Psychosocial hazard

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A psychosocial hazard or work stressor is any occupational hazard related to the way work is designed, organized and managed, as well as the economic and social contexts of work. Unlike the other three categories of occupational hazard (chemical, biological, and physical), they do not arise from a physical substance, object, or hazardous energy. [1]

Contents

Psychosocial hazards affect the psychological and physical well-being of workers, including their ability to participate in a work environment among other people. They cause not only psychiatric and psychological outcomes such as occupational burnout, anxiety disorders, and depression, but they can also cause physical injury or illness such as cardiovascular disease or musculoskeletal injury. Psychosocial risks are linked to the organization of work as well as workplace violence and are recognized internationally as major challenges to occupational safety and health as well as productivity. [1]

Types of hazard

In general, workplace stress can be defined as an imbalance between the demands of a job, and the physical and mental resources available to cope with them. [2] Several models of workplace stress have been proposed, including imbalances between work demands and employee control, between effort and reward, and general focuses on wellness. [3]

Psychosocial hazards may be divided into those that arise from the content or the context of work. Work content includes the amount and pace of work, including both too much and too little to do; the extent, flexibility, and predictability of work hours; and the extent of employee control and participation in decision-making. Work context includes impacts on career development and wages, organizational culture, interpersonal relationships, and work–life balance. [3]

According to a survey by the European Agency for Safety and Health at Work, the most important psychosocial hazards—work stressors—are: [1]

Other psychosocial hazards are:

In addition, levels of noise or air quality that are considered acceptable from a physical or chemical hazard standpoint may still provide psychosocial hazards from being annoying, irritating, or causing fear of other health impacts from the environment. [3]

Assessment

Psychosocial hazards are usually identified or assessed through inspecting how workers carry out work and interact with each other, having conversations with workers individually or in focus groups, using surveys, and reviewing records such as incident reports, workers' compensation claims, and worker absenteeism and turnover data. A more formal occupational risk assessment may be warranted if there is uncertainty about the hazards' potential severity, interactions, or the effectiveness of controls. [4]

There are several risk assessment survey tools for psychosocial hazards. [4] These include the NIOSH Worker Well-Being Questionnaire (WellBQ) from the U.S. National Institute for Occupational Safety and Health's Total Worker Health program, [5] the People at Work survey from Queensland Workplace Health and Safety, [6] the Copenhagen Psychosocial Questionnaire from the Danish National Research Centre for the Working Environment  [ da ], [7] and the Management Standards Indicator Tool from the UK Health and Safety Executive. [8]

Control

According to the hierarchy of hazard controls, the most effective controls are eliminating hazards, or if that is impractical, minimizing them, through good work design practices. These include measures to reduce overwork; providing workers with support, personal control, and clearly defined roles; and providing effective change management. [4]

In the context of psychosocial hazards, engineering controls are physical changes to the workplace that mitigate hazards or isolate workers from them. Engineering controls for psychosocial hazards include workplace design to affect the amount, type, and level of personal control of work, as well as access controls and alarms. The risk of workplace violence can be reduced through physical design of the workplace or by cameras. [3] Proper manual handling equipment, measures to reduce noise exposure, and appropriate lighting levels have a positive effect on psychosocial hazards, in addition to their effects to control physical hazard. [4]

Administrative controls include job rotation to reduce exposure time, clear policies on workplace bullying and sexual harassment, and proper consultation and training of employees. Personal protective equipment includes personal distress alarms, as well as equipment typically used for other types of hazards such as eye and face protection and hearing protection. Health promotion activities can improve workers' general and mental health, but should not be used as an alternative or substitute for directly managing risk from psychosocial hazards. [4]

International Standards to manage psychosocial risk at work

ISO 45003:2021 is an international standard developed by the International Organization for Standardization (ISO) allowing organizations to manage psychosocial risk at work, in particular, to be considered within occupational health and safety (OH&S) management systems based on ISO 45001 on Occupational Health and Safety Management System Standards. [9]

Impact

Exposure to psychosocial hazards in the workplace not only has the potential to produce psychological and physiological harm to individual employees, but can also produce further repercussions within society—reducing productivity in local/state economies, corroding familial/interpersonal relationships, and producing negative behavioral outcomes. [10] [11] Occupational burnout is a consequence of psychosocial hazards.

