’obbligo di valutare, tra gli svariati rischi che potrebbero minacciare la sicurezza e la salute dei lavoratori (rischio chimico, biologico, etc), anche il rischio causato dallo “stress da lavoro”. Con l’attuazione del suddetto decreto viene, dunque, specificato lo “stress da lavoro” come uno dei rischi oggetto di obbligatoria valutazione. Il citato decreto ha, poi demandato alla Commissione Consultiva permanente per la salute e la sicurezza del lavoro il compito di “elaborare le indicazioni necessarie alla valutazione del rischio stress da lavoro”, successivamente emanate il 17/11/2010 sotto forma di un “percorso metodologico che rappresenta il livello minimo di attuazione dell’obbligo”. Alla luce di questo quadro normativo prende vita il nostro studio pilota, con l’obiettivo di analizzare un disagio lavorativo sempre più diffuso e palpabile, ma molto difficile da definire, in un campione di lavoratori dipendenti degli Uffici Giudiziari del Lazio. Lo studio è stato voluto dal Comitato Unico di Garanzia per le Pari Opportunità la Valorizzazione del Benessere di chi Lavora e contro le Discriminazioni (CUG) degli Uffici Giudiziari Romani della Corte d’Appello di Roma, che ha anche contribuito alla sua realizzazione. Sono stati analizzati i dati reperiti tramite la somministrazione di due questionari standardizzati (Questionario-Strumento indicatore dell’INAIL e l’SF-12 v1). Ciò che maggiormente si evidenzia in questo studio pilota è una forte criticità nella struttura organizzativa, specificatamente nel supporto del management. Così come è emerso che il campione in studio si percepisce “meno in salute”, sia fisicamente sia mentalmente, rispetto al campione normativo italiano. Nonostante il campione rappresenti solo una parte della popolazione studiata, il 26% dei lavoratori degli Uffici Giudiziari Romani, i dati ottenuti evidenziano comunque, sia da un punto di vista quantitativo sia qualitativo, un significativo disagio lavorativo e suggeriscono la necessità di ampliare la ricerca al fine di trovare anche possibili soluzioni per migliorare la condizione dei lavoratori e, conseguentemente, il grado di soddisfazione del cittadino che si rivolge a questo delicato ambito di competenza.

No abstract

No abstract

This study investigated protective and risk factors for depressive mood and anxiety against occupational stress, including temperament character and coping strategy, among civil servants. We administered a questionnaire that included demographic factors and psychological scales to 1197 Korean civil servants. High levels of occupational stress, temperaments of novelty seeking and harm avoidance, a character of cooperativeness, and using emotion-focused coping were risk factors for depressive mood, while living with a partner, having a character of self-directedness, and using problem-focused strategies were protective factors. Additionally, female gender, high level of occupational stress, and temperaments of novelty seeking and harm avoidance were risk factors for anxiety, while having a character of self-directedness was a protective factor. Assessment of temperament character and training on effective coping strategies may help address depressive mood and anxiety for civil servants.

One fifth of workers reports experiencing stress in the work environment in Europe. A number of studies show that psychosocial stressors in the workplace are associated with adverse physical and mental health outcomes, including symptoms of anxiety and depression. The present paper: briefly describes the characteristics of occupational stress and the main psychosocial stressful risk factors in the work environment; reports the main results of studies on psychosocial risk factors in the work environment as risk factor for common mental disorders; presents findings from an Italian study aimed at assessing prevalence of common mental disorders and workplace psychosocial stressors in a sample of hospital employees; provides the "Working conditions Questionnaire", a validated self-administered instrument to assess perceived stress in the workplace; this questionnaire includes the assessment of organizational justice.

Compassion fatigue is a syndrome resulting from long-term work-related traumatic event stress exposure of medical staff. The emergency department is considered to be a high-risk, high-intensity and high-stress work environment, with a high prevalence of trauma and violence. Nurses in the emergency department are more prone to compassion fatigue than nurses in other departments. Compassion fatigue not only affects the physical and mental health, and job satisfaction of emergency department nurses, but also causes serious consequences for patients, such as poor patient outcome, medical errors, and increased patient mortality during hospitalization. Our study aims to develop and evaluate a predictive model for compassion fatigue among emergency department nurses. A cross-sectional study. The emergency department nurses (N = 1014) were recruited from 21 tertiary hospitals (from Chengdu, Chongqing, Guiyang, Guangzhou and Shanghai) in central, southwestern, southern, and eastern China from July 25, 2022 to October 30, 2022. Univariate and multiple logistic regression analyses were used to determine the potential predictive factors associated with compassion fatigue in emergency department nurses. A nomogram was built based on the predictive factors and internally evaluated using a bootstrap resampling method (1000 bootstrap resamples). The performance of the predictive model was evaluated by measuring the Hosmer-Lemeshow goodness of fit test and calibration curve. The prevalence of compassion fatigue among emergency department nurses was 75.9 %. The multiple logistic regression analysis revealed that the independent predictive factors for compassion fatigue among emergency department nurses were working position, job satisfaction, diet habit, sleep hours per day, occupational stress, physical harassment and the level of workplace violence, all of which were identified to create the nomogram. The Hosmer-Lemeshow goodness of fit test indicated that the predictive model was well calibrated (χ A predictive model of compassion fatigue among emergency department nurses has been developed, based on the general demographic, work-related and lifestyle characteristics, occupational stress, and workplace violence, with satisfactory predictive ability. This model can identify emergency department nurses who are at high risk of compassion fatigue. Our study provides an empirical basis for early detection, early diagnosis and early intervention of emergency department nurses at high risk of compassion fatigue.

Nurses experience psychosocial work stress that may negatively affect physical and mental health over time. In this cross-sectional study we investigated prevalence of job stress and oxidative stress in nurses, and determined if significant relationships exist between higher job stress scores and demographic factors and working conditions. Emergency department nurses (

Studies have shown that chronic exposure to job stress may increase the risk of sleep disturbances and that hypothalamic‒pituitary‒adrenal (HPA) axis gene polymorphisms may play an important role in the psychopathologic mechanisms of sleep disturbances. However, the interactions among job stress, gene polymorphisms and sleep disturbances have not been examined from the perspective of the HPA axis. This study aimed to know whether job stress is a risk factor for sleep disturbances and to further explore the effect of the HPA axis gene × job stress interaction on sleep disturbances among railway workers. In this cross-sectional study, 671 participants (363 males and 308 females) from the China Railway Fuzhou Branch were included. Sleep disturbances were evaluated with the Pittsburgh Sleep Quality Index (PSQI), and job stress was measured with the Effort-Reward Imbalance scale (ERI). Generalized multivariate dimensionality reduction (GMDR) models were used to assess gene‒environment interactions. We found a significant positive correlation between job stress and sleep disturbances ( Individuals carrying risk alleles who experience job stress may be at increased risk of sleep disturbances. These findings may provide new insights into stress-related sleep disturbances in occupational populations.

Job burnout is associated with job stress but also with mental health symptoms, depression and anxiety. This study aims to evaluate the effect of job stress on burnout without the effect of depression and anxiety. A cross-sectional study was conducted in 2015 among 673 employees (88% female) from four public service sectors in Pori, Finland. Job burnout was assessed with the Bergen Burnout Indicator (BBI-15). Job stress was assessed by combining psychological risk factors (demand control, effort rewards and mental workload). Respondents who reported symptoms of depression and anxiety were excluded from the analyses. Of the eligible study subjects (n = 617), 10% reported symptoms of at least mild burnout but only 1% severe burnout. The burnout symptoms varied from 6% to 21% by sector of public service. Job burnout was cumulatively associated with job stress factors. One job stress factor increased the risk of burnout 2-fold (relative risk [RR] 2.13; confidence interval [CI] 0.97-4.68), two factors 6-fold (RR 6.56; 2.92-14.8Or), and three factors even more (RR 23.5; CI 8.67-63.8). Similar trends were observed in the analysis of job burnout components (exhaustion, cynicism and professional inadequacy). Our results indicate that job burnout is also strongly associated with job stress in employees who do not have depressive or anxiety symptoms. As job burnout may precede clinical depression or reduce productivity and well-being at work, it is essential to perform surveys to monitor burnout symptoms among the workforce, and design interventions to prevent remarkable job strain.

To evaluate job satisfaction and perceived stress among radiology technicians in relation to sociodemographic and occupational risk factors. A total of 207 radiology technicians were included in this questionnaire-based study. The questionnaire elicited items on sociodemographic and occupational characteristics along with Minnesota Satisfaction Questionnaire (MSQ) and Perceived Stress (PSS) scales to assess job satisfaction and the perceived stress, respectively. Multivariate analysis revealed that more years in practice (B: - 4.80, BCa 95% CI - 7.26 to - 2.47), being uncomfortable with working in a radiation environment (B: - 6.30, BCa 95% CI - 9.62 to - 2.61) and the use of public transport to get to work (B: - 3.62, BCa 95% CI - 6.53 to - 1.03) were significant predictors of poorer job satisfaction, whereas break time (B: 8.54, BCa 95% CI 4.63-12.14) and following scientific literature (B: 8.32, BCa 95% CI 3.37-12.89) significantly predicted the better job satisfaction. Being satisfied with the current job (p < 0.015) and high-income class (p = 0.005) were associated with lower perceived stress levels, while higher perceived stress level (B: - 0.48, BCa 95% CI - 0.66 to - 0.32) was also a significant predictor of poorer job satisfaction. In conclusion, our findings revealed job satisfaction and perceived stress of radiology technicians to be at moderate levels and to be negatively correlated with each other. Our findings emphasize the importance of continuing education, in-service refresh training and continuing practice of regularly updating self-knowledge along with balance workload, income and safety at work to improve job satisfaction among radiology technicians.

Occupational stress is a critical global public health problem. We aimed to evaluate the prevalence of occupational stress among the workers in the electricity, heat, gas, water production and supply (EHGWPS), manufacturing, and transportation industries in Beijing, China. We explored the demographic differences in occupational stress status among workers in industrial enterprises. A cross-sectional study was conducted on 13,867 workers. The self-administered New Brief Job Stress Questionnaire was used to evaluate high occupational stress status, which includes four sub-dimensions (job stressors, stress response, social support, job stressors & social support). Multiple regression and logistic regression models were used to estimate the association between high occupational stress and the four occupational stress sub-dimensions with risk factors. A total of 13,867 workers were included. The prevalence of high occupational stress was 3.3% in the EHGWPS industries, 10.3% in manufacturing, and 5.8% in transportation. The prevalence of high occupational stress was higher than in the other two categories ( Male workers with lower educational levels and longer working time may have an increased risk of occupational stress.

Stress and working environments are risk factors for hypertension. A new occupational health policy called the Stress Check Program was started in Japan in 2015. Therefore, we clarified whether the presence or absence of high job stress (HJS) as determined using the Brief Job Stress Questionnaire (BJSQ) is related to the comorbidity of hypertension. The results of a single year's BJSQ and medical examinations were investigated for 18 629 active Japanese male office workers who were 30-59 years old. The presence or absence of HJS was assessed using the BJSQ and investigated using a personal computer in a medical interview. Furthermore, the relationships between HJS and hypertension comorbidity were analyzed. The mean age of the subjects was 43.8 ± 10.3 years old, and the proportion of subjects with HJS was 10%. After adjustment for age and lifestyle habits, HJS was associated with a risk of hypertension comorbidity (odds ratio, 1.18; 95% confidence interval, 1.02-1.36; P = 0.022). HJS was a significant hypertensive comorbidity factor. HJS measured using the BJSQ independently contributed to hypertension comorbidity among male office workers.

The aim of this survey was to assess the stress in fishermen by analysing its relationship with sociodemographic and professional characteristics, by evaluating work stressors, and by estimating psychosomatic symptoms. This cross-sectional survey involved representative sample of 828 artisanal and coastal fishermen. All participants were men and had a regular activity for at least 2 years. We used an individual questionnaire inspired by those of the National Institute for Research and Security of France and of the Karasek's Job Content Questionnaire. The prevalence of self-reported stress was 53.9%. The average age was 36.7 ± 8.7 years, it was higher among stressed than non-stressed. The prevalence of stress was higher in subjects with dependents (69.1%) versus 30.9% without dependents, and among those living alone (61%) versus 47.5% among those living in couple. The prevalence of harmful habits was 68.5% for tobacco smoking or snuff, 36.8% for cannabis smoking, 35.4% for alcohol consumption, 8.6% for other psychotropic substances and medications, and 21.4% for antalgic drugs. These toxic habits were significantly higher in stressed individuals. Thirty-three point seven per cent had self-reported chronic pathologies (40.5% among stressed vs. 25.7% non-stressed). Thirty-four per cent were overweight (38.3% among stressed vs. 28.8% non-stressed), and 14% obese (19.3% among stressed vs. 7.6% non-stressed). The average daily working hours were 11.2 h (12.8 h among stressed subjects vs. 10.5 h non-stressed). Psychological demand was higher in stressed subjects, while decisional latitude and social support were lower. Psychosomatic symptoms were higher among stressed than non-stressed. The main suggestions of the fishermen were to improve income, social welfare, health insurance, safety on board, quality of lifestyle, sport and leisure activities, information and awareness campaigns of occupational stress, and fight against addictive behaviours. Fishermen were at a high risk of chronic stress with its health consequences. Health promotion and education initiatives should be conducted to raise fishermen's awareness of the dangers of occupational stressors.

Healthcare workers (HCWs) are at risk for work-related stress, but interventions to support early help-seeking are often limited. This study aims to evaluate a risk communication intervention designed to promote help-seeking behavior and reduce stress symptoms. The risk communication intervention provides personal feedback on stress symptoms, risk factors and focuses on creating awareness of the potential disconnect between values assigned to healthy working and the effort devoted to it, based on the Disconnected Values Model. The study employed a pre-post, single-arm design. Recruitment, reach, dose delivered and received were assessed with data of the digital intervention, and participant satisfaction with questionnaires. Help-seeking behavior was measured with two items: one assessing whether action had been taken or was intended and one identifying specific actions taken. Stress symptoms were assessed using the distress screener subscale of the four-dimensional symptom questionnaire on a five-point Likert scale. Higher scores on this screener indicate more stress symptoms. The intention to seek help was evaluated six weeks after the intervention with descriptive statistics and stress symptoms pre- and post-intervention with a paired t-test. Two out of three organizations were recruited, encompassing 660 HCWs. The intervention's reach was 12% (HCWs starting the intervention), dose delivered 100% (all components of the intervention were delivered) and dose received was 6% (number HCWs completing the intervention). Participant satisfaction averaged 6 (range 1-10). All HCWs who recognized a discrepancy between their values and behavior, and did not accept it, were prepared to take action. No changes were observed in stress symptoms, with mean scores of 2.0 (SD = 1.1) pre-intervention and 2.17 (SD = 0.77) post-intervention (p = 0.50) or help-seeking behavior. The risk communication intervention contributes to the intention to change behavior, HCWs who recognized a discrepancy between their values and behavior and did not accept it were prepared to take action. Intention to change behavior is the first step towards actual behavior change, making the intervention promising. While the intervention is promising and warrants further testing to prevent work-related stress in HCWs, intervention and implementation challenges likely contributed to the lack of reduction in stress symptoms and improvement in help-seeking behavior.

The aim of our study was to evaluate the potential association between physical activity and occupational stress among firefighters. Data were collected from Cypriot firefighters through a web-based battery of internationally validated questionnaires completed anonymously (COPSOQ, DASS). A total of 430 firefighters (response rate 68%) completed the survey (age range: 21-60 years). More than half of the firefighters (54%) reported either no or minimal physical activity. A total of 11% of firefighters reported moderate to extremely severe stress based on the DASS-S scale. Using multivariable-adjusted logistic regression models, we showed that firefighters who exercised had 50% lower risk of occupational stress, and using a categorical model, we found that every hour per week of increased physical activity among firefighters was associated with 16% lower risk of occupational stress after adjusting for age, education, smoking, and body mass index (OR = 1.16;

The oncology staff is at high risk for developing psychological disorders and burnout. In this study, we aimed to evaluate their burnout levels, job satisfaction, psychological statement and ways of coping with stress and the relationship between these variables and their sociodemographic and occupational characteristics. Among all health workers at the Istanbul University Institute, of Oncology, 159 were included in the study. A sociodemographic data form, the Maslach Burnout Inventory, the Minnesota Job Satisfaction Questionnaire, the General Health Questionnaire (GHQ) and the Styles of Coping Inventory-Short Form were used to evaluate burnout and its contributing factors. High levels of 'emotional exhaustion', 'depersonalization' and 'low sense of personal accomplishment' were determined in 30.2%, 8.2% and 44% of all participants, respectively. The variables that affected emotional exhaustion were assessed by logistic regression analysis. Accordingly, the ratio of emotional exhaustion was approximately 10 times higher in those for whom job stress was the most important stress factor compared with those who indicated nonjob stress for each one point increase on the GHQ and depersonalization scores, which were other predictors, with odds ratio (OR) : 1.23, p = 0.006 and OR : 1.67, p < 0.001, respectively. A negative correlation was detected between adaptive coping styles and 'burnout,' and a positive correlation was found between maladaptive coping strategies and exhaustion. It is necessary to monitor the psychological status of employees in oncology units with scanning tools such as GHQ to understand their job stress perceptions and to help them develop adaptive coping methods.

Forensic Technicians provide crime scene investigation services and are exposed to stressful violent crimes, motor vehicle accidents, biological or chemical hazards, and other appalling imagery. Forensic Technicians would likely experience physical and psychological stress after exposure to trauma, and security vulnerabilities similar to Sworn Police Officers. The perceived availability of mental health resources, job-related physical, psychological stress, and traumatic experiences of both Forensic Technicians and Sworn Police Officers from California law enforcement agencies were investigated using a self-reported survey. Responses were evaluated for any significant differences in the perceived stress, job-related physical stress, and resulting psychological impact affecting the participants. The survey contained a mix of True/False, Circle/Check the Appropriate Box, or Likert Scale (1-5) responses. The results were evaluated statistically and discussed. Results indicated Sworn Police Officers and Forensic Technicians have different on-duty stress levels, but similar off-duty stress levels. Nearly two-thirds of 54 job-related stressors were not significantly different between the two occupations. However, Forensic Technicians reported more adverse effects in 17 physical and psychological job-related activities compared with Sworn Police Officers. Forensic Technicians reported lower awareness levels and availability of agency mental health support services than were reported by Sworn Police Officers. This study reports for the first time an unexpected outcome that perceived and job-related psychological stress is greater for Forensic Technicians than Sworn Police Officers. Possible reasons for this disparity will be discussed as well as stress management tools that should be implemented to reduce health risk factors for both career professionals as well as increase public safety.

Shift work is a recognized work pattern for nurses worldwide. The disruption of shift workers' biological clocks usually leads to sleep disorders and affects their awareness at work. Eveningness and occupational stress might be effective in causing burnout syndrome. Therefore, this study aimed to evaluate the chronotype, job burnout and perceived stress among Chinese tertiary hospital nurses, and understand the predictors of circadian rhythm in this group. Between July and September 2020, 23 hospitals were randomly selected from 113 tertiary hospitals in Hunan Province. Twenty-five percent of the nurses working in each hospital were targeted for selection. 28.1% and 17.6% of nurses reported eveningness type and morningness type, respectively. The scores for emotional exhaustion, depersonalization, and perceived stress of eveningness nurses were higher than those of morningness counterparts. Eveningness nurses also reported a lower sense of personal accomplishment. Risk factors of eveningness included being under 30 years old, never exercising, having the stressors of late-night shifts and career development, higher levels of emotional exhaustion, sleep latency, sleep duration, and hypnotic use. Shifts may be unavoidable for nurses, nevertheless, understanding the predictors and related factors of chronotype for nurses is necessary for nursing educators and managers to develop a reasonable shift system and appropriate measures to assist nurses in adjusting their work.

Job stress has been associated with poor outcomes. In focus groups and small-sample surveys, physical therapists have reported high levels of job stress. Studies of job stress in physical therapy with larger samples are needed. The purposes of this study were: (1) to determine the levels of psychological job demands and job control reported by physical therapists in a national sample, (2) to compare those levels with national norms, and (3) to determine whether high demands, low control, or a combination of both (job strain) increases the risk for turnover or work-related pain. This was a prospective cohort study with a 1-year follow-up period. Participants were randomly selected members of the American Physical Therapy Association (n=882). Exposure assessments included the Job Content Questionnaire (JCQ), a commonly used instrument for evaluation of the psychosocial work environment. Outcomes included job turnover and work-related musculoskeletal disorders. Compared with national averages, the physical therapists reported moderate job demands and high levels of job control. About 16% of the therapists reported changing jobs during follow-up. Risk factors for turnover included high job demands, low job control, job strain, female sex, and younger age. More than one half of the therapists reported work-related pain. Risk factors for work-related pain included low job control and job strain. The JCQ measures only limited dimensions of the psychosocial work environment. All data were self-reported and subject to associated bias. Physical therapists' views of their work environments were positive, including moderate levels of demands and high levels of control. Those therapists with high levels of demands and low levels of control, however, were at increased risk for both turnover and work-related pain. Physical therapists should consider the psychosocial work environment, along with other factors, when choosing a job.

Systematically ascertained data on job stress and burnout and their antecedents and mediators in health professionals from low- and middle-income countries are scant. This cross sectional survey, conducted from July 2007 to August 2008, of consenting medical and surgical faculty of a large, charitable, teaching hospital aimed to evaluate: 1) the prevalence and sources of job stress and job satisfaction, and the ways used to cope with stress; 2) the prevalence of burnout and mental distress; and 3) the influence of age, gender, empathy and religious or spiritual beliefs on job stress, satisfaction, mental health and burnout. Of 345 respondents, high job stress on the Physician Stress and Satisfaction questionnaire were reported by 23%. However, 98% of faculty reported high levels of job satisfaction with deriving intellectual stimulation from teaching and a high level of responsibility identified as important contributory sources. Significantly more respondents aged<45 years compared to older faculty achieved moderate or high scores on Emotional Exhaustion and Depersonalization. General Health Questionnaire-12 scores suggested psychiatric morbidity in 21%, particularly in younger faculty. High job stress was associated with high scores for Emotional Exhaustion and Depersonalization. High scores on the Jefferson Scale of Physician Empathy correlated with high scores of Emotional Exhaustion. Religious or spiritual beliefs strongly influencing attitudes to work were significantly associated with high levels of Personal Accomplishment. This study provides data that will inform the design and implementation of interventions to reduce job stress and burnout and improve retention of faculty.

Workplace stress for support workers in UK hospitals (Health Care Assistants; HCAs) is poorly understood. This study explores experiences of HCAs working in a National Health Service in-patient dementia unit after 10 years of national financial austerity (2008-2018). Qualitative evaluation. 15 HCAs (42%) from a specialist dementia care Unit were interviewed. Interviews were guided by UK Health & Safety Executive published dimensions of work stress. Framework analysis was applied to interview transcriptions, corroborated by a follow-up focus group (6 HCAs). Post hoc interviews with 10 nurses were later introduced to obtain a balanced view of teamwork on the Unit. Health care assistants were altruistic regarding demands of dementia care but otherwise negative of most aspects of their work environment. Staff shortages had increased job demands: workload, poor shift rotas, and excessive reliance on inexperienced agency staff. According to HCAs, job resources of the care team were in significant deficit: nurses in charge were perceived as poor team leaders, had poor interpersonal skills, lacked respect for experienced HCAs, and deemed to be frequently absent from the ward so failing to support carers. HCAs' lack of decision-latitude exacerbated the situation. In contrast, nurses interviewed did not recognise the teamwork issues raised by HCAs, who were considered obstructive, unsupportive, lacked awareness of nurses' responsibilities, and of insights how understaffing meant excessive administration and time required to support patients' relatives. Such dissonant inter-group views caused considerable friction and exacerbated the work pressure. Study outcomes spotlighted impacts of socioeconomic issues for HCAs. Staff shortage, exacerbated by financial austerity measures (pre-COVID pandemic), increased job demands for HCAs but their psychosocial job resources were in serious deficit, so putting them at risk of burnout. Inter-group relations are key for a collaborative ethos, and are amenable to interventions. Such difficulties should not be allowed to fester.

Person-environment fit (PEF) theory, one of the foundational theories of occupational stress, has primarily found applications in organizational behavior and human resource management. Given the alignment between the definition of occupational stress and the essence of PEF, we introduced the concept of worker-occupation fit (WOF). To validate our theoretical model, the development of an instrument to measure WOF becomes imperative. The Worker-Occupation Fit Inventory (WOFI) comprises three dimensions: personal trait fit (PTF), need-supply fit (NSF) and demand-ability fit (DAF). Job-related mental disorders (JRMDs) were assessed using the DASS-21. During the pre-investigation, items of the WOFI underwent screening through classic test theory (CTT) analysis. In the formal investigation, item response theory (IRT) analysis was employed to evaluate the selected items. The relationship between WOF and JRMD was verified by Pearson's correlation analysis and multiple logistic regression analysis. The initial version consisted of 26 items. Three common factors were extracted by exploratory factor analysis (EFA): 6 items were included in the PTF, 6 items were included in the NSF, 4 items were included in the DAF, and 10 items were deleted because of unacceptable factor loadings. The confirmatory factor analysis (CFA) verified the structure of the WOFI with χ The results of CTT and IRT analysis indicated that the WOFI exhibits reliability and validation. The WOF effectively predicted job-related mental disorders. Subsequent studies will delve into the influence of WOFI on diverse professions and various health outcomes.

Psychosocial discomfort may amplify job-related risk factors. The aim of this study is to evaluate job stress in a high fashion clothing company with upper limb biomechanical overload due to repetitive and forceful manual activities. Biomechanical risk was analyzed and in part reduced using the OCRA Check list. A total of 518 workers (433 females and 85 males) were investigated to determine anxiety (by STAI 1 and 2), occupational stress (using the Italian version of the Karasek Job Content Questionnaire) and perception of symptoms. Final biomechanical assessment did not reveal high risk jobs, except for cutting. Although the perception of anxiety and job insecurity was within the normal range, all the workers showed a high level of job strain (correlated with the perception of symptoms) due, probably, to very low decision latitude. It was suggested that job strain may increase the perception of symptoms. Moreover, the result of this study indicates that musculoskeletal overload has to be further analyzed since its low level is not in agreement with the level of discomfort due to the repetitive tasks.

Although wide-ranging amendments in health and safety regulations at the European and national level oblige employers to conduct psychosocial risk assessment, it is still under debate how psychosocial hazards can be properly evaluated. For psychosocial hazards, an epidemiological, risk-oriented understanding similar to physical hazards is still missing, why most existing approaches for hazard evaluation insufficiently conceive psychosocial risk as a combination of the probability of a hazard and the severity of its consequences (harm), as found in traditional risk matrix approaches (RMA). We aim to contribute to a methodological advancement in psychosocial risk assessment by adapting the RMA from physical onto psychosocial hazards. First, we compare and rate already existing procedures of psychosocial risk evaluation regarding their ability to reliably assess and prioritize risk. Second, we construct a theoretical framework that allows the risk matrix for assessing psychosocial risk. This is done by developing different categories of harm based on psychological theories of healthy work design and classifying hazards through statistical procedures. Taking methodological and theoretical considerations into account, we propose a 3 × 3 risk matrix that scales probability and severity for psychosocial risk assessment. Odds ratios between hazards and harm can be used to statistically assess psychosocial risks. This allows for both risk evaluation and prioritizing to further conduct risk-mitigation. Our contribution advances the RMA as a framework that allows for assessing the relation between psychosocial hazards and harm disregarding which theory of work stress is applied or which tool is used for hazard identification. By this, we also contribute to further possible developments in empirical research regarding how to assess the risk of workplace stress. The risk matrix can help to understand how psychosocial hazards can be evaluated and organizations can use the approach as a guidance to establish a suitable method for psychosocial risk evaluation.

No abstract

No abstract

S1 Health literacy and health education in adolescence Catarina Cardoso Tomás S2 The effect of a walking program on the quality of life and well-being of people with schizophrenia Emanuel Oliveira, D. Sousa, M. Uba-Chupel, G. Furtado, C. Rocha, A. Teixeira, P. Ferreira S3 Diagnosis and innovative treatments - the way to a better medical practice Celeste Alves S4 Simulation-based learning and how it is a high contribution Stefan Gisin S5 Formative research about acceptability, utilization and promotion of a home fortification programme with micronutrient powders (MNP) in the Autonomous Region of Príncipe, São Tomé and Príncipe Elisabete Catarino, Nelma Carvalho, Tiago Coucelo, Luís Bonfim, Carina Silva S6 Safety culture of the patient: a reflexion about the therapeutic approach on the patient with vocal pathology Débora Franco S7 About wine, fortune cookies and patient experience Jesús Alcoba González O1 The psychological impact on the emergency crews after the disaster event on February 20, 2010 Helena G. Jardim, Rita Silva O2 Musculoskeletal disorders in midwives Cristina L. Baixinho, Mª Helena Presado, Mª Fátima Marques, Mário E. Cardoso O3 Negative childhood experiences and fears of compassion: Implications for psychological difficulties in adolescence Marina Cunha, Joana Mendes, Ana Xavier, Ana Galhardo, Margarida Couto O4 Optimal age to give the first dose of measles vaccine in Portugal João G. Frade, Carla Nunes, João R. Mesquita, Maria S. Nascimento, Guilherme Gonçalves O5 Functional assessment of elderly in primary care Conceição Castro, Alice Mártires, Mª João Monteiro, Conceição Rainho O6 Smoking and coronary events in a population of Spanish health-care centre: An observational study Francisco P. Caballero, Fatima M. Monago, Jose T. Guerrero, Rocio M. Monago, Africa P. Trigo, Milagros L. Gutierrez, Gemma M. Milanés, Mercedes G. Reina, Ana G. Villanueva, Ana S. Piñero, Isabel R. Aliseda, Francisco B. Ramirez O7 Prevalence of musculoskeletal injuries in Portuguese musicians Andrea Ribeiro, Ana Quelhas, Conceição Manso O8 Hip fractures, psychotropic drug consumption and comorbidity in patients of a primary care practice in Spain Francisco P. Caballero, Jose T. Guerrero, Fatima M. Monago, Rafael B. Santos, Nuria R. Jimenez, Cristina G. Nuñez, Inmaculada R. Gomez, Mª Jose L. Fernandez, Laura A. Marquez, Ana L. Moreno, Mª Jesus Tena Huertas, Francisco B. Ramirez O9 The role of self-criticism and shame in social anxiety in a clinical SAD sample Daniel Seabra, Mª Céu Salvador O10 Obstruction and infiltration: a proposal of a quality indicator Luciene Braga, Pedro Parreira, Anabela Salgueiro-Oliveira, Cristina Arreguy-Sena, Bibiana F. Oliveira, Mª Adriana Henriques O11 Balance and anxiety and depression symptoms in old age people Joana Santos, Sara Lebre, Alda Marques O12 Prevalence of postural changes and risk factors in school children and adolescents in a northern region (Porto) Clarinda Festas, Sandra Rodrigues, Andrea Ribeiro, José Lumini O13 Ischemic stroke vs. haemorrhagic stroke survival rate Ana G. Figueiredo O14 Chronobiological factors as responsible for the appearance of locomotor pathology in adolescents Francisco J. Hernandez-Martinez, Liliana Campi, Mª Pino Quintana-Montesdeoca, Juan F. Jimenez-Diaz, Bienvenida C. Rodriguez-De-Vera O15 Risk of malnutrition in the elderly of Bragança Alexandra Parente, Mª Augusta Mata, Ana Mª Pereira, Adília Fernandes, Manuel Brás O16 A Lifestyle Educational Programme for primary care diabetic patients: the design of a complex nursing intervention Mª Rosário Pinto, Pedro Parreira, Marta L. Basto, Ana C. Rei, Lisete M. Mónico O17 Medication adherence in elderly people Gilberta Sousa, Clementina Morna, Otília Freitas, Gregório Freitas, Ana Jardim, Rita Vasconcelos O18 Hospitalization for cervical cancer of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014 Lina G. Horta, Roger S. Rosa, Luís F. Kranz, Rita C. Nugem, Mariana S. Siqueira, Ronaldo Bordin O19 Oncologic assistance of high complexity: evaluation of regulating accesses Rosiane Kniess, Josimari T. Lacerda O20 Perceived barriers for using health care services by the older population as seen by the social sector: findings from the Vila Nova de Gaia Gerontological Plan Joana Guedes, Idalina Machado, Sidalina Almeida, Adriano Zilhão, Helder Alves, Óscar Ribeiro O21 Sleep difficulties and depressive symptoms in college students Ana P. Amaral, Ana Santos, Joana Monteiro, Mª Clara Rocha, Rui Cruz O22 Psychopathological symptoms and medication use in higher education Ana P. Amaral, Marina Lourenço, Mª Clara Rocha, Rui Cruz O23 Sexually transmitted diseases in higher education institutions Sandra Antunes, Verónica Mendonça, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes O24 Alcohol consumption and suicide ideation in higher education students Lídia Cabral, Manuela Ferreira, Amadeu Gonçalves O25 Quality of life in university students Tatiana D. Luz, Leonardo Luz, Raul Martins O26 Male and female adolescent antisocial behaviour: characterizing vulnerabilities in a Portuguese sample Alice Morgado, Maria L. Vale-Dias O27 Risk factors for mental health in higher education students of health sciences Rui Porta-Nova O28 International classification of functioning disability and health as reflexive reasoning in primary attention in health Tânia C. Fleig, Éboni M. Reuter, Miriam B. Froemming, Sabrina L. Guerreiro, Lisiane L. Carvalho O29 Risk factors and cardiovascular disease in Portalegre Daniel Guedelha, P. Coelho, A. Pereira O30 Health status of the elderly population living in Portalegre historic city centre: A longitudinal study António Calha, Raul Cordeiro O31 Student’s sleep in higher education: sleep quality among students of the IPB Ana Gonçalves, Ana Certo, Ana Galvão, Mª Augusta Mata O32 Trend in mortality from cervical cancer in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil, 2000 to 2013 Aline Welter, Elayne Pereira, Sandra Ribeiro, Marcia Kretzer O33 Adherence to treatment in the elderly in an urban environment in Spain Juan-Fernando Jiménez-Díaz, Carla Jiménez-Rodríguez, Francisco-José Hernández-Martínez, Bienvenida-Del-Carmen Rodríguez-De-Vera, Alexandre Marques-Rodrigues O34 Beira Baixa Blood Pressure Study (Study PABB) Patrícia Coelho, Tiago Bernardes, Alexandre Pereira O35 Trends in cervical cancer mortality statistics in Santa Catarina State, Brazil, by age group and macro-region, from 2000 to 2013 Patrícia Sousa, João G. Filho, Nazare Nazario, Marcia Kretzer O36 Sleep problems among Portuguese adolescents: a public health issue Odete Amaral, António Garrido, Nélio Veiga, Carla Nunes, Ana R. Pedro, Carlos Pereira O37 Association between body fat and health-related quality of life in patients with type 2 diabetes António Almeia, Helder M. Fernandes, Carlos Vasconcelos, Nelson Sousa, Victor M. Reis, M. João Monteiro, Romeu Mendes O38 Therapy adherence and polypharmacy in non-institutionalized elderly from Amares county, Portugal Isabel C. Pinto, Tânia Pires, João Gama O39 Prevalence of surgical site infection in adults at a hospital unit in the North of Portugal Vera Preto, Norberto Silva, Carlos Magalhães, Matilde Martins O40 Frailty phenotype in old age: implications to intervention Mafalda Duarte, Constança Paúl, Ignácio Martín O41 Portuguese women: sexual symptoms in perimenopause Arminda A. Pinheiro O42 Predictive ability of the Perinatal Depression Screening and Prevention Tool – preliminary results of the categorical approach Sandra Xavier, Julieta Azevedo, Elisabete Bento, Cristiana Marques, Mariana Marques, António Macedo, Ana T. Pereira O43 Aging and muscle strength in patients with type 2 diabetes: cross sectional analysis José P. Almeida, António Almeida, Josiane Alves, Nelson Sousa, Francisco Saavedra, Romeu Mendes O44 Accessibility of the elderly in the prevention of hypertension in a family health unit Ana S. Maia, Michelle T. Oliveira, Anderson R. Sousa, Paulo P. Ferreira, Luci S. Lopes, Eujcely C. Santiago O45 Community Health screenings and self-reported chronic diseases Sílvia Monteiro, Ângelo Jesus, Armanda Colaço, António Carvalho, Rita P. Silva, Agostinho Cruz O46 Evaluation of indoor air quality in Kindergartens Ana Ferreira, Catarina Marques, João P. Figueiredo, Susana Paixão O47 Atmospheric exposure to chemical agents under the occupational activity of pathology technicians Ana Ferreira, Carla Lopes, Fernando Moreira, João P. Figueiredo O48 Occupational exposure to air pollutants in night entertainment venues workers Ana Ferreira, Diana Ribeiro, Fernando Moreira, João P. Figueiredo, Susana Paixão O49 Beliefs and attitudes of young people towards breastfeeding Telma Fernandes, Diogo Amado, Jéssica Leal, Marcelo Azevedo, Sónia Ramalho O50 Profiling informal caregivers: surveying needs in the care of the elderly Catarina Mangas, Jaime Ribeiro, Rita Gonçalves O51 Visual health in teenagers Amélia F Nunes, Ana R. Tuna, Carlos R. Martins, Henriqueta D. Forte O52 Amenable mortality and the geographic accessibility to healthcare in Portugal Cláudia Costa, José A. Tenedório, Paula Santana O53 Bacterial contamination of door handles in a São Paulo See Metropolitan Cathedral public restrooms in Brazil J. A. Andrade, J. L. Pinto, C. Campofiorito, S. Nunes, A. Carmo, A. Kaliniczenco, B. Alves, F. Mendes, C. Jesus, F. Fonseca, F. Gehrke O54 Adherence of patients to rehabilitation programmes Carlos Albuquerque, Rita Batista, Madalena Cunha, António Madureira, Olivério Ribeiro, Rosa Martins O55 Prevalence of malnutrition among Portuguese elderly living in nursing homes: preliminary results of the PEN-3S project Teresa Madeira, Catarina Peixoto-Plácido, Nuno Santos, Osvaldo Santos, Astrid Bergland, Asta Bye, Carla Lopes, Violeta Alarcão, Beatriz Goulão, Nuno Mendonça, Paulo Nicola, João G. Clara O56 Relation between emotional intelligence and mental illness in health students João Gomes, Ana Querido, Catarina Tomás, Daniel Carvalho, Marina Cordeiro P1 Fall risk factors in people older than 50 years old – a pilot report Marlene C. Rosa, Alda Marques P2 What about the Portuguese oldest old? A global overview using census data Daniela Brandão, Óscar Ribeiro, Lia Araújo, Constança Paúl P3 Prevalence of injuries in senior amateur volleyball athletes in Alentejo and Algarve clubs, Portugal: factors associated Beatriz Minghelli, Sylvina Richaud P4 Shame feelings and quality of life: the role of acceptance and decentring Ana L. Mendes, Joana Marta-Simões, Inês A. Trindade, Cláudia Ferreira P5 Assessment of social support during deployment in portuguese colonial war veterans Teresa Carvalho, Marina Cunha, José Pinto-Gouveia P6 Hospitalization for acute viral bronchiolitis of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014 Morgana C. Fernandes, Roger S. Rosa, Rita C. Nugem, Luís F. Kranz, Mariana S. Siqueira, Ronaldo Bordin P7 Falls-risk screening – an opportunity for preventing falls in the elderly from Nordeste Anabela C. Martins, Anabela Medeiros, Rafaela Pimentel, Andreia Fernandes, Carlos Mendonça, Isabel Andrade, Susana Andrade, Ruth L. Menezes P8 Aging provokes chronodisruption in mature people in temperature circadian rhythm Rafael Bravo, Marta Miranda, Lierni Ugartemendia, José Mª Tena, Francisco L. Pérez-Caballero, Lorena Fuentes-Broto, Ana B. Rodríguez, Barriga Carmen P9 The influence of climate and pollution factors in dengue cases of great ABC region, São Paulo M. A. Carneiro, J. N. Domingues, S. Paixão, J. Figueiredo, V. B. Nascimento, C. Jesus, F Mendes, F. Gehrke, B. Alves, L. Azzalis, F. Fonseca P10 Visual function and impact of visual therapy in children with learning disabilities: a pilot study Ana R. Martins, Amélia Nunes, Arminda Jorge P11 Edentulism and the need of oral rehabilitation among institutionalized elderly Nélio Veiga, Ana Amorim, André Silva, Liliana Martinho, Luís Monteiro, Rafael Silva, Carina Coelho, Odete Amaral, Inês Coelho, Carlos Pereira, André Correia P12 Therapy adherence of outpatients in the pharmacy services of a hospital unit Diana Rodrigues, Nídia Marante, Pedro Silva, Sara Carvalho, André Rts Araujo, Maximiano Ribeiro, Paula Coutinho, Sandra Ventura, Fátima Roque P13 Universal access and comprehensive care of oral health: an availability study Cristina Calvo, Manoela Reses P14 Is the respiratory function of children a predictor of air quality? Coimbra as a case study Jorge Conde, Ana Ferreira, João Figueiredo P15 Meaning-in-life of college students David Silva, Luís Seiça, Raquel Soares, Ricardo Mourão, Teresa Kraus O57 Training needs for nurses in palliative care Ana C. Abreu, José M. Padilha, Júlia M. Alves O58 Impact of computerized information systems in the global nurses’ workload: nurses’ perceptions and real-time Paulino Sousa, Manuel Oliveira, Joana Sousa O59 The perspective of health care professionals on self-care in hereditary neurodegenerative disease: a qualitative study Sónia Novais, Felismina Mendes O60 Contribution for health-related physical fitness reference values in healthy adolescents Joana Pinto, Joana Cruz, Alda Marques School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal O61 Perception of learning, satisfaction and self-efficacy of nursing students about High-Fidelity Simulation Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa O62 Analysis of statements of diagnosis about health deviation in self-care requisites customized in a Nursing Practice Support System (SAPE®): Management of therapeutic regimen Inês Cruz, Fernanda Bastos, Filipe Pereira O63 Hybrid management and hospital governance: doctors and nurses as managers Francisco L. Carvalho, Teresa T. Oliveira, Vítor R. Raposo O64 Time management in health professionals Conceição Rainho, José C. Ribeiro, Isabel Barroso, Vítor Rodrigues O65 Financial rewards and wellbeing in primary health care Carmo Neves, Teresa C. Oliveira O66 Patient safety promotion in the operating room Bárbara Oliveira, Mª Carminda Morais, Pilar Baylina O67 Difficulties and needs of pre-graduate nursing students in the area of Geriatrics/Gerontology Rogério Rodrigues, Zaida Azeredo, Corália Vicente O68 Teaching and learning sexuality in nursing education Hélia Dias, Margarida Sim-Sim O69 Entrepreneurial Motivations Questionnaire: AFC and CFA in academy Pedro Parreira, Anabela Salgueiro-Oliveira, Amélia Castilho, Rosa Melo, João Graveto, José Gomes, Marina Vaquinhas, Carla Carvalho, Lisete Mónico, Nuno Brito O70 Nursing intervention to patient with Permanent Pacemakers and Implantable Cardioverter Defibrillators: a qualitative analysis Cassilda Sarroeira, José Amendoeira, Fátima Cunha, Anabela Cândido, Patrícia Fernandes, Helena R. Silva, Elsa Silva O71 Alcohol consumption among nursing students: where does education fail? Isabel Barroso, Leila Lapa, Cristina Antunes O72 Labour stress in nursing Ana Gonçalves, Ana Galvão, Mª José Gomes, Susana R. Escanciano O73 The influence of safe staff nursing in patient satisfaction with nursing care Maria Freitas, Pedro Parreira, João Marôco O74 Intention to use eHealth strategies with nursing students Ana R. Fernandes, Cremilde Cabral, Samuel Alves, Pedro Sousa O75 Community Based Mental Health: contributions of an interdisciplinary international program for students in higher health education António Ferreira, Fernanda Príncipe, Ulla-Maija Seppänen, Margarida Ferreira, Maribel Carvalhais, Marilene Silva O76 Study of satisfaction at work of graduates in nursing: 2002-2014 Manuela Ferreira, Joana Silva, Jéssica Neves, Diana Costa, Bruno Santos, Soraia Duarte O77 Health professionals’ attitudes towards breastfeeding Sílvia Marques, Sónia Ramalho, Isabel Mendes O78 Continuity of nursing care to person with type 2 diabetes Clarisse Louro, Eva Menino, Maria Dixe, Sara S. Dias O79 Stigma toward mental illness among future health professionals Marina Cordeiro, Catarina Tomás, Ana Querido, Daniel Carvalho, João Gomes O80 Working with fears and anxieties of medical students in search of a humanized care Frederico C. Valim, Joyce O. Costa, Lúcia G. Bernardes P16 Surgical paediatrics patients’ psycho prophylaxis at a teaching hospital Helena Prebianchi P17 Patient-perceived outcomes in physiotherapy – a pilot study Marlene Cristina Rosa P18 Building competencies for managers in nursing Narcisa Gonçalves, Maria M. Martins, Paulina Kurcgant P19 Theoretical basis underlying physiotherapy practice in stroke rehabilitation André Vieira P20 When the life-cycle ends: the nurse’s confrontation with death Sandrina Bento, Sérgio Deodato, Isabel Rabiais P21 Nursing students’ opinion about the supervision relationship during their first clinical experience Laura Reis P22 Nursing Relational Laboratory: Pedagogical, dialogic and critical project Ana Torres, Sérgio Soares, Margarida Ferreira, Pedro Graça P23 Job satisfaction of bioscientists at a Lisbon hospital Céu Leitão, Renato Abreu, Fernando Bellém, Ana Almeida, Edna Ribeiro-Varandas, Ana Tavares P24 Sociodemographic and professional profile of nurses and its relation with the importance of family in nursing practices João G. Frade, Carolina Henriques, Eva Menino, Clarisse Louro, Célia Jordão P25 Professional satisfaction of rehabilitation nurses Sofia Neco, Carminda Morais, Pedro Ferreira P26 The person living with a stoma: the formalization of knowledge in nursing Carla R. Silva, Alice Brito, Antónia Silva P27 Validation of the Portuguese versions of the nursing students’ perceptions of learning and learner satisfaction with simulation tool Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa P28 Physiotherapists’ perceived knowledge on technologies for electronic health records for physiotherapy Gabriela Postolache, Raul Oliveira, Isabel Moreira, Luísa Pedro, Sónia Vicente, Samuel Domingos, Octavian Postolache P29 Quality of life and physical activity of medicine undergraduate students in the University of Southern Santa Catarina, Brazil Darlen Silva, João G. Filho, Nazare Nazario, Marcia Kretzer, Dulcineia Schneider P30 The curricular skills for decision making education in a Nursing Degree Fátima M. Marques P31 Effect of nurses’ mobilization in satisfaction at work and turnover: An empirical study in the hospital setting Pedro Parreira, Carla Carvalho, Lisete M. Mónico, Carlos Pinto, Sara Vicente, São João Breda P32 Entrepreneurial skills of students of polytechnic higher education in Portugal: Business influences José H. Gomes, Rosa Melo, Pedro Parreira, Anabela Salgueiro, João Graveto, Marina Vaquinhas, Amélia Castilho P33 Design and assessment of e-learning modules for Pharmacology Ângelo Jesus, Nuno Duarte, José C. Lopes, Hélder Nunes, Agostinho Cruz P34 Perspective of nurses involved in an action-research study on the changes observed in care provision: results from a focus group Anabela Salgueiro-Oliveira, Pedro Parreira, Marta L. Basto, Luciene M. Braga P35 Use of peer feedback by nursing students during clinical training: teacher’s perception António Ferreira, Beatriz Araújo, José M. Alves, Margarida Ferreira, Maribel Carvalhais, Marilene Silva, Sónia Novais P36 What’s new on endotracheal suctioning recommendations Ana S. Sousa, Cândida Ferrito P37 Assessment of the nurses satisfaction on the Central Region of Portugal Pedro L. Ferreira, Alexandre Rodrigues, Margarida Ferreira, Isabel Oliveira P38 Study of graduate’s satisfaction with the school of nursing Manuela Ferreira, Jéssica Neves, Diana Costa, Soraia Duarte, Joana Silva, Bruno Santos P39 Partnership between the school of nursing and the hospital: Supervisors´ perspectives Cristina Martins, Ana P. Macedo, Odete Araújo, Cláudia Augusto, Fátima Braga, Lisa Gomes, Maria A. Silva, Rafaela Rosário P40 Coping strategies of college students Luís Pimenta, Diana Carreira, Patrícia Teles, Teresa Barros P41 Emotional intelligence and mental health stigma in health students Catarina Tomás, Ana Querido, Daniel Carvalho, João Gomes, Marina Cordeiro P42 Stigma of mental health assessment: Comparison between health courses Daniel Carvalho, Ana Querido, Catarina Tomás, João Gomes, Marina Cordeiro O81 Short- and long-term effects of pulmonary rehabilitation in mild COPD Cristina Jácome, Alda Marques O82 Phonological awareness programme for preschool children Sylvie Capelas, Andreia Hall, Dina Alves, Marisa Lousada O83 REforma ATIVA: An efficient health promotion program to be implemented during retirement Mª Helena Loureiro, Ana Camarneiro, Margarida Silva, Aida Mendes, Ana Pedreiro O84 Intervention for men who batter women, a case report Anne G.Silva, Elza S. Coelho O85 Immediate effects of Bowen Therapy on muscle tone and flexibility Flávio Melo, Fernando Ribeiro, Rui Torres, Rui Costa O86 Predictive equation for incremental shuttle walk test in adolescents Tânia Pinho, Cristina Jácome, Alda Marques O87 Life satisfaction and psychopathology in institutionalized elderly people: The results of an adapted Mindfulness-Based Stress Reduction program Bárbara Cruz, Daniel Seabra, Diogo Carreira, Maria Ventura O88 Outcome changes in COPD rehabilitation: exploring the relationship between physical activity and health-related outcomes Joana Cruz, Dina Brooks, Alda Marques O89 Assessing the effectiveness of a Complex Nursing Intervention M Rosário Pinto, Pedro Parreira, Marta Lima-Basto, Miguel Neves, Lisete M. Mónico O90 Psychotherapeutic intervention in addiction disorders: Change in psychopathological symptoms and emotional states Carla Bizarro, Marina Cunha, Ana Galhardo, Couto Margarida, Ana P. Amorim, Eduardo Silva O91 Economic impact of a nursing intervention program to promote self-management in COPD Susana Cruz, José M. Padilha, Jorge Valente O92 Multimodal acute pain management during uterine artery embolization in treatment of uterine myomas José T. Guerrero, Francisco P. Caballero, Rafael B. Santos, Estefania P. Gonzalez, Fátima M. Monago, Lierni U. Ugalde, Marta M. Vélez, Maria J. Tena O93 Fluid administration strategies in major surgery: Goal-directed therapy José T. Guerrero, Rafael Bravo, Francisco L. Pérez-Caballero, Isabel A. Becerra, Mª Elizabeth Agudelo, Guadalupe Acedo, Roberto Bajo O94 Development and implementation of a self-management educational programme using lay-led’s in adolescents Spina Bifida: A pilot study Isabel Malheiro, Filomena Gaspar, Luísa Barros O95 Influence of chair-based yoga exercises on salivary anti-microbial proteins in institutionalized frail-elderly women: a preliminary study Guilherme Furtado, Mateus Uba-Chupel, Mariana Marques, Luís Rama, Margarida Braga, José P. Ferreira, Ana Mª Teixeira O96 High intensity interval training vs moderate intensity continuous training impact on diabetes 2 João Cruz, Tiago Barbosa, Ângela Simões, Luís Coelho O97 Family caregiver of people with pressure ulcer: Nursing intervention plan Alexandre Rodrigues, Juan-Fernando Jiménez-Díaz, Francisco Martinez-Hernández, Bienvenida Rodriguez-De-Vera, Pedro Ferreira, Alexandrina Rodrigues O98 Chronic effects of exercise on motor memory consolidation in elderly people André Ramalho, João Petrica, Pedro Mendes, João Serrano, Inês Santo, António Rosado O99 Impression cytology of the ocular surface: Collection technique and sample processing Paula Mendonça, Kátia Freitas O100 Does sport practice affect the reaction time in neuromuscular activity? Dora Ferreira, António Brito, Renato Fernandes O101 Efficiency of the enteral administration of fibbers in the treatment of chronic obstipation Sofia Gomes, Fernando Moreira, Cláudia Pinho, Rita Oliveira, Ana I. Oliveira O102 Fast decalcifier in compact bone and spongy bone Paula Mendonça, Ana P. Casimiro, Patrícia Martins, Iryna Silva O103 Health promotion in the elderly – Intervention project in dementia Diana Evangelista O104 Prevention of musculoskeletal disorders through an exercise protocol held in labour context Catarina Leitão, Fábia Velosa, Nélio Carecho, Luís Coelho O105 Knowledge of teachers and other education agents on diabetes type 1: Effectiveness of an intervention program Eva Menino, Anjos Dixe, Helena Catarino, Fátima Soares, Ester Gama, Clementina Gordo O106 Treatment of diabetic peripheral neuropathic pain: a systematic review of clinical trials of phase II and III Eliana Moreira, Cristiana Midões, Marlene Santos O107 New drugs for osteoporosis treatment: Systematic review of clinical trials of phase II and III Sara Machado, Vânia P. Oliveira, Marlene Santos O108 Promoting hope at the end of life: Effectiveness of an Intervention Programme Ana Querido, Anjos Dixe, Rita Marques, Zaida Charepe P43 Psychomotor therapy effects on adaptive behaviour and motor proficiency of adults with intellectual disability Ana Antunes, Sofia Santos P44 The effect of exercise therapy in multiple sclerosis – a single study case Marlene C. Rosa P45 Physical condition and self-efficacy in people with fall risk – a preliminary study Marlene C. Rosa, Silvana F. Marques P46 Shock waves: their effectiveness in improving the symptoms of calcifying tendinitis of the shoulder Beatriz Minghelli, Eulália Caro P47 Pacifier – construction and pilot application of a parenting intervention for parents of babies until six months in primary health care Mª José Luís, Teresa Brandão P48 The influence of Motor Imagery in fine motor skills of individuals with disabilities Pedro Mendes, Daniel Marinho, João Petrica, Diogo Monteiro, Rui Paulo, João Serrano, Inês Santo P49 Evaluation of the effects of a walking programme on the fall risk factors in older people – a longitudinal pilot study Lina Monteiro, Fátima Ramalho, Rita Santos-Rocha, Sónia Morgado, Teresa Bento P50 Nursing intervention programme in lifestyles of adolescents Gilberta Sousa, Otília Freitas, Isabel Silva, Gregório Freitas, Clementina Morna, Rita Vasconcelos P51 The person submitted to hip replacement rehabilitation, at home Tatiana Azevedo, Salete Soares, Jacinta Pisco P52 Effects of Melatonin use in the treatment of neurovegetative diseases Paulo P. Ferreira, Efrain O. Olszewer, Michelle T. Oliveira, Anderson R. Sousa, Ana S. Maia, Sebastião T. Oliveira P53 Review of Phytotherapy and other natural substances in alcohol abuse and alcoholism Erica Santos, Ana I. Oliveira, Carla Maia, Fernando Moreira, Joana Santos, Maria F. Mendes, Rita F. Oliveira, Cláudia Pinho P54 Dietary programme impact on biochemical markers in diabetics: systematic review Eduarda Barreira, Ana Pereira, Josiana A. Vaz, André Novo P55 Biological approaches to knee osteoarthritis: platelet-rich plasma and hyaluronic acid Luís D. Silva, Bruno Maia, Eduardo Ferreira, Filipa Pires, Renato Andrade, Luís Camarinha P56 Platelet-rich plasma and hyaluronic acid intra-articular injections for the treatment of ankle osteoarthritis Luís D. Silva, Bruno Maia, Eduardo Ferreira, Filipa Pires, Renato Andrade, Luís Camarinha P57 The impact of preventive measures in the incidence of diabetic foot ulcers: a systematic review Ana F. César, Mariana Poço, David Ventura, Raquel Loura, Pedro Gomes, Catarina Gomes, Cláudia Silva, Elsa Melo, João Lindo P58 Dating violence among young adolescents Joana Domingos, Zaida Mendes, Susana Poeta, Tiago Carvalho, Catarina Tomás, Helena Catarino, Mª Anjos Dixe P59 Physical activity and motor memory in pedal dexterity André Ramalho, António Rosado, Pedro Mendes, Rui Paulo, Inês Garcia, João Petrica P60 The effects of whole body vibration on the electromyographic activity of thigh muscles Sandra Rodrigues, Rui Meneses, Carlos Afonso, Luís Faria, Adérito Seixas P61 Mental health promotion in the workplace Marina Cordeiro, Paulo Granjo, José C. Gomes P62 Influence of physical exercise on the self-perception of body image in elderly women: A systematic review of qualitative studies Nelba R. Souza, Guilherme E. Furtado, Saulo V. Rocha, Paula Silva, Joana Carvalho O109 Psychometric properties of the Portuguese version of the Éxamen Geronto-Psychomoteur (P-EGP) Marina Ana Morais, Sofia Santos, Paula Lebre, Ana Antunes O110 Symptoms of depression in the elderly population of Portugal, Spain and Italy António Calha O111 Emotion regulation strategies and psychopathology symptoms: A comparison between adolescents with and without deliberate self-harm Ana Xavier, Marina Cunha, José Pinto-Gouveia O112 Prevalence of physical disability in people with leprosy Liana Alencar, Madalena Cunha, António Madureira O113 Quality of life and self-esteem in type 1 and type 2 diabetes mellitus patients Ilda Cardoso, Ana Galhardo, Fernanda Daniel, Vítor Rodrigues O114 Cross-cultural comparison of gross motor coordination in children from Brazil and Portugal Leonardo Luz, Tatiana Luz, Maurício R. Ramos, Dayse C. Medeiros, Bruno M. Carmo, André Seabra, Cristina Padez, Manuel C. Silva O115 Electrocardiographic differences between African and Caucasian people António Rodrigues, Patrícia Coelho, Alexandre Coelho O116 Factors associated with domestic, sexual and other types of violence in the city of Palhoça - Brazil Madson Caminha, Filipe Matheus, Elenice Mendes, Jony Correia, Marcia Kretzer O117 Tinnitus prevalence study of users of a hospital of public management - Spain Francisco J. Hernandez-Martinez, Juan F. Jimenez-Diaz, Bienvendida C. Rodriguez-De-Vera, Carla Jimenez-Rodriguez, Yadira Armas-Gonzalez O118 Difficulties experienced by parents of children with diabetes mellitus of preschool age in therapeutic and nutritional management Cátia Rodrigues, Rosa Pedroso O119 E-mental health - “nice to have” or “must have”? Exploring the attitudes towards e-mental health in the general population Jennifer Apolinário-Hagen, Viktor Vehreschild O120 Violence against children and adolescents and the role of health professionals: Knowing how to identify and care Milene Veloso, Celina Magalhães, Isabel Cabral, Maira Ferraz O121 Marital violence. A study in the Algarve population Filipe Nave, Emília Costa, Filomena Matos, José Pacheco O122 Clinical factors and adherence to treatment in ischemic heart disease António Dias, Carlos Pereira, João Duarte, Madalena Cunha, Daniel Silva O123 Can religiosity improve optimism in participants in states of illness, when controlling for life satisfaction? Lisete M. Mónico, Valentim R. Alferes, Mª São João Brêda, Carla Carvalho, Pedro M. Parreira O124 Empowerment, knowledge and quality of life of people with diabetes type 2 in the Alto Minho Health Local Unit Mª Carminda Morais, Pedro Ferreira, Rui Pimenta, José Boavida O125 Antihypertensive therapy adherence among hypertensive patients from Bragança county, Portugal Isabel C. Pinto, Tânia Pires, Catarina Silva O126 Subjective perception of sexual achievement - An exploratory study on people with overweight Maria Ribeiro, Maria Viega-Branco, Filomena Pereira, Ana Mª Pereira O127 Physical activity level and associated factors in hypertensive individuals registered in the family health strategy of a basic health unit from the city of Palhoça, Santa Catarina, Brazil Fabrícia M. Almeida, Gustavo L. Estevez, Sandra Ribeiro, Marcia R. Kretzer O128 Perception of functional fitness and health in non-institutionalised elderly from rural areas Paulo V. João, Paulo Nogueira, Sandra Novais, Ana Pereira, Lara Carneiro, Maria Mota O129 Medication adherence in patients with type 2 diabetes mellitus treated at primary health care in Coimbra Rui Cruz, Luiz Santiago, Carlos Fontes-Ribeiro O130 Multivariate association between body mass index and multi-comorbidities in elderly people living in low socio-economic status context Guilherme Furtado, Saulo V. Rocha, André P. Coutinho, João S. Neto, Lélia R. Vasconcelos, Nelba R. Souza, Estélio Dantas O131 Metacognition, rumination and experiential avoidance in Borderline Personality Disorder Alexandra Dinis, Sérgio Carvalho, Paula Castilho, José Pinto-Gouveia O132 Health issues in a vulnerable population: nursing consultation in a public bathhouse in Lisbon Alexandra Sarreira-Santos, Amélia Figueiredo, Lurdes Medeiros-Garcia, Paulo Seabra O133 The perception of quality of life in people with multiple sclerosis accompanied in External Consultation of the Local Health Unit of Alto Minho Rosa Rodrigues, Mª Carminda Morais, Paula O. Fernandes O134 Representation of interaction established between immigrant women and nurse during pregnancy to postpartum, from the perspective of immigrant women Conceição Santiago, Mª Henriqueta Figueiredo, Marta L. Basto O135 Illness perceptions and medication adherence in hypertension Teresa Guimarães, André Coelho, Anabela Graça, Ana M. Silva, Ana R. Fonseca O136 A Portuguese study on adults’ intimate partner violence, interpersonal trust and hope Luz Vale-Dias, Bárbara Minas, Graciete Franco-Borges P63 QOL’ predictors of people with intellectual disability and general population Cristina Simões, Sofia Santos P64 Content validation of the Communication Disability Profile (CDP) - Portuguese Version Ana Serra, Maria Matos, Luís Jesus P65 Study of biochemical and haematological changes in football players Ana S. Tavares, Ana Almeida, Céu Leitão, Edna Varandas, Renato Abreu, Fernando Bellém P66 Body image dissatisfaction in inflammatory bowel disease: exploring the role of chronic illness-related shame Inês A. Trindade, Cláudia Ferreira, José Pinto-Gouveia, Joana Marta-Simões P67 Obesity and sleep in the adult population - a systematic review Odete Amaral, Cristiana Miranda, Pedro Guimarães, Rodrigo Gonçalves, Nélio Veiga, Carlos Pereira P68 Frequency of daytime sleepiness and obstructive sleep apnea risk in COPD patients Tânia C. Fleig, Elisabete A. San-Martin, Cássia L. Goulart, Paloma B. Schneiders, Natacha F. Miranda, Lisiane L. Carvalho, Andrea G. Silva P69 Working with immigrant-origin clients: discourses and practices of health professionals Joana Topa, Conceição Nogueira, Sofia Neves P70 Systemic Lupus Erythematosus – what are audiovestibular changes? Rita Ventura, Cristina Nazaré P71 Mental disorders in the oldest old: findings from the Portuguese national hospitalization database Daniela Brandão, Alberto Freitas, Óscar Ribeiro, Constança Paúl P72 Recurrence analysis in postural control in children with cerebral palsy Cristiana Mercê, Marco Branco, Pedro Almeida, Daniela Nascimento, Juliana Pereira, David Catela P73 The experience of self-care in the elderly with COPD: contributions to reflect proximity care Helga Rafael P74 Culturally competent nurses: managing unpredictability in clinical practice with immigrants Alcinda C. Reis O137 Paediatric speech and language screening: An instrument for health professionals Ana Mendes, Ana R. Valente, Marisa Lousada O138 Anthropometric and nutritional assessment in bodybuilders Diana Sousa, Ana L. Baltazar, Mª Helena Loureiro O139 Computerized adventitious respiratory sounds in children with lower respiratory tract infections Ana Oliveira, José Aparício, Alda Marques O140 Role of computerized respiratory sounds as a marker in LRTI Alda Marques, Ana Oliveira, Joana Neves, Rodrigo Ayoub O141 Confirmatory factor analysis of the Personal Wellbeing Index in people with chronic kidney disease Luís Sousa, Cristina Marques-Vieira, Sandy Severino, Helena José O142 Phonological awareness skills in school aged children Inês Cadorio, Marisa Lousada O143 Assessment of early memories of warmth and safeness in interaction with peers: its relationship with psychopathology in adolescence Marina Cunha, Diogo Andrade, Ana Galhardo, Margarida Couto O144 The molecular effects induced by single shot irradiation on a diffuse large B cell lymphoma cell line Fernando Mendes, Cátia Domingues, Susann Schukg, Ana M. Abrantes, Ana C. Gonçalves, Tiago Sales, Ricardo Teixo, Rita Silva, Jéssica Estrela, Mafalda Laranjo, João Casalta-Lopes, Clara Rocha, Paulo C. Simões, Ana B. Sarmento-Ribeiro, Mª Filomena Botelho, Manuel S. Rosa O145 Morpho-functional characterization of cardiac chambers by Transthoracic Echocardiography, in young athletes of gymnastics competition Virgínia Fonseca, Diogo Colaço, Vanessa Neves O146 Prevalence of the antibodies of the new histo-blood system – FORS system Carlos Jesus, Camilla Hesse, Clara Rocha, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Lola Svensson, Fernando Mendes, Wafa A. Siba, Cristina Pereira, Jorge Tomaz O147 Assessment of the war-related perceived threat in Portuguese Colonial War Veterans Teresa Carvalho, José Pinto-Gouveia, Marina Cunha O148 Pulse transit time estimation for continuous blood pressure measurement: A comparative study Diana Duarte, Nuno V. Lopes, Rui Fonseca-Pinto O149 Blood pressure assessment during standard clinical manoeuvres: A non-invasive PPT based approach Diana Duarte, Nuno V. Lopes, Rui Fonseca-Pinto O150 Development and initial validation of the Activities and Participation Profile related to Mobility (APPM) Anabela C. Martins O151 MEASYCare-2010 Standard–A geriatric evaluation system in primary health care: Reliability and validity of the latest version in Portugal Piedade Brandão, Laura Martins, Margarida Cardoso O152 Interrater and intrarater reliability and agreement of the range of shoulder flexion in the standing upright position through photographic assessment Nuno Morais, Joana Cruz O153 Three-dimensional biofabrication techniques for tissue regeneration Nuno Alves, Paula Faria, Artur Mateus, Pedro Morouço O154 A new computer tool for biofabrication applied to tissue engineering Nuno Alves, Nelson Ferreira, Artur Mateus, Paula Faria, Pedro Morouço O155 Development and psychometric qualities of a scale to measure the functional independence of adolescents with motor impairment Isabel Malheiro, Filomena Gaspar, Luísa Barros O156 Organizational Trust in Health services: Exploratory and Confirmatory factor analysis of the Organizational Trust Inventory- Short Form (OTI-SF) Pedro Parreira, Andreia Cardoso, Lisete Mónico, Carla Carvalho, Albino Lopes, Anabela Salgueiro-Oliveira O157 Thermal symmetry: An indicator of occupational task asymmetries in physiotherapy Adérito Seixas, Valter Soares, Tiago Dias, Ricardo Vardasca, Joaquim Gabriel, Sandra Rodrigues O158 A study of ICT active monitoring adoption in stroke rehabilitation Hugo Paredes, Arsénio Reis, Sara Marinho, Vítor Filipe, João Barroso O159 Paranoia Checklist (Portuguese Version): Preliminary studies in a mixed sample of patients and healthy controls Carolina Da Motta, Célia B. Carvalho, José Pinto-Gouveia, Ermelindo Peixoto O160 Reliability and validity of the Composite Scale on Morningness: European Portuguese version, in adolescents and young adults Ana A. Gomes, Vanessa Costa, Diana Couto, Daniel R. Marques, José A. Leitão, José Tavares, Maria H. Azevedo, Carlos F. Silva O161 Evaluation scale of patient satisfaction with nursing care: Psychometric properties evaluation João Freitas, Pedro Parreira, João Marôco O162 Impact of fibromyalgia on quality of life: Comparing results from generic instruments and FIQR Miguel A. Garcia-Gordillo, Daniel Collado-Mateo, Gang Chen, Angelo Iezzi, José A. Sala, José A. Parraça, Narcis Gusi O163 Preliminary study of the adaptation and validation of the Rating Scale of Resilient Self: Resilience, self-harm and suicidal ideation in adolescents Jani Sousa, Mariana Marques, Jacinto Jardim, Anabela Pereira, Sónia Simões, Marina Cunha O164 Development of the first pressure ulcer in inpatient setting: Focus on length of stay Pedro Sardo, Jenifer Guedes, João Lindo, Paulo Machado, Elsa Melo O165 Forms of Self-Criticizing and Self-Reassuring Scale: Adaptation and early findings in a sample of Portuguese children Célia B. Carvalho, Joana Benevides, Marina Sousa, Joana Cabral, Carolina Da Motta O166 Predictive ability of the Perinatal Depression Screening and Prevention Tool – Preliminary results of the dimensional approach Ana T. Pereira, Sandra Xavier, Julieta Azevedo, Elisabete Bento, Cristiana Marques, Rosa Carvalho, Mariana Marques, António Macedo O167 Psychometric properties of the BaSIQS-Basic Scale on insomnia symptoms and quality of sleep, in adults and in the elderly Ana M. Silva, Juliana Alves, Ana A. Gomes, Daniel R. Marques, Mª Helena Azevedo, Carlos Silva O168 Enlightening the human decision in health: The skin melanocytic classification challenge Ana Mendes, Huei D. Lee, Newton Spolaôr, Jefferson T. Oliva, Wu F. Chung, Rui Fonseca-Pinto O169 Test-retest reliability household life study and health questionnaire Pomerode (SHIP-BRAZIL) Keila Bairros, Cláudia D. Silva, Clóvis A. Souza, Silvana S. Schroeder O170 Characterization of sun exposure behaviours among medical students from Nova Medical School Elsa Araújo, Helena Monteiro, Ricardo Costa, Sara S. Dias, Jorge Torgal O171 Spirituality in pregnant women Carolina G. Henriques, Luísa Santos, Elisa F. Caceiro, Sónia A. Ramalho O172 Polypharmacy in older patients with cancer Rita Oliveira, Vera Afreixo, João Santos, Priscilla Mota, Agostinho Cruz, Francisco Pimentel O173 Quality of life of caregivers of people with advanced chronic disease: Translation and validation of the quality of life in life threatening illness - family carer version (QOLLTI-C-PT) Rita Marques, Mª Anjos Dixe, Ana Querido, Patrícia Sousa O174 The psychometric properties of the brief Other as Shamer Scale for Children (OAS-C): preliminary validation studies in a sample of Portuguese children Joana Benevides, Carolina Da Motta, Marina Sousa, Suzana N. Caldeira, Célia B. Carvalho O175 Measuring emotional intelligence in health care students – Revalidation of WLEIS-P Ana Querido, Catarina Tomás, Daniel Carvalho, João Gomes, Marina Cordeiro O176 Health indicators in prenatal assistance: The impact of computerization and of under-production in basic health centres Joyce O. Costa, Frederico C. Valim, Lígia C. Ribeiro O177 Hope genogram: Assessment of resources and interaction patterns in the family of the child with cerebral palsy Zaida Charepe, Ana Querido, Mª Henriqueta Figueiredo O178 The influence of childbirth type in postpartum quality of life Priscila S. Aquino, Samila G. Ribeiro, Ana B. Pinheiro, Paula A. Lessa, Mirna F. Oliveira, Luísa S. Brito, Ítalo N. Pinto, Alessandra S. Furtado, Régia B. Castro, Caroline Q. Aquino, Eveliny S. Martins O179 Women’s beliefs about pap smear test and cervical cancer: influence of social determinants Ana B Pinheiro, Priscila S. Aquino, Lara L. Oliveira, Patrícia C. Pinheiro, Caroline R. Sousa, Vívien A. Freitas, Tatiane M. Silva, Adman S. Lima, Caroline Q. Aquino, Karizia V. Andrade, Camila A. Oliveira, Eglidia F. Vidal O180 Validity of the Portuguese version of the ASI-3: Is anxiety sensitivity a unidimensional or multidimensional construct? Ana Ganho-Ávila, Mariana Moura-Ramos, Óscar Gonçalves, Jorge Almeida O181 Lifestyles of higher education students: the influence of self-esteem and psychological well-being Armando Silva, Irma Brito, João Amado P75 Assessing the quality of life of persons with significant intellectual disability: Portuguese version of Escala de San Martín António Rodrigo, Sofia Santos, Fernando Gomes P76 Childhood obesity and breastfeeding - A systematic review Marlene C. Rosa, Silvana F. Marques P77 Cross-cultural adaptation of the Foot and Ankle Ability Measure (FAAM) for the Portuguese population Sara Luís, Luís Cavalheiro, Pedro Ferreira, Rui Gonçalves P78 Cross-cultural adaptation of the Patient-Rated Wrist Evaluation score (PRWE) for the Portuguese population Rui S. Lopes, Luís Cavalheiro, Pedro Ferreira, Rui Gonçalves P79 Cross-cultural adaptation of the Myocardial Infraction Dimensional Assessment Scale (MIDAS) for Brazilian Portuguese language Bruno H. Fiorin, Marina S. Santos, Edmar S. Oliveira, Rita L. Moreira, Elizabete A. Oliveira, Braulio L. Filho P80 The revised Portuguese version of the Three-Factor Eating Questionnaire: A confirmatory factor analysis Lara Palmeira, Teresa Garcia, José Pinto-Gouveia, Marina Cunha P81 Assessing weight-related psychological inflexibility: An exploratory factor analysis of the AAQW’s Portuguese version Sara Cardoso, Lara Palmeira, Marina Cunha; José Pinto-Gouveia P82 Validation of the Body Appreciation Scale-2 for Portuguese women Joana Marta-Simões, Ana L. Mendes, Inês A. Trindade, Sara Oliveira, Cláudia Ferreira P83 The Portuguese validation of the Dietary Intent Scale Ana L. Mendes, Joana Marta-Simões, Inês A. Trindade, Cláudia Ferreira P84 Construction and validation of the Inventory of Marital Violence (IVC) Filipe Nave P85 Portable continuous blood pressure monitor system Mariana Campos, Iris Gaudêncio, Fernando Martins, Lino Ferreira, Nuno Lopes, Rui Fonseca-Pinto P86 Construction and validation of the Scale of Perception of the Difficulties in Caring for the Elderly (SPDCE) Rogério Rodrigues, Zaida Azeredo, Corália Vicente P87 Development and validation of a comfort rating scale for the elderly hospitalized with chronic illness Joana Silva, Patrícia Sousa, Rita Marques P88 Construction and validation of the Postpartum Paternal Quality of Life Questionnaire (PP-QOL) Isabel Mendes, Rogério Rodrigues, Zaida Azeredo, Corália Vicente P89 Infrared thermal imaging: A tool for assessing diabetic foot ulcers Ricardo Vardasca, Ana R. Marques, Adérito Seixas, Rui Carvalho, Joaquim Gabriel P90 Pressure ulcers in an intensive care unit: An experience report Paulo P. Ferreira, Michelle T. Oliveira, Anderson R. Sousa, Ana S. Maia, Sebastião T. Oliveira, Pablo O. Costa, Maiza M. Silva P91 Validation of figures used in evocations: instrument to capture representations Cristina Arreguy-Sena, Nathália Alvarenga-Martins, Paulo F. Pinto, Denize C. Oliveira, Pedro D. Parreira, Antônio T. Gomes, Luciene M. Braga P92 Telephone assistance to decrease burden in informal caregivers of stroke older people: Monitoring and diagnostic evaluation Odete Araújo, Isabel Lage, José Cabrita, Laetitia Teixeira P93 Hope of informal caregivers of people with chronic and advanced disease Rita Marques, Mª Anjos Dixe, Ana Querido, Patrícia Sousa P94 Functionality and quality information from the Portuguese National Epidemiological Surveillance System Sara Silva, Eugénio Cordeiro, João Pimentel P95 Resting metabolic rate objectively measured vs. Harris and Benedict formula Vera Ferro-Lebres, Juliana A. Souza, Mariline Tavares O182 Characteristics of non-urgent patients: Cross-sectional study of an emergency department Mª Anjos Dixe, Pedro Sousa, Rui Passadouro, Teresa Peralta, Carlos Ferreira, Georgina Lourenço O183 Physical fitness and health in children of the 1st Cycle of Education João Serrano, João Petrica, Rui Paulo, Samuel Honório, Pedro Mendes O184 The impact of physical activity on sleep quality, in children Alexandra Simões, Lucinda Carvalho, Alexandre Pereira O185 What is the potential for using Information and Communication Technologies in Arterial Hypertension self-management? Sara Silva, Paulino Sousa, José M. Padilha O186 Exploring psychosocial factors associated with risk of falling in older patients undergoing haemodialysis Daniela Figueiredo, Carolina Valente, Alda Marques O187 Development of pressure ulcers on the face in patients undergoing non-invasive ventilation Patrícia Ribas, Joana Sousa, Frederico Brandão, Cesar Sousa, Matilde Martins O188 The elder hospitalized: Limiting factors of comfort Patrícia Sousa, Rita Marques O189 Physical activity and health state self-perception by Portuguese adults Francisco Mendes, Rosina Fernandes, Emília Martins, Cátia Magalhães, Patrícia Araújo O190 Satisfaction with social support in the elderly of the district of Bragança Carla Grande, Mª Augusta Mata, Juan G. Vieitez O191 Prevalence of death by traumatic brain injury and associated factors in intensive care unit of a general hospital, Brazil Bruna Bianchini, Nazare Nazario, João G. Filho, Marcia Kretzer O192 Relation between family caregivers burden and health status of elderly dependents Tânia Costa, Armando Almeida, Gabriel Baffour O193 Phenomena sensitive to nursing care in day centre Armando Almeida, Tânia Costa, Gabriel Baffour O194 Frailty: what do the elderly think? Zaida Azeredo, Carlos Laranjeira, Magda Guerra, Ana P. Barbeiro O195 The therapeutic self-care as a nursing-sensitive outcome: A correlational study Regina Ferreira O196 Phonetic-phonological acquisition for the European Portuguese from 18 months to 6 years and 12 months Sara Lopes, Liliana Nunes, Ana Mendes O197 Quality of life of patients undergoing liver transplant surgery Julian Martins, Dulcineia Schneider, Marcia Kretzer, Flávio Magajewski O198 Professional competences in health: views of older people from different European Countries Célia Soares, António Marques O199 Life satisfaction of working adults due to the number of hours of weekly exercise Marco Batista, Ruth J. Castuera, Helena Mesquita, António Faustino, Jorge Santos, Samuel Honório O200 Therapeutic itinerary of women with breast cancer in Santa Maria City/RS Betina P. Vizzotto, Leticia Frigo, Hedioneia F. Pivetta O201 The breastfeeding prevalence at 4 months: Maternal experience as a determining factor Dolores Sardo O202 The impact of the transition to parenthood in health and well-being Cristina Martins, Wilson Abreu, Mª Céu Figueiredo P96 Self-determined motivation and well-being in Portuguese active adults of both genders Marco Batista, Ruth Jimenez-Castuera, João Petrica, João Serrano, Samuel Honório, Rui Paulo, Pedro Mendes P97 The geriatric care: ways and means of comforting Patrícia Sousa, Rita Marques P98 The influence of relative age, subcutaneous adiposity and physical growth on Castelo Branco under-15 soccer players 2015 António Faustino, Paulo Silveira, João Serrano, Rui Paulo, Pedro Mendes, Samuel Honório P99 Data for the diagnostic process focused on self-care – managing medication regime: An integrative literature review Catarina Oliveira, Fernanda Bastos, Inês Cruz P100 Art therapy as mental health promotion for children Cláudia K. Rodriguez, Márcia R. Kretzer, Nazaré O. Nazário P101 Chemical characterization of fungal chitosan for industrial applications Pedro Cruz, Daniela C. Vaz, Rui B. Ruben, Francisco Avelelas, Susana Silva, Mª Jorge Campos P102 The impact of caring older people at home Maria Almeida, Liliana Gonçalves, Lígia Antunes P103 Development of the first pressure ulcer in an inpatient setting: Focus on patients’ characteristics Pedro Sardo, Jenifer Guedes, João Simões, Paulo Machado, Elsa Melo P104 Association between General Self-efficacy and Physical Activity among Adolescents Susana Cardoso, Osvaldo Santos, Carla Nunes, Isabel Loureiro O203 Characterization of the habits of online acquisition of medicinal products in Portugal Flávia Santos, Gilberto Alves O204 Waiting room – A space for health education Cláudia Soar, Teresa O. Marsi O205 Safey culture evaluation in hospitalized children Ernestina Silva, Dora Pedrosa, Andrea Leça, Daniel Silva O206 Sexual Self-awareness and Body Image Ana Galvão, Maria Gomes, Paula Fernandes, Ana Noné O207 Perception of a Portuguese population regarding the acquisition and consumption of functional foods Jaime Combadão, Cátia Ramalhete, Paulo Figueiredo, Patrícia Caeiro O208 The work process in primary health care: evaluation in municipalities of southern Brazil Karine C. Fontana, Josimari T. Lacerda, Patrícia O. Machado O209 Exploration and evaluation of potential probiotic lactic acid bacteria isolated from Amazon buffalo milk Raphaelle Borges, Flávio Barbosa, Dayse Sá O210 Road safety for children: Using children’s observation, as a passenger Germana Brunhoso, Graça Aparício, Amâncio Carvalho O211 Perception and application of quality-by-design by the Pharmaceutical industry in Portugal Ana P. Garcia, Paula O. Fernandes, Adriana Santos O212 Oral health among Portuguese children and adolescents: a public health issue Nélio Veiga, Carina Brás, Inês Carvalho, Joana Batalha, Margarida Glória, Filipa Bexiga, Inês Coelho, Odete Amaral, Carlos Pereira O213 Plant species as a medicinal resource in Igatu-Chapada Diamantina (Bahia, Brazil) Cláudia Pinho, Nilson Paraíso, Ana I. Oliveira, Cristóvão F. Lima, Alberto P. Dias O214 Characterization of cognitive and functional performance in everyday tasks: Implications for health in institutionalised older adults Pedro Silva, Mário Espada, Mário Marques, Ana Pereira O215 BMI and the perception of the importance given to sexuality in obese and overweight people Ana Mª Pereira, Mª Veiga-Branco, Filomena Pereira, Maria Ribeiro O216 Analysis and comparison of microbiological contaminations of two different composition pacifiers Vera Lima, Ana I. Oliveira, Cláudia Pinho, Graça Cruz, Rita F. Oliveira, Luísa Barreiros, Fernando Moreira O217 Experiences of couple relationships in the transition to retirement Ana Camarneiro, Mª Helena Loureiro, Margarida Silva O218 Preventive and corrective treatment of drug-induced calcium deficiency: an analysis in a community pharmacy setting Catarina Duarte, Ângelo Jesus, Agostinho Cruz O219 Profile of mood states in physically active elderly subjects: Is there a relation with health perception? Maria Mota, Sandra Novais, Paulo Nogueira, Ana Pereira, Lara Carneiro, Paulo V. João O220 (Un)Safety behaviour at work: the role of education towards a health and safety culture Teresa Maneca Lima O221 Analysis of the entrepreneurial profile of students attending higher education in Portugal: the Carland Entrepreneurship Index application Anabela Salgueiro-Oliveira, Marina Vaquinhas, Pedro Parreira, Rosa Melo, João Graveto, Amélia Castilho, José H. Gomes O222 Evaluation of welfare and quality of life of pregnant working women regarding the age of the pregnant María S. Medina, Valeriana G. Blanco O223 Psychological wellbeing protection among unemployed and temporary workers: Uncovering effective community-based interventions with a Delphi panel Osvaldo Santos, Elisa Lopes, Ana Virgolino, Alexandra Dinis, Sara Ambrósio, Inês Almeida, Tatiana Marques, Mª João Heitor O224 Chilean population norms derived from the Health-related quality of life SF-6D Miguel A. Garcia-Gordillo, Daniel Collado-Mateo, Pedro R. Olivares, José A. Parraça, José A. Sala O225 Motivation of college students toward Entrepreneurship: The influence of social and economic instability Amélia Castilho, João Graveto, Pedro Parreira, Anabela Oliveira, José H. Gomes, Rosa Melo, Marina Vaquinhas O226 Use of aromatic and medicinal plants, drugs and herbal products in Bragança city Mónia Cheio, Agostinho Cruz, Olívia R. Pereira O227 Edible flowers as new novel foods concept for health promotion Sara Pinto, Adriana Oliveira, M. Conceição Manso, Carla Sousa, Ana F. Vinha O228 The influence of leisure activities on the health and welfare of older people living in nursing homes Mª Manuela Machado, Margarida Vieira O229 Risk of falling, fear of falling and functionality in community-dwelling older adults Beatriz Fernandes, Teresa Tomás, Diogo Quirino O230 Musculoskeletal pain and postural habits in children and teenage students Gustavo Desouzart, Rui Matos, Magali Bordini, Pedro Mouroço O231 What's different in Southern Europe? The question of citizens’ participation in health systems Ana R. Matos, Mauro Serapioni O232 Occupational stress in Portuguese police officers Teresa Guimarães, Virgínia Fonseca, André Costa, João Ribeiro, João Lobato O233 Is occupational therapy culturally relevant to promote mental health in Burkina Faso? Inmaculada Z. Martin, Anita Björklund P105 Pay-for-performance satisfaction and quality in primary care Aida I. Tavares, Pedro Ferreira, Rui Passadouro P106 Economic development through life expectancy lenses Sónia Morgado P107 What is the effectiveness of exercise on smoking cessation to prevent clinical complications of smoking? Nuno Tavares, João Valente, Anabela C. Martins P108 A systematic review of the effects of yoga on mental health Patrícia Araújo, Rosina Fernandes, Francisco Mendes, Cátia Magalhães, Emília Martins P109 Healthy lifestyle: comparison between higher education students that lived until adult age in rural and urban environment Pedro Mendes, Rui Paulo, António Faustino, Helena Mesquita, Samuel Honório, Marco Batista P110 Evaluation of the Mobile Emergency Care Service (SAMU) in Brazil Josimari T. Lacerda, Angela B. Ortiga, Mª Cristina Calvo, Sônia Natal P111 Bioactive compounds - antioxidant activity of tropical fruits Marta Pereira P112 Use of non-pharmacological methods to relieve pain in labour Manuela Ferreira, Ana R. Prata, Paula Nelas, João Duarte P113 Mechanical safety of pacifiers sold in Portuguese pharmacies and childcare stores Juliana Carneiro, Ana I. Oliveira, Cláudia Pinho, Cristina Couto, Rita F. Oliveira, Fernando Moreira P114 The importance of prenatal consultation: Information to pregnant women given on a unit of primary care Ana S. Maia, Michelle T. Oliveira, Anderson R. Sousa, Paulo P. Ferreira, Géssica M. Souza, Lívia F. Almada, Milena A. Conceição, Eujcely C. Santiago P115 Influence of different backpack loading conditions on neck and lumbar muscles activity of elementary school children Sandra Rodrigues, Gabriela Domingues, Irina Ferreira, Luís Faria, Adérito Seixas P116 Efficacy and safety of dry extract Hedera helix in the treatment of productive cough Ana R. Costa, Ângelo Jesus, Américo Cardoso, Alexandra Meireles, Armanda Colaço, Agostinho Cruz P117 A portrait of the evaluation processes of education groups in primary health care Viviane L. Vieira, Kellem R. Vincha, Ana Mª Cervato-Mancuso P118 Benefits of vitamins C and E in sensorineural hearing loss: a review Melissa Faria, Cláudia Reis P119 BODY SNAPSHOT – a web-integrated anthropometric evaluation system Marco P. Cova, Rita T. Ascenso, Henrique A. Almeida, Eunice G. Oliveira P120 Anthropometric evaluation and variation during pregnancy Miguel Santana, Rafael Pereira, Eunice G. Oliveira, Henrique A. Almeida, Rita T. Ascenso P121 Knowledge of college students on the amendments of their eating habits and physical activity index in the transition to higher education Rita Jesus, Rodrigo Tapadas, Carolina Tim-Tim, Catarina Cezanne, Matilde Lagoa, Sara S. Dias, Jorge Torgal P122 Muscular activity of a rally race car driver João Lopes, Henrique Almeida, Sandra Amado, Luís Carrão O234 Literacy and results in health Madalena Cunha, Luís Saboga-Nunes, Carlos Albuquerque, Olivério Ribeiro O235 Literacy promotion and empowerment of type 2 diabetics elderly in four family health units of the group of health centers of Dão Lafões Suzete Oliveira, Mª Carminda Morais O236 Mediterranean diet, health and life quality among Portuguese children Emília Martins, Francisco Mendes, Rosina Fernandes, Cátia Magalhães, Patrícia Araújo O237 Health literacy, from data to action - translation, validation and application of the European Health Literacy Survey in Portugal (HLS-EU-PT) Ana R. Pedro, Odete Amaral, Ana Escoval O238 Oral health literacy evaluation in a Portuguese military population Victor Assunção, Henrique Luís, Luís Luís O239 Preferences to Internet-based cognitive behavioural therapy – do attachment orientations matter? Jennifer Apolinário-Hagen, Viktor Vehreschild O240 A comparative transnational study in health literacy between Austria and Portugal Ulrike Fotschl, Gerald Lirk, Anabela C. Martins, Isabel Andrade, Fernando Mendes O241 Health literacy and social behaviours: relationship with sexually transmitted diseases? Verónica Mendonça, Sandra Antunes, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes O242 Parenting styles and attachment to parents: what relationships? Paula A. Silva, Lisete M. Mónico, Pedro M. Parreira, Carla Carvalho O243 Work-life balance in health professionals and professors: comparative study of workers with shift work and fixed schedule Carla Carvalho, Pedro M. Parreira, Lisete M. Mónico, Joana Ruivo O244 Technology literacy in self-management of diabetes Vânia Silva, Paulino Sousa, José M. Padilha O245 Satisfaction with therapeutic education and its relationship with clinical variables in children with type 1 diabetes Vera Ferraz, Graça Aparício, João Duarte O246 Nutrition-related knowledge in middle-age and older patients with type 2 diabetes Carlos Vasconcelos, António Almeida, Joel Neves, Telma Correia, Helena Amorim, Romeu Mendes O247 Validating the HLS-EU-(PT) questionnaire to measure health literacy in adolescents (CrAdLiSa project: HLS-EU-PT) Luís Saboga-Nunes, Madalena Cunha, Carlos Albuquerque O248 Health education in people with coronary heart disease: Experience of the cardiology department of a hospital on the outskirts of Lisbon Elsa S. Pereira, Leonino S. Santos, Ana S. Reis, Helena R. Silva, João Rombo, Jorge C. Fernandes, Patrícia Fernandes O249 Information and training needs of informal caregivers of individuals with stroke sequelae: a qualitative survey Jaime Ribeiro, Catarina Mangas, Ana Freire O250 Prevention of psychoactive substances consumption in students from 6th grade of Albergaria-a-Velha´s School Group Sara Silva, Irene Francisco, Ana Oliveira O251 Promoting healthy sexuality: shared responsibility for family, youth and educators Helena Catarino, Mª Anjos Dixe, Mª Clarisse Louro O252 Sexual risk behaviour in adolescents and young people Saudade Lopes, Anjos Dixe O253 Knowledge of school staff on type 1 diabetes Mª Anjos Dixe, Eva Menino, Helena Catarino, Fátima Soares, Ana P. Oliveira, Sara Gordo, Teresa Kraus O254 Sexual health in adolescents: the impact of information search in literacy Catarina Tomás, Paulo Queirós, Teresa Rodrigues P123 Improving basic life support skills in adolescents through a training programme Pedro Sousa, João G. Frade, Catarina Lobão P124 Difficulties in sexual education reported by basic education teachers in the city of Foz do Iguaçu - Brazil Cynthia B. Moura, Laysa C. Dreyer, Vanize Meneghetti, Priscila P. Cabral P125 Breast cancer survivors: subjects and resources for information. A qualitative systematic review Francisca Pinto, Paulino Sousa, Mª Raquel Esteves P126 Relationship between health literacy and prevalence of STI in Biomedical Laboratory Science students Sofia Galvão, Ite Tytgat, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes P127 Health literacy, risk behaviours and sexually transmitted diseases among blood donors Mónica Casas-Novas, Helena Bernardo, Isabel Andrade, Gracinda Sousa, Ana P. Sousa, Clara Rocha, Pedro Belo, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes P128 Promoting literacy in pregnancy health-care Fátima Martins, Montserrat Pulido-Fuentes P129 The lifestyles of the operating assistants of education Isabel Barroso, Gil Cabral, M. João Monteiro, Conceição Rainho P130 Experiences of service-learning health and the literary art: reflections about the health education Alessandro Prado, Yara M. Carvalho P131 Life long swimming – a European Erasmus + project Maria Campos, Liliana Moreira, José Ferreira, Ana Teixeira, Luís Rama

The current study aimed to develop iWorkHealth, a valid and reliable self-administered instrument which identifies workplace psychosocial risk factors in Singapore. The survey was conducted among 2718 employees who were primarily salaried workers and working in five companies from the healthcare, banking and finance, and legal sectors in Singapore. Factor extraction and item reduction were conducted using exploratory factor analysis (EFA) and Mokken scale analysis (MSA). Construct validity, internal consistency and convergent validity of the final scale were confirmed using confirmatory factor analysis (CFA), Cronbach's alpha and Pearson correlation coefficients, respectively. Multiple Indicators Multiple Causes model was used to detect Differential Item Functioning (DIF). EFA and MSA identified a five-factor solution (job demand, job control, employee and management engagement, supervisor support and colleague support) for the 27 items iWorkHealth instrument. CFA demonstrated that the five-factor model fitted the data with high internal consistency (Cronbach's alpha ranged from 0.79 to 0.92). The convergent validity was shown through significant association with existing scales-high job demand was significantly associated with high burnout and depression, while high job control, employee and management engagement, supervisor support and coworker support were significantly associated with low burnout and depression. Ten items were detected with significant DIF, but impact was minimal on the associations between socio-demographics factors and iWorkHealth subscales. The findings provided evidence that the iWorkHealth instrument which comprises 27 items in five domains of psychosocial risk at the workplace is a reliable and valid instrument that could be used to measure and compare the level of psychosocial risk factors across companies and industries in Singapore.

Psychosocial stressors at work have been identified as significant risk factors for several mental and physical health problems. These stressors must be compensated by psychosocial resources to prevent or reduce adverse effects on health. Questionnaires measuring these stressors and resources already exist, but none integrate digital stress, ethical culture, and psychosocial safety climate; factors that are increasingly linked to workers' health. This study aims to develop and establish the psychometric properties of one of the most comprehensive instruments measuring the psychosocial work environment to date: the Occupational Health and Well-being Questionnaire (OHWQ). A cross-sectional validation study is proposed to develop the OHWQ and document its psychometric properties. The OHWQ was developed from validated instruments to which new items were added. The questionnaire includes psychosocial dimensions, along with indicators of psychological distress, musculoskeletal disorders, and well-being. It was administered to a sample of 2770 participants from a population working in the academic field. Exploratory and confirmatory factor analyses and the calculation of Cronbach's α coefficient were used to identify the variables, items, and, dimensions of the OHWQ and to document its main psychometric properties. The acceptability of the measurement model was evaluated by the reliability of the items, internal consistency between the items, and the convergent and discriminant validity. Construct validity was assessed using exploratory and confirmatory factor analyses. Using factor analyses and cut-off rules, the new instrument has 124 items grouped into 22 dimensions. The OHWQ demonstrated satisfactory reliability and validity, as well as reasonable fit indices. The internal consistency of the scales was also good (Cronbach's α = 0.68-0.96, median = 0.85). The OHWQ demonstrated good psychometric properties. It could be useful for both research purposes and for workplaces interested in developing concrete action plans aimed at improving the balance between psychosocial work stressors and resources.

Psychosocial risks constitute one of the major contemporary challenges for occupational health and safety. As early identification is the first step towards psychosocial risk management, the psychometric tool presented in the paper has been constructed in order to measure psychosocial risks as well as their impacts. The Psychosocial Risks and Impacts in the Workplace Assessment Tool (PRIWA) has been developed in Greek during the early years of the economic crisis. The paper presents the tool and the studies that were conducted to evaluate its psychometric characteristics. Six large samples of employees from many different Greek companies were administered the PRIWA and other tools. The results of the exploratory factor analysis demonstrated a seven-factor structure of the PRIWA, which was later confirmed by confirmatory factor analysis. Analyses were also performed to test internal consistency, item-to-scale homogeneity, and concurrent validity of the PRIWA. The results indicated that PRIWA is a reliable and valid psychometric tool, which gives its users the opportunity to conduct research, develop prevention plans, and/or design customized interventions.

Workplace accidents present a significant challenge in the number of risks, working environment, and the number of workers exposed to them. These risk factors require systematic management, assessment, and control. Therefore, the present study aims to assess risk detection and assessment in small-scale metalwork industries in Jimma City, southwest Ethiopia." Data collection from two hundred employers and managers was conducted using a cross-sectional study design, incorporating a worksheet, observation, risk-detecting checklists, and technical documents. Finally, the percentage, frequency, and chi-square tests were utilized to analyze the risk factors identified in small-scale metalworking industries, and independent variables that showed a significant correlation with each dependent variable at p < 0.05 were selected for further analysis. The findings showed, 1460 risks at a workshop, out of which 6.85 % were first rank, 2.74 % second rank, 73.97 % third rank, and 16.44 % were fourth rank. The most hazardous units were metal part assembly, handling, cutting, and electrical welding. Moreover, factors like heat, electric shock from the machine, noise, and vibration have an association with the occurrence of physical risk factors among the participants. Furthermore, excessive force, lifting and carrying heavy weight by hand, uncomfortable hand tools, and repetitive activity were associated with the incidence of moderate ergonomic risk factors. In addition, exposure to spraying mists, and explosion of gases and liquids under pressurized chemicals causes moderate incidence among participants. Finally, lack of experience and skills, poor work relations with colleagues and supervisors, lack of concentration, work overcapacity, and lack of training were causes of psychosocial risk factors among the participants. The findings reveal a multitude of risks across various ranks, with factors such as lack of knowledge, negligence of safety measures, and stress emerging as significant contributors. Addressing these issues through comprehensive safety protocols and training initiatives is paramount to ensuring the well-being of workers and the effective management of workplace risks.

This study aimed to investigate the relationship between multiple psychosocial and environmental work risk factors and sleep disturbances. This cross-sectional study was conducted among 90 workers in a brick factory in Iran. The health and safety executive (HSE) tool, Epworth Sleepiness Scale (ESS), and Stop-Bang questionnaire were used to determine psychosocial factors, subjective sleepiness, and obstructive sleep apnea (OSA), respectively. Standard objective methods were used to assess the environmental risk factors, including noise, light, heat stress, and respirable particles. Most psychosocial and all environmental work factors were moderately to highly correlated to the ESS score. There were also moderate correlations between the demands (including work load, work patterns, and work environment), role (including a clear understanding of the employees about their role in the organization), and lighting variables and the Stop-Bang score. The results of multivariate logistic regression analysis showed that job control, wet bulb globe temperature (WBGT), and respirable dust were predictive of an ESS score indicating abnormal sleep status and noise was predictive of a Stop-Bang score predictive of OSA. The results suggest that stressors, especially noise, heat stress, and respirable dust, are related to the employees' indices of sleep disturbance independent of other potential workplace confounding factors. These results can highlight the importance of considering multiple psychosocial and environment work risk factors for implementing occupational health and ergonomics interventional programs to prevent sleep disturbances in the workforce.

While inadequate relationships in the workplace pose a significant psychosocial risk, quality interpersonal relationships can contribute to positive effects and prevent negative outcomes. Erskine's model of relational needs, not yet studied in the work environment, can provide a more detailed understanding of the needs employees experience in their workplace relationships. We adapted the general Relational Needs Satisfaction Scale (RNSS) for coworker relationships and examined the factor structure of relational needs in the workplace and their connections to various work aspects. The sample comprised 273 participants, including both employees and students, in a workplace setting with coworkers. The results show that the Workplace Relational Needs Satisfaction Scale (W-RNSS) is a valid and reliable instrument (

The purpose of the present study was to validate the short version of The Psychosocial Safety Climate questionnaire (PSC-4, Dollard, 2019) and to establish benchmarks indicating risk levels for use in Sweden. Cross-sectional data from (1) a random sample of employees in Sweden aged 25-65 years (

To describe the second version of the Spanish Copenhagen Psychosocial Questionnaire and to present evidence of its validity and reliability. The original Danish long COPSOQ II questionnaire was adapted to the labor market, cultural, and linguistic setting of Spain and included in the 2010 Spanish Psychosocial Risks Survey. Analysis involved the assessment of psychometric characteristics and associations among psychosocial scales and health scales. Medium and short versions were derived from the long one. The long questionnaire was configured with 24 dimensions (92 items); medium-length questionnaire with 20 dimensions (69 items); and short questionnaire with 14 dimensions (28 items). All scales showed acceptable reliability and concordance between versions. Most associations among psychosocial scales and Mental Health, Stress, and Burnout scales were in the expected direction, except the scale of Influence, that showed some incongruent associations. Results support the validity and reliability of Spanish COPSOQ II questionnaires as tools for psychosocial risk assessment at the workplace, however, better scales should be developed specially for the dimension of Influence.

This study presents the Swedish standard version of the Copenhagen Psychosocial Questionnaire, COPSOQ III, and investigates its reliability and validity at individual and workplace levels with the aim of establishing benchmarks for the psychosocial work environment. Cross-sectional data from (1) a random sample of employees in Sweden aged 25-65 years (N = 2847) and (2) a convenience sample of non-managerial employees at 51 workplaces (N = 1818) were analysed. Internal consistency reliability was evaluated as well as the effects of sex, work sector and blue/white-collar work. Population benchmarks and mean scores for major occupational groups were computed based on weighted data. ICC(1) and ICC(2) estimates were computed to evaluate aggregation to the workplace level and Pearson inter-correlations to evaluate construct validity at individual and aggregated levels. The reliability and scale characteristics were satisfactory, with few exceptions, at both individual and workplace levels. The strength and direction of correlations supported the construct validity of the dimensions and the amount of variance explained by workplace justified aggregation to the workplace level. The present study thus supports the use of COPSOQ III for measurement at the workplace level and presents benchmarks for risk management as well as for research purposes.

The purpose of the study is to determine the impact of hazardous psychosocial factors on stress among employees when performing production tasks to develop recommendations for reducing their impact. Based on the recommendations of the ISO 45003:2021 standard, a special questionnaire was developed to determine hazardous psychosocial factors that lead to the appearance of worker's stress, the answers to which were evaluated on a Likert scale with points from 0 to 4. 68 workers (23 men and 45 women) aged 20 to 45 took part in the survey conducted at industrial enterprises of the Dnipro region in May-June 2023. A questionnaire was developed to identify significant psychosocial hazardous factors in personnel at an industrial enterprise, which includes three groups of psychosocial hazardous factors and consists of thirty questions. A ten-step process for managing significant hazardous psychosocial risks is proposed. It was established that women pay more attention to challenges (psychosocial hazardous factors) that are associated with the organization of work (uncertainty at work, lack of breaks due to workload) and social problems (disrespect, disrespect and inattention to employees, unreasonable behavior towards you by leadership); for men, a significant group of hazardous psychosocial factors is-equipment, working environment, hazardous tasks (fear of performing hazardous work; work is associated with a significant risk to life). The novelty consists in the justification of the process of identifying essential psychosocial factors, which will allow managers to systematically monitor the state of mental health of employees, the psychological climate in the organization and respond in a timely manner to expected problems and develop corrective actions to normalize the situation. The process of managing significant hazardous psychosocial risks has been developed, which consists of ten steps and differs from the known procedure of identifying significant hazardous psychosocial factors on a Likert scale, considering the answers of women and men.

Traumatic stress symptoms in journalists are well known but chronic occupational stress in this professional group is still to be elucidated. This study aimed at answering the following questions: (1) which of psychosocial risks (PRs) are most frequently reported as stressogenic in journalists, (2) are there any differences in exposure to PRs and their stressfulness between journalists and other professional groups, (3) what relationships occur between PR categories of stressfulness and their consequences for employees' functioning in the job, and (4) what is the risk of negative consequences of stress (health deterioration and worse job performance). The Psychosocial Risk Scale was used to investigate general and specific PRs at work and the stressfulness of particular PRs. A group of 211 journalists working in Polish newspapers, radio and TV editorial offices participated in the study. The journalists experienced occupational stress at an average level, but at significantly lower than other professional groups. The study revealed the risk of health self-assessment deterioration, depending on specific risks (OR = 1.849, 95% CI: 1.068-3.203), risk of work organization dissatisfaction due to the impact of stress arising from the contextual job characteristics (OR = 1.942, 95% CI: 1.125-3.352) and dissatisfaction with relationships with co-workers due to the stressfulness of pathologies occurring in the workplace (OR = 2.012, 95% CI: 1.184-3.419). The study results evidence that occupational stress experienced by journalists determine the risk of health self-assessment, satisfaction with work organization and interpersonal relationships. The presented outcomes indicate that regardless of the experienced stress level it is necessary to assess the psychosocial risk because even an average level of stressfulness could be associated with the risk of adverse consequences for employees in terms of their job performance.

Musculoskeletal disorders are prevalent among university professors. With the expansion of private higher education and the increasing demands on academic staff, psychosocial risk factors may exacerbate these conditions beyond ergonomic challenges. To investigate the relationship between psychosocial risk factors and musculoskeletal symptoms among university professors in the private sector. This quantitative, cross-sectional, and correlational study involved 122 university professors. Data were collected using the Nordic Musculoskeletal Questionnaire and the Scale for Evaluating Psychosocial Stressors in the Workplace. Analyses included descriptive statistics, point-biserial correlations, and Structural Equation Modeling (SEM) to assess latent relationships between psychosocial factors and musculoskeletal outcomes. The structural model demonstrated an adequate fit to the data (χ Psychosocial factors in academic work significantly impact the manifestation of musculoskeletal symptoms and their functional consequences. Managing these factors is essential for preventing and mitigating their effects on faculty health. Disfunções osteomusculares são frequentes no exercício da docência. Ante a expansão do ensino superior privado e o consequente aumento das exigências sobre os docentes, além das exigências ergonômicas, fatores de risco psicossociais podem agravar esses problemas. Investigar a relação entre fatores de risco psicossociais e sintomas osteomusculares em professores universitários do setor privado. Estudo quantitativo, transversal e correlacional, com 122 professores universitários. Foram utilizados o Nordic Musculoskeletal Questionnaire e a Escala de Avaliação de Estressores Psicossociais no Contexto Laboral. A análise de dados incluiu estatísticas descritivas, correlação ponto-bisserial e modelagem de equações estruturais para avaliar as relações latentes entre os fatores psicossociais e os desfechos osteomusculares. O modelo estrutural apresentou um ajuste adequado aos dados (χ Os fatores psicossociais no trabalho docente exercem um impacto significativo na manifestação de sintomas osteomusculares e seus desdobramentos funcionais. Gerir esses fatores é essencial para prevenir e mitigar os impactos na saúde dos docentes.

Psychosocial risk questionnaires are common instruments in occupational safety and health promotion. Organizations use psychosocial risk questionnaires to obtain an economic overview of psychological job stressors and job resources. However, the procedures to assess if a result for a given workplace group is critical and calls for further action differ significantly and are often based on an arbitrary rule of thumb instead of empirically based evaluations. This article presents a method to translate questionnaire results into risk values for the occurrence of health impairment. We test this method on a dataset including the job stressors, job resources, and emotional exhaustion of 4210 employees from different industries. We applied logistic regression analysis to calculate the risks for impaired psychological health, indicated by high values of the burnout indicator emotional exhaustion. The results indicate significantly different health impairment risks (probabilities) for different scores on the job stressors and job resources scales as well as for scale score combinations. The risk values can be used to define cutoff values between high- and low-risk workplaces that are empirically based on stressor-strain relationships and are easily understandable by all stakeholders in the psychosocial risk assessment process, including laypersons.

To determine national reference values for the Copenhagen Psychosocial Questionnaire (COPSOQ II) across occupational sectors and develop a composite score to estimate the cumulative effect of multiple work-related stressors, in order to facilitate the implementation of occupational health directives on psychosocial risk assessment. Cross-sectional data was collected via an online questionnaire. The sample included 13,104 individuals and was representative of the general Hungarian adult working population in terms of gender, age, education, and occupation. Mean scores were calculated for 18 scales on work environment and for 5 outcome scales of the COPSOQ II across 18 occupational sectors. We analyzed the association between a composite psychosocial risk score (CPRS), reflecting severity of exposure to multiple risk factors, and high stress, burnout, sleep troubles, and poor self-rated health. We found occupation-related differences in the mean scores on all COPSOQ II scales. Scores on the "Stress" scale ranged from 47.9 to 56.2, with the highest mean score in accommodation and food services sector. Variability was greatest with respect to emotional demands (range 40.3-67.6) and smallest with respect to role clarity (range 70.3-75.7). The prevalence of negative health outcomes increased with the CPRS. Five risk categories were formed, for which the odds ratio of negative outcomes ranged from 1.6 to 56.5. The sector-specific psychosocial risk profiles covering 18 work environmental factors can be used as a reference in organizational surveys and international comparisons. The CPRS proved to be a powerful predictor of self-reported negative health outcomes.

Between 2001 and 2010, six research groups conducted coordinated prospective studies of carpal tunnel syndrome (CTS) incidence among US workers from various industries to estimate exposure-response relationships. This analysis examined the presence and magnitude of confounding between biomechanical and workplace psychosocial factors and incidence of dominant-hand CTS. 1605 participants, without CTS at enrolment, were followed for up to 3.5 years (2471 person-years). Demographic information, medical history and workplace psychosocial stress measures were collected at baseline. Individual workplace biomechanical exposures were collected for each task and combined across the workweek using time-weighted averaging (TWA). CTS case criteria were based on symptoms and results of electrophysiological testing. HRs were estimated with Cox proportional hazard models. Confounding was assessed using causal diagrams and an empirical criterion of 10% or greater change in effect estimate magnitude. There were 109 incident CTS cases (IR=4.41/100 person-years; 6.7% cumulative incidence). The relationships between CTS and forceful repetition rate, % time forceful hand exertion and the Threshold Limit Value for Hand Activity Level (TLV-HAL) were slightly confounded by decision latitude with effect estimates being attenuated towards the null (10-14% change) after adjustment. The risk of CTS among participants reporting high job strain was attenuated towards the null by 14% after adjusting for the HAL Scale or the % time forceful hand exertions. Although attenuation of the relationships between CTS and some biomechanical and work psychosocial exposures was observed after adjusting for confounding, the magnitudes were small and confirmed biomechanical and work psychosocial exposures as independent risk factors for incident CTS.

Employee burnout levels have risen due to teleworking, increased job demands, and the lack of clear boundaries between personal and professional life. This study evaluated burnout levels, occupational health (through the presence or absence of psychosocial risk factors), engagement, and well-being/job satisfaction in a sample of employees aged over 18 from varying sociodemographic backgrounds. Additionally, we sought to explore the relationships among these variables and their influence on workplace well-being. The sample comprised 112 employees aged 18 to 65 (of both genders). The instruments used included the Burnout Syndrome Scale (Maslach Burnout Inventory-Student Survey -MBI-SS-), the DECORE multidimensional questionnaire, the Utrecht Work Engagement Scale (UWES), and the General Work Well-Being Questionnaire (qBLG). The results indicated that overall workplace well-being levels are high, while the presence of psychosocial risk factors and burnout levels are moderate to low. Most variables correlated with each other in the expected directions. Furthermore, job well-being was inversely predicted by cynicism and burnout and positively predicted by support, engagement, and control. This study highlights the importance of workplace well-being and occupational health. Our findings suggest the need for intervention programs that include strategies to motivate employees, improve the work environment, and enhance stress coping mechanisms, among other areas.

The purpose was to explore the relationship between psychosocial risk exposures and labour management practices (LMP), as indicators of work organization and pertinent features for primary preventive intervention. Cross-sectional study of a representative sample of salaried working population in Spain (n = 7,612). Information was obtained in 2004-2005 using a standardized questionnaire administered through personal interviews at the household. Questions on working conditions were used to establish LMP indicators and the psychosocial exposures data were obtained on the basis of the Copenhagen Psychosocial Questionnaire (COPSOQ) I (ISTAS21). A multivariate description was performed through multiple correspondence analysis, and associations between LMPs and psychosocial exposures were assessed by ordinal logistic analysis adjusting for age and sex. Correspondence analysis showed a good-bad coherent pattern regarding both psychosocial dimension and LMPs, though several LMPs categories were placed in the centre. Among the 14 possible associations of each psychosocial scale with LMP variables, several scales showed significant associations with more than eight LMP variables. Most relevant results referred to the LMP variable ''Consultative and delegative participation in methods''. In line with previous research, psychosocial exposures were associated with LMP. LMP may constitute a step on a pathway from work organization to health. Our exploratory work suggested that good psychosocial exposures were related to participatory working methods, being hired with a permanent labour contract, not being made to feel easily replaceable, having superiors with non-authoritarian and non-aggressive manners, not being threatened with dismissal, upward functional mobility, being paid according to the number of working hours and occupation, working between 31 and 40 hours per week and in regular morning shifts. Hence, the more these features became part of LMP in the workplace, the better the psychosocial work environment would be.

To examine the influences of psychosocial work conditions on mental health risk and intention to leave the public sector among workers of public health agencies in Taiwan. We surveyed 492 public health workers in March 2022 during the COVID-19 pandemic. Information on job demands, job control, workplace justice, experiences of workplace violence and its type and origin, and mental health status (assessed by the 5-item Brief Symptom Rating Scale, BSRS-5) was obtained. Of them, 192 participated in a follow-up survey conducted in May 2023 that assessed mental health status, employment changes, and intention to leave. In the initial survey, 32.93% of participants reported poor mental health status, defined by having a score of BSRS-5 ≧ 10, and 48.17% experienced some form of workplace violence over the past year. Notably, high psychosocial job demands (OR = 3.64, 95% CI = 1.93-6.87), low workplace justice (OR = 2.58, 95% CI = 1.45-4.58), and workplace violence (OR = 2.38, 95% CI = 1.51-3.77) were significantly associated with increased risk of mental disorders. Among those who participated in the follow-up survey, 22.40% had persistent poor mental health, and 30.73% considered leaving or have left the public sector. Longitudinal analyses indicated that job demands predicted persistent mental disorders and intention to leave the public sector, and the experience of workplace violence added additional mental health risks. The public health workforce is crucial for effective and resilient public health systems. Our findings that public health workers were at high mental health risk and had a high intention to leave the job warrant attention and policy interventions.

Musculoskeletal disorders, and in particular low-back pain (LBP), are common among blue collar workers. In the work environment, both physical- and psychosocial risk factors exist. Working in warehouses in Denmark involve large quantities of occupational lifting, high work pace and a low degree of influence at work. This study investigates both acute and long-term associations between physical- and psychosocial work environmental factors and risk of LBP in warehouse workers. The specific study aims are to investigate 1) exposure-response associations between quantity of occupational lifting and short-term (day-to-day) changes in LBP, 2) the influence of accumulated workdays and rest days during a working week on LBP, 3) long-term association between occupational lifting exposure and LBP when assessed over 1 year, and 4) the role of psychological and social factors on the above associations. The present study is designed as a 1-year prospective cohort study that will examine full-time warehouse workers from up to five retail chains in Denmark. Study aims 1 and 2 will be addressed using objective data based on company records with information on weight of all the goods handled by each warehouse worker during every single workday for 3 weeks. During this period, each worker will reply to text messages received before and after every workday (also on days off work) in which study participants will score their pain in the low back, bodily fatigue and perceived mental stress (scale 0-10). Long-term pain development is assessed using questionnaire surveys before and after 1 year. Further, pressure pain threshold (PPT) will be measured for selected trunk extensor muscles in approximately 50 workers using algometry along with measurements of maximal trunk extensor strength. Associations are modelled using linear mixed models with repeated measures between variables and LBP controlled for relevant confounders. This study provides knowledge about the acute and long-term associations between physical- and psychosocial work environmental factors and LBP. The obtained data will have the potential to provide recommendations on improved design of the working week to minimize the risk of LBP among warehouse workers, and may potentially enable to identify a reasonable maximum lifting threshold per day (ton lifted/day).

Psychosocial Safety Climate (PSC) is a key organisational factor that reflects management's commitment to protecting employees' psychological health and safety. Although PSC is known to influence work stress and mental health, its association with sleep health remains underexplored. We analysed cross-sectional data from 4827 daytime wage workers enrolled in the 5th wave of the Korean Work, Sleep, and Health Study (KWSHS). PSC was measured using a validated four-item scale and categorised into low, moderate, and high-risk. Sleep quality and insomnia symptoms were assessed using the Korean versions of the Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity Index (ISI), respectively. Linear and logistic regression models were used to examine associations between PSC levels and sleep health outcomes, adjusting for age, sex, and occupation. Lower PSC was significantly associated with poorer sleep quality (β = -0.05, p < 0.001) and more severe insomnia symptoms (β = -0.05, p < 0.001). Compared with the low-risk PSC group, the high-risk group showed increased odds of poor sleep quality (OR = 1.22, 95% CI: 1.04-1.43). Subgroup analysis revealed that older adults (≥ 60 years), highly educated workers, full-time employees, and non-unionised workers were particularly vulnerable to poor sleep health in low PSC environments. PSC plays a protective role in sleep health, and its absence may exacerbate the adverse effects of work-related stressors. Enhancing PSC at the organisational level may improve sleep health, particularly for vulnerable worker populations.

Objectives The primary objective of this study was to establish whether clinical depression and increased suicide risk differed between Australian fly-in, fly-out (FIFO) workers and their residential counterparts in the resources sector. We also sought to identify whether bullying and social support were associated with depression and suicide risk in this cohort. Methods A cross-sectional survey design was used. Completed questionnaires were received from 751 respondents who were employed in the Australian resources sector. Primary outcomes were assessed with the Beck Depression Inventory, Beck Hopelessness Scale and Negative Acts Questionnaire - Revised. A general linear model was used to examine the association between depression, hopelessness and predictive factors. Results The results of a general linear model analysis demonstrated that depression (partial η2 = 0.02; P = 0.01) and hopelessness (partial η2 = 0.02; P = 0.02) were significantly higher in residential than FIFO workers. In addition, bullying was significantly associated with higher levels of depression (partial η2 = 0.11; P = 0.001) and hopelessness (partial η2 = 0.04; P = 0.001). Finally, increased social support was significantly associated with lower depression rates (partial η2 = 0.13; P = 0.001) and hopelessness (partial η2 = 0.14; P = 0.001). Conclusions Interventions should be delivered to reduce depression and hopelessness in Australian resource workers, particularly through addressing workplace bullying and enhancing social support. What is known about the topic? One-third of Australian resource workers experience psychosocial distress. Research examining factors that influence such distress is lacking. What does this paper add? The results of this study demonstrate that clinical depression and suicide risk were significantly higher in residential resource workers than in FIFO workers. Depression and suicide risk were directly associated with workplace bullying. In addition, social support was an important protective factor against depression and bullying in Australian FIFO and residential resource workers. What are the implications for practitioners? There is an urgent need to introduce interventions that reduce psychosocial distress in the resource sector, particularly through the mitigation of bullying.

No abstract

Job stress has significant influence on the mental health of health care providers. The mental health and job stress of operating room nurses remain unclear. This study aimed to evaluate the mental health and job stress of nurses in surgical system in China, to provide evidences for clinical nurse management and care. The nurses in the surgical system of our hospital were investigated by questionnaire in December 2022. The general information questionnaire, symptom check list 90 (SCL-90) and nurses' job stressor scale (NJSS) were used for data collection. Pearson correlation and logistic analysis were conducted to evaluate the related influencing factors. A total of 171 nurses in surgical system were investigated. The mental health level of nurses in operating room was low. The job pressure of the nurses in the operating room was in the middle level. The nursing profession and work, workload and distribution, working environment and resources, patient care, management and interpersonal relationship were all positively correlated with SCL-90 score of nurses in operating room. Logistic regression analysis indicated that age, year of work experience, professional ranks and titles both are the influencing factors of SCL-90 score and of nurses in operating room. The mental health of nurses in surgical system is affected by work pressure, ages, working years and professional titles. These factors should be considered in the psychological intervention of nurses in operating room in order to improve the health of clinical nurses.

Collective leadership is strongly advocated by international stakeholders as a key approach for health service delivery, as a response to increasingly complex forms of organisation defined by rapid changes in health technology, professionalisation and growing specialisation. Inadequate leadership weakens health systems and can contribute to adverse events, including refusal to prioritise and implement safety recommendations consistently, and resistance to addressing staff burnout. Globally, increases in life expectancy and the number of people living with multiple long-term conditions contribute to greater complexity of healthcare systems. Such a complex environment requires the contribution and leadership of multiple professionals sharing viewpoints and knowledge.  OBJECTIVES: To assess the effects of collective leadership for healthcare providers on professional practice, healthcare outcomes and staff well-being, when compared with usual centralised leadership approaches. We searched CENTRAL, MEDLINE, Embase, five other databases and two trials registers on 5 January 2021. We also searched grey literature, checked references for additional citations and contacted study authors to identify additional studies. We did not apply any limits on language. Two groups of two authors independently reviewed, screened and selected studies for inclusion; the principal author was part of both groups to ensure consistency. We included randomised controlled trials (RCTs) that compared collective leadership interventions with usual centralised leadership or no intervention. Three groups of two authors independently extracted data from the included studies and evaluated study quality; the principal author took part in all groups. We followed standard methodological procedures expected by Cochrane and the Effective Practice and Organisation of Care (EPOC) Group. We used the GRADE approach to assess the certainty of the evidence. We identified three randomised trials for inclusion in our synthesis. All studies were conducted in acute care inpatient settings; the country settings were Canada, Iran and the USA. A total of 955 participants were included across all the studies. There was considerable variation in participants, interventions and measures for quantifying outcomes. We were only able to complete a meta-analysis for one outcome (leadership) and completed a narrative synthesis for other outcomes. We judged all studies as having an unclear risk of bias overall. Collective leadership interventions probably improve leadership (3 RCTs, 955 participants). Collective leadership may improve team performance (1 RCT, 164 participants). We are uncertain about the effect of collective leadership on clinical performance (1 RCT, 60 participants). We are uncertain about the intervention effect on healthcare outcomes, including health status (inpatient mortality) (1 RCT, 60 participants). Collective leadership may slightly improve staff well-being by reducing work-related stress (1 RCT, 164 participants). We identified no direct evidence concerning burnout and psychological symptoms. We are uncertain of the intervention effects on unintended consequences, specifically on staff absence (1 RCT, 60 participants).  AUTHORS' CONCLUSIONS: Collective leadership involves multiple professionals sharing viewpoints and knowledge with the potential to influence positively the quality of care and staff well-being. Our confidence in the effects of collective leadership interventions on professional practice, healthcare outcomes and staff well-being is moderate in leadership outcomes, low in team performance and work-related stress, and very low for clinical performance, inpatient mortality and staff absence outcomes. The evidence was of moderate, low and very low certainty due to risk of bias and imprecision, meaning future evidence may change our interpretation of the results. There is a need for more high-quality studies in this area, with consistent reporting of leadership, team performance, clinical performance, health status and staff well-being outcomes.

The major role of occupational physicians is to facilitate workers' communication with managers and primary physicians. In other words, occupational medicine is similar to consulta- tion-liaison psychiatry. Psychiatrists should not decide whether patients can return to the workplace solely based on their symptoms of mental disorder; their work performance and potential to cooperate with other workers in the workplace should also be considered. In order to achieve this, it is important to promote close cooperation between occupational physicians and psychiatrists. The aim of the stress check system in Japan is the primary prevention of mental disor- ders. However, it is necessary to provide care for groups and individuals, which is in accor- dance with the concept of first aid. It is useful for occupational physicians to liaise with psychi- atrists when they encounter the critical case of a patient with mental health problems.

The purpose of this study is to clarify the factors related to attitudes toward responses to a stress survey in the Stress Check Program, which is used to screen for workers with high psychosocial stress at the workplace. An anonymous self-administered questionnaire survey was conducted on 1,800 regular staff member of a financial industry (valid response rate: 72.0%). The questionnaire items were the brief job stress questionnaire (BJSQ), the sense of coherence (SOC-13), the Japanese version of the Utrecht work engagement scale (UWES-J), attitudes toward responses to the stress survey, and the concerns of subjects regarding the stress check program. The stress in interpersonal relationships at the workplace in the BJSQ, "concerns about leaking results to the company", "concerns about receiving persistent calls for an interview", and "concerns about a disadvantageous treatment by the company" were positively related to 'writing general truths', whereas the support from the boss in the BJSQ and the subscales of SOC-13 were negatively related to 'writing general truths'. The stress in interpersonal relationships at the workplace and "concerns about receiving persistent calls for an interview" were positively related to 'writing falsehoods', but the "dedication" in UWES-J was negatively related to 'writing falsehoods'. To obtain authentic answers in the stress survey, it is important (1) to smooth relationships at the workplace, (2) to devise operation systems such as an interview guidance, and (3) to provide support that enhances the ability of workers to cope with stress and work engagement.

Nursing students worldwide are exposed to burnout syndrome resulting from constant academic and clinical stressors. The consequences of student burnout can be related to the student's mental and physical health. Burnout may affect the learning process, achieving professional skills, and future effectiveness while working with a patient and, eventually, might lead to the decision to quit the job. This study aims to analyze the intensity of burnout syndrome among undergraduate nursing students based on their year of study (1), establishing the impact of stress, anxiety, insomnia, and selected sociodemographic variables on the level of burnout (2) and establishing a student profile predestined to be affected by burnout (3). A cross-sectional study was conducted among 841 bachelor's degree nursing students from March 2022 to June 2022. The Maslach Burnout Inventory, Athens Insomnia Scale, Modified Hospital Anxiety and Depression Scale, and Perceived Stress Scale were used. High levels of emotional exhaustion were found in 40.9% and depersonalization in 20.33%, while low personal accomplishment was found in 16.88% of the students. Students of nursing in Year 2 presented the highest levels of emotional exhaustion and depersonalization and achieved significantly higher scores on the Athens Insomnia Scale. The determinants of burnout syndrome identified by the regression analysis were: sociodemographic factors (age, gender, and financial resources), the factors connected with the studying environment (year of studies and clinical and academic stressors), and emotional/mental/interpersonal factors (anxiety, depression, insomnia, and intensity of stress related to life situations). The academic community should be encouraged to create a more supportive environment for students, which will ultimately prevent dropouts and increase the number of nursing professionals in the Polish healthcare system. We recommended carrying out regular screening tests for burnout, insomnia, anxiety, stress, and depression (e.g., once a year) among students. Depending on the results of the tests, implementation of interventions aiming at reducing the negative outcomes of burnout syndrome and promoting well-being and adaptive management mechanisms should be considered.

The nursing workforce is crucial in healthcare systems worldwide and contributes to community well-being. also, Nurses experience numerous psychological, social, emotional, and behavioral shocks and challenges in their work. In Jordan, 43% of doctors and nurses suffer from high levels of burnout, around 55% experience high levels of emotional exhaustion, and 33% of doctors and nurses suffer from high levels of psychological pressure and job stress. Others found that 70% of nurses experience stress. these issues can be reduced by practicing self-care and psychological flow which impact in work-related tasks which are important in effectively addressing occupational stress healthily and soundly. This study aims to determine assessing the predictive power of self-care and psychological flow in occupational stress among nurses. This study follows the quantitative technique. sample consisting of 476 nurses in Amman Jordan was chosen. Three scales were adapted to meet the study objectives: Occupational stress scale, Self-care scale, and psychological flow scale. There validity and reliability were checked. The study results indicate that self-care and psychological flow levels were low with means of 2.32 and 2.13, while the occupational stress level was high with a mean of 3.91. Also, there are a predictive power of self-care and psychological flow in occupational stress among nurses. This study shows that of self-care and psychological flow predict occupational stress among nurses, which helps us to manage the occupational stress among them by giving them self-care and psychological flow practices and healing time during work by group counseling and lectures.

High levels of physical and psychological stresses experienced by those in the care profession can have a negative impact on their health. The pilot project "Health Check for Carers in the region of Karlsruhe" offered nurses aged 45 and above - based on their self-assessed ability to work using the Work Ability Index (WAI) - the opportunity to participate in a job-related health check, based on their work ability index result. This study looks at the occupational and health situation of older carers, the (subjective) need for a Ü45 health check and draws a comparison between particpants and non-participants. 1,466 nurses between 45 and 52 years of age were invited to participate in an Ü45 occupational health check and were surveyed in writing afterwards. 202 questionnaires formed the data basis (49 participants and 153 non-participants in the health check). A descriptive analysis was carried out and group differences were analyzed using Chi2- and rank sum tests. The main stress factors of the caregivers were organizational circumstances, high work intensity and insufficient remuneration. Illnesses or health problems of the musculoskeletal system and the psyche were the most widespread of all issues. 18.6% of the respondents were rather or very dissatisfied with their current state of health. 39.1% considered their physical health and 27.6% their mental health to be at high or very high risk from their current job. 25.9% of the care workers considered it very unlikely and 32.4% as rather unlikely that they would be able to work in nursing until they reached retirement age. A need for health check was expressed by 63.0%. Group differences between participants and non-participants were shown by a significantly higher burden due to musculoskeletal disorders (p=0.0002), health satisfaction (p=0.0053), subjective need for a health check (p<0.0001) and occupational stress factors, which included physical working activities (p=0.0035), managing many tasks simultaneously (p=0.0380), dealing with cognitively impaired patients (p=0.0095) and suffering/dying patients (p=0.0164). Care workers reported a high level of stress at work and frequent health impairments. There is a clear need for an occupational health check for this age group in this field of work. Die hohen physischen und psychischen Belastungen im Pflegeberuf können sich negativ auf den Gesundheitszustand der Pflegekräfte auswirken. Das Modellprojekt „Gesundheitscheck für Pflegekräfte aus dem Stadt- und Landkreis Karlsruhe“ bot Pflegenden ab dem 45. Lebensjahren – auf Basis ihrer selbsteingeschätzten Arbeitsfähigkeit mittels Work Ability Index (WAI) – die Teilnahme an einem berufsbezogenen Gesundheitscheck an. Diese Arbeit betrachtet die berufliche und gesundheitliche Situation von älteren Pflegekräften, den (subjektiven) Bedarf für einen Ü45-Gesundheitscheck und zieht einen Vergleich zwischen Teilnehmer/-innen und Nichtteilnehmer/-innen. 1.466 Pflegekräfte im Alter zwischen 45 und 52 Jahre wurden zur Teilnahme am Ü45-Gesundheitscheck eingeladen und im Nachgang schriftlich befragt. Die Datengrundlage bildeten 202 Fragebögen (49 Teilnehmer/-innen und 153 Nichtteilnehmer/-innen). Es erfolgte eine deskriptive Auswertung und mittels Chi2- und Rangsummentests wurden Gruppenunterschiede analysiert. Als Hauptbelastungsfaktoren der befragten Pflegekräfte wurden organisatorische Umstände, hohe Arbeitsintensität sowie unzureichende Entlohnung identifiziert. Erkrankungen bzw. Beschwerden des Muskel-Skelett-Systems und der Psyche waren am stärksten verbreitet. 18,6% der Befragten waren eher bzw. sehr unzufrieden mit ihrem gegenwärtigen Gesundheitszustand. Als stark bzw. sehr stark gefährdet durch die aktuelle Tätigkeit sahen 39,1% ihre körperliche und 27,6% ihre seelische Gesundheit. 25,9% der Pflegekräfte hielten es für sehr unwahrscheinlich und 32,4% für eher unwahrscheinlich, dass sie bis zum Erreichen des Rentenalters in der Pflege tätig sein können. Einen persönlichen Bedarf für einen Ü45-Gesundheitscheck sahen 63,0%. Gruppenunterschiede zwischen Teilnehmer/-innen und Nichtteilnehmer/-innen zeigten sich durch eine signifikant höhere Belastung aufgrund von Muskel-Skelett-Erkrankungen (p=0,0002), Gesundheitszufriedenheit (p=0,0053), den subjektiven Bedarf für einen Gesundheitscheck (p<0,0001) und Belastungsfaktoren am Arbeitsplatz (körperliche Tätigkeiten [p=0,00035], zeitgleiche Bewältigung vieler Aufgaben [p=0,0380], Umgang mit kognitiv eingeschränkten [p=0,0095] sowie mit leidenden/sterbenden Patienten/-innen [p=0,0164]). Die Pflegekräfte berichteten von einem hohen Belastungsniveau am Arbeitsplatz und häufig von gesundheitlichen Beeinträchtigungen. Es wird deutlich, dass ein konkreter Bedarf zur Inanspruchnahme eines berufsbezogenen Ü45-Gesundheitschecks für diese Alters- und Berufsgruppe besteht.

This study explores occupational health burdens faced by domestic and sexual violence advocates, many of which intensified during the COVID-19 pandemic. It identifies key stressors and offers advocate-driven recommendations to improve their wellbeing, addressing the lack of system-level interventions in the occupational health literature. Semistructured interviews were conducted with 22 advocacy professionals. Thematic content analysis guided transcript coding, and researchers shared initial results with participants in two member checking sessions to validate the preliminary findings. Advocates experienced logistical, emotional, and systemic stressors, including loss of peer support and unempathetic workplace cultures. Recommendations prioritize advocate wellbeing and call for systemic changes. Advocates' occupational stressors highlight the need for system-level solutions to enhance their occupational wellbeing, particularly during large-scale emergencies. Collaborative efforts among employers, funders, and staff are essential to address system deficiencies.

In many countries, organisations are legally obliged to have occupational physicians screen employees regularly. However, this system is time-intensive, and there may be more cost-effective alternatives. Our objective is to compare the short-term effectiveness of periodic occupational health screening of hospital employees by an occupational physician with a system of electronic screening with targeted follow-up. A randomized controlled trial was set up among personnel of four Belgian hospitals, with three measurement moments between June 2019 and December 2020, to compare differences in self-assessed health, healthcare use, productivity and intermediate outcomes over 19 months. Mixed effects models were used to assess differences in effectiveness. Superiority and non-inferiority post-hoc tests were used as a robustness check. The experiment coincided with the first two COVID-19 waves during which hospital employees were exposed to an exceptional period of occupational stress. In total, 1077 employees (34% of the target population) participated. Although we observed some immediate effects of the intervention (less trust in the physician, absenteeism, and healthcare use), all these effects disappeared over time. After 19 months, including two waves of COVID-19 hospitalizations, no significant differences were observed between employees screened through face-to-face contact and those screened electronically. Our study finds no indication that, in the short-term, substituting physician screening of the workforce with a quicker survey-based screening with targeted follow-up has different effects on the studied endpoints. However, as health and disease are often the result of a long-term process, more evidence is needed to determine long-term effects.

Nurses are often obliged to work in a 12-hr shift work system. We have decided to check whether such a working system constitutes an excessive load for nurses. On the basis of a questionnaire survey among nurses working in an 8-hr daytime shift system (169 nurses) and in a 12-hr shift (536 nurses), the amount of physical workload, work stress, and after-work activities were compared. Data analysis has shown that a 12-hr shift system is characterized by less significant physical workload but greater mental load. The nurses working in a 2-shift system were more tired after work, but they could spend more time on leisure activities and do housework. The data suggest that there are no significant contraindications for nurses to work in a 2-shift system.

To determine the psychosocial factors that relate to employee bruxism. Stress checks were conducted in 2020 on 13,429 employees of a business establishment, of whom 10,480 (78%) answered all survey questions, and the study population was composed of 8,651 males and 1,829 females (mean 42.4 years). First, participants were divided into two groups: "bruxism" (3,034) and "non-bruxism" (7,446). T-tests or chi-square tests were performed for age, sex, and questions on the occupational stress assessment form and the Athens Insomnia Scale. In addition, a logistic regression analysis was performed with the presence or absence of bruxism as the dependent variable (yes, 1; no, 0). The mean age of the bruxism group was 41.6 ± 9.76 years, and that in the non-bruxism group was 42.8 ± 9.83 years. There were 2,224 males and 810 females in the bruxism group and 6,427 males and 1,019 females in the non-bruxism group, with a statistically significant higher proportion of females in the bruxism group. The multivariate analysis showed that the scores for "irritability," "low vitality," "physical complaints," and "anxiety" were significantly higher and that the score for "sleep quality" was significantly lower in the bruxism group than in the non-bruxism group. The results showed that employees with bruxism have more psychosocial problems, such as "irritability," "low vitality," "physical complaints," "anxiety," and "sleep problems," than those without bruxism.

No abstract

The pandemic has significantly impacted medical residents. We created and implemented a biannual biopsychosocial-spiritual Wellness Check Program (WCP) to help internal medicine residents self-assess for burnout, enhance resilience, and to promote early identification and referral to mental health services. We report the preliminary findings from our quality improvement pilot effort at Loma Linda University Health (LLUH). Residents participated in biannual sessions with licensed therapists employed by Loma Linda University, Office of Physician Vitality (OPV). Visits consisted of an evidence-guided discussion about general wellbeing, relationships, family life, coping strategies, and referrals. Archived, confidential WCP session notes between July 1, 2019 and December 31, 2019 were reviewed and a simple tally system was used to record coping strategies, concerns, and referrals made. Partner and family issues were the most prevalent concern, followed by mental health issues, and relationships with colleagues, faculty, or staff. Most residents described several coping strategies: 66.36% listed two to three, and 26.36% listed four or more. Referrals were offered to community or employee assistance program therapists, follow-up with the OPV, psychiatry, couple counseling, given Web based psychoeducational links, or referred to their program director. Nine other residencies requested the WCP providing anecdotal evidence of its feasibility and usefulness. As the pandemic surged, these visits normalized reflections about wellbeing, intentional coping strategies, and resilience practices. We continue to gather data to refine and further structure this program and help residents monitor and address their resilience needs and wellness. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Burnout in primary care undermines worker well-being and patient care. Many factors contribute to burnout, including high workloads, emotional stress, and unsupportive supervisors. Formative evidence suggests that burnout might be reduced if clinic leaders hold quarterly and brief (∼30 min) one-on-one check-ins with team members to acknowledge and address work-life stressors (e.g., schedules, workflow breakdowns, time off requests). This paper describes the intervention protocol for a randomized controlled trial (RCT) designed to evaluate the effectiveness and process of the check-ins in reducing burnout among primary care professionals. Two-arm RCT conducted at 12 primary care clinics of a healthcare system in the Pacific Northwest. Six clinics received an adaptive design, semi-structured intervention, including predefined training modules with evidence-based tactics to reduce burnout through the check-ins, followed by clinic-specific feedback sessions prior to offering and conducting quarterly leader-employee check-ins. Six clinics were randomized as waitlist controls. Burnout was measured using the Maslach Burnout Inventory (MBI) at baseline and at the 12-month follow-up. Secondary outcomes include organizational constraints, psychological safety, and supervisor support. Multilevel modeling and qualitative methods were applied to evaluate the effects and process of the intervention. By focusing on modifiable work-life factors such as stressors and supervisor support, the check-ins intervention aims to reduce burnout rates among primary care professionals. Findings from this trial will shed light on the conditions upon which check-ins might reduce burnout. Results will also inform policies and interventions aimed at improving mental health and well-being in primary care settings. gov: ID NCT05436548.

This study was conducted to investigate the relationships among job stress, job satisfaction, and mental health in marine officers. The researchers gathered data on marine officers working at a harbor in Chungcheong Province, South Korea, using a self-reported questionnaire. Mental health was measured by the Symptom Checklist-90-Revision (SCL-90-R), and general characteristics including socioeconomic factors, job stress, and job satisfaction were measured by structured questionnaires. Multiple regression analysis was performed to investigate the relationships among job stress, job satisfaction, and mental health status according to the symptom dimensions of the SCL-90-R. Among the marine officers, obsessive-compulsive behavior, depression, and somatization were the most problematic symptoms. Those who reported poor health, low job satisfaction, and high job stress had a higher prevalence of psychoticism, somatization, depression, anxiety, and phobic anxiety. An occupational health system should be introduced that would regularly check the mental health of marine officers in charge of ships and sailors, in order to help reduce their stress levels, enhance their job satisfaction, and thereby improve their mental health.

Reliable measurement of occupational stress is essential for designing effective interventions for healthcare workers; however, Vietnam currently lacks culturally validated assessment tools. To develop and validate the Healthcare Worker Stress Scale - Vietnam (HWSS-V), a profession-inclusive, culturally grounded instrument that extends the Health Professions Stress Inventory (HPSI) and the Nursing Stress Scale (NSS) by adding Vietnam-salient domains and crisis-monitoring utility. We conducted a cross-sectional survey of 520 physicians, nurses, and medical technicians at two university hospitals (June-December 2021). Fifty items adapted from HPSI/NSS underwent forward - backward translation and expert review. Psychometric evaluation included item-level content validity index (I-CVI), scale-level content validity index (S-CVI), exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and reliability testing (Cronbach's alpha). All fifty items showed strong content validity (I-CVI ≥0.80; κ 0.67-0.97; S-CVI = 0.90). EFA supported a five-factor structure. After removing six low-loading items, forty-four items explained 87.1% of variance with excellent reliability (overall Cronbach's alpha = 0.96; subscales 0.85-0.95). CFA indicated acceptable fit (Root Mean Square Error of Approximation = 0.077; Standardized Root Mean Squared Residual = 0.060; Tucker - Lewis Index = 0.827; Comparative Fit Index = 0.816). HWSS-V enables practical hospital-level stress surveillance and quality improvement. Hospitals can: (i) embed HWSS-V into biannual staff health checks to benchmark units and triage high-risk groups; (ii) integrate scores into dashboards to trigger tailored responses; and (iii) deploy rapid assessments during crises (e.g. outbreaks, patient surges) to guide resource allocation. By addressing culturally specific stressors across major clinical professions, HWSS-V provides actionable capabilities beyond HPSI/NSS for Vietnam's hospitals. ●

This study aimed to investigate the association between shift work, and burnout and distress, and differences by degree of satisfaction with shift schedule and its impact on private life. Population 4275 non-shift factory workers and 3523 rotating 5-shift workers. Workers participated between 2009 and 2016 one to three times in the companies' periodical occupational health checks. Burnout was measured using the distance, exhaustion and competence subscales of the Dutch Maslach Burnout Inventory and distress by the subscale of the Four-Dimensional Symptom Questionnaire (scale: 0-100). Multiple-adjusted linear mixed models were used to assess between- and within-subject associations between shift work and outcomes, and differences by age, years of shift work, and satisfaction with and impact of shift schedule. Shift work was significantly associated with lower scores on burnout distance (B - 1.0, 95% - 1.8 to 0.3), and among those aged < 48 years with burnout exhaustion (range B - 1.3 to - 1.6). However, the effect sizes were small. Compared to non-shift workers, shift workers dissatisfied with their schedule and those experiencing a high impact on private life had significantly higher burnout (range B 1.7-6.3) and distress levels (range B 4.9-6.1). In contrast, satisfied shift workers and those experiencing a low impact of shift schedule had lower burnout (range B - 0.2 to - 2.2) and no difference in distress levels (P ≥ 0.05). No clear pattern by years of shift work was observed. Shift work was associated with burnout and distress in those who were dissatisfied with or who had perceived high impact on the private life of their shift schedule.

To identify groups of nurses engaging in coronavirus disease (COVID-19) care who are most in need of organizational support. Overwhelming stress and susceptibility to burnout have been reported in nurses during the COVID-19 pandemic. Nurses working at five hospitals that accepted COVID-19 patients answered the questionnaire. The Tokyo Metropolitan Distress Scale for Pandemic, Self-Diagnosis Check List for Assessment of Workers' Accumulated Fatigue and Japanese Burnout Scale were evaluated. Multiple regression analysis was performed to examine the relationship between engaging in COVID-19 care and psychosocial/physical burden. In total, 895 questionnaires were analysed. With experience in caring for COVID-19 patients as the independent variable, nurses caring for suspected cases had significantly higher standardized Tokyo Metropolitan Distress Scale for Pandemic scores for 'concerns for infection' (standardized partial regression coefficient β = .921, P = .004), Assessment of Workers' Accumulated Fatigue (β = .445, P = .022) and Japanese Burnout Scale 'emotional exhaustion' (β = .136, P = .021) than those caring for confirmed cases. Nurses caring for suspected COVID-19 patients have the highest psychological/physical burden and propensity for burnout. Extensive support systems are required for nurses caring for confirmed and suspected COVID-19 cases.

In the last decade there have been several developments in European Union in recognizing the relevance of psychosocial risks, particularly as regard to work-related stress, resulting in novelties at policy level and in the development of practical solutions for managing such risk. The current national legislative framework on occupational health and safety establishes the obligation of assessing work-related stress risk in companies, in accordance to the European Framework Agreement of 2004, and provides the minimum legal requirements. Research experiences in this field contributed to develop and increase the existing methodological processes, also to verify the effectiveness and to identify needs related to sectors and context particularly at risk. Among the others, findings from the Project "Monitoring and intervention for improving the assessment and management of work-related stress" contributed to the development of management models and intervention strategies to face and prevent the work-related stress risk.

Occupational stress is a critical concern for disaster responders due to the high-risk and unpredictable nature of their duties. This study investigates occupational stress, support systems, and coping strategies among Armed Police Force (APF), Nepal disaster rescuers, with a focus on identifying key stressors and proposing interventions. A structured questionnaire was administered to 89 APF personnel selected randomly across multiple disaster response units. Descriptive and inferential statistical analyses were used to assess the impact of demographic factors on various stress related constructs and coping and support systems. Findings indicate that while institutional support and coping strategies effectively mitigate stress, longer service duration and frequent deployments lead to cumulative psychological strain. The study highlights the need for continuous monitoring, structured mental health interventions, and specialized training to address the long-term effects of occupational stress. Beyond traditional stress management programs, the study stresses a need for innovative interventions, such as technology-based solutions.

Several studies, with cross-sectional perspectives, attempt to understand which are the elements that favor the onset of occupational stress and although it is known that stress is associated with negative effects on physical and mental health, research remains problematic. This investigation seeks to highlight the relationship between self-perception of work-related stress risk, memory and anxiety. A psychodiagnostic protocol composed of: Questionnaire for the indepth assessment of the risk of work-related stress, Healthcare Personnel Version, INAIL 2022, HAM-A: Hamilton Anxiety Rating Scale and Digit Span was administered to a sample of 50 healthcare workers. The results highlighted a medium-low level of work-related stress risk for the entire sample, but subjects with moderate to severe anxiety reported borderline memory levels. Investigating occupational stress in the workplace periodically through questionnaires, scales, tests is important and fundamental for managing organizational health and the psychophysical well-being of workers.

Background The health care workers (HCWs) at the frontline of fighting COVID-19 are at higher risk for mental health problems, including stress, anxiety, depression, and insomnia. This study aimed at assess the status of occupational stress in the three occupational groups of nurses, physicians and hospital cleaning crew facing COVID-19 patients in hospitals of Kerman province in Iran. Methodology This cross-sectional descriptive analytical study was performed on 290 medical staffs including nurses, physicians and cleaning crew facing COVID-19 patients working in different hospitals in Iran in 2020. Demographic information form and occupational Stress Questionnaire (HSE tool indicator) were used to collect data. The health and safety executive (HSE) questionnaire has 35 questions and 7 areas, which was developed in the 1990s by the UK Health and Safety Institute to measure occupational stress. Results The mean score of total dimensions among HCWs was 2.93. Communications, Manager support, Changes and Demand factors with scores of 2.76, 2.77, 2.83 and 2.87 had the greatest impact on participants' stress levels, respectively. Also, Colleague support factor with a score of 3.38 had the least effect on stress levels. Also, according to the results, 87% of nurses, 79% of cleaning crew and 67% of physicians had a partial to high levels of stress that, on average, 77.5% of the HCWs participating in this study had at least a small amount of stress. Conclusions The mean stress score among the participants of the present study was between high stress level and moderate stress level. Factors such as communications, manager support, change and demand had the greatest impact on employee stress levels. Therefore, by improving the communication between people working in hospitals, increasing managers' support for staff, and reducing workplace demands such as reducing workload and improving workplace environment, the stress level of staff in hospitals during the outbreak of COVID-19 can be reduced.

The article presents the results of an assessment of the implemented coping strategies among medical workers providing medical care during the pandemic of the new coronavirus infection COVID-19. An assessment was made of the specifics of the implementation of coping strategies among doctors of therapeutic specialties, doctors of surgical specialties, nurses working in a specialized COVID-19 hospital, a multidisciplinary hospital, and a polyclinic during the pandemic of the new coronavirus infection COVID19. It is shown that the impact of increased occupational stress leads to an increase in the need for coping strategies among medical professionals, mainly working in a repurposed infectious diseases hospital, multidisciplinary hospital and polyclinics. When identifying occupational stress factors and signs of professional burnout, it is proposed to evaluate the implemented coping strategies within the framework of periodic medical examinations of medical work ers working in high-epidemic risk situations.

Objectives: Administrative employees are often at risk of developing musculoskeletal disorders due to prolonged computer use. Additionally, frequent interactions with clients expose them to a high mental workload and job stress. The present study aimed to assess the prevalence of musculoskeletal disorders, mental workload, general health, and job stress among administrative employees to improve their working conditions. Methods: The present work followed a cross-sectional descriptive-analytical method and was conducted on the administrative employees of an engineering company in 2021. Finally, 119 individuals participated in the study using the census method. Demographic information questionnaires, as well as Rapid Office Strain Assessment (ROSA), Cornell, NASA Task Load Index (NASA-TLX), General Health Questionnaire (GHQ), and Health and Safety Executive (HSE)-UK job stress checklists were used to collect data. Data analysis was performed using the SPSS software, employing descriptive statistics, independent t-tests, and one-way analysis of variance (ANOVA). Results: According to the posture assessment with the ROSA method, the average final ROSA score was 4.33±1.03. Examination of mental load with the NASA-TLX indicated that 78% had a high mental load. In addition, according to the GHQ questionnaire, the average final general health score was 24.4±11.73. Moreover, based on the HSE-UK occupational stress questionnaire, more than 80% (103 people) of employees were under severe stress, and 12% (15 people) were under critical stress. A significant relationship was observed between occupational stress, body mass index (BMI), and age (P<0.05). Conclusion: The implementation of intervention and control measures to improve musculoskeletal disorders, workload, general health, and job stress seems to be essential.

Introduction Measuring and understanding perceived occupational stress is crucial for understanding workers’ experiences of stress in the workplace and its potential implications on mental health outcomes and job performance. However, there is a scarcity of brief measures containing relevant items focused solely on occupational stress, suitable for integration with risk assessment tools for work-related stress. This study aimed to validate the Perceived Occupational Stress (POS) scale in Turkish and examined its measurement invariance across Turkish and Italian samples. Methods The participants included 350 Turkish teachers (55.7% male) and 160 Italian workers (60.6% female). Results The results showed a single-factor structure explaining 69.61% of the total variance for the POS. The internal consistency was found to be high in both samples. The results also indicated that the factor structure of the POS was equivalent across the two groups, supporting measurement invariance. Conclusion Overall, the POS demonstrated solid measurement properties, including validated factor structure, internal reliability, and measurement invariance.

The present diary study investigates the impact of daily effort–reward imbalance (ERI), subjective stress and the cortisol awakening response (CAR) as an objective measure on work engagement of top managers and high-level works council members (N = 45) on three consecutive working days. In the scope of psychosocial risk assessment, we argue that focusing on ERI as a generalized work characteristic might be more suitable for work re-design of higher leadership positions because of their highly dynamic and unpredictable psychosocial work characteristics, while at the same time having more access to job resources. The analyses reveal that both baseline and daily ERI, as well as subjective stress, influence work engagement. Our results suggest that interventions to reduce daily levels of ERI may improve the work environment of top managers and works councils by promoting work engagement and related positive health outcomes in the scope of person-centred risk assessment.

Abstract: The Perceived Occupational Stress (POS) scale has been recently developed to measure workers’ perception of feeling stressed at work. This cross-sectional study aimed to further study the practical applicability of the POS scale by testing its diagnostic utility for identifying workers with severe somatic symptom strain. A sample of 171 Italian workers filled out a survey containing the POS and the short form of the Giessen Subjective Complaints List (GBB-8). The POS scale was strongly associated with the GBB-8 ( r = .70, p < .001; β = .71, p < .001), and the receiver operating characteristic (ROC) analysis showed its excellent diagnostic accuracy (area under the curve, AUC = .83, p < .001), with a POS value of 3.50 being the optimal cut-off for detecting severe somatic symptoms. Overall, the results show that the POS scale is an economic and non-intrusive tool for identifying workers at high risk of severe psychosomatic strain. Limitations of this study include the use of self-report measures and of a convenience sample, which could lead to common method and selection biases. Future research should re-evaluate the predictive usefulness of the POS scale as a predictor of other outcomes of work-related stress such as anxiety and depression, performance, and turnover intentions.

The coronavirus 2019 pandemic has placed all intensive care unit (ICU) staff at increased risk of psychological distress. To date, measurement of this distress has largely been by means of validated assessment tools. We believe that qualitative data may provide a richer view of staff experiences during this pandemic. We conducted a cross-sectional, observational study using online and written questionnaires to all ICU staff which consisted of validated tools to measure psychological distress (quantitative findings) and open-ended questions with free-text boxes (qualitative findings). Here, we report our qualitative findings. We asked four questions to explore causes of stress, need for supports and barriers to accessing supports. A conventional content analysis was undertaken. In total, 269 of the 408 respondents (65.9%) gave at least one response to a free-text question. Seven overarching themes were found, which contribute to our proposed model for occupational stress amongst critical care staff. The work environment played an important role in influencing the perceived psychological impact on healthcare workers. Extra-organisational factors, which we termed the “home-work interface” and uncertainty about the future, manifested as anticipatory anxiety, had a proportionally larger influence on worker well-being than would be expected in non-pandemic conditions. Our findings have important implications for appropriate allocation of resources and ensuring well-being of the ICU multidisciplinary team for this and future pandemics.

Purpose: To investigate the level of stress resilience among workers engaged in high-risk occupations, identify key influencing factors, and develop an effective methodology for assessing stress resilience to prevent occupational burnout and reduce the risk of workplace injuries. Methodology. The study was conducted among employees of the State Industrial Enterprise "Kryvbaspromvodopostachannya" using an adapted version of the Perceived Stress Scale (PSS), surveys, and statistical analysis methods. Stress assessment was carried out based on physiological, psychological, and behavioral criteria. The sample was selected using a random sampling method to ensure the representativeness of the obtained results. Research limitations. The proposed methodology allows for the identification of low psychological safety levels among workers. However, further testing across enterprises in different industries is necessary to enhance its universality. Additionally, the study is limited by the specific nature of the activities of "Kryvbaspromvodopostachannya," which may affect the generalization of the results. Practical Implications. The methodology contributes to improving approaches to managing psychosocial risks and integrating psychological safety into the occupational health and safety system of enterprises. Key criteria for assessing stress resilience have been identified, allowing for timely detection of employees with elevated stress levels. The study provides recommendations for implementing psychological training programs, improving working conditions, and fostering a favorable workplace climate. Originality. The integral stress resilience index Stotal = 1.125 confirms the effectiveness of the implemented measures. The methodology can be utilized for developing a rating system for assessing employees' stress resilience, which will enhance psychological safety levels and optimize human resource management. The obtained results can be applied to improve training programs for both employees and managers in occupational safety, contributing to the reduction of occupational risks and increasing enterprise competitiveness.

Colombia has a social security system in which healthcare is divided based on the health condition’s origin; this is how workers' risk insurance companies cover work-related accidents and occupational diseases. Therefore, determining the origin of these conditions becomes more relevant for prevention, care, and access to compensation. Colombia has adopted a mixed system for assessing occupational diseases. To diagnose stress-related diseases, risk factors are evaluated following a protocol. This takes into account both work and non-work-related factors that scientific evidence has linked to the disease. Statistics of cases classified by the Colombian National Board of Disability Assessment, an entity affiliated with the Ministry of Labor (period 2016-2022), were reviewed and compared with expert panels to analyze the challenges in assessing diagnoses of mental illnesses, which are more prevalent in the determination of origin processes. Out of the total number of cases with claims for psychosocial risk and mental illness, 65% were classified as non-work related, while 35% were classified as occupational diseases. Mixed anxiety and depression disorder represented 59.20%, adjustment disorder 16.70%, post-traumatic stress disorder 8%, generalized anxiety disorder 5.9%, and acute stress reaction 2.1%. Although the protocol is a useful tool, it needs to be updated, and healthcare professionals need to be trained to achieve a more efficient process that guarantees rights.

Climate change has intensified the frequency and severity of heat waves, generating new challenges for occupational health that extend beyond physical consequences and include psychosocial risks at work. Heat functions not only as an environmental stressor that compromises physiological systems but also as a factor that interacts with organizational dynamics and individual vulnerabilities, shaping perceptions of overload, injustice, and insecurity. This paper discusses heat stress as a psychosocial risk factor and emphasizes its implications for workers’ mental health and organizational well-being. A narrative review of the literature in occupational health, psychology, and climate sciences was conducted, and findings indicate that exposure to high temperatures contributes to increased fatigue, irritability, reduced concentration, interpersonal conflicts, and higher prevalence of anxiety, depression, and sleep disturbances. To address these challenges, the article introduces the Heat-Psychosocial Risk Assessment Framework (H-PRAF), which integrates three levels of analysis: environmental indicators; organizational practices; and individual outcomes. This framework supports integrated risk classification and identification of vulnerable groups, particularly informal and outdoor workers who face limited protective measures and autonomy. By framing heat stress as a psychosocial hazard, the article highlights the urgency of expanding occupational risk assessment to incorporate climate-related factors, contributing to preventive strategies, organizational policies, and public health measures that protect workers’ well-being in a warming world.

Introduction. In a situation of high epidemic risk during the pandemic of the new coronavirus infection COVID-19, nurses turned out to be one of the most vulnerable categories among health workers in terms of the level of professional stress, professional burnout, anxiety, use of coping strategies, and decreased quality of life. Objective. To establish the characteristics of professional burnout, the level of anxiety, implemented coping strategies and the quality of life of nurses working in the «red zone», multidisciplinary hospitals, and polyclinics during the COVID -19 pandemic. Material and methods. The study was carried out at the Department of Occupational Diseases and Clinical Pharmacology named after Honored Scientist of the Russian Federation, Professor V. V. Kosarev, Samara State Medical University of the Minis try of Health of Russia, and the Regional Center for Occupational Pathology, Samara City Hospital No. 5. The following groups of medical workers were examined: the first group consisted of nurses working in the «red zone» (MS, working in the «red zone») (n=29); the second group consisted of nurses working in a multidisciplinary hospital (MS, working in a multidisciplinary hospital — MPS) (n=31); the third group consisted of nurses working in outpatient clinics (MS, working in a outpatient clinic) (n=29); the fourth, control group (CG), included employees of engineering and technical and economic specialties, not related by profile of activity to work in medical organizations (n=190). The assessment of professional burnout syndrome was carried out using the questionnaire for assessment of professional burnout «Maslach Burnout», developed by American psychologists S. Maslach, S. E. Jackson in adaptation by N. E. Vodopyanova, E. S. Starchenkova, as well as the questionnaire of V. V. Boyko. The study used the Integrative Anxiety Test (IAT) to study the formation of psychoemotional disorders in nurses during the NCI pandemic. The assessment of coping strategies in nurses during the NCI COVID-19 pandemic was carried out according to the method developed by R. Lazarus and S. Folkman in 1988, adapted by E. V. Kuftyak. The quality of life was determined using the SF-36 questionnaire. The obtained data were processed using the Statistica statistical package from StatSof t (USA). Results. It was found that the work of the MS during the COVID-19 pandemic is associ ated with the impact on health workers of a number of specific risk factors associated with the provision of medical care to infected patients, as well as with significant changes in work regarding aspects related to the organization, safety, which contribute to an increase in the level of professional stress, professional burnout, and a decrease in the quality of life. Conclusion. The work of RNs in the conditions of a COVID hospital, when compared with RNs working in the MPS, nurses working in outpatient clinics, is associated with an increase in the level of professional stress, the level of professional burnout, the level of anxiety, an increase in the level of use of coping strategies, and a decrease in the quality of life. It is necessary to continue research into the emotional state of RNs in order to conduct timely preventive treatment to maintain the health of this category of health workers. Limitations of the study. The study has regional (Samara Region) and professional (according to the details of working conditions in the studied comparison groups) limitations.

Abstract Background Work-related stress, anxiety and depression (WRSAD) are common, overlapping mental health problems burdened with major medical, occupational, institutional and societal implications. Current occupational health (OH) management of WRSAD is based on clinical and managerial guidelines and individual risk assessment. Aims The study sought to identify patterns of OH advice in WRSAD and the relationships between the OH advice, available evidence, experience and expertise of the OH doctors (OHDs). Methods A retrospective cross-sectional analysis of 101 first-time OH consultations for WRSAD by nine OHDs. Results The three most common OH interventions included follow-up OH consultations, adjusted duties and referrals for counselling. All OHDs preferred a light-touch approach but the less experienced and qualified OHDs were more proactive and prescriptive. Conclusions In the absence of a specific occupational medical guideline for the management of WRSAD, the OH interventions may be guided by clinical guidelines, individual risk assessment, the client’s circumstances or the experience, expertise and preferences of the OHDs. In the study group, OH interventions were under-utilized and not consistently applied. Our findings support the argument for OH guideline for WRSAD to improve the consistency and effectiveness of OH interventions. This is important given the scale of the problem and the recent increase in WRSAD during the COVID-19 pandemic.

Background: Sense of coherence constitutes a significant personal resource that underpins the harmonious professional functioning of nurses employed in psychiatric inpatient wards. It serves as a protective factor, enabling effective coping with the psychophysical burden arising from a demanding and stress-inducing work environment, while also supporting the maintenance of a high level of job satisfaction. Regular assessment of the sense of coherence among psychiatric nursing staff is essential for the early identification of individuals at risk of developing occupational burnout. The aim of the present study was to determine the relationship between the level of sense of coherence and the degree of occupational burnout among nurses working in inpatient psychiatric units. Methods: The study employed a cross-sectional design and utilized standardized psychometric instruments, including The Sense of Coherence Questionnaire (SOC-29) to assess the level of coherence, and the Maslach Burnout Inventory (MBI) to measure occupational burnout. Additionally, a self-developed questionnaire was used to collect sociodemographic data. The research was conducted in five psychiatric hospitals in Poland between January and June 2023. The sample consisted of 555 nurses (449 women and 106 men) employed in inpatient psychiatric wards. Statistical analyses included descriptive statistics, Pearson’s correlation coefficients to examine relationships between variables, and multiple linear regression to identify predictors of burnout dimensions. Significance level set at p < 0.05. Results: The mean global sense of coherence score among psychiatric nurses was 124.68 (SD = 45.81), with manageability scoring highest among subscales (43.83, SD = 16.28). Average occupational burnout scores were emotional exhaustion 28.75 (SD = 16.39), depersonalization 13.55 (SD = 9.71), and reduced personal accomplishment 23.61 (SD = 11.11). Significant negative correlations were found between sense of coherence (and its components) and all burnout dimensions (p < 0.001). Manageability was the strongest predictor of lower emotional exhaustion (β = −0.73), depersonalization (β = −0.65), and reduced personal accomplishment (β = −0.65), while meaningfulness predicted depersonalization (β = 0.37, p = 0.012). These results indicate that higher sense of coherence, especially manageability, is linked to reduced burnout among psychiatric nurses. Conclusions: The study revealed significant negative associations between sense of coherence and all dimensions of occupational burnout, with manageability emerging as the strongest protective factor. Nurses with higher levels of sense of coherence reported lower emotional exhaustion, depersonalization, and reduced personal accomplishment. These findings highlight the importance of incorporating sense of coherence assessment into strategies for identifying individuals at increased risk of burnout.

No abstract available

Introduction. This study examined the role of the "safety climate", or the organization's attention to health and safety of workers, and of job demand and resources in relation with job satisfaction. Wellbeing at work is a topic of growing interest, in line with the legislation and the 264 programs on health and safety of workers and management and the evaluation of psychosocial risks. Several studies show that organizational actions concerning health and safety can be an indicator of the attention to employees' wellbeing, even if studies about the relationship between safety climate and some psychosocial outcomes are scant. Methods. The study analysed the relationship between job demand, job resources, safety climate and job satisfaction in three different occupational contexts (public authority, N = 224; social care organization, N = 115; pharmaceutical company, N = 127); workers were divided into groups based on the risk level appeared in the objective assessment of work-related stress, in order to identify differences. The self-report questionnaire gathered information about: job satisfaction, work efforts, supervisors' support, colleagues support, safety climate (a between .72 and .93).Data analysis provided: Cronbach a, analysis of variance, correlations, stepwise multiple regressions. Results. The results showed that job satisfaction (R} between .23 and .88) had a negative relationship with efforts and a positive relationship with job resources and safety climate. Conclusions. It emerges the importance of safety climate: to support and promote wellbeing at work, organizations could endorse training and information programs on health and safety for all workers and management, not only for professional groups with high-risk level. Future studies could explore the relation between safety climate and other outcomes, such as emotional exhaustion or objective indicators of organizational health (e.g. absenteeism, accidents, ...).

Abstract Background Wearable sensor technologies, often referred to as “wearables,” have seen a rapid rise in consumer interest in recent years. Initially often seen as “activity trackers,” wearables have gradually expanded to also estimate sleep, stress, and physiological recovery. In occupational settings, there is a growing interest in applying this technology to promote health and well-being, especially in professions with highly demanding working conditions such as first responders. However, it is not clear to what extent self-monitoring with wearables can positively influence stress- and well-being–related outcomes in real-life conditions and how wearable-based interventions should be designed for high-risk professionals. Objective The aim of this study was to investigate (1) whether offering a 5-week wearable-based intervention improves stress- and well-being–related outcomes in police officers and (2) whether extending a basic “off-the-shelf” wearable-based intervention with ecological momentary assessment (EMA) questionnaires, weekly personalized feedback reports, and peer support groups improves its effectiveness. Methods A total of 95 police officers from 5 offices participated in the study. The data of 79 participants were included for analysis. During the first 5 weeks, participants used no self-monitoring technology (control period). During the following 5 weeks (intervention period), 41 participants used a Garmin Forerunner 255 smartwatch with a custom-built app (comparable to that of the consumer-available wearable), whereas the other 38 participants used the same system, but complemented by daily EMA questionnaires, weekly personalized feedback reports, and access to peer support groups. At baseline (T0) and after the control (T1) and intervention (T2) periods, questionnaires were administered to measure 15 outcomes relating to stress awareness, stress management self-efficacy, and outcomes related to stress and general well-being. Linear mixed models that accounted for repeated measures within subjects, the control and intervention periods, and between-group differences were used to address both research questions. Results The results of the first analysis showed that the intervention had a small (absolute Hedges g=0.25‐0.46) but consistent effect on 8 of 15 of the stress- and well-being–related outcomes in comparison to the control group. The second analysis provided mixed results; the extended intervention was more effective than the basic intervention at improving recovery after work but less effective at improving self-efficacy in behavior change and sleep issues, and similarly effective in the remaining 12 outcomes. Conclusions Offering a 5-week wearable-based intervention to police officers can positively contribute to optimizing their stress-related, self-efficacy, and well-being–related outcomes. Complementing the basic “off-the-shelf” wearable-based intervention with additional EMA questionnaires, weekly personalized feedback reports, and peer support groups did not appear to improve the effectiveness of the intervention. Future work is needed to investigate how different aspects of these interventions can be tailored to specific characteristics and needs of employees to optimize these effects.

Abstract This cross-sectional study aimed to identify occupational and non-occupational factors that impact levels of stress, depression, and anxiety among farmers located in the northern part of Thailand, including the potential psychological impacts of pesticide use. The participants (N = 270) were interviewed with a survey adopted and modified from peer-reviewed articles and questionnaires. The survey consists of four parts, including demographic information and pesticide exposure; perceived farm stressors employing Farm Stressor Survey (FSS); mental health disorder utilizing Srithanya Stress Scale (ST5), Nine-Questions Depression- Rating Scale (9Q), and Depression Anxiety Stress Scale 21 (DASS21); in addition to COVID-related stress utilizing COVID Stress Scale (CSS). The participants were categorized into two groups i.e., Spray and No Spray based on their self-reported occupational use of pesticide spraying within the past year. No significant associations were observed between occupational pesticide exposures and mental health disorder scores. Being female, having a second job besides a farmer, having applied pesticides for greater than 20 years, and having a higher farm stressor perception showed a significant positive association with self-reported mental health disorders; while having a good agricultural practice and PPE use showed a significant negative association with those outcomes. This pilot study scrutinized expanded sources of stress in farm work and provided information for the development of more effective mental disorder intervention programs for Thai farmers.

Background: Night shift work in healthcare is associated with significant psychological and physiological strain, disrupting sleep-wake cycles and increasing the risk of mental health issues, including stress, anxiety, and depression. This study investigates the prevalence and contributing factors of mental health disorders among night shift healthcare workers in a private hospital in Chennai, India. Methods: A cross-sectional, hospital-based observational study was conducted from August to November 2024, targeting night shift workers, including doctors, nurses, lab technicians, and administrative staff. A sample size of 90 participants was selected using simple random sampling. Data was collected through structured interviews, using demographic and occupational data questionnaires and the DASS-21 scale for mental health assessment. Descriptive and analytical statistics were used for data analysis, with a significance level set at p < 0.05. Results: Of the 90 participants, the female: male ratio was 1:1.14 and the mean (SD) age was 32 (6.8) years. The prevalence of stress, anxiety, and depression were 26.7%, 33.3% and 26.7% respectively and varied across job roles, with doctors and nurses showing higher levels. Stress was significantly associated with age and job role, while anxiety was more prevalent in those with less night shift experience (1–2 years). Depression showed a similar trend. Smoking was associated with lower anxiety and depression levels. Conclusion: The study highlights the mental health challenges faced by night shift healthcare workers, particularly in high-stress roles. Addressing workplace stressors, enhancing support systems, and promoting mental health interventions are crucial for improving both worker well-being and patient care. Further research with a longitudinal design is recommended to explore causality.

Occupational accidents pose a significant challenge to society. While the physical risks associated with workplace environments are well-recognized, an oncoming concern involves the influence of psychological factors on the risk of injury. Beyond the tangible hazards of the job, the mental and emotional well-being of employees plays a pivotal role in providing a safe work environment. Our study aims to identify the psychological profile of injured workers in a confectionery factory. We conducted a cross-sectional study among the workers of a private confectionery in Sfax. The data was collected over a period between December 2022 and March 2023 using a pre-established questionnaire. The assessment of mental health was carried out using the Arabic version of a 21-item questionnaire that measures depression, anxiety, and stress levels. Our population included 200 participants. There were 80 injuries for 200 exposed workers, of which 56.2% were men. Severe to very severe symptoms of depression, anxiety and stress were found respectively in 4.5%, 17% and 10.5% of our workers. Bivariate analysis revealed a significant association between occupational injuries in terms of symptoms of depression(p=0.01), anxiety (p=0.00) and stress (p=0.014). Psychological disorders can profoundly influence cognitive functioning, emotional state, and overall well-being. This may result in diminished task attention, delayed response times, and reduced alertness — critical elements for upholding a safe and productive work environment. Occupational accidents extend beyond physical risks to encompass psychological aspects. Promoting mental well-being alongside traditional safety measures is crucial for fostering a comprehensive and effective approach to workplace safety.

Due to occupational exposure to potentially traumatic events, health care workers (HCWs) may be at risk of developing posttraumatic stress (PTS) symptoms or probable posttraumatic stress disorder (PTSD). This study examined probable PTSD, coping, and resilience among national HCWs working in Greece. A total of 17.9% of the sample of participants (N = 112) met the screening criteria for probable PTSD. Logistic regression models were constructed to assess if trauma coping self-efficacy (CSE) and resilience predicted probable PTSD, and the results indicated that lower trauma CSE significantly predicted probable PTSD in unadjusted models (OR = 0.89, 95% CI, 0.82, 0.96, p < 0.01) and adjusted models (OR = 0.90, 95% CI, 0.83, 0.97, p < 0.01). Our study findings suggest that organizations that employ HCWs may support their workers through ongoing screening, assessment, and training that enhances coping self-efficacy.

Background: Burnout is a chronic occupational stress syndrome characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. It is increasingly recognized among healthcare professionals worldwide and is linked to diminished well-being, medical errors, and workforce attrition. In Pakistan, the healthcare system’s heavy workloads, extended shifts, and limited institutional support heighten the risk of burnout, particularly among young doctors at the beginning of their careers. Objective: This study aimed to assess the prevalence of burnout and its association with shift workload and psychological well-being among young doctors in Rawalpindi, Pakistan. Methods: A descriptive cross-sectional study was conducted from March to May 2025 among 400 doctors aged 25–35 years working in public and private hospitals. Data were collected using a self-structured questionnaire based on the Maslach model of burnout, assessing Emotional Exhaustion (EE), Depersonalization (DP), and Personal Accomplishment (PA), along with the WHO-5 Well-Being Index. Statistical analysis was performed in SPSS version 27 using descriptive statistics, chi-square tests, ANOVA, Pearson correlation, and multiple linear regression. Results: High burnout levels were found in 59.0% for EE, 58.8% for DP, and 69.3% showed low PA. Poor well-being (WHO-5 score <50) was observed in 65.3% of respondents. Burnout differed significantly by shift length (p < 0.001), whereas shift pattern showed no significant association. Correlation analysis revealed a weak but significant negative relationship between EE and well-being (r = 0.113, p = 0.023). Regression analysis demonstrated that burnout dimensions collectively explained only 1.1% of the variance in well-being (R² = 0.011, p = 0.210). Conclusion: Burnout is highly prevalent among young doctors in Rawalpindi, with longer working hours strongly associated with increased burnout. Although burnout adversely affects well-being, other organizational and psychosocial determinants also contribute. Comprehensive institutional interventions focusing on shift regulation, mental health promotion, and emotional resilience are essential to protect the psychological health and efficiency of the medical workforce.

Micro and small enterprises (MSEs) rarely implement occupational stress prevention interventions due to limited resources and low prioritisation of stress prevention. To address these barriers, a user-friendly web-based stress prevention platform “System P” (SP) was developed for MSEs use without external help. It combines a psychosocial risk assessment (PRA) and an individual online stress management training (SMT). The study evaluates the implementation of System P in MSEs. Via different addressing channels, more than 5413 MSEs were invited to use SP. As indicators for a successful implementation process, e.g. adoption, reach and fidelity were analysed, using a mixed-methods pre-post design with outcome measurements at baseline (T1) and after 6 months (T2), as well as SP usage data. Adoption: Between 12.2021 and 09.2022, 40 MSEs registered in SP, of which 24 adopted SP, characterized by good psychosocial safety climate. Reach: Within these MSEs, 17 % of the employees used SP. Fidelity: 11 MSEs started the PRA, one set up a measure, and no MSE finished the process. The SMT was started by 25 users and completed by 8 users. Only a small part of the target group was reached. Moreover, the sample was already highly informed about and showed high engagement in occupational stress prevention actions. Although MSEs started with the analysis, measures to improve work design were not taken. This matches the scientific findings in other contexts. MSEs need to be accompanied by professionals to understand, systematically address and implement the issue of occupational stress prevention in the enterprises’ day-to-day work.

Teachers' Job burnout investigates the psychological syndrome of chronic physical and emotional exhaustion, often caused by workplace stress such as excessive workload, emotional demands, and lack of institutional support. This condition arises when job demands exceed a teacher's available resources, affecting teaching quality and personal well-being. To address this, a Neural Network-based evaluation is proposed to move beyond traditional surveys and create a predictive model that can identify at-risk faculty by analyzing complex, non-linear factors. In this research, the “Are Your Employees Burning Out?” dataset from Kaggle is used, and a Multi-Layer Perceptron (MLP) algorithm is applied to model burnout levels among college teachers. The proposed model demonstrated high predictive accuracy, with an accuracy of 0.98, precision of 0.97, recall of 0.96, and F1-score of 0.965, showing that it effectively captures the key factors of burnout. The developed system can assist university administrators in early detection, targeted wellness planning, and informed decision-making to promote a healthier academic environment.

Organizational multilevel interventions have been called for as a means to improve psychosocial working conditions, reduce stress, and enhance wellbeing in organizations. However, these types of interventions are highly complex to implement and evaluate, and they remain scarce in the literature. In this study, we present the evaluation of a multilevel intervention conducted in a municipality setting. The intervention was based on a train-the-trainer principle and participatory risk assessment workshops on all organizational levels. Action plans were subsequently developed at the team level, and identified risks, which could not be addressed at the team level, were reported to the management for further action planning or escalation to the next management level. Using a pre-post study design, we evaluated changes in proximal outcomes related to the psychosocial working environment, and distal outcomes related to stress and job satisfaction. Changes over time in outcome measures were analyzed using linear mixed models. A quantitative process evaluation was used to examine the degree of implementation of the intervention. Small improvements over time were observed with regard to quantitative demands, overall perception of the psychosocial work environment, job satisfaction, and the psychosocial safety climate. We also observed an increase in empowering leadership. Positive tendencies were also found for predicatability at work, possibilities for solving work tasks and support from closest manager. The effect sizes were small in all cases. No improvements in perceived stress or stress symptoms were found. The study revealed several practical and methodological challenges in conducting and implementing this type of multilevel intervention in a municipal setting. Overall, our study suggests that the intervention was associated with small positive changes in certain aspects of the working environment but no improvements were observed in stress outcomes. The study highlights a number of challenges in relation to implementing this type of multilevel intervention in a municipal setting. The study was prospectively registered at ISRCTN84940247 on April 23, 2019.

Objective: This study aims to identify key aspects of psychosocial risks within the construction industry. Methodology: A documentary review approach was utilized, analyzing reports and profiles from urban real estate projects in the construction sector. The primary evaluation tool was a comprehensive battery of instruments for assessing psychosocial risk factors. This suite evaluates work environment indicators such as job demands, social support, job control, role clarity, interpersonal relationships, and work-life balance through interviews, observation guides, questionnaires, and diagnostic tools aimed at improving working conditions. Results: The study outlines the most suitable methodology for assessing psychosocial risks in construction firms, emphasizing the importance of using scientifically validated tools.

No abstract available

    Professional hazards, particularly psychosocial risks that are likely to affect teachers' physical and mental health, are a particular concern in the education sector. It is in this context that this research work lies to evaluate the psychosocial risks encountered by secondary school mathematics teachers in Safi city (Morocco). Indeed, it is a cross-sectional descriptive study based on a questionnaire that compiled socio-demographic and professional data as well as the psychometric variables of the French version of the KARASEK questionnaire. The latter has three components, namely psychological demand (PD), decision latitude (DL), and social support (SS). The sample consisted of 218 teachers, ranging from 22 to 61 years old, and the participation rate was 72.66%. The sex ratio was 1.5, out of which 61% were males surpassing that of women, 39%. The prevalence of stress risk variables was 98%, 79%, and 4% for high PD, low DL, and low SS, respectively. While Isostrain prevalence was detected only in 2% of instances, job strain was present in 77% of them. It is trusty to mention that men are proven to be more exposed to the lack of social support, “Job-strain” and isostrain than women. Indeed, they experience stress at work, thus demonstrating that psychosocial risks are significant occupational exposure for teachers. These results promote the development of prevention means to improve working conditions and protect the teachers’ well-being.    

Interpersonal conflicts at workplace are increasing in relation to high competitiveness and pressures at work, mainly connected with labor market globalization. Their manifestation is multifaceted in relation to different working conditions and they not only hinder health, performance, and job satisfaction, but can also harm people's rights and dignity. The study analyses issues related to work conflicts and adverse health consequences in 1,493 workers who approached a hospital service for work-related stress and harassment over a 3-year period. The subjects were examined according to a broad protocol covering working conditions, sources of conflict and negative actions suffered, and resulting impact on health status. Many critical conditions were reported in all occupational sectors with some differentiation in relation to gender (women more at risk) and employment status. Higher qualified levels were more exposed to experiencing severe personal adversities aimed at their progressive expulsion or resignation, with consequent higher risk of chronic adjustment disorders, while lower levels reported more stressful conditions in terms of interpersonal disputes and greater interference in the home-work interface. The study can provide useful indications for a better understanding of workplace conflicts in order to set up the most appropriate actions to manage and prevent them.

This time-lagged study delves into the impact of digitalization on job stress. Digitalization is defined as the incorporation of digital technologies into various aspects of work life, fundamentally transforming processes, interactions, and decision-making. The present research focuses on the mediating roles of job-related risk and personal risk, and the moderating effect of gender. We hypothesized that employees’ aversion to risks, both in their professional and personal facets, mediates the relationship between the rapid digitalization of their work environment and the resultant job stress. Regarding gender as a moderator, recent research suggests that gender can influence the experience of workplace stress, with women often experiencing higher levels of stress than men in certain situations. This indicates that gender might also moderate the relationship between digital living, risk perception, and job-related stress. This approach allows for an examination of the ways in which digital technology adoption influences workplace stress, considering the temporally spaced data. Conducted over three waves of data collection among 795 Chinese employees, the research utilizes Hayes’s Model 8, adept at revealing the dynamics of digitalization’s influence in the workplace and its effects on individual well-being. The study corroborates Hypothesis 1 by establishing a significant, albeit less pronounced, relationship between digital living and job stress. The findings also support Hypothesis 2 by demonstrating that both job risk and personal risk mediate this relationship. The study’s results also validate Hypothesis 3, indicating that gender moderates the relationship between digital living, job risk, personal risk, and job stress. Finally, the significant interaction effects found in the study, particularly the stronger conditional negative effect of digital living on perceptions of job and personal risks for males, despite the absence of statistical significance failed to support Hypothesis 4. This study sheds light on the dynamics of job stress in the context of a digitalizing work environment. The results have important implications for designing workplace strategies and interventions that are sensitive to risk perceptions and gender differences in the digital era.

Objective This study aimed to investigate (i) the risk of work disability (>10-day sickness absence spell or disability pension) due to common mental disorders (CMD) among social workers compared with other health and social care, education, and non-human service professionals and (ii) whether the risk was mediated by job stress. Methods A cohort of 16 306 public sector professionals in Finland was followed using survey data from baseline (2004 or if not available, 2008) on job stress [job strain or effort-reward imbalance (ERI)] and register data on work disability due to CMD from baseline through 2011. A Cox proportional hazards model was used to analyze the risk of work disability due to CMD between three occupation-pairs in a counterfactual setting, controlling for age, sex, job contract, body mass index, alcohol risk use, smoking, and physical inactivity. Results Social workers’ job stress was at higher level only when compared to education professionals. Thus, the mediation hypothesis was analyzed comparing social workers to education professionals. Social workers had a higher risk of work disability due to CMD compared with education professionals [hazard ratio (HR) 2.08, 95% confidence interval (CI) 1.58–2.74]. This HR was partly mediated by job strain (24%) and ERI (12%). Social workers had a higher risk of work disability than non-human service professionals (HR 1.54, 95% CI 1.13–2.09), but not compared with other health and social care professionals. Conclusions Job stress partly mediated the excess risk of work disability among social workers only in comparison with education professionals.

Background Job stress is a probable mediator of the relationship between safety climate and accident occurrence. To demonstrate this, this study investigates the relationship between safety climate, job stress, and accident risk using a large number of surveys. The study will use structural equation modeling (SEM) to analyze the data collected from the surveys to examine the effect of safety climate on accident risk through job stress. Methods The study is a cross-sectional study that was conducted on 1,530 male workers of a petrochemical company. The subjects were asked to complete several questionnaires during rest periods, which included demographic information, the Nordic safety climate questionnaire (NOSACQ-50), and the generic job stress questionnaire (GJSQ). Additionally, data on the frequency and intensity of accidents among participants were gathered from the health unit of the company. Path analysis was conducted by structural equation modeling (SEM) in Analysis of Moment Structures (AMOS) software. Results The results revealed that the latent variable of safety climate with an effect coefficient of – 0.112 did not have a direct effect on accident risk (P = 0.343). However, safety climate with an effect coefficient of − 0.633 had an indirect effect on accident risk through job stress (P < 0.001). The total score of job stress had a significant direct effect (0.649) on accident risk (P < 0.001). Among the dimensions of safety climate, the variables of management’s safety priority, commitment, and competence (− 0.108) and workers’ safety commitment (− 0.107) had the highest indirect effect coefficients on accident risk. Among the dimensions of job stress, the highest indirect effects belonged to the variables of conflict at work (0.636), physical environment (0.631), and workload and responsibility (0.631), respectively. Conclusion The results of the study revealed that job stress mediates the relationship between safety climate and accident risk. This finding suggests that organizations can potentially decrease accidents in industries by addressing and managing job stress in the workplace.

Abstract Despite statistics indicating that China has the world’s largest taxi industry, there exists limited research about the relationship between workplace health hazards and taxi driver occupational crashes. In this paper, a cross-sectional survey of taxi drivers in four typical Chinese cities was conducted, and data on their self-reported job stress, health status, and daily risky driving behaviours, together with crash involvement experience in the two years before the survey was collected. Three hypotheses were then developed, and they were verified via multivariate analysis of variance (MANOVA) that the seriousness of drivers’ health problems and the frequency of their daily risky driving behaviours could be the accurate predictor of their crash risk of taxi drivers. These factors were subsequently substituted in a bivariate negative binomial (BNB) distribution model to determine the joint rate of at-fault taxi drivers’ involvement in property-damage-only (PDO) and personal-injury (PI) crashes. The results offer some useful advice for policy development to decrease and prevent professional taxi drivers from causing severe traffic crashes.

The COVID-19 pandemic, as a global health emergency, is likely to have major public health consequences. Fear and anxiety have been among the most typical psychological reactions within the community. Thus, the purpose of this study is to examine the influence of distress, fear of COVID-19, and work overload on job stress and job performance of medical representatives. The sample of the current study consisted of 260 medical representatives working in the Union Territory of Jammu and Kashmir. A web-based cross-sectional survey design was used to gather data from respondents. Data analysis and hypotheses testing were performed by applying partial least square structural equation modeling. Distress, work overload, and job stress were found to have a significant negative impact on the job performance of medical representatives. The direct effect of fear of COVID-19 on job performance was shown to be statistically insignificant. However, fear of COVID-19 significantly affected job performance through job stress.

PURPOSE The aim of this study was to investigate the impact of work life on work stress and quality of life in cancer patients returning to work after treatment. METHODS This descriptive cross-sectional study was conducted between January 2021 and June 2021 with 302 cancer patients who ad registered at the oncology outpatient clinic of a university hospital and had started or continued work after treatment. Data were collected using a personal information questionnaire, the Perceived Work Stress Scale, and the EORTC QLQ-C30. Results with p < 0.05 were considered statistically significant. RESULTS The mean age of the patients was 44.97 ± 10.08 years. They were predominantly women, had a diagnosis of breast cancer, and had received chemotherapy. The patients' perceived work stress score was 2.10 ± 0.68 (level D) and the EORTC QLQ-C30 score was 65.95 ± 20.11. Women, participants who were worried about their jobs, those who worked >36 months after cancer treatment, public and private sector workers, those who considered leaving their jobs after cancer treatment, and those who considered changing jobs had higher work stress scores. CONCLUSIONS The results of this study suggest that perceived work stress negatively affects the quality of life in individuals returning to work after cancer treatment. Therefore, individuals should be supported in returning to work and subsequent phases, and future should focus on the concepts of rehabilitation and return to work.

Work-related sickness absence carries large societal costs, and interventions aimed at decreasing sickness absence need to be performed in an effective way. This study evaluated the implementation process of an operational-level job stress intervention, implemented between 2017 and 2018 in the public sector, by assessing the extent to which the allocated resources reached the intended target group, if the planned measures could be expected to address the relevant work environmental challenges, and if the planned measures were implemented. Data were collected from applications for funding in the intervention (n = 154), structured interviews (n = 20), and register data on sickness absence (n = 2912) and working conditions (n = 1477). Thematic analysis was used to classify the level of the work environmental challenges, the level and perspective of the suggested measures, and the “measure-to-challenge correspondence”. Overall, participating workplaces (n = 71) had both higher sickness absence (p = 0.01) and worse reported working conditions compared to their corresponding reference groups. A measure-to-challenge correspondence was seen in 42% of the measures, and individual-level measures were mostly suggested for organisational-level work environment challenges. Almost all planned measures (94%) were ultimately implemented. When performing operational-level interventions, managers and their human resource partners need support in designing measures that address the work environmental challenges at their workplace.

Abstract Background While the empirical data on the role of environmental factors in work addiction (WA) is steadily growing, little is known about the extent to which the workaholic environment contributes to the increased risk of WA and what are the relative contributions of direct supervisor's and colleagues' WA to one's own workaholism. Methods The Perceived Coworkers' Work Addiction Scale (PCWAS) assessing perceived direct supervisor's and colleagues' WA, defined as an addictive disorder, was administered alongside measures of WA, job stress, and job satisfaction in a total sample of 33,222 employees from 85 cultures across six continents (63.2% females, mean age 39.35 years). Results The PCWAS showed scalar measurement invariance between genders and job positions, and approximate measurement invariance across cultures. In most cultures, the perceived supervisor's and colleagues' WA correlated with one's own WA, job stress (positively), and job satisfaction (negatively). In structural equation models, perceived colleagues' rather than supervisor's WA was more strongly related to one's own WA and job stress in most cultures. Discussion and conclusions These findings suggest that the PCWAS is valid and reliable for assessing the workaholic environment, and it can be used globally to provide comparable and generalizable results. The present study is the first to show that WA may considerably depend on environmental factors in different cultures worldwide and that perceived colleagues' WA may play a particularly important role in this context. These findings may guide organizational interventions to decrease WA risks among employees and improve their well-being and productivity.

BACKGROUND: The Information Technology and Information Technology Enabled Services (IT and ITES) industry has been the backbone of the Indian economy. The sector is characterized by long working hours, strict deadlines, night shift, constant usage of computers, etc. Hence, the industry and nature of the job are influencing the psychological risk factors of the employees. PURPOSE: The purpose of this paper is to explore the psychological risk factors (job stressors) of technocrat millennials and critically analyze them from the socio-demographic perspective. METHODS: A single cross-sectional study with snowball sampling was collected from 300 technocrat millennials in Ahmedabad city (India). Job stressors are examined as psychological risk factors. MANOVA and independent-sample t-test has been put to use for establishing the relationship between psychological risk factors and socio-demographic variables. RESULTS: The study highlighted that the experience, current position, size of family, number of children, gender, and family type had an impact on psychological risk factors of technocrat millennials. CONCLUSIONS: The study contributes to the literature on the psychological risk factors and its association with demographic variables, and specifically in Ahmedabad city (India). Income did not have an impact on psychological risk factor; whereas education was the only demographic variable affecting the responsibility for persons. The experience influenced the role overload, role ambiguity, poor peer relations, and intrinsic impoverishment. The study explained each socio-demographic variable’s impact on 12 psychological risk factors separately. The result of the paper will give insight to HR managers in the recruitment and selection of employees.

No abstract available

Workplace violence is a widespread, global public healthcare concern among healthcare employees. The present study aimed to examine the mediating role of psychological resilience in the relationship between workplace violence and job stress among healthcare employees. The population of the study, which had a descriptive and correlational design, consisted of all healthcare employees working in a hospital in the southeast of Turkey, and the study was completed with 515 healthcare employees. The data were collected between 20.05.2024 and 15.09.2024 using a face-to-face interview technique with a data form consisting of 4 sections. The data collection form consists of 4 sections: socio-demographic characteristics, Psychological Violence Behaviors at Workplace Scale, A Work Stress Scale-20, Brief Psychological Resilience Scale. The data were then analyzed by using the SPSS software. Descriptive statistics and parametric methods, Pearson Correlation Analysis, and Linear Regression were used in the evaluation of the data, and hierarchical regression analyses regarding the mediation effect were made by using the PROCESS Model 4. A p-value < 0.05 was accepted as significant in the analyses. A total of 55.9% of the participants were female and 44.1% were male. When the occupational distribution was evaluated, the largest group was nurses with 55.3%, followed by midwives with 12.6% and physicians with 7.4%. The total mean score on the Scale of Psychological Violence Behaviors in the Workplace was 37.27 ± 39.51, the total mean score on the Short Psychological psychological resilience Scale was 20.41 ± 4.32, and the total mean score on the Job Stress Scale was 46.51 ± 20.72. A negative and significant relationship was detected between the psychological psychological resilience scale total score and the total score of Psychological Violence Behaviors in the Workplace. A positive and highly significant relationship was detected between the total score of the Job Stress Scale and the total score of Psychological Violence Behaviors in the Workplace. A negative and significant relationship was detected between psychological resilience and job stress. The effect of psychological violence in the workplace on psychological resilience was significant. This study suggests that workplace violence increases job stress by weakening psychological resilience. Psychological resilience plays a partial role in moderating this effect. Reducing the negative impacts of Job Stress and psychological violence on individuals and protecting and developing the psychological resilience of healthcare staff is a critical priority for the well-being of employees and for institutions to achieve their sustainable targets.

