Indiana University-Purdue University Indianapolis (IUPUI) / Background: Participation in college athletics comes with inherent risks. Many of these risks relate to the psychosocial safety and well-being of college athletes. These risks include depression, suicide, alcohol abuse, substance abuse, and the development of an eating disorder. This study specifically examined the current state of psychosocial needs amongst college athletes, the availability of services that address psychosocial needs, the comfort level college athletes have with seeking services, and the identification of barriers that influence whether or not a college athlete seeks necessary help. Methods: This study used a web-based survey to gather information from a proportionate stratified random sample of both college athletic directors (N = 132) and college athletes (N = 349) across all NCAA division levels. Descriptive statistics, parametric tests, and multivariate tests were used to analyze the research questions. This study used NCAA division level and the profile of a college athlete’s sport as independent variables. The researcher created composite scores for athletic, academic, and psychosocial services to serve as dependent variables. The researcher also created a composite score for perceived barriers. Results: There were multiple significant findings for this research study. One key finding was that Division I and Division II college athletes had significantly higher psychosocial needs than Division III college athletes. Another key finding was that Division I college athletes experienced significantly lower levels of comfort in seeking psychosocial services than Division II and Division III college athletes. Furthermore, Division I college athletes reported significantly higher levels of barriers to seeking necessary services than Division II and Division III college athletes. Implications: These significant findings point clearly to the fact that more must be done to ensure the psychosocial safety and well-being of college athletes. This includes athletic departments more clearly understanding the needs of their college athletes, having services more readily available, finding ways to promote a college athlete’s disclosure of a psychosocial risk, and working to address current barriers that prevent college athletes from seeking help. One idea for improving the current state of services explored in this research is the interprofessional collaboration of social workers with college athletic departments.

Esse estudo teve como objetivo geral identificar as evidências científicas sobre os riscos psicossociais aos quais estão expostos os trabalhadores de enfermagem de Unidades de Pronto Atendimento e Serviços de Emergência. Trata-se de um estudo de Revisão Integrativa em que foi realizada a busca nas bases de dados LILACS, MEDLINE, BDENF e Biblioteca Virtual SciELO. Os descritores utilizados na busca foram: risco psicossocial, enfermagem em emergência e serviços médicos de emergência. De 413 artigos, foram selecionados seis, a maioria de âmbito nacional. Quanto as características dos trabalhadores de enfermagem, identificou-se que a maioria foi constituída por mulheres com nível superior de escolaridade, adultas jovens, casadas/solteiras, trabalhando em turnos alternados, com carga horária de até 40 horas semanais, com ritmo acelerado de trabalho, com tempo de atuação profissional de cerca de cinco anos. Os principais fatores de riscos psicossociais, identificados foram: trabalho de alta exigência; condições laborais inadequadas, de baixo controle e alta demanda; conflitos entre equipes de saúde; falta de motivação; sobrecarga de trabalho; insatisfação profissional; ambientes negativos de trabalho, entre outros. Alguns dos danos à saúde identificados foram: estresse, transtorno mental comum, insônia, mal estar gástrico, angústia, sofrimento, depressão, tristeza, alteração no sono e repouso, fadiga, nervosismo, entre outras. Como proposta para orientação dos trabalhadores de enfermagem, elaborou-se um produto tecnológico na modalidade cartilha intitulada \"Riscos Psicossociais e os Trabalhadores de Enfermagem que atuam em Emergência\" / This study aimed to identify the scientific evidence on the psychosocial risks to which nursing workers from Emergency Care Units and Emergency Services are exposed. This is an Integrative Review study in which the search of the databases LILACS, MEDLINE, BDENF and SciELO Virtual Library was carried out. The descriptors used in the search were: psychosocial risk, emergency nursing and emergency medical services. Of 413 articles, six were selected, most nationwide. Regarding the characteristics of nursing workers, it was identified that the majority were women with a higher educational level, young adults, married / single, working in alternating shifts, with a workload of up to 40 hours a week, with a fast pace of work, with a professional time of about five years. The main psychosocial risk factors identified were: high-demand work; inadequate working conditions, low control and high demand; conflicts between health teams; lack of motivation; work overload; professional dissatisfaction; negative work environments, among others. Some of the health damages identified were: stress, common mental disorder, insomnia, gastric distress, anguish, suffering, depression, sadness, altered sleep and rest, fatigue, nervousness, among others. As a proposal for the orientation of nursing workers, a technological product was developed in the booklet modality entitled \" Psychosocial Risks and Nursing Workers that work in Emergency\"