Psychological and behavioral

Occupational stress, anxiety, and depression can be directly correlated to psychosocial hazards in the workplace. [12]

Exposure to workplace psychosocial hazards has been strongly correlated with a wide spectrum of unhealthy behaviors such as physical inactivity, excessive alcohol and drug consumption, nutritional imbalance and sleep disturbances. [13] In 2003, a cross-sectional survey of 12,110 employees from 26 different workplace environments was established to examine the relationship between subjective workplace stress and healthy activity. The survey quantified the measurement of stress mainly through evaluation of an individual's perceived locus of control in the workplace (although other variables were also examined). The results concluded that self-reported high levels of stress were associated with, across both sexes: diets with a higher concentration of fat, less exercise, cigarette smoking (and increasing use), and less self-efficacy to control smoking habits. [14]

Physiological

Supported by strong evidence from a plethora of meticulous cross-sectional and longitudinal studies, a link has been indicated between the psychosocial work environment and consequences on employees' physical health. Increasing evidence indicates that four main physiological systems are effected: hypertension and heart disease, wound-healing, musculoskeletal disorders, gastro-intestinal disorders, and impaired immuno-competence. [15] Additional disorders generally recognized as stress-induced include: bronchitis, coronary heart disease, mental illness, thyroid disorders, skin diseases, certain types of rheumatoid arthritis, obesity, tuberculosis, headaches and migraine, peptic ulcers and ulcerative colitis, and diabetes. [16]

Economic

Across the European Union, work-related stress alone affects over 40 million individuals, costing an estimated €20 billion a year in lost productivity. [17]

See also

Related Research Articles

Ergophobia, is an abnormal and persistent fear of work or fear of finding or losing employment. It may be considered a form of social phobia or performance anxiety. The condition is recognised as a derivative of Occupational burnout, derived from a persisting sense of pressure or excessive expectations in a workplace.

Occupational hygiene Management of workplace health hazards

Occupational hygiene is the anticipation, recognition, evaluation, control, and confirmation of protection from hazards at work that may result in injury, illness, or affect the well being of workers. These hazards or stressors are typically divided into the categories biological, chemical, physical, ergonomic and psychosocial. The risk of a health effect from a given stressor is a function of the hazard multiplied by the exposure to the individual or group. For chemicals, the hazard can be understood by the dose response profile most often based on toxicological studies or models. Occupational hygienists work closely with toxicologists for understanding chemical hazards, physicists for physical hazards, and physicians and microbiologists for biological hazards Environmental and occupational hygienists are considered experts in exposure science and exposure risk management. Depending on an individual's type of job, a hygienist will apply their exposure science expertise for the protection of workers, consumers and/or communities.

Chemical hazard Non-biological substance that has the potential to cause harm to life or health

A chemical hazard is a (non-biological) substance that has the potential to cause harm to life or health. Chemicals are widely used in the home and in many other places. Exposure to chemicals can cause acute or long-term detrimental health effects. There are many types of hazardous chemicals, including neurotoxins, immune agents, dermatologic agents, carcinogens, reproductive toxins, systemic toxins, asthmagens, pneumoconiotic agents, and sensitizers. In the workplace, exposure to chemical hazards is a type of occupational hazard. The use of protective personal equipment (PPE) may substantially reduce the risk of damage from contact with hazardous materials.

Occupational hazard Hazard experienced in the workplace

An occupational hazard is a hazard experienced in the workplace. Occupational hazards can encompass many types of hazards, including chemical hazards, biological hazards (biohazards), psychosocial hazards, and physical hazards. In the United States, the National Institute for Occupational Safety and Health (NIOSH) conduct workplace investigations and research addressing workplace health and safety hazards resulting in guidelines. The Occupational Safety and Health Administration (OSHA) establishes enforceable standards to prevent workplace injuries and illnesses. In the EU a similar role is taken by EU-OSHA.

Musculoskeletal disorder Medical condition

Musculoskeletal disorders (MSDs) are injuries or pain in the human musculoskeletal system, including the joints, ligaments, muscles, nerves, tendons, and structures that support limbs, neck and back. MSDs can arise from a sudden exertion, or they can arise from making the same motions repeatedly repetitive strain, or from repeated exposure to force, vibration, or awkward posture. Injuries and pain in the musculoskeletal system caused by acute traumatic events like a car accident or fall are not considered musculoskeletal disorders. MSDs can affect many different parts of the body including upper and lower back, neck, shoulders and extremities. Examples of MSDs include carpal tunnel syndrome, epicondylitis, tendