Dans cette thèse de doctorat, le sujet de la transformation de démarches de prévention des risques psychosociaux en outils de la préservation de la santé au travail est abordé sous le prisme des théories de l’auto-détermination et du sensemaking. Cette recherche consiste en une étude qualitative de différentes organisations publiques dans lesquelles des démarches de prévention des risques psychosociaux ont été mises en place et à la collecte et à l’analyse quantitative de 1373 questionnaires administrés aux employés d’une organisation publique. Les résultats obtenus soulignent le rôle de l’action créatrice de sens, de la motivation autonome et de la satisfaction des besoins d’autonomie, d’affiliation et de compétence comme des variables cruciales de la réussite de démarches de prévention de risques psychosociaux et de la mise en place de mécanismes de prévention primaire. La satisfaction des besoins d’autonomie, d’affiliation et de compétence joue aussi un grand rôle dans la réalisation du bien-être au travail. Cette recherche présente donc des apports théoriques nouveaux en gestion des ressources humaines qui peuvent aussi inspirer de meilleures pratiques organisationnelles. / This PhD thesis addresses the issue of the transformation of interventions destined to prevent psychosocial risks into more durable organisational changes that would increase the health and well-being of employees, analysed through the lens of the theories of self-determination and of sensemaking. This research consists in a qualitative case study of different public organisations in which such interventions have been conducted, and in the quantitative analysis of 1373 surveys collected in one public organisation. The results of this research highlight the importance of sensemaking, of autonomous motivation and satisfaction of the three fundamental needs for autonomy, relatedness and competence as major variables for the success of interventions for the prevention of psychosocial risks. Furthermore, helping their employees to fulfil their needs for autonomy, relatedness and competence is also linked to an increase in their well-being. This research introduces a new theoretical frame that can both benefit the academic field of human resources management and organisational practices.

Companies of today tend to invest more and more in workplace health promotion measures to improve employees ́ health. These health promotion measures have in particular been consisted of physical training, while the mental training have not received equal attention. Furthermore, research shows that a big part of how employees describe their well-being is based on how they experience their work situation. A few factors that have been identified to affect the work situation is work-related relationships, work environment and work-related strains. The aim of this study is therefore to contribute to an increased understanding of how employees experience that workplace health promotion in form of mindfulness can affect their work situation. The study has its basis on the Social cognitive theory and Acceptance and commitment therapy (ACT). In order to answer the aim, six semi-structured interviews were conducted at a consulting company in the real estate industry in Stockholm. The result showed that conclusions can be drawn about that mindfulness as a workplace health promotion in this context has a positive impact on employees work situation. The respondents stated that their relationships, work environment and ability to handle work-related strains had improved thanks to the implementation of mindfulness at work. They also stated that factors as their presence, openness and the ability to find their values had improved. The result is also supported by previous research which says that mindfulness has a positive impact on how employees experience their work situation.

Submitted by Ana Lúcia Torres (bfmhuap@gmail.com) on 2017-10-11T11:54:02Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) DISSERTAÇÃO MARCIA PACHECO.pdf: 7324036 bytes, checksum: 4b181fd2bf20376ba21540591b5559eb (MD5) / Approved for entry into archive by Ana Lúcia Torres (bfmhuap@gmail.com) on 2017-10-11T11:54:12Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) DISSERTAÇÃO MARCIA PACHECO.pdf: 7324036 bytes, checksum: 4b181fd2bf20376ba21540591b5559eb (MD5) / Made available in DSpace on 2017-10-11T11:54:12Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) DISSERTAÇÃO MARCIA PACHECO.pdf: 7324036 bytes, checksum: 4b181fd2bf20376ba21540591b5559eb (MD5) Previous issue date: 2015 / Universidade Federal Fluminense / Analisa-se o processo de implementação da Política de Atenção à Saúde e Segurança no trabalho do Servidor Público Federal (PASS) e do Subsistema Integrado de Atenção à Saúde do Servidor (SIASS) no Estado do Rio de Janeiro através de revisão de literatura, descrição e análise documental de relatórios, de arcabouço legal específico pertinente ao tema e de estudo de caso realizado em duas unidades do SIASS. Estabeleceu-se como hipótese que as concepções e conhecimentos dos agentes implementadores da PASS-SIASS ‒ no caso específico a equipe multiprofissional das unidades ‒ tendem a determinar configurações e práticas que poderão se aproximar ou não do modelo preconizado pela política, impactando sua implementação. Os resultados da investigação demonstraram que os conhecimentos e concepções que orientam as práticas das equipes nas duas unidades ainda mantém-se próximos ao conceito da Saúde Ocupacional. Aponta-se os Foruns do SIASS como espaços potencias para superação desse quadro / In this paper, the implementation of the Healthcare and Work Safety Policy for Federal Civil Servants (PASS) and the Integrated Healthcare Subsystem for Civil Servants (SIASS) in the State of Rio de Janeiro were analysed through a literature review, description and analysis of report documents, of the specific legal structure related to the theme, and a case study carried out at two units of SIASS. It was established as a hypothesis that the concepts and knowledge of PASS and SIASS agents – the multi professional teams, more specifically - tend to determine configurations and practices which may or may not follow the model established by policy, thus affecting its implementation. Results show that the knowledge and concepts that guide the practices of the teams in both units are in relatively close conformity with the concept of Occupational Health. SIASS’s Forums are highlighted as potential elements in overcoming this situation

In dieser Arbeit wird ein Konzept für das betriebliche Gesundheitsmanagement an einem Fachkrankenhaus für Neurologie und Psychiatrie erstellt. Hierbei werden zunächst allgemeine Grundlagen sowie die Entwicklung und Teilbereiche des betrieblichen Gesundheitsmanagements dargestellt. Darauf basierend wird anschließend am praktischen Beispiel eines Fachkrankenhauses für Neurologie und Psychiatrie mit Hilfe einer Mitarbeiterbefragung sowie einer Literaturrecherche ein organisatorisches und inhaltliches Konzept für das betriebliche Gesundheitsmanagement entworfen. Inhaltlich umfasst dieses die alters- und berufsgruppenspezifisch bedarfsorientierte Entwicklung von Maßnahmen und Angeboten an zwei Gesundheitstagen jährlich, sowie die dauerhafte Etablierung verschiedener Angebote zur Förderung der Gesundheit und Prävention von Erkrankungen der Mitarbeiter. Weiterhin werden die notwendigen organisatorischen Determinanten erarbeitet, die zur Einführung, Weiterentwicklung und Überprüfung der Wirksamkeit des BGM erforderlich sind. Im abschließenden Fazit erfolgen eine aktuelle Bewertung der Konzeption und ein Ausblick in die Zukunft.

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Hierdie navorsing het die bevordering van die regering se gesondheidsbevorderingsdoelwitte soos vervat in die Witskrif vir die Transformasie van die Gesondheidstelsel in Suid-Afrika, Kennisgewing 667 van 1997 (White Paper for the Transformation of the Health System in South Africa Notice 667 of 1997) ten doel. 'n Verdere doel was om die behoefte na beroepsgesondheidsbevorderende programme in geselekteerde beroepsituasies vanuit 'n verpleegkundige perspektief vas te stel. Die resultate van hierdie navorsing het aangedui dat daar wel 'n behoefte bestaan aan beroepsgesondheidsbevorderende programme in geselekteerde beroepsituasies. Hierdie behoefte is vasgestel deur middel van die literatuurstudie en deur die versameling van inligting deur middel van 'n opname. 'n Holistiese en bemagtigingsbenadering tot beroepsgesondheidsbevorderende, asook 'n gesondheidsbevorderende verplegingsbenaderingsraamwerk word voorgestel. Addisioneel word riglyne vir die ontwikkeling en implementering van beroepsgesondheidsbevorderingsprogramme asook 'n gesondheidsbevorderende verpleegopleidingsprogram voorgestel. Daar word aanbeveel dat gesondheidsbevorderende verpleegkunde ingesluit word in alle verpleegkunde praktyke en verpleegkunde kurrikula. Aanbevelings ten opsigte van toekomstige navorsing sentreer rondom 'n ondersoek na die huidige status van beroepsgesondheidsbevordering, navorsing met betrekking tot die gesondheidsbevorderende werkplek en kampus - wat alle belanghebbendes insluit - die status van gesondheidsbevorderende opleiding; en navorsing gelyksoortig aan hierdie een in ander streke van Suid-Afrika. Die skeiding tussen beroeps- en primere gesondheidsorg in werkplekke behoort ook ondersoek te word. / This research is aimed at furthering the health promotion and occupational health objectives of the government as is set out in the "The White Paper for the Transformation of the Health System in South Africa Notice 667 of 1997". The aim of this research was to determine the need for occupational health promotion programmes in selected occupational settings from a nursing perspective. The overall outcome of this research demonstrated that a need exists for occupational health promotion programmes in selected occupational settings. This was illustrated by the literature study and by the information collected through a survey. Three frameworks are proposed, namely a holistic approach to an occupational health promotion programme, an empowerment occupational health promotion approach, and a health promoting nursing framework. In addition, guidelines for the development and implementation of an occupational health promotion programme and a health promotion and health promoting nursing training programme are recommended. It is also recommended that health promoting nursing be included in all nursing practice and nursing training curricula. Recommendations for future research centred on the investigation of the present status of occupational health promotion, research regarding the health promoting workplace and campus that involves all stakeholders, the status of health promotion training, and research similar to this one in other regions of South Africa. The division of occupational health and primary health care in occupational health settings needs to be investigated as well. / Health Studies / M.A. (Advanced Nursing Sciences)