Esse estudo teve como objetivo geral identificar as evidências científicas sobre os riscos psicossociais aos quais estão expostos os trabalhadores de enfermagem de Unidades de Pronto Atendimento e Serviços de Emergência. Trata-se de um estudo de Revisão Integrativa em que foi realizada a busca nas bases de dados LILACS, MEDLINE, BDENF e Biblioteca Virtual SciELO. Os descritores utilizados na busca foram: risco psicossocial, enfermagem em emergência e serviços médicos de emergência. De 413 artigos, foram selecionados seis, a maioria de âmbito nacional. Quanto as características dos trabalhadores de enfermagem, identificou-se que a maioria foi constituída por mulheres com nível superior de escolaridade, adultas jovens, casadas/solteiras, trabalhando em turnos alternados, com carga horária de até 40 horas semanais, com ritmo acelerado de trabalho, com tempo de atuação profissional de cerca de cinco anos. Os principais fatores de riscos psicossociais, identificados foram: trabalho de alta exigência; condições laborais inadequadas, de baixo controle e alta demanda; conflitos entre equipes de saúde; falta de motivação; sobrecarga de trabalho; insatisfação profissional; ambientes negativos de trabalho, entre outros. Alguns dos danos à saúde identificados foram: estresse, transtorno mental comum, insônia, mal estar gástrico, angústia, sofrimento, depressão, tristeza, alteração no sono e repouso, fadiga, nervosismo, entre outras. Como proposta para orientação dos trabalhadores de enfermagem, elaborou-se um produto tecnológico na modalidade cartilha intitulada \"Riscos Psicossociais e os Trabalhadores de Enfermagem que atuam em Emergência\" / This study aimed to identify the scientific evidence on the psychosocial risks to which nursing workers from Emergency Care Units and Emergency Services are exposed. This is an Integrative Review study in which the search of the databases LILACS, MEDLINE, BDENF and SciELO Virtual Library was carried out. The descriptors used in the search were: psychosocial risk, emergency nursing and emergency medical services. Of 413 articles, six were selected, most nationwide. Regarding the characteristics of nursing workers, it was identified that the majority were women with a higher educational level, young adults, married / single, working in alternating shifts, with a workload of up to 40 hours a week, with a fast pace of work, with a professional time of about five years. The main psychosocial risk factors identified were: high-demand work; inadequate working conditions, low control and high demand; conflicts between health teams; lack of motivation; work overload; professional dissatisfaction; negative work environments, among others. Some of the health damages identified were: stress, common mental disorder, insomnia, gastric distress, anguish, suffering, depression, sadness, altered sleep and rest, fatigue, nervousness, among others. As a proposal for the orientation of nursing workers, a technological product was developed in the booklet modality entitled \" Psychosocial Risks and Nursing Workers that work in Emergency\"

The rationale of any national screening programme is to recognize the benefits for public health, to test a predominantly healthy population including low risk pregnant women, and to detect risk factors for morbidity in order to provide timely care interventions. The South African health care system faces many challenges that undoubtedly impact on maternal health, resulting in poor quality of care and indirectly causing maternal deaths. The government has embarked on a number of initiatives that address women’s psychosocial wellbeing during pregnancy, for example free maternity care, legalizing abortion, expanding on provider-initiated HIV counseling and testing for antenatal patients. These initiatives imply a re-look at antenatal care screening, in order to identify wider determinants of health that may have an impact on a woman’s psychosocial wellbeing. This includes amongst others, poor socio-economic conditions such as poverty, lack of social support, general health inequalities, domestic violence and a history of either personal or familial mental illness, all of which have the capacity to influence a pregnant woman’s decision to utilize health care services. The intention of this study was therefore to establish the extent of psychosocial risk assessment for pregnant women during antenatal care, with a focus on the psychosocial support.Ethical clearance was obtained from the University of the Witwatersrand Human Research Ethics Committee (Protocol no. M081013). A mixed-method approach was applied through combining quantitative and qualitative research techniques, methods and approaches to address psychosocial risk assessment and psychosocial support by midwives during antenatal care. An explanatory sequential design was used. The methodology was aimed at accommodating the diverse population involved in the study, the nature of data being sought and the number of investigations conducted. A fully mixed research approach was implemented interactively through all the stages of the study. The study took place in six phases to meet the purpose of this research. Phase 1 entailed quantitative data collection and analysis; phase 2 qualitative data collection and analysis; phase 3 report writing; phase 4 formulation of guidelines; phase 5 pilot test; phase 6 integration of results and findings, and writing of final report. The philosophical basis of the study is based on the researcher’s values and belief of holism and comprehensive assessment. Much as values are part of the study, the researcher strove to keep values as separate from the research as possible, to minimise researcher bias. The feminist standpoint theory provided the guiding epistemological framework to address the qualitative research questions for this study as the issues regarding reproduction are of central feminist concern. Pragmatism, which is considered a best philosophical basis for mixed-methods as it values both objective and subjective knowledge, was applied in this study. The methodological goal of the study was guided by two paradigms, “constructivist”, which is the basis of qualitative research and “contemporary empiricist” paradigms, which is the basis of empirical analytic research as the study used a mixed-method approach. Although the empiricist lens is the most appropriate for a sequential explanatory design, both paradigms are acknowledged in this study. A quantitative-qualitative data collection and analysis sequence was followed. The sequential explanatory approach was maintained through, for example, collecting and analyzing quantitative data first, followed by obtaining information from midwives through a questionnaire and focus group discussions, and from pregnant women through a questionnaire and focus group discussions, using the same populations. Non-probability purposive sampling was done for all data sources. All data were collected by the researcher.Qualitative data analysis consisted of the identification of themes and relationships through constant comparison of data, which enabled the researcher to establish group and across-group saturation in focus group discussions. Quantitative data was collected through the review of midwifery education regulations, documents and records. Midwives’ questionnaires with a response rate of 46%, questionnaires administered to pregnant women and the review of antenatal cards with a 94% response rate. The data sets provided multiple data sources, a characteristic of the mixed methods approach. Data were analyzed using the Stata Release 10 statistical software package. Data analysis included summary statistics i.e. mean and standard deviation for continuous variables, frequencies and percentages for discrete variables, and Chronbach’s alpha for internal consistency. Confidence intervals of 95% were used to report on discrete variables. Quantitative and qualitative data were initially analyzed separately to develop an understanding of the two data bases before merging the findings and results. The process provided separate and independent results that could be compared for the purposes of corroboration, complementarity and discussion. The results were compared for specific content areas, for example major themes. A tool for psychosocial risk assessment and care was developed in response to the findings from the midwives’ focus group discussions at the three clinics, the expert interviews findings, the cross-sectional survey results from midwives, the self-administered questionnaires for pregnant women, and review of the antenatal cards carried by women during antenatal care. The tool was piloted in the three clinics where data were initially obtained. The general results of the study suggest that depressive and anxiety disorders are common in pregnancy and may be associated with negative experiences during antenatal care. Adequate screening of women and recognition of emotional responses with appropriate interventions are essential to promote a woman’s healthy adjustment to pregnancy. Attempts to minimise high levels of uncertainty, anxiety and depression should be incorporated within routine antenatal care.Midwives should strive to empower women physically and psychosocially in order for women to be able to overcome any barriers to safe motherhood, with emphasis on providing information, in order for them to make informed choices.The findings from the pilot study confirmed that pregnant women experience psychosocial problems which can be identified by the use of a screening tool, howeverthere remains a need to test the tool on a larger sample which might elicit more factors that could hinder or help its implementation. The implication of the findings appears to be that midwives are willing to incorporate the psychosocial assessment tool into routine antenatal care. The findings might be used to advocate for the incorporation of the tool into routine antenatal care. While the use of this antenatal psychosocial pilot tool may increase the midwives’ awareness of psychosocial risks and form a basis for further studies, a bigger sample size and statistical power are required to provide evidence that routine antenatal psychosocial assessment would also lead to improved outcomes for mother and/or child. The final stage of the study, based on research findings, led to the development of guidelines and recommendations for psychosocial care at the midwifery regulation level, midwifery education, clinical practice level and research. Key concepts: Antenatal care; Midwife; Psychosocial risk assessment; Psychosocial support.

2012 m. rugsėjo, spalio ir lapkričio mėnesiais buvo atlikta trijų Kauno m. vidurinių mokyklų 6, 7, 8, 9 ir 10 klasių moksleivių anoniminė anketinė apklausa, kurios metu buvo apklausti 446 moksleiviai (230 mergaičių ir 216 berniukų). Klausimynas buvo sudarytas iš klausimų, susijusių su patiriamu priekabiavimu mokykloje, taip pat tyrėme ar moksleiviai turi sveikatos nusiskundimų: galvos skausmą, skrandžio ir pilvo skausmą, liūdesį, nerimą, blogą nuotaiką, nemigą, nervinę įtampą ir t.t. Moksleivių psichologinei būsenai įvertinti buvo įtraukta jau aprobuota A. Antanovsky vidinės darnos sutrumpinta 13 teiginių skalės versija. Potrauminio streso simptomai buvo vertinami Įvykio poveikio skale. Taip pat tyrėme moksleivių suvartojamų, kai kurių maisto produktų dažnį, buvome įtraukę tokius maisto produktus: alkoholiniai, energetiniai ir saldūs gazuoti gėrimai, bulvių traškučiai, saldainiai, šokoladai, picos, mėsainiai, šaldyti pusfabrikačiai, švieži vaisiai ir daržovės, košės, natūralios vaisių sultys, mėsa, žuvis ir t.t. Statistinė duomenų analizė atlikta naudojant kompiuterinį SPSS 15.0 for Windows versijos statistinį duomenų analizės paketą ir Microsoft Office Excel. / In 2012. September, October and November have been carried out an anonymous questionnaire in three high school between 6, 7, 8, 9 and 10th grade student; there was questioned 446 students (230 girls and 216 boys). The questionnaire consisted of questions related to school bullying also investigated whether students have health complaints: headaches, stomach and abdominal pain, sadness, anxiety, low mood, insomnia, nervous tension, etc. To evaluate psychological state of pupils was used an approved A. Antonovsky Sense of Coherence condensed statements 13 scale version. Post-traumatic stress symptoms were rated by using Event scale. Also it was investigated frequency of students' usage of some food; there were added these foods: alcohol, energy and sweet fizzy drinks, crisps, sweets, chocolates, pizzas, burgers, frozen semi-finished goods, fresh fruits and vegetables, cereals, natural fruit juices meat, fish, etc. Statistical analysis was performed by using a computer SPSS for Windows version 15.0 statistical package and Microsoft Office Excel.

nÃo hà / Esta dissertaÃÃo objetivou avaliar os riscos psicossociais presentes no contexto de trabalho de uma instituiÃÃo pÃblico-privada do estado do Cearà que possam influenciar no processo saÃde/doenÃa dos seus trabalhadores efetivos e terceirizados. Identificaram-se os fenÃmenos psicossociais existentes nas relaÃÃes de trabalho, analisando processos de subjetivaÃÃo e contribuindo para a compreensÃo dos efeitos adversos da heterogeneidade de vÃnculos laborais sobre a saÃde do trabalhador, a partir da perspectiva psicossociolÃgica, bem como do campo da SaÃde do Trabalhador. Para tanto, iniciou-se o delineamento a parte da seguinte pergunta: quais os riscos psicossociais para a saÃde do trabalhador presentes no ambiente de trabalho de uma instituiÃÃo pÃblico-privado? Foram considerados mÃtodos quantitativos e qualitativos e a pesquisa caracterizada como um estudo de caso. Utilizou-se trÃs escalas do InventÃrio de Trabalho e Riscos de Adoecimento â ITRA, questionÃrio biosociodemogrÃfico e entrevistas semiestruturadas. Contou-se com o suporte do programa estatÃstico SPSS e do mÃtodo de AnÃlise SociolÃgica do Discurso como recurso de tratamento dos dados. Responderam ao questionÃrio 312 participantes e, posteriormente, entrevistaram-se 10 trabalhadores (4 efetivos e 6 terceirizados). Os resultados mais significativos do questionÃrio indicaram nÃveis de avaliaÃÃo crÃticos para os fatores âorganizaÃÃo do trabalhoâ (70,2%; M = 3,11) e grave para âcusto cognitivoâ (46,8%; M = 3,48); e satisfatÃrios para