Background Nurses’ Job performance could be affected by occupational stress. Previous studies reported contradictory results in this regard. Factors such as moral and emotional intelligence could impact occupational stress. However, the extent of any mediating effect is unclear. Thus, this study aimed to determine the effect of occupational stress on nurses’ Job performance and the mediating impact of moral and emotional intelligence. Methods This cross-sectional study was conducted in Urmia teaching hospitals (Imam Khomeini, Motahari, Taleghani, Kosar, and Seyed al-Shohada Hospitals). Six hundred twenty-one nurses were selected using quota sampling from February 2022 to April 2022. Data were collected using demographic questionnaires, the Nursing Stress Scale, Paterson’s Job Performance Questionnaire, Siberia Schering’s Emotional Intelligence Standard Questionnaire, and Lennik and Keil’s Moral Intelligence Questionnaire. Data were analyzed using SPSS ver. 23 and SmartPLS ver. 2. Results Occupational stress had a positive, direct, and minor effect on nurses’ job performance (β = 0.088, t-value = 2.245, p  < 0.01). Occupational stress had a positive and direct impact on moral intelligence (β = 0.161, t-value = 2.945, p  < 0.01) and a negative and direct effect on emotional intelligence (β = -0.351, t-value = 7.484, p  < 0.01). Occupational stress negatively and indirectly affected job performance through moral intelligence (β =—0.560, t-value = 14.773, p  < 0.01). Occupational stress also positively and indirectly impacted job performance through emotional intelligence (β = 0.098, t-value = 2.177, p  < 0.01). Conclusions Occupational stress slightly affects nurses’ job performance, and emotional and moral intelligence mediates the impact of occupational stress and improves nurses’ job performance. Low occupational stress improves nurses’ job performance, but too much occupational stress could harm nurses’ job performance. Healthcare administrators should work to help reduce nurses’ occupational stress and improve their job performance by adopting practical strategies to help nurses manage and control their stress. Holding stress reduction classes, eliminating the nursing shortage, reducing working hours, reducing workload, and providing financial and spiritual support to nurses would be recommended. It is also recommended to provide theoretical and practical emotional and moral intelligence-oriented courses for nursing students and hold training workshops for nurses to improve their emotional and moral intelligence.

No abstract available

Policing is considered a high-stress occupation due to the demanding nature of the job. Addressing police stress requires a detailed understanding of how psychosocial risk factors influence various aspects of their well-being. Moreover, an analysis of the direct effects of work conditions and the mediating effects of cognitive appraisals is also warranted. Using the Demands–Resources–Individual Effects (DRIVE) model of work-related stress this study investigated the direct effects of work conditions on well-being and also examined the intermediate role of perceived job stress and job satisfaction in the relationship between work conditions and well-being. Five hundred and seventy-eight police officers from the Jamaica Constabulary Force (J.C.F.) completed the questionnaire. Data were analyzed using hierarchical regressions and the Hayes Process tool for mediation analysis. Both perceived job stress and satisfaction mediated the relationship between work conditions and general physical health. Perceived job stress was an indirect pathway through which work conditions influenced psychological distress, whereas job satisfaction was not a significant mediator. In contrast, job satisfaction mediated the relationship between work conditions and positive well-being, but perceived job stress did not. These findings provide significant evidence for periodically monitoring and auditing perceptions of stress and job satisfaction, as they are likely precursors to subsequent health problems.

The adoption rate of performance-based pay systems has increased in recent years, and the adverse effects of systems have been emphasized. However, no study has analyzed the increase in the risk of depression/anxiety symptoms caused by the pay system in Korea. This study aimed to reveal the association between performance-based pay systems and symptoms of depression/anxiety, using data from the fifth Korean Working Conditions Survey. Depressive/anxiety symptoms were assessed using “yes” or “no” questions regarding medical problems related to depression/anxiety. The performance-based pay system and job stress were estimated using self-response answers. Logistic regression analyses were conducted to determine the association between performance-based pay systems, job stress, and symptoms of depression/anxiety using data from 27,793 participants. The performance-based pay system significantly increased the risk of the symptoms. Additionally, risk increments were calculated after grouping by pay system and job stress. Workers with two risk factors had the highest risk of symptoms of depression/anxiety for both sexes (male: OR 3.05; 95% CI 1.70–5.45; female: OR 2.15; 95% CI 1.32–3.50), implying synergistic effect of performance-based pay system and job stress on depression/anxiety symptoms. Based on these findings, policies should be established for early detection and protection against the risk of depression/anxiety.

Purpose: The study aims to develop an improved psychosocial risk management process by analyzing possible combinations of dangerous psychosocial factors within and between groups, including workplace relationships, military activities, and domestic troubles. Method: a bow-tie model. Findings: An improved model of psychosocial risk management has been developed, taking into account the impact of combinations of eight groups of psychosocial risks on the occurrence of a dangerous event. Theoretical implications: The relationship between the level of psychosocial risk and the most dangerous factors has been established, which is determined taking into account three parameters – frequency, duration, and intensity of stress experiences, which are assessed based on a survey of employees on a ten-point scale. Papertype: practical.

Mobbing in the workplace is a complex and worldwide phenomenon that reflects a subjective interpretation of this event. The aim of this study is to determine the relationship between mobbing and basic socio-demographic variables and some personality traits (extraversion, agreeableness, responsibility, emotional stability, intelligence/imagination, emotional intelligence, self-esteem, empathy, emotional self-awareness, personal well-being) of employees. In the cross-sectional design, data were collected from 553 employees selected from various occupations through easy sampling. Employees filled out an anonymous form containing job-related tests. Data collection tools were the standard scales i.e., A Psychological Mobbing Scale-30, personality trait questionnaire, Schutte Emotional Intelligence Test, Baron Empathy Scale, Emotional Self-Awareness Scale-11, Personal Well-Being Index-8 and Coopersmith's Self-Esteem Inventory. Results from multiple logistic regression analysis showed that there were statistically significant relationships between mobbing and age, industry, self-esteem and empathy. The results obtained are evaluated and discussed in terms of variable interaction and future research.

OBJECTIVE Physical and psychological workplace injuries present serious risks to employee well-being, productivity, and public health. More fully understanding the combined role of the psychosocial and physical work environments in increasing the risk of work injuries is an important public health concern. We explored the relationship between psychosocial safety climate (PSC) and occupational health and safety vulnerability (OHS-V) and their combined impact on work-related physical and psychological injuries. METHODS Workers in British Columbia completed a cross-sectional online survey, measuring injuries, demographic, and job-related covariates. The PSC-12 scale assessed management priorities, consultation, and communication, while the OHS-V index evaluated hazards and protections. Adjusted regression models estimated the risk ratios associated with OHS-V and PSC on injury, and additive effects between PSC/OHS exposures and injury were explored. RESULTS High-risk PSC and OHS-V environments were independently associated with increased risk of both psychological (RR = 3.09, 95% CI = 2.60-3.66 and RR = 4.78, 95% CI = 3.82-5.97, respectively) and physical injury (RR = 2.13, 95% CI = 1.88-2.41 and RR = 3.32, 95% CI = 2.89-3.82, respectively). The combined effect of high-risk PSC and OHS-V showed additive impacts, with the combination of high-risk PSC and OHS-V environments associated with an RR of 10.08 (95% CI = 4.48-22.70) for psychological injuries and an RR of 4.77 (95% CI = 2.61-8.71) for physical injuries. CONCLUSION This study underscores the importance of addressing both psychosocial and physical safety factors to prevent physical and psychological injury. Targeting both psychosocial and physical hazards in combination can reduce the incidence of both types of injuries, promoting a healthier, more productive workforce.

Aims This study sought to elucidate the occupational health risk perception and psychological impact during the early phase of the COVID-19 pandemic on healthcare workers in a general hospital in Singapore, and factors that influenced risk perception and psychological impact. Methods Healthcare workers from a general hospital in Singapore were invited to participate in an online survey in June 2020. It posed questions on demographic and occupational information (age, gender, nationality, marital status, profession, working area, length of working experience in healthcare), 20 items on occupational health risk perception and psychological impact of COVID-19, and the Depression Anxiety and Stress Scale-21 (DASS-21). The 20 items were adapted from a previous study during the 2003 Severe Acute Respiratory Syndrome (SARS) outbreak and designed to assess participants’ perceived exposure risk, risk acceptance, families’ perception, stigmatisation, feelings of appreciation, workload, and perceived effectiveness of workplace protective measures. Participants’ responses were obtained on a 6-point Likert scale (strongly agree, agree, somewhat agree, somewhat disagree, disagree, strongly disagree). For data analysis, responses on occupational risk perception were regrouped into three levels. Depression, anxiety, and stress scores were categorised into quartiles. Ordinal logistics regression was used to compare the association of occupational risk perception with DASS-21 scores, and demographic factors with occupational risk perception. Variables that showed statistical significance (set at P <0.05) in univariate analysis were included in the multivariate ordinal logistics regression model to identify independent predictors. Results There were 1252 respondents (92 doctors, 661 nurses, 318 allied health professionals, 181 administrative and support personnel). 85% felt an increased risk of exposure to COVID-19 while 90% accepted the risk as part of their jobs. Stigmatisation against healthcare workers was present, with 45% reported they were shunned and 21% reported their families were avoided. 78% experienced increased workload. Fortunately, most (94%) found workplace protective measures adequate, and felt appreciated by their employer (87%) and society (81%). Increased perception of occupational health risk was significantly associated with nursing profession, workers in patient-facing areas, and staff with shortest working experience in healthcare. The mean DASS-21 scores were 9.2 (borderline normal) for Depression, 8.5 (borderline mild) for Anxiety, and 10.9 (normal) for Stress. Increased DASS-21 scores were significantly associated with greater occupational risk perception, younger age, and less years of working experience. Conclusion Occupational risk perception amid the early COVID-19 pandemic is associated with adverse mental health among healthcare workers. Nurses, younger staff, and staff with least working experience are more vulnerable.

Objectives. Psychosocial hazards causing stress in the workplace are one of the sources of danger to be considered in risk assessment. In this study, to determine the exposure of employees to psychosocial hazards, a questionnaire was created with occupational health and safety (OHS) professionals and psychiatrists based on the work created by the World Health Organization (WHO) and the International Labour Organization (ILO) on work stress. Methods. The questionnaire was applied to 306 mining workers and the interaction levels of psychosocial hazards were evaluated using structural equation modeling (SEM). Results. The psychosocial hazard assessment scale (PHAS) was developed and used to investigate the effects of other factors on the safety culture of employees. Conclusion. The study determined that employees who are worried about being unemployed reflect their social problems in work life and have difficulty in following OHS rules. Employees who have a clear role in a company with a developed organizational culture have a better safety culture. The study also determined that employees working in workplaces where the management looks positively toward OHS improvements try to act in accordance with the OHS rules.

Research on psychosocial risk factors in Lithuania has increasingly focused on employees’ workplace experiences; however, the well-being of translators and interpreters—particularly those working in Lithuania’s courts—remains underexplored. Interpreting is widely recognized as a high-stress activity (Roziner and Shlesinger 2010), making this group especially relevant for psychosocial risk assessment. Translators, meanwhile, also experience significant occupational stress (Courtney and Phelan 2019). This study investigates psychosocial risks among court translators and interpreters in Lithuania using a survey-based approach. The questionnaire classified risk factors into five domains: work environment, work demands, work organization, work content, and interpersonal relationships. Responses were measured using a five-point Likert scale and analysed through correlation matrices to identify patterns and associations. On this basis, the results are considered reliable. They provide insights into the prevalence and acceptability of psychosocial risks in translation and interpreting contexts, contribute to occupational health research, and help identify aspects requiring improvement to ensure acceptable working conditions for translators and interpreters in Lithuania’s courts.

Psychosocial hazards in the workplace were identified as a considerable risk to employee mental health as well as their general well-being. Few studies were found to examine its relationship with work engagement and mental health. Thus, this study examines the relationships between psychosocial factors, work engagement, and mental health within the faculty in Saudi Arabia using structural equation modeling. The cross-sectional study was conducted with a sample size of 375 faculty. Data collection was done using a self-administered online survey that included instruments such as the Copenhagen Psychosocial Questionnaire (COPSOQ), Utrecht Work Engagement Scale (UWES), and General Health Questionnaire (GHQ-12). SmartPLS 3 software facilitated data analysis and included the assessment of factors. Structural equation modelling was used to examine the interplay between psychosocial factors, work engagement, and mental health. The robust measurement model was characterized by high loadings (0.719 to 0.970), Cronbach’s alpha (0.595 to 0.933), and composite reliability (0.807 to 0.968). Convergent and discriminant validity were confirmed using AVE and various criteria. The fit of the saturated model was superior. Burnout explained significant variance (0.585) with predictive relevance for all constructs. Notably, the impact of burnout on family conflict and the influence of stress on burnout were found to have significant effect sizes. The study uses structural equation modeling to examine the relationships between psychosocial factors, work engagement, and mental health among faculty in Saudi Arabia. The robust measurement model demonstrated high reliability and validity, while the saturated model demonstrated excellent fit. These findings contribute to our understanding of psychosocial dynamics, work engagement, and overall health among faculty in Saudi Arabia.

Workplace mental health is a growing concern in Malaysia’s healthcare sector, yet comprehensive psychosocial risk assessments across all staff remain limited. This cross-sectional study examined the prevalence and predictors of depression, anxiety, and stress among employees in four government tertiary hospitals in Kota Kinabalu, namely Hospital Queen Elizabeth, Hospital Queen Elizabeth II, Hospital Wanita dan Kanak-Kanak Sabah, and Hospital Mesra Bukit Padang. From 21st March 2025–20th April 2025, 233 staff members were selected via stratified random sampling. Data were collected using validated self-administered online questionnaires, including the 21-item Depression, Anxiety and Stress Scale and the Likelihood of Environment & Occupational Exposure Scale towards Psychosocial Risk in the Workplace. Analyses involved descriptive statistics, bivariate comparisons, and multivariate logistic regression using SPSS version 29. Results revealed high prevalence rates of anxiety (43.8%), depression (37.8%), and stress (27.0%). Bivariate analysis revealed elevated odds of depression among Chinese ethnicity, diploma educated, high-income staff, HQE employees, medical and clinical roles, doctors, and shift workers. Anxiety was linked to medical departments and shift work, while stress was prevalent in younger staff with shorter tenure. High job demand, low control, and inadequate support increased depression, anxiety, and stress risk. Multivariate analysis identified high psychosocial risks related to job demand (OR 3.94), control (OR 3.72), and support (OR 2.87) as significant predictors of depression. High psychosocial risk in job demand (OR 3.01), control (OR 2.29), and support (OR 2.59) also predicted anxiety. Stress was closely linked to staff aged 20–39 years (OR 3.14), high psychosocial risk in job control (OR 4.45), and support (OR 2.68). Although the cross-sectional design and reliance on self-report limit causal interpretation, these findings highlight the value of regular psychosocial risk assessments and targeted interventions. Strengthening workplace support systems is crucial to improving mental well-being among Malaysia’s hospital workforce.

Psychosocial risks are workplace conditions that impact the physical, mental, and social health of workers. This study analyzes the relationship between psychosocial risks and occupational stress among telemedicine agents in Quito. The objective was to determine the extent to which exposure to psychosocial risks influences occupational stress in this population. A non-experimental, cross-sectional, and correlational design was used, with the participation of 91 telemedicine agents selected based on predefined criteria. Using a survey technique, two instruments were applied: The Psychosocial Risk Factors Questionnaire and the adapted OIT-OMS Occupational Stress Scale. The hypothesis proposed a positive correlation between the variables, and the Tau-b Kendall test was used for inferential analysis. The results showed that 57.2% of participants presented high exposure to psychosocial factors, with job demands, workplace conditions, and workload identified as the most frequent dimensions. Additionally, 42.9% of agents reported some level of stress, mainly related to deficiencies in leadership, lack of group cohesion, and adverse organizational conditions. The Tau-b Kendall correlation coefficient was 0.806, indicating a strong association between the variables. It is concluded that psychosocial risks have a significant relationship with occupational stress and that their mitigation could reduce stress by up to 31.14%, highlighting the need for specific interventions to improve the work environment and the well-being of employees

Introduction Risk evaluation is a global process covering different aspects of employee’s workandfamily life. Nowadays, psychosocial risks are as important as physical and chemical risks, and their identification isdeterminant in each workplace. Objectives Our study aimed to assess psychosocial risks among Electricity and Gas Company’s employees and to identify factors related to these risks. Methods A cross sectional study was conducted among male workers in a Tunisian electricity and gas Company. The KRASEK scale was used to assess psychosocial risks. The Statistical analysis was performed with SPSS version 23. Results Among male workers in the company, 83 employees participated in this study. The mean age of our population was 41.28 years± 12.12 years. Manuel labour was identified in 67.5% of cases. High psychological demands were reported by 63.9% of the employees. The assessment of decision latitude dimension identified low autonomy at work in 54.2% of cases. The mean social support scale was 23.73± 4.18. Job strain was identified among 32.5% of participants. Among employees in job strain, twenty-one subjects (77.8%) were affected in the technical division and 21.7% were in “iso strain”. Job strain and iso strain were associated with sedentary workers aged less than 45 years, p values were 0.006 (OR= 5.474; IC 95% [1.477-20.290]) and 0.010 (OR= 4.917; IC 95% [1.353-17.872]) respectively. However, Iso strain was negatively associated with being married (p=0.038) (0.0327 IC 95% [0.111-0.964]). Conclusions This study highlighted the importance of psychosocial risks in this company. The identification of these risks in the workplace may further help preventers to recommend proper interventions to offer employees a supportive work environment and to enhance their personal and professional well-being. Disclosure of Interest None Declared

Background Various agents such as psychosocial items and accident proneness can affect cognitive failures through different paths. The probable paths are the direct effects of workplace psychosocial items on cognitive failures and their indirect effects on cognitive failures through the mediator variable of accident proneness, which has not yet been studied by others. Thus, the present study aimed to investigate these paths. Methods This cross-sectional study was conducted on 164 male employees of Karoon Sugar Company in 2018. The participants were asked to complete a background and demographic questionnaire, Broadbent cognitive failures scale, accident proneness questionnaire, and Copenhagen psychosocial questionnaire. Obtained data were analyzed and modeled using the statistical descriptive method, ANOVA, independent t-test, Pearson correlation test, and path analysis in the SPSS and AMOS software. Results The results of the path analysis showed that, not only, some psychosocial risk items had a significant direct effect on cognitive failures, but also, they could affect cognitive failures through the accident proneness, indirectly. Work-family conflict and social support from supervisors by coefficients of 0.188 and – 0.187 had the highest direct effects, respectively. The highest indirect effects belonged to justice and respect, and work-family conflict by coefficients of - 0.220 and 0.199, respectively. The highest total effects were also related to the work-family conflict and justice and respect by coefficients of 0.387 and – 0.381, respectively. Conclusions In total, our results showed that some psychological items could, directly and indirectly, increase cognitive failure through accident proneness.

Psychosocial hazards in the workplace arise from the interaction between the work environment, job content, and organizational conditions with the capacity, needs, culture, and personal factors of workers, and can affect health, performance, and job satisfaction. This study aims to analyze psychosocial factors related to the level of psychosocial risk in employees of University X. This quantitative cross-sectional study was conducted in the period January–May with a sample of 188 respondents. Psychosocial risk was measured using the Pandemic-Related Perceived Stress Scale, while psychosocial factors were collected through the COPSOQ III questionnaire that has undergone validity and reliability tests. The results show that variables in the home and social arenas are not significant to the level of psychosocial risk. In the individual arena, age is significantly related to the level of risk. In the work arena, workload is a variable that shows a significant relationship with the level of psychosocial risk.

Background: In the demanding healthcare environment, both nurses and doctors are at high risk of experiencing stress, with nurses being particularly vulnerable to various psychosocial hazards. This risk also applies to nurses at Hajj Hospital UIN Syarif Hidayatullah Jakarta, especially following organizational changes and nurse rationalization implemented since 2024. The aim is to identify contributing factors to occupational stress and inform interventions to improve nurses' well-being and the quality of healthcare services. Methods: A cross-sectional analytical study was conducted involving all 96 nurses at Hajj Hospital UIN Syarif Hidayatullah Jakarta. Data was collected using Expanded Nursing Stress Scale (ENSS) to asses hazard psychosocial and Workplace Stress Scale (WSS) to evaluate occupational stress levels through a Google Form. The study examined the association between conflict with doctors and lack of experience with End of life (independent variables) and the nurses' reported stress levels (dependent variable). Results: The study revealed a significant association between conflict with doctors and occupational stress (p=0.000), with nurses experiencing conflict being 6.13 times more likely to experience occupational stress (95% CI: 2.337-16.106). A significant relationship was also found between limited experience with End of life and occupational stress (p=0.017), with nurses having limited experience facing a 2.07-fold increased risk of occupational stress (95% CI: 1.188-3.612). Conclusion: The occupational stress experienced by nurses at Hajj Hospital UIN Syarif Hidayatullah Jakarta is significantly related to conflict with doctors and limited experience in managing End of life situations.

This study examines the mediating effect of burnout (OD) between psychosocial risk factors (PRF) and psychological well-being (BP). Through intentional sampling, 258 high school teachers from various public institutions in the city of Toluca and its metropolitan area participated, of which 124 were men and 134 were women with an average age of 41 years (SD = 8.46). Applying the Psychosocial Risk Evaluation Questionnaire, the Occupational Burnout Scale and the Psychological Well-being Questionnaire. The results of the simple mediation model allow us to conclude that there is a negative effect of the FRP towards the BP and this increases due to the indirect effect of the DO. The effects of the interactions of the analyzed variables are evident, which leads to the need to promote psychological well-being in the workplace by preventing the elements that cause it to decrease.

Occupational therapists usually use assessment and screening forms that can identify the problems faced by the person. In the field of return to work, the initial assessment is usually used to get an overview of a problem faced by the employee, both physically and mentally. This study explores the potential screening and reporting used using the Likelihood Scale of Environment & Occupation (LEO) or is also known as Skala Kemungkinan Persekitaran & Pekerjaan (SKiPP), related to local industry in Malaysia. The re-evaluation of the LEO/SKiPP screening is done to report the latest developments in the development of the instrument. Keywords: Psychosocial risk at the workplace; Worker’s mental health status; Likelihood Scale of Environment & Occupation; Occupational therapy intervention eISSN: 2398-4287 © 2023. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under the responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), College of Built Environment, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v8i24.4631

Justification: psychosocial risks in the workplace often manifest through stress, emotional exhaustion, and interpersonal conflicts; therefore, it is essential to identify the working conditions that affect the health and well-being of workers. Objective: to identify the main psychosocial risk factors faced by pharmacy assistants in Ecuador. Methodology: a quantitative, non-experimental, and cross-sectional study was conducted, with a descriptive and exploratory scope. The Maslach Burnout Inventory (MBI), Copenhagen Psychosocial Questionnaire (CoPsoQ-III), and the Depression, Anxiety, and Stress Scale (DASS-21) were used. Results: participants showed low levels of depersonalization and high levels of personal accomplishment, but experienced significant emotional exhaustion, which increased the risk of burnout. Regarding psychosocial risks, most participants reported low psychological demands and high social support, while 60% perceived high insecurity about their working conditions. In terms of mental health, most were at normal levels, although a small percentage exhibited severe symptoms of depression, anxiety, and stress. Conclusion: the study findings highlight the importance of addressing emotional exhaustion and psychosocial risks among pharmacy assistants, as well as the urgent need for psychological support interventions.

Introduction Paramedical staffs in oncology are among the most exposed to stress factors in the workplace, predisposing them to develop certain psychiatric pathologies, in particular anxiety disorders, depressive syndromes and burnout. Objectives The objective of this study was to study these psychosocial risk factors and to detect the psychological repercussions on this professional category. Methods Our cross-sectional, mono-centric, descriptive and analytical study was conducted between November 1st and 8th, 2022 at the Salah Azaiez Institute in Tunis. The screening of anxiety and depression was performed with the Hospital Anxiety and Depression Scale (HADS), the assessment of Burnout was performed with the Maslach Burnout Inventory (MBI). Results Fifty-four workers were included (mean age 39.72 years and sex ratio 0.22). According to the HADS scale, 68.5% had definite or doubtful anxiety symptoms, 51.8% had definite or doubtful depression symptoms. According to the Maslach scale, 59.3% had a high burnout score, 37% had a high depersonalization score and 38.9% had a low personal accomplishment score. A combination of all three was present in 7.4% of the staff. Anxiety was associated with workplace violence and lack of career prospects, depression was associated with lack of leisure activities, and burnout was associated with age, emergency management for the emotional exhaustion score, and the number of children, workload and workplace violence. Conclusions Working in an oncology environment seems to be associated with a number of factors that could significantly increase the risk of psychiatric pathology. Some of these factors are perfectly modifiable, which opens up prospects for targeted preventive actions. Disclosure of Interest None Declared

Abstract Psychosocial work conditions can be detrimental to worker wellbeing with 70% of healthcare workers reporting work related stress, which may lead to burnout. Despite European health and safety legislation, managers rarely assess and manage workplace psychosocial risks. The Public Health workforce in Ireland, already impacted by the pandemic, is currently experiencing major organisational change as a result of the ongoing Public Health Reform Process. This paper describes the structures, processes and outcomes involved in a Public Health staff (n = 56) workplace psychosocial risk assessment, guided by the European Framework for Psychosocial risk Management: PRIMA-EF, using the HSE Work Positive CI psychosocial risk assessment survey. The establishment of a multidisciplinary Health & Wellbeing (H&W) group, under the governance of the Area Senior Management Team, was key to guide the process, including a workplace health promotion initiative, influenced by Positive Psychology framework (PERMA). The response rate to the survey was 70% (n = 40), with half of staff reporting psychological distress. Work stressors included role clarity, demand, change and control, scoring below average compared to Irish organisational norms. Relationships and manager support scored highly. The H&W group shared results promptly with all staff and formulated iterative mitigation measures, including HSE Change Management and HSE Health & Wellbeing consultants, based on the survey action plan and staff feedback. Five months later a repeat survey revealed continuing issues around role clarity and demands, with change and control showing an improvement. Further exploration of these results, and an evaluation, informed by staff feedback is ongoing and iterative. Lessons learnt include the importance of embedding a dedicated H&W multidisciplinary group to lead the continuous process; senior management support; employee involvement and effective utilisation of existing organisational tools and supports. Key messages • It is a public health imperative to promote risk assessment and mitigation of healthcare workplace stressors to safeguard employee wellbeing and ensure health service resilience and patient safety. • Effective workplace psychosocial risk assessment and implementation of targeted mitigation measures requires management support and a continuous iterative collaborative quality improvement process.

Psychosocial risks at work are factors that arise from the interaction between working conditions, organizations, and workers' characteristics. These risks can negatively impact employees' physical and mental health, affecting their well-being, productivity, and quality of life. Growing concern about these factors has been reflected in a significant increase in mental health-related sick leave, especially in sectors such as healthcare and education. Since the COVID-19 pandemic, many countries have observed the impact of psychosocial factors on the health of their workers. For example, Spain has experienced a 72% increase in sick leave for mental health reasons, reaching 643,681 in 2024. Most of these cases correspond to mild anxiety and depression disorders, with an average duration of 108 days. Women between 36 and 45 years of age account for 58% of cases. Workplace stress is one of the most common psychosocial factors in the workplace. According to the International Labor Organization (ILO) and the World Health Organization (WHO), exposure to long working hours is the occupational risk factor with the highest attributable burden of disease, with an estimated 745,000 deaths from cardiovascular disease and stroke in 2016.

Workplace risk assessment (WRA) is crucial for the management of psychosocial risks at work (PSRM), but some enterprises may also implement PSRM measures without formal WRA, in particular small and micro enterprises. This study analyses the associations between WRA and PRSM, and whether the associations vary by company size. The data come from the European Survey of Enterprises on New and Emerging Risks (ESENER) collected at the enterprise level in the EU-28 countries in 2014 (n = 40,584) and 2019 (n = 39,711). We distinguish eight measures of PSRM, and assess whether companies conduct a comprehensive WRA that includes psychosocial risks. Many companies reported PSRM measures. The lowest rates were for “intervention in the case of long working hours” (2014: 26%, 2019: 32%), while the highest rates were for “procedures in the case of threats” (56%, 60%). Enterprises with a comprehensive WRA are more likely to implement measures (even after controlling for company size, industry, sector and country), but some enterprises have implemented PSRM even in the absence of a WRA, especially in 2014 or in smaller companies (5–49 employees). For example, findings suggest that in 2014 40% of the enterprises without a WRA have implemented “procedures in the case of threats” (2019: 46%). The findings underline the importance of a WRA that includes psychosocial risks as a means of implementing PSRM measures, but also advocates for a broader perspective that considers measures taken independently of legal occupational safety and health (OSH) standards, especially in small and micro enterprises.

Knowledge and identification of workplace psychosocial, organization, and physical risk factors provides an opportunity to educate and intervene to decrease the potential effect of these risk factors and reduce low back pain. Results from this study also allow targeting of interventions by workplace physical exertion status. Objective To evaluate the association between workplace psychosocial, organization, and physical risk factors with low back pain (LBP) among US workers. Methods 2015 National Health Interview Survey data were analyzed to calculate the prevalence rates and prevalence ratios for LBP across levels of workplace psychosocial and organizational risk factors among 17,464 US adult workers who worked ≥20 hours per week. Results were also stratified by workplace physical exertion. Results The adjusted prevalence rates of LBP were significantly elevated for workers reporting high job demand, low job control, work-family imbalance, bullying, job insecurity, working alternate shifts, and physical exertion. Job control and nonstandard shifts were significantly associated with LBP only among those who reported low/no physical exertion. Conclusions LBP prevalence was associated with select workplace psychosocial and organization risk factors. Stratification by physical exertion modified multiple associations.

Abstract   Adverse psychosocial work environments can have a detrimental effect on staff wellbeing causing chronic stress leading to burnout. Despite legislation mandating regular risk assessments, only one third of workplaces assess psychosocial risks. A 2020 European report identified one of the main barriers being a reluctance to talk openly about psychosocial issues. This paper describes an evaluation of a staff psychosocial risk assessment and wellbeing initiative in a Public Health Department in Ireland. The initiative commenced in October 2022 during a period of major health service organisational change. Informed by positive organisational psychology conceptual frameworks, guided by the European Psychosocial risk assessment framework (PRIMA-EF) and utilising the HSE Work Positive (CI) survey tool it was possible to constructively identify and categorise psychosocial risks across the Public Health team. In the evaluation, a mixed methods approach was used based on Donabedian’s structures, processes and outcomes overarching framework and Nielsen’s Model of Process Evaluation Framework. The first three iterative quality improvement cycles of the intervention were reviewed. The evaluation demonstrated that all of Nielson’s three indicators for a successful organisational level staff wellbeing intervention had been met: there was evidence of improvement in both working conditions and staff wellbeing; iterative quality improvement cycles including appreciative inquiry staff collaborative engagement ensured staff views and key learning was captured; new organisational structures within the Department enabled the sustainability of this process. The evaluation indicates that the staff psychosocial risk assessment process is beneficial for staff wellbeing and that the methods used are appropriate. The resources used in this process continue to be readily available within the health service organisation. The evaluation supports continuation of this process in its present form. Key messages • This evaluation supports staff psychosocial risk assessment and mitigation processes and provides a framework for healthcare managers to implement such processes and comply with legislation. • This evaluation indicates that effective and sustainable collaborative staff engagement can be achieved using a positive focus which builds on team strengths and harnesses collective wisdom.

Key Points Question What are the associations of clustering of and changes in workplace psychosocial resources (ie, leadership quality, procedural justice, culture of collaboration, and coworker social support) with sleep disturbances? Findings In this cohort study, including 219 982 participant-observations nested within 114 971 participants, clustering of favorable workplace psychosocial resources was associated with a statistically significant lower risk of sleep disturbances. Improvements in leadership quality and procedural justice (ie, vertical resources) and in culture of collaboration and coworker social support (ie, horizontal resources) were associated with a lower risk of persistent sleep disturbances in a dose-response fashion. Meaning These findings suggest that multilevel workplace interventions are essential to promote short- and long-term sleep quality among workers.