The purpose of this study was to understand employees’ perceptions of the benefits of and the challenges in utilising VCT services at the workplace. With Mittal Steel in Vanderbijlpark as a case study, the researcher investigated the types of VCT services offered, the reasons why employees used these services, the perceived benefits and challenges related to these services, and made suggestions for service improvements. Using a qualitative approach, the main data-collection strategies were non-participant observation and in-depth interviews with five purposefully recruited research participants. The study showed that knowledge of HIV and AIDS among employees was adequate but that this could not be attributed to company efforts only. The study also revealed that employees utilised VCT for personal reasons rather than based on company incentives. Stigmatisation and discrimination appeared to be on the decline. It is recommended that the company could do more to market and promote HIV and AIDS awareness at the workplace. / Sociology / M.A (Sociology - Social Behavioural Studies in HIV/AIDS)

Bakgrund: Med en fördubbling av antalet anställda, de höga sjukskrivningsdagar samt att arbetet inom restaurang ses som påfrestande är det viktigt och intressant att undersöka den psykosociala arbetsmiljön bland restauranganställda. Syfte: Undersöka restauranganställdas upplevelser av den psykosociala arbetsmiljön i relation till hälsa, välbefinnande och trivsel. Metod: Kvalitativ metod av induktiv karaktär med empiri insamling genom semistrukturerade intervjuer och analys genom kvalitativ innehållsanalys. Resultat/konklusion: Den upplevda psykosociala arbetsmiljön inom restaurang i relation till hälsa, välbefinnande och trivsel påverkas av tre betydelsefulla kategorier: Den betydelsefulla gästen, att känna gemenskap och kärlek till yrket samt systematiskt arbete och kontroll. / Background: With the increasing number of employees, the high sickness absence in the profession and to work in the restaurant seen as stressful it is important and interesting to look into the psychosocial work among restaurant employees. Aim: Investigate restaurant employee perceptions of the psychosocial work environment in relation to health, well-being and job satisfaction. Method: Qualitative method of inductive character with empirical data collection through semi-structured interviews and analysed by qualitative content analysis. Results / conclusion: The perceived psychosocial work environment in a restaurant in relation to health, well-being and job satisfaction is influenced by three major categories: The important guest, feel and love for the profession and systematic work and control.

Hensikt: Hensikten med studien var å få en dypere forståelse av hva operasjonssykepleierne opplever som positivt, og dermed helsefremmende, i arbeidsmiljøet i operasjonsavdelingen, og som bidrar til at de fortsetter å utøve sin profesjon. Metode: En modifisert Grounded theory har blitt benyttet som analysemetode av ti åpne intervjuerResultat: I analysen fremkom kjernekategorien: Samarbeider utfyllende og inkluderende med fokus på pasienten,tre vilkårskategorier: Blir sett og hørt som medarbeider, Har kontinuerlig faglig oppdatering,Har forutsigbarhet i arbeidetog tre konsekvenskategorier: Fyller arbeidstiden og rekker det meste, Opplever at arbeidet er meningsfullt og Opplever samhold og fellesskap med kollegene.Kjernekategorien belyser et samarbeid i operasjonsteamet basert på støtte, gjensidig respekt, tillit, klar kommunikasjon og koordinering samt et tydelig pasientfokus. Vilkår for et slikt samarbeid er mulighet for medvirkning, fokus på operasjonssykepleiefaget og forutsigbarhet gjennom god planlegging og koordinering. Konsekvensene av et godt samarbeid er økt jobbtilfredshet med effektivitet i arbeidet, opplevelse av å gjøre noe av betydning for andre og samhørighet med kolleger. Konklusjon: Et positivt interprofesjonelt samarbeid slik operasjonssykepleierne opplever det, kan bidra til et helsefremmende arbeidsmiljø med positiv effekt på jobbtilfredshet ved god kontroll over kravene i arbeidet, noe som gir økt pasientsikkerhet. Vilkårene for et godt samarbeid som har fremkommet i studien, kan iverksettes i praksis umiddelbart. Det er imidlertid behov for mer forskning på området når det gjelder alle profesjonene i det interprofesjonelle teamet. / Purpose: This qualitative study aimed to gain deeper knowledge of what operating room nurses consider positive in their work environment, thereby promoting employee health and making them stay working in the operating theatre. Method: A modified grounded theory was used to analyze ten open interviews. Result: Analysisof the interviews yielded a core category: inter-professional teamwork that focuses on patient safety. It also identified three subcategories that generate positive teamwork (employee validation, increased opportunities for continuing education, work predictability) and three subcategories that show the consequences of positive teamwork (effective work patterns, experiencing work as meaningful and positive relationships with colleagues). The core category illustrates teamwork that is based on support, mutual respect, trust, clear communication, and coordination. Such teamwork demands the possibility of participating in the decision-making process, focusing on professional work, and making work highly predictable. The consequences of such teamwork include increased jobsatisfaction, an effective and meaningful work experience, and supportive relationships with colleges. Conclusion: From the perspective of operating room nurses interviewed during this study, positive inter-professional teamwork can create a work environment that promotes health, enhances jobsatisfaction, exerts control over work demands,and increases patient safety. The conditions mentioned in this study can be implemented immediately in the workplace. Future research should focus on the different aspects of the inter-professional team / <p>ISBN 987-91-85721-99-3</p>