âRealizaÃÃo Profissionalâ (54,5%; M = 3,98), âLiberdade de ExpressÃoâ (59%; M = 4,19), âCusto FÃsicoâ (74,7%; M = 1,87) e âFalta de Reconhecimentoâ (58,7%; M = 1,84). Os resultados estatÃsticos do teste t indicaram diferenÃa significativa entre trabalhadores efetivos e terceirizados apenas para os fatores âorganizaÃÃo do trabalhoâ, ârelaÃÃes socioprofissionaisâ e âcusto fÃsicoâ. A partir da integraÃÃo dos dados, evidencia-se os seguintes aspectos potencializadores de adoecimento e fontes de desgaste: ingerÃncias polÃticas, cobranÃa por resultados, burocratizaÃÃo de procedimentos e falta de treinamento para formaÃÃo de gestores. No quesito de promoÃÃo de saÃde, destaca-se a prÃtica de atividade fÃsica, a religiÃo e o forte vÃnculo afetivo estabelecido com a organizaÃÃo e com os colegas de trabalho. Foi possÃvel apreender e melhor compreender o contexto desses trabalhadores a partir da sua prÃpria perspectiva, assim como corroborar achados, apontados pela literatura, de vulnerabilidade e precarizaÃÃo dos indivÃduos prestadores de serviÃos terceirizados. / This dissertation aimed to evaluate the psychosocial risks in the work environment of a public-private organization in the state of CearÃ, Brazil, and to understand how those risks can impact the health/disease process of its associate and outsourced workers. The existing psychosocial phenomena in work relationships were identified by analyzing subjective processes. By doing so, this study contributes to understand how the workerâs health is impacted by the adverse effects of heterogeneous labor links, based on a psychosociological perspective and on the field study of Workerâs Health. In order to do so, the sign research used the following question as starting point: Which psychosocial risks for the workerâs health can be found in the work environment of a public-private institution? This research considered both quantitative and qualitative methods and is characterized as a case study. Three scales from the Inventory of Work and Illness Risks â ITRA, biosociodemographic questionnaire, and semi-structured interviews were used. As for data treatment, this study is supported by the statistical software SPSS and the Sociological Analysis of Speech. The questionnaire was answered by 312 participants and, after that, 10 workers were interviewed (4 associates and 6 outsourced). The most significant results of the questionnaire suggested critical assessment levels for the factors âOrganization of Work Assignmentsâ (70,2%; M = 3,11) and serious levels for âCognitive Burdenâ (46,8%; M = 3,48); the results were satisfactory for the factors âProfessional Fulfillmentâ (54,5%; M = 3,98); âFreedom of Expressionâ (59%; M = 4,19), and âPhysical Burdenâ (74,7%; M = 1,87) and âLack of Recognitionâ (58,7%; M = 1,84). The statistical results for the T-test indicated significant differences between associates and outsourced workers for the factors âorganization of work assignmentsâ, âsocioprofessional relationshipsâ, and âphysical burdenâ factor. The integration of the dathe study emphasizes the following aspects as illness boosters and source of wearness: political interference, pressure for results, bureaucracy of procedures, and lack of management training. As for the heal on of health, the following practices are highlighted: physical activities, religion, and the strong affective link established with the organization and with the co-workers. It was made possible to get a better grasp and understanding of the context of these workers based on own perspective. Additionally, the results of this research support the findings of other studies as pointed out by the literature, such as the vulnerabilization and precarization of people who provide outsourced services.