Introduction Workplace ergonomics should also be considered in the context of psychosocial factors affecting the worker, which have a real impact on occupational risk. The present study examined psychosocial risk factors in medical personnel in three domains: working hours, violence and substance abuse. Methods The purpose of the present study is to assess the current state of psychosocial ergonomics of medical personnels by measuring occupational risks in the domains of: working hours, violence and psychoactive substance abuse. The survey is consisted of two parts: socio-demographic information of participants and participants’ assements of psychosocial risk factors. Results In more than half of the respondents (52%), increased risk was identified in the domain of working hours. Nearly half of the respondents (49.6%) have an identified high risk in the domain of violence, and more than half of the respondents (52%) are at high risk in the domain of psychoactive substance abuse. Discussion Our findings show that the present psychosocial ergonomics of the Polish health system must be improved. The COVID-19 pandemic has been a compelling test to assess the current state. Our findings highlighted the fact that HCWs often worked overtime and that many cases of workplace violence and substance abuse were reported.

This study presents the first nationwide, system-level investigation of occupational stress and professional burnout among probation counselors in Romania, in the context of increasing caseloads, complex job demands and limited institutional support. Building on a comprehensive theoretical analysis, we employ a sociological research design involving a representative sample of 247 probation counselors from all 42 national probation services. Using the Maslach Burnout Inventory—Human Services Questionnaire, along with stress-related factors, we examine the prevalence, most important factors and typologies of burnout. Advanced quantitative techniques—including multiple linear regression, principal component analysis and K-means clustering—allow for a robust identification of key predictors of emotional exhaustion and three distinct psychosocial profiles: stress-resistant seniors, under involved younger staff and overworked, frustrated employees. We also conducted a confirmatory factor analysis (CFA) to check the validity of the MBI-HSS. This typology offers a novel conceptual framework for understanding professional burnout in probation, highlighting systemic vulnerabilities and distinct risk categories. Nevertheless, limitations exist: self-reported data may underestimate stress, and omitting variables like resilience or work meaning constrains explanatory depth. Despite these constraints, this study addresses a significant gap in Romanian probation research and lays the foundation for future longitudinal and qualitative studies. These should incorporate psychological and organizational factors to improve targeted interventions and human resources strategies.

Objective: The objective of this study is to investigate the moderating role of coping strategies in the relationship between intergroup anxiety and occupational stress among youth detention officers, aiming to understand the factors that impact their well-being in socially vulnerable contexts.   Theoretical Framework: This research is based on the transactional model of stress (Lazarus & Folkman, 1984) and the theory of intergroup anxiety (Stephan & Stephan, 1985), considering that individual and situational variables influence the perception and coping with occupational stress in contexts of forced intergroup interaction.   Method: This is a quantitative study involving 175 youth detention officers from the Federal District. Validated instruments were used to measure occupational stress, intergroup anxiety, and coping strategies. Data collection was conducted online and statistical analysis was performed using R software. Results and Discussion: A positive correlation between intergroup anxiety and occupational stress was identified. However, the coping strategies evaluated did not moderate this relationship. The discussion highlights that the specificity of the variables may have limited the detection of interaction effects.   Research Implications: The findings provide insights for institutional interventions aimed at reducing intergroup anxiety and promoting the occupational health of professionals in the socioeducational system.   Originality/Value: This study contributes to the literature by empirically testing the hypothesis of coping moderation in a scarcely explored context, emphasizing the psychosocial challenges faced by youth detention officers.

The present paper examines stress, its sources, types, and symptoms, with an emphasis on job-related stressors and their negative impact on both employees and the organization or tertiary education. A set of questionnaires, the Occupational Stress Indicator was distributed to 70 higher education, individuals and staff in Nasarawa State, Nigeria. Participants were stratified and randomly selected by age, marital status, and years in the present job. Fifty questionnaires were returned and two were disqualified. There was a 71% response rate.  A total of 48 questionnaires were used for the statistical analysis. The result found among other things that factors like pressure in the job is another important source of stress for employees and it is directly related to factors like work overload, job insecurity, lack of management support, lack of communication, technological and innovative challenges, ambiguity like job role and having too long hours of work. Of the two main stresses personality types A and B, it has been identified that the type ‘A’ group is highly predisposed to stress. Regarding smoking and drinking habits, encouraging consumption which denotes that employees of tertiary education keep good habits in their lives and do not resort to alcohol or smoking to solve their stress or work-related problems. The T-test showed significant difference of the ages between 37 – 55 years and above, and correlated with the years of service in the job, and showed that they have more pressure on the job. Testing for the difference according to marital status, there is significant differences exist as the source of pressure on the job. Married people often face increased pressure at work, often due to the additional responsibilities that come with marriage. The following are recommended; Institutions should develop and implement comprehensive occupational stress management policies. Increased budgetary allocation for staff welfare and mental health services is crucial. Leadership and managerial staff should be trained in recognizing and mitigating workplace stress. Conduct periodic staff satisfaction and stress audits to inform policy and flexible working hours and remote work options should be considered where feasible.

Abstract Objectives We aimed to examine the prospective association between stress profile as defined using the Stress Check Program manual and long-term sickness absence among a working population with various backgrounds. Methods We analyzed 1,741 participants who participated in two online surveys in December 2023 and October 2024. In the first survey, we asked participants to complete the Brief Job Stress Questionnaire and evaluated their stress profile using the Japanese Stress Check Program manual. In the second survey, we asked participants if they had experienced sickness absence for 1 month or longer between the first and second surveys. We then examined the association between stress status in the first survey and experience of sickness absence during the waves. We calculated the odds ratio after adjusting for gender, age, marital status, educational attainment, household income, employment contract, average working hours per week, occupation, and industrial sector. To estimate the impact of high stress on sickness absence, we calculated the population attributable risk for high stress. Results After adjusting for confounding factors, we found that high stress was associated with sickness absence, with an odds ratio of 3.54 (95% confidence interval, 2.05–6.12). The corresponding population attributable risk for high stress was 21.4%. Conclusions The observed prospective association between high stress (as defined using the Stress Check Program manual) and long-term sickness absence among a working population from a wide range of occupations and industries provides evidence supporting the usability of the index in occupational health practice.

While the forensic sciences offer versatile and rewarding careers, practitioners and administrative staff within the field report high levels of occupational stress (OS). OS stems from job tasks and requirements, workplace culture, and the broader legal system, ranging from job strain to more severe vicarious trauma and secondary traumatic stress (VT/STS). Despite recognition of the consequences of OS in forensic sciences, most research focuses on individual risk factors without considering the broader context. The aim of this study was to develop a socio‐ecological model specifically for use within the forensic sciences that holistically overviews the sources and risk factors for OS and VT/STS. To underpin and develop this model, a three‐step mixed studies critical review was conducted, comprising a literature search, in‐depth analysis of empirical literature using robust methods, and a thematic content analysis. The identified themes were subsequently grouped within five identified OS domains: individual, interpersonal, job content, job context, and sociopolitical. The findings indicated that the risk for developing OS and VT/STS in the forensic sciences can be understood through the factors across the five domains. The risk factors and the five domains are explored in detail within the present article. Recommendations for addressing OS and VT/STS include interventions to identify, remove, and manage risks for OS across all five domains, recognizing the impact that the job content, job context, and sociopolitical factors have on an individual's resilience to workplace demands. We conclude by providing future research directions that will enhance the model specifically developed for this paper.

The purpose of this paper is to explore the current situation of occupational stress and the synergistic mechanism between occupational stress and organizational motivation of Chinese pharmaceutical market personnel. Through literature review and theoretical analysis, this paper reveals the multiple sources of occupational stress faced by marketing personnel in pharmaceutical industry, including market competition, performance assessment, policy and regulation changes, and analyzes the influence of these pressures on individual psychology and behavior. At the same time, this paper deeply discusses the mechanism of organizational incentives in relieving occupational pressure and improving work performance. It puts forward strategic suggestions on building an organizational incentive system based on occupational stress management, to provide theoretical support and practical guidance for the effective management of market personnel in China’s pharmaceutical industry.

Turnover intention has remained an emerging issue in university system every year in Nigeria. As the university system continue to experience increasing number of staff turnover, investigating some of the predictors of turnover intention become imperative. Therefore, this study examines the predictive ability of work group functioning and occupational stress on turnover among academic and non-academic staff in a Nigerian university. Cross-sectional design was utilized while purposive sampling technique was used to select the study population. Social Exchange Theory anchored the study. Data were collected from 250 academic and non-academic staff of the Alex Ekwueme Federal University, Ndufu-Alike Ikwo using validated scales. Data collected were analysed using hierarchical multiple regression to test hypothesis that was accepted at p < .001 level of significance. The result indicated that work group functioning and occupational stress were statistically significant predictors of turnover intention among study participants. In addition, work group functioning and occupational stress were statistically significant  independently predictors of turnover intention among study participants. The study concludes that work group functioning and occupational stress are  marginally contributed to turnover intention among study participants. The study recommends that the Nigerian university HR strategies should include putting in place an enabling work environment that reduces stress and  turnover intention.

The link between sleep quality and suicidal ideation has been explored, but it is unclear how occupational stress affects the relationship between them. The aim of this study was to identify the association between poor sleep quality and suicidal ideation among workers in various occupations and to determine how occupational stress is related to this association. This cross-sectional study collected data from 13,684 participants aged 19 to 65 who underwent mental health screening at 25 companies and public institutions. Sleep quality and occupational stress were assessed using the Pittsburgh Sleep Quality Index and Korean Occupational Stress Scale (KOSS), respectively. Sub-categories of KOSS include job demands, insufficient job control, interpersonal conflict, job insecurity, organizational system, lack of reward, and occupational climate. Suicidal ideation was assessed using the National Health and Nutrition Examination Survey. The 15.2% (n=2,077) of total participants had suicidal ideation. The 23.2% (n=1,244) of participants with poor sleep quality had suicidal ideation, whereas only 10% (n=833) of those with good sleep quality had suicidal ideation. Poor sleep quality was associated with an increased risk of suicidal ideation even after adjusting for occupational stress, depression, and other covariates (odds ratio [OR] = 1.26, 95% confidence interval [CI] = 1.13-1.42). When occupational stress was high, poor sleep quality was associated with 32% increased risk of suicidal ideation (OR = 1.32, 95% CI = 1.11-1.57). Among participants with poor sleep quality, high occupational stress was associated with the risk of suicidal ideation (OR = 1.52, 95% CI = 1.32-1.75). When we analyzed by the sub-categories of occupational stress, lack of reward and job insecurity were associated with 37% (OR = 1.37, 95% CI = 1.16-1.61) and 14% (OR = 1.14, 95% CI = 0.99-1.32) increased risk of suicidal ideation, respectively. Poor sleep quality is independently associated with suicidal ideation among workers. Particular attention should be paid to employees with poor sleep quality who also have high levels of lack of reward and job insecurity.  

Under the increasingly changing education system in the present era, teachers undergo a variety of pressures in terms of enhanced workload, administrative tasks, pressures of standardized testing, limited material resources, and the demands of diverse student populations. These sources of stress can detrimentally affect the psychological state of teachers, resulting in burnout, emotional exhaustion, job dissatisfaction, and even mental illness. The objective of this study is to assess the impact of mindfulness exercises on occupational stress and psychological well-being of government and private school teachers in Arunachal Pradesh, Namsai district, India. It utilized a quasi-experimental approach with non equivalent control pretest-post-test design. A total of 200 teachers (100 government school teachers and 100 private school teachers) were included in the study. Half of both groups (50 private and 50 government teachers) received a 6-week mindfulness intervention program consisting of breathing exercises, pranayama, meditation, and yoga asanas. The findings indicated a statistically significant reduction in occupational stress and enhancement of psychological well-being among private and government teachers who received the mindfulness intervention. The research also discovered a huge difference in government and private teachers on both occupational stress and psychological well-being, where the private teachers exhibited marginally more improvement on both the variables. The key insight in this research is that even though government teachers have greater job security, they too suffer from occupational stress due to bureaucratic work load and implementation problems of policies. Conversely, private tutors experience job insecurity and financial-related stress. Nonetheless, the study illustrates that mindfulness interventions, if practiced regularly, can effectively enable both groups to cope with stress and improve their mental health. The study further highlights the need for institutional support in ensuring a healthy work environment and individual commitment to mindfulness practice for sustainable outcomes.

The aim of this paper is to investigate factors that have an effect on special educators’ occupational stress, their coping mechanisms and to their possible stress spillover from work to personal life. The spillover model has been selected to examine the impact of work stress to the home domain. In this context, thirteen interviews were conducted with Greek special educators. Results of the thematic content analysis highlighted that lack of equipment and staff, students’ physical integrity, the organization of secondary special educational system and work experience were the main stress factors for special educators. Stress experienced at work has a strong impact in special educators’ personal life, supporting the spillover model hypothesis. Results are discussed in relation to stress coping mechanisms that special educators use at work and at home as well as propositions for occupational changes in special education.

The Sri Lankan banking sector after liberalization has operated in a relatively stable environment. The banking system has proven beneficial to both the world and Sri Lankan economies. This research investigates the influencing factors on occupational stress of staff of the public banks in the Hambantota District. The research was conducted through Physical environment, Workload, Role ambiguity and interpersonal Strain that mainly affect stress. This study adopted a quantitative research approach. Using survey questionnaire responses, a sample of 216 managerial and non-managerial employees in the Hambantota District selected using a convenience sampling technique. To test the hypothesized impact on variables, the multiple regression analysis was performed using the SPSS 23.0 version. According to the regression analysis, Workload and Role ambiguity have a significantly positive impact on occupational stress. Physical Environment significantly negatively impact occupational stress and interpersonal Strain do not impact occupational stress. The study's findings will be useful for industrial experts, Managers and Policymakers to identify Stress levels and improve strategies to reduce stress and Improve employee performance. Also, these research findings would develop new knowledge about suggestions for reducing Occupational Stress.

Stress is a part of modern life, with increasing complexity of life, stress is likely to increase. Stress is built in the concept of role, which is conceived as the position a person occupies in a system. Keeping this in view a study was conducted to know the Occupational stress and coping level among computer operators in software industry of Hubballi and Bangalore city, Karnataka, India. A survey was conducted by pre-structured interview method from 60 computer operators in two cities of Karnataka state and information regarding health effects, occupational stress

Introduction. The activities of locomotive crew workers are associated with severe and prolonged psychoemotional stress caused by frequent acute stressful situations. Such conditions contribute to the development of maladaptive mental states such as occupational stress, burnout syndrome, and depressive disorders. According to a number of studies, more than 65% of machinists have a high level of chronic stress, while stress tolerance decreases significantly after 5–7 years of work experience. Timely detection and prevention of these maladaptive conditions becomes critically important as a condition for maintaining mental and emotional health and preventing occupational diseases.The study aims to consider the features of occupational stress among locomotive crew workers in order to substantiate the current directions of their prevention and correction.Materials and methods. The study involved 100 male drivers and 64 assistant drivers, aged 19 to 60, who worked in the passenger railway transportation system. The psychodiagnostic complex included: The Maslach Burnout Questionnaire, the Neuropsychic Disadaptation Questionnaire, the Beck Depression Scale, Y.V. Scherbatykh's Method of Complex Assessment of Stress Manifestations, the Holmes and Rahe Stress Resistance and Social Adaptation Scale. The assessment of labor process stress class was carried out according to R 2.2.2006-05.Results. Machinists showed higher levels of emotional exhaustion and depersonalization (p<0.05); reduction of personal achievements is the leading factor of burnout in both groups (32.0% and 30.1%). The third degree of burnout was recorded in 34.0% of machinists and 22.2% of assistants. Machinists also have more pronounced manifestations of professional maladaptation, stress load and low stress tolerance than assistants (p<0.05). A low level of stress resistance was found in 54.0% of machinists and 31.7% of assistants. Employees over 40 years of age and with more than 5 years of experience have the least favorable conditions. Limitations. A single data collection does not allow us to draw conclusions about the causal relationships between variables. The limited sample size, gender, and geography reduces the representativeness of the results. The influence of seasonal and shift factors that could affect the psycho-emotional state of employees was not considered.Conclusion. The results of the study indicate the need to develop and implement a multi-level system of psychoprophylaxis and psychological support aimed at preventing the development of maladaptive conditions, increasing stress tolerance and maintaining the professional health of locomotive crew workers. Increased attention should be paid to the mental state of machinists, age and length of service characteristics and family factors should be taken into account, and the condition of employees with previously identified maladaptive mental states should be regularly monitored.Ethics. The completed study did not require the conclusion of the Ethics Committee.Contributions:Glukhov D.V. — concept, research design, editing;Kostenko N.A. — concept, design of the study;Eremeeva A.G. — research design, data processing, text writing, editing;Kalinina S.A. — research design, text writing, editing;Karmazina E.V. — data collection and processing, text writing;Borisova E.V. — data analysis and interpretation, text writing.Funding. The study had no funding.Conflict of interest. The authors declare no conflict of interest.Received: 16.10.2025 / Accepted: 23.10.2025 / Published: 21.11.2025

The aim of the study is to assess and compare the 'occupational stress and coping between male and female High School Teachers' of Bangalore. Assessment of occupational stress was carried out by using Occupational Stress Scale (OSS) and the coping was assessed by Coping Check List (CCL). 50 male and 50 female High School Teachers were selected from twelve high schools as samples using non- probability purposive sampling technique. It was found that female teachers had more occupational stress (64.79%) than male teachers (58.44%). In coping, male teachers were found to be more effective (47.68%) than their female counterparts (46.71%). Among High School Teachers, 64.32% had severe occupational stress in 'performance pressure' domain. Regarding coping, 57.3% were able to cope with 'problem focused' domain. The study findings revealed that, there was a significant relationship (p< 0.05) between occupational stress among male and female High School Teachers and there was no significant relationship between coping among male and female High School Teachers (p>0.05).

OBJECTIVES To develop and validate a predictive model for mental health-related sick leave using data from Japan's Stress Check program linked with personnel records (demographics and sick-leave history), and to evaluate its predictive performance compared with the conventional high-stress classification. METHODS We conducted a retrospective cohort study of employees (2020-2024) in a 14-company corporate group spanning diverse occupations. A mixed-effects logistic regression model was developed using data from 2020-2023, with company and year as random intercepts. Variable robustness was confirmed through LASSO logistic regression. Model calibration and discrimination were evaluated using the Brier score and area under the curve (AUC), respectively. The model was temporally validated on 2024 data. RESULTS Among 87 138 person-years in the development phase, 695 employees took mental health-related sick leave (0.8%). Seven predictors- younger age, anxiety, depression, sleep disturbance, low job control, poor job suitability, and low coworker support-were significantly associated with sick leave. The recalibrated model showed good discrimination (AUC = 0.708) and calibration (Brier score = 0.0079) in development, and higher performance in validation (AUC = 0.819; Brier score = 0.0026). The conventional high-stress classification performed poorly. CONCLUSIONS The proposed model demonstrated robust predictive validity and outperformed the conventional high-stress classification. By providing quantitative and continuous risk stratification within the Stress Check framework, it offers a practical approach to support risk-based prioritization and decision-making in occupational health practice.

Introduction Occupational stress affects health professionals; however, no literature was found on the middle-range theory for this outcome in health professionals. Methods Methodological study for the theoretical validation of a nursing diagnosis using the theoretical framework of Walker and Avant and the Betty Neuman systems models. The research was conducted in five stages: comprehension of the system model; selection and review of studies; development of the conceptual–theoretical–empirical structure; elaboration of a diagram and proposition of a nursing diagnosis; and evaluation of the empirical adequacy of the theory and validity of the system model. These steps were conducted using a scoping review and a sample of 138 articles selected in the Scopus, Web of Science, MEDLINE/PubMed, CINAHL, PsycINFO, LILACS, Science Direct, Cochrane Library, and Google Scholar databases. A data extraction instrument was developed, and study variables (attributes, antecedents, and clinical consequences) were analyzed using descriptive statistics (absolute and relative frequencies) and presented in tables. Results The middle-range theory comprised 16 concepts, 20 propositions, and one diagram. A total of 15 related factors, 29 defining characteristics, six at-risk populations, and one associated condition were indicated to propose the nursing diagnosis for occupational stress. Conclusion The middle-range theory supported elaborating elements to propose a nursing diagnosis for occupational stress.

Structural and behavioral interventions to manage work-related stress are effective in employees. Nonetheless, they have been implemented insufficiently, particularly in micro- and small-sized enterprises (MSE). Main barriers include a lack of knowledge and limited resources, which could potentially be overcome with simplified web-based alternatives for occupational stress prevention. However, there is a lack of implementation research about web-based prevention in realistic settings of MSE. The aim of this study is to evaluate the implementation process and success of an integrated web-based platform for occupational stress prevention (“System P”) and to identify potential barriers for its uptake and use in MSE in Germany. This study with a mixed-methods approach investigates eight process-related outcomes in a quantitative part I (adoption, reach, penetration, fidelity/dose, costs, acceptability) and a qualitative part II (acceptability, appropriateness and feasibility). Part I has a pre-post design with two measurements (6 months apart) with 98 individual participants and part II consists of 12 semi-structured interviews with managers and intercorporate stakeholders. Part I revealed shortcomings in the implementation process. Adoption/Reach: Despite extensive marketing efforts, less than 1% of the contacted MSE responded to the offer of System P. A total of 40 MSE registered, 24 of which, characterized by good psychosocial safety climate, adopted System P. Penetration: Within these 24 MSE, 15% of the employees used the system. Fidelity/Dose: 11 MSE started a psychosocial risk-assessment (PRA), and no MSE finished it. The stress-management training (SMT) was started by 25 users and completed by 8. Costs: The use of System P was free of charge, but the time required to engage with was an indirect cost. Part II added insights on the perception of the web-based intervention: Acceptance of System P by users and stakeholders was good and it was assessed as appropriate for MSE. Results for feasibility were mixed. Although System P was generally perceived as useful and appropriate, only a small number of contacted MSE implemented it as intended. Prior experience and sensitivity for occupational (stress) prevention were mentioned as key facilitators, while (perceived) indirect costs were a key barrier. Enabling MSE to independently manage stress prevention online did not result in successful implementation. Increasing external support could be a solution. “PragmatiKK – Pragmatische Lösungen für die Implementation von Maßnahmen zur Stressprävention in Kleinst- und Kleinbetrieben” (= Pragmatic solutions for the implementation of stress prevention interventions in micro and small-sized enterprises). German Register of Clinical Studies (DRKS) DRKS00026154, date of registration 2021-09-16.

Judges worldwide face intense pressure from heavy workloads, emotionally charged cases, and limited resources, leading to burnout and decreased public trust in the justice system. While individual coping is important, systemic change is crucial. This descriptive-correlational study investigated occupational stress, psychological distress, and coping strategies among 357 first-level judges in the Philippines. The study employed three standardized instruments: the Occupational Stress Scale, the Kessler Psychological Distress Scale (K10), and the Filipino Coping Strategies Scale (FCSS). This study revealed that first-level judges in the Philippines experience high levels of occupational stress and psychological distress. However, they also utilize a range of coping strategies to manage these challenges. The study found no significant relationship between occupational stress, psychological distress, and coping strategies and the demographic profile of the first-level judges. This suggests that these challenges are inherent to the judicial role itself rather than influenced by individual differences. The study concludes that interventions and support systems tailored to the specific demands of the profession are needed to address these challenges. The findings served as the basis for the Wellness Program for the first-level court judges in the Philippines.

Background: Occupational stress is a significant challenge for healthcare systems worldwide. It compromises the quality of healthcare and jeopardizes patient safety. Globally, the estimated economic impact of occupational stress in the healthcare system ranges from US $221.13 million to US $187 billion. Emotional intelligence has been recognized as a behavioral buffer against occupational stress. Hence, this study investigated whether nurses' perceptions of emotional intelligence impact their self-perceived occupational stress. Design: A predictive correlational design was utilized. Method: A prior power analysis using G ∗ Power 3.1 was conducted. A convenience sample of 734 nurses was recruited from Taif Health Cluster. Data were coded and analyzed using IBM® SPSS® Statistics for Windows v.25. Descriptive and inferential statistics were used. A hierarchical regression technique was used. The level of significance was established at p < 0.05. The process of data collection started at August 2022 and continued through October 2022. Results: The results indicated that nurses' age and working area predicted occupational stress perceptions in the first model (β = −0.28 and β = 0.21, p = 0.001, respectively). The second model showed a significant improvement (ΔF(7,727) = 162.35, p < 0.000, ΔR2 = 0.226) and indicated a negative correlation between nurses' perceptions of emotional intelligence and occupational stress (β = −0.45, t = −12.8, p < 0.000). The nurses' sociodemographic characteristics in the first model explained 2.4% of the variance. The second model represented 25.0% of the variance when nurses' emotional intelligence perception was included. Conclusion: Our study shows a novel framework that indicates a positive perceived effect of emotional intelligence on nurses' perceptions of occupational stress in Saudi Arabia. Our findings propose that emotional intelligence is a significantly effective mechanism against occupational stress.

The job of the teachers is complex as it has to meet the expectations of parents, teachers, policy makers and address their once needs. These twin concerns make the life of teachers demanding and stressful. This becomes an important problem in the context of diversity of school system operative in India. A teacher performs outstandingly on being satisfied with the job. However, job satisfaction is concerned with certain aspects and attitude is one of them. It is mandatory for a teacher to have satisfaction on job performance and should develop a positive attitude towards education. Only satisfied, well adjusted and mentally healthy teacher can think of the well being of the students. In the present study, random sampling technique has been employed. Against this backdrop this study was planned to investigate aspects of occupational stress of secondary school teachers in relation to their mental health and job satisfaction. A sample of about 200 teachers from different type of schools (government and private) of Gurdaspur city was selected for the purpose of the study. Toanalyze the data varied statistical techniques have been employed such asstatistics viz; Mean, Standard Deviation have been used to ascertain the nature of distribution of scores, descriptive Pearson product moment correlations have been calculated, the t-test was applied to find out the difference between means, ANOVA (two way) was applied to compute the data. Findings of the study showed that government schools teachers have better mental health and job satisfaction in comparison to teachers of private schools, whereas female schools’ teachers have better mental health in comparison to male school’s teachers.

This research work delves into the potential impact of occupational stress on the mental health, performance, and job satisfaction of civil aviation pilots. To explore this triadic relationship, a battery of six distinct scales was employed, including the Chinese Civil Aviation Pilot Occupational Stress Scale, the Symptom Check List-90 (SCL-90), the Flight Performance Scale, the Job Satisfaction Scale, the Minnesota Satisfaction Questionnaire (MSQ), and the Simplified Coping Style Questionnaire (SCSQ). A total of 131 valid questionnaires were collected for analysis, yielding a valid response rate of 65.5%. The findings demonstrate a negative correlation between occupational stress experienced by Chinese civil aviation pilots and their mental health, performance, and job satisfaction. Notably, a positive coping style was identified as a moderator in the relationship between occupational stress and flight performance, effectively mitigating the negative impact of stress on flight performance. Similarly, a negative coping style was found to moderate the relationship between occupational stress and job satisfaction, attenuating the adverse effects of occupational stress on job satisfaction. This study underscores the predictive utility of investigating the occupational stress experienced by pilots for understanding their mental health, performance, and job satisfaction. Furthermore, it highlights the potential for adjusting the negative impact of occupational stress on flight performance and job satisfaction through interventions that target pilots’ coping styles.

ABSTRACT This study explores the occupational stress experienced by female academics in Qatar’s higher education sector, framed through a transactional stress perspective. By examining the intersection of socio-cultural gender expectations and professional demands unique to academia, the study provides insights into how stress manifests and is managed within this field. Data from 15 in-depth semi-structured interviews with female academics reveals critical stressors and coping mechanisms. Findings highlight two main dimensions of stress – work overload and work-home conflict – intensified by societal expectations and compounded by the unique pressures of academia. Six key moderators – perceived organisation support, organisational skills, experience, work passion, support systems, and personality traits – shape stress perception and coping in the academic context. This research extends transactional stress theory by incorporating socio-cultural and gender-specific dynamics, shedding light on how female academics in the Middle East experience stress and offers a framework of how cultural dynamics influence occupational stress in academia.

This qualitative study investigates the complex relationship between occupational stress and physical health among teachers, focusing on stressors, coping mechanisms, and overall well-being. Semi-structured interviews were conducted with ten educators and their responses were analyzed using thematic analysis. From the analysis nine primary themes emerged which included: perception of stress, impact on physical health, coping mechanisms, support systems, work environment challenges, educational policy changes, passion for teaching, psychosomatic symptoms, and suggestions for improvement. Participants reported physical manifestations of stress such as fatigue, headaches, and sleep disturbances, along with long-term effects like weight gain and thyroid issues. Coping strategies included seeking social support, effective time management, and engaging in leisure activities. While intrinsic motivation sustained many teachers in their roles, challenges like workload imbalance and rapid policy changes significantly contributed to stress levels. The study underscores the necessity for institutional support systems, including wellness programs and policy reforms, to enhance teacher health and effectiveness. These findings highlight that occupational stress not only affects physical health but also influences teachers' emotional resilience and professional identity, emphasizing the need for comprehensive intervention strategies within educational settings.

This study explores the impact of occupational stress on the work-life balance of faculty members in autonomous institutions, focusing on its effects on personal and family life, as well as the stress-coping strategies employed. We collected data from 384 faculty members in Hyderabad City using a quantitative approach and a structured questionnaire. Descriptive statistics revealed that occupational stress significantly affects faculty members, with high mean scores indicating challenges such as limited family time, emotional exhaustion, and neglect of personal interests. Problem-focused coping strategies, such as seeking social support and gathering information, were predominantly used, while relaxation techniques like meditation and yoga were moderately adopted. Avoidance strategies were less favoured. Inferential statistics, including ANOVA and t-tests, highlighted that age and gender significantly influence both the experience of occupational stress and the choice of coping mechanisms. Reliability analysis confirmed the internal consistency of the measurement scales, with Cronbach’s alpha values of 0.900 and 0.729 for occupational stress and coping strategies, respectively. The findings underscore the need for tailored interventions and institutional support systems that consider demographic differences to effectively address occupational stress and enhance the well-being of faculty members. This study contributes to the growing body of knowledge on occupational stress and provides practical recommendations for fostering a healthier work-life balance in academic settings. KEYWORDS: Occupational Stress, Work-Life Balance, Stress Coping Strategies, Faculty Well-Being, Academic Workload, Institutional Support, Relaxation Techniques.

Occupational stress is one of the critical elements that influences the health and efficiency of the organizations, especially the teachers and, more so, the primary school teachers. This research looks into the consequence of work-related stress for primary school teachers in one of the educational zones in Walapane, Sri Lanka. To carry out this study, data from 107 teachers through a self-administered questionnaire was collected. The research found that work-family conflicts and health impacts are the reason for 34.2% of the variance in occupational stress levels. Nevertheless, 65.8% of occupational stress data remain unexplained, suggesting other influencing factors such as level of workplace engagements, absenteeism, chronic stress, and stress at the workplace. The conclusion calls for stress exercising measures, innovative yoga, meditation, sports, and ‘working-oriented’ systems to enhance work-life balance. It suggests certain organisational implementation measures aimed at enhancing working conditions.

This study explores occupational stress and its associated demographic factors among administrative employees in Kathmandu's private colleges, addressing a critical gap in Nepal’s undergraduate education sector. Employing a quantitative research design, data were collected from 152 respondents through a structured online questionnaire comprising demographic items and the Occupational Stress Index (OSI). The primary objectives were to assess overall stress levels and determine differences based on sex, age, marital status, and educational qualification. Findings revealed OSI scores ranging from 85 to 205, with an average score of 141.26, indicating a moderate level of occupational stress. Statistical analysis using Independent Samples t-Test and One-way ANOVA showed no significant differences in stress levels based on demographic variables: sex, age, marital status, and educational qualification. This research contributes to the limited literature on workplace stress in Nepal’s higher education sector and highlights the need for institution-wide approaches to stress management. It emphasizes that organizational and contextual factors may be more influential than demographic characteristics in shaping occupational stress. The findings support the development of broad-based policies and support systems aimed at improving well-being and productivity among administrative staff.