stress management interventions in the workplace, dr anju kuruvilla
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STRESS MANAGEMENT IN THE WORK PLACE
Anju Kuruvilla
Department of Psychiatry
Christian Medical College, Vellore
Occup stress Oct 25
Occupational Stress
• Definition:Ill-health , adverse work performance resulting from negative reactions to factors within the workplace.
• Significant relationship with
-ill health:physical and mental
-other consequences:job dissatisfaction, burnout, absenteeism, labour turnover, loss of productivity ,reduced patient satisfaction, diagnosis and treatment errors
What is a healthy job? • One where the pressures on employees are
appropriate in relation to
- their abilities and resources
- the amount of control they have over their work
- the support they receive from people who matter to them
PRESSURES
Abilities and Resources
Degree of control
Supports available
What are stress-related hazards at work?
• Job or task demands
(work load, degree of task control, clarity of role )
• Organizational factors
(interpersonal relationships, management practices, communication styles, recognition)
• Environment and physical working conditions
• Training and career development issues
(opportunity for growth , promotion)
• Conflict between work and family roles
Roles Nurses • Work overload
• Understaffing • Time pressure
• Lack of support from supervisors, head nurses, higher management
• Exposure to infectious diseases
• Needle stick injuries • Dealing with difficult, seriously ill,
violent
• Career development issues
Doctors
• Long hours • Sleep deprivation
• Excessive workload
• Dealing with death and dying
• Interpersonal conflicts with other staff
• Patient expectations
• Threat of litigation • Interpersonal conflicts (patients,
colleagues)
• Career development issues
Interventions • Primary prevention
-promote well-being ,prevent stress
• Secondary / tertiary prevention
-reduce the consequences of the stress
• Organizational changes
-to alter source of problem
• Individual stress management
-to cope with stress
Primary prevention:
Individual level
-Educational :causes ,consequences of OS
:pamphlets, posters , talks
Primary prevention:
Individual level
-Skills training: coping skills ,time-management
:colleagues , counselors , manuals
Primary prevention:
Individual level
-Target physical concomitants of stress
:relaxation, meditation techniques
,yoga, aerobic exercises
Primary prevention : Individual—organizational interface level
-Worker support :share problems, give reassurance and support, share successful coping strategies, to listen empathetically,
-professional support to managers
-Physical and environmental constraints
Primary prevention : Individual—organizational interface level
-Healthy lifestyle promotion
-Staff appraisal/
reward programme
Secondary / tertiary prevention:
• Identify and deal with the source of the problem
• Individual support, guidance and counseling by supervisor, colleague
• Counsellors,professional intervention
• Redressal processes: streamlined,
information provided as flowchart, confidential
Are you feeling BULLIED at your work
place? ULLIED at your work place?
Talk to someone about it.
Approach your supervisor
Then -your Head of Unit/Department
Next -your appointing authority
If you are unhappy with the response from the above
Approach the Grievance cell(phone:…)
Organizational changes:
• Job allocation procedure/job description/roles
• Communication/information processes
• Decision-making , participatory management style
• Training to improve management skills , team building
• Employee assistance programmes
• Work-family conciliation policy
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