Hierdie navorsing het die bevordering van die regering se gesondheidsbevorderingsdoelwitte soos vervat in die Witskrif vir die Transformasie van die Gesondheidstelsel in Suid-Afrika, Kennisgewing 667 van 1997 (White Paper for the Transformation of the Health System in South Africa Notice 667 of 1997) ten doel. 'n Verdere doel was om die behoefte na beroepsgesondheidsbevorderende programme in geselekteerde beroepsituasies vanuit 'n verpleegkundige perspektief vas te stel. Die resultate van hierdie navorsing het aangedui dat daar wel 'n behoefte bestaan aan beroepsgesondheidsbevorderende programme in geselekteerde beroepsituasies. Hierdie behoefte is vasgestel deur middel van die literatuurstudie en deur die versameling van inligting deur middel van 'n opname. 'n Holistiese en bemagtigingsbenadering tot beroepsgesondheidsbevorderende, asook 'n gesondheidsbevorderende verplegingsbenaderingsraamwerk word voorgestel. Addisioneel word riglyne vir die ontwikkeling en implementering van beroepsgesondheidsbevorderingsprogramme asook 'n gesondheidsbevorderende verpleegopleidingsprogram voorgestel. Daar word aanbeveel dat gesondheidsbevorderende verpleegkunde ingesluit word in alle verpleegkunde praktyke en verpleegkunde kurrikula. Aanbevelings ten opsigte van toekomstige navorsing sentreer rondom 'n ondersoek na die huidige status van beroepsgesondheidsbevordering, navorsing met betrekking tot die gesondheidsbevorderende werkplek en kampus - wat alle belanghebbendes insluit - die status van gesondheidsbevorderende opleiding; en navorsing gelyksoortig aan hierdie een in ander streke van Suid-Afrika. Die skeiding tussen beroeps- en primere gesondheidsorg in werkplekke behoort ook ondersoek te word. / This research is aimed at furthering the health promotion and occupational health objectives of the government as is set out in the "The White Paper for the Transformation of the Health System in South Africa Notice 667 of 1997". The aim of this research was to determine the need for occupational health promotion programmes in selected occupational settings from a nursing perspective. The overall outcome of this research demonstrated that a need exists for occupational health promotion programmes in selected occupational settings. This was illustrated by the literature study and by the information collected through a survey. Three frameworks are proposed, namely a holistic approach to an occupational health promotion programme, an empowerment occupational health promotion approach, and a health promoting nursing framework. In addition, guidelines for the development and implementation of an occupational health promotion programme and a health promotion and health promoting nursing training programme are recommended. It is also recommended that health promoting nursing be included in all nursing practice and nursing training curricula. Recommendations for future research centred on the investigation of the present status of occupational health promotion, research regarding the health promoting workplace and campus that involves all stakeholders, the status of health promotion training, and research similar to this one in other regions of South Africa. The division of occupational health and primary health care in occupational health settings needs to be investigated as well. / Health Studies / M.A. (Advanced Nursing Sciences)