La souffrance morale au travail a déjà été évoquée par le docteur Villermé au 19ème siècle, elle renaît de ses cendres à chaque fois que les périodes difficiles de l’économie ou de la politique se présentent. La compréhension des mécanismes psychologiques sont nécessaires pour que le droit puisse attribuer une qualification juridique la plus adaptée. Le dommage qui est causé au travailleur doit, alors, trouver une indemnisation correspondant aux préjudices. La création d’un poste de préjudice spécifique dédié aux troubles psychologiques est une démarche que je me suis efforcé de mettre en place pour que sa reconnaissance en tant que lésion soit appréciée au même titre qu’une blessure physique. Le « psychomètre » (échelles d’évaluations des troubles psychologiques) est reposé sur un ensemble éprouvé de méthodes et de techniques scientifiques. A l’heure actuelle, ces méthodes nous permettent d’apprécier et d’évaluer avec une grande précision la souffrance psychologique du travailleur au travail. La détermination du degré de la souffrance, de l’intensité et de l’incapacité du salarié par un expert nous autorise à affecter une indemnisation correspondant à la lésion en se fondant sur un barème spécifique que j’ai développé pour les troubles psychologiques.Mais, la prévention des risques doit être la démarche de toutes les entreprises et les partenaires sociaux pour supprimer ou diminuer les risques psychosociaux. De ce fait, les compétences des spécialistes du monde médical, de l'ergonomie, du droit, etc. doivent être rassemblées pour atteindre les objectifs. Le rôle de l’employeur, du CHSCT et de l’Institution Représentative du Personnel est essentiel dans la démarche de la prévention des risques professionnels. / The moral suffering in the workplace has already been mentioned by Dr. Villermé in the 19th century, it rises from the ashes whenever difficult times in the economy or politics arise. Understanding the psychological mechanisms are required for the law to assign the most appropriate legal qualification. The damage that is caused to the worker must then find a compensation corresponding to the damage. The creation of a specific prejudice station dedicated to psychological disorders is an approach that I have tried to put in place for its recognition as a lesion is appreciated just as a physical wound. The "psychometer" (scales of assessments of psychological disorders) rested on a proven set of methods and scientific technics. At present, these methods allow us to assess and evaluate with great precision the psychological suffering of the worker at work. The degree of pain, intensity and disability of the employee by an expert allows us to assign a compensation for the damage based on a specific schedule that I developed for psychological disorders. Thus , the prevention of risks should be the approach of all social enterprises and the partnerships (Unions and employers). As a result, the skills of experts from the medical world, ergonomics, law, etc. must be collected to achieve the objectives. The role of the employer, the CHSCT and the Institution Staff Representative is essential in the process of prevention of occupational hazards.

Orientador: Sérgio Roberto de Lucca / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-27T03:52:59Z (GMT). No. of bitstreams: 1 Sobral_RenataCristina_D.pdf: 666274 bytes, checksum: 6f46d9896ab70b793991c852d7f5a076 (MD5) Previous issue date: 2015 / Resumo: Profissionais de enfermagem estão sujeitos à tensão emocional e adoecimento psíquico incluindo a Síndrome de Burnout (SB). O objetivo deste trabalho foi analisar a relação entre os fatores psicossociais de risco no trabalho e a ocorrência de Síndrome de Burnout em profissionais de enfermagem. O estudo é transversal, quanti-qualitativo. Aplicou-se um questionário sociodemográfico; o Maslach Burnout Inventory - Human Services Survey para avaliar a SB; o Health and Safety Executive ¿ Indicator Tool (HSE-IT) e o Grupo Focal como ferramenta de avaliação dos fatores psicossociais de estresse na organização do trabalho. Utilizou-se regressão logística e análise de conteúdo. Foi encontrada prevalência de SB de 5,8% em 281 profissionais de enfermagem, sendo de 6,3% entre os auxiliares e técnicos, associados com idade, tempo de hospital e profissão e número de empregos e 2,6 % entre os enfermeiros, associados com tempo de hospital e número de empregos. O grupo focal complementou os resultados do HSE-IT, identificando outros fatores de estresse não presentes nesse instrumento e revelando que a vulnerabilidade à SB não está na profissão, mas na organização do trabalho. Com isso conclui-se que o tradicional modelo de associação da SB à profissão de enfermagem é insuficiente para explicar sua gênese, sugerindo a intervenção na organização do trabalho com vista a eliminação dos principais estressores ocupacionais em favor da promoção e preservação da saúde / Abstract: Nurse practitioners are subject to emotional stress and mental illness including Burnout Syndrome (SB). The objective of this study was to determine the association between sociodemographic characteristics and SB and identify occupational stressors perceived by nurses in a hospital in the state of São Paulo. The study is cross-sectional, quantitative and qualitative. It was applied a sociodemographic questionnaire, the Maslach Burnout Inventory - Human Services Survey to assess the SB and the Health and Safety Executive - Indicator Tool (HSE-IT) as an evaluation tool of psychosocial stressors in the work organization; and the Focus Group to assess these same factors from the perspective of nursing professionals, according to HSE methodology. We used logistic regression and analysis of content. We found a prevalence of 5.8% in SB 281 nursing professionals, and 6.3% among the assistants and technicians associated with age, hospital time and occupation, and number of jobs and 2.6% among nurses, associated with hospital time and number of jobs. The focus group confirmed the HSE-IT results, identifying other stress factors not present in it and revealing that the vulnerability to SB is not in the profession, but in work organization. Thus it appears that the traditional SB association model to the nursing profession is insufficient to explain its genesis, suggesting the intervention in work organization in order to eliminate major occupational stressors for the promotion and preservation of health / Doutorado / Epidemiologia / Doutora em Saúde Coletiva

In an era where automation has been transforming the industrial arena, it is important not to lose focus on the health of employees who are still engaged in manual work. Employee health both physical and mental plays a vital role in the overall performance of a company, so it must be taken care of. In the case of cross-docking warehouses where there is a need for manual laborers due to the intricacies in handling products of various sizes and weights, the importance of taking care of the health of its employees becomes more vital. In the modern world of the supply chain, a cross-docking warehouse plays a vital role in providing more efficiency to the system. The type of goods handled by these cross-docking warehouses is vast and this, in turn, brings about the need to implement manual labor onto the production. This study focuses on the main physical and psychosocial problems faced by the workers in a cross-docking warehouse and how it can be improved. Here questionnaires and interviews are used to study and develop better practices and methods to improve everyday work. This thesis focuses on one of the largest cross-docking warehouses situated in Jönköping, Sweden. Here COPSOQ version III is used to find the various main psychosocial problem areas faced by the employees and unstructured interviews are used to pinpoint the main physical problems and their causes. Preventive measures to combat the problems are suggested and are supported by literature reviews.

Workplace discrimination exists in the Swedish work environment. Minority groups (such as immigrants, persons from ethno-racial backgrounds different from the majority population, persons of non-normative sexual orientation, gender, or religious background) may experience discrimination or the fear of possible exposure to discrimination in the workplace. This presents an additional form of stress referred to as ‘minority stress’. Minority Stress is added stress to general stressors experienced by all people that is unique to minority groups. In the workplace, workplace discrimination is a psychosocial risk factor which could lead to minority stress. To address this risk, studies aimed at eliminating health and other disparities requires quality and methodologically sound research on racial/ethnic minorities, yet little guidelines are available. This thesis aims to bridge this gap and adopts ethno-racialization and participatory research frameworks to elicit the views and opinions of eight (8) ethno-racialized minorities in Sweden on how survey items investigating workplace discrimination in Sweden could be designed in a sensitive, non-stigmatizing manner that does not reinforce negative stereotypes. Study participants included five men and three women aged between 18 – 45 years old recruited through opportunistic, snowball sampling technique, with Swedish work experience between1 – 10 years, and working across academia, hospitality, communication, and health sectors. Participants responded to survey questionnaire and were interviewed on four key areas: Demographics; Ethno-racialization questions; Sample of various wordings on discrimination questions and Technology related questions regarding data collection, storage, and access.The result from this study show that “language” used in the wording of survey questions directed at ethno-racialized minorities is an important element if/how they respond and interpret questions. In this regard, using unclear and indirect language that is vague, ambiguous in survey questionnaire could lead to multiple interpretations and impact the validity of data collected. The study also found that ethno-racialized persons are not a homogenous group and as such, how they interpret and respond to survey questions indicate differences and reflect their individual preferences. The study concludes that survey items investigating workplace discrimination among ethno-racialized minorities should be designed using language that is direct and considers the varied opinions and perspectives of members of the group – that is, ethno-racialized minorities come from diverse backgrounds and their views are not homogenous.