| Abstract [eng] |
In developing of evidence-based occupational safety and health policies in the context of psychosocial risk management, it is important to better understand the importance of individual, organizational, cultural, social, and regulatory aspects and their impact on creating a positive work environment. Most studies are limited to an analysis of several psychosocial risks or stress management interventions regardless of organizational context, job and workers’ characteristics. In Lithuania, studies have tended to focus almost exclusively on the negative impacts of work on well-being and, more specifically, on the impact of work-related stress on health. The aim of the dissertation is to determine the attitudes of healthcare workers towards psychosocial risk determinants and organizational intervention objects and the level of stress in a primary healthcare institution, considering the sociodemographic characteristics of medical staff and the context of the institution. Scientific knowledge-based model of psychosocial work environment diagnosis is proposed and empirically tested in this dissertation. The model is based on a two-step diagnosis of psychosocial work environment was performed: at the level of the institution and at the level of health workers. The results revealed that the organizational context conditions the predominant psychosocial risk determinants and the health workers’ attitude towards the organizational intervention objects. The results also confirmed that different sociodemographic groups of health workers (gender, age, job seniority, education, occupation) emphasized different psychosocial risk determinants and organizational intervention objects. It should be noted that results of the work-related stress differed only across occupational groups. Compared to other occupational groups, doctors were the most exposed to work-related stress. In addition, most differences in the assessment of psychosocial risk determinants and organizational intervention objects were found in occupational groups compared to other sociodemographic groups. The developed and empirically tested model of psychosocial work environment diagnosis allows to comprehensively assess the level of stress at work and to determine the predominant psychosocial risk determinants and the priority of intervention, considering the worker’s sociodemographic characteristics and organizational context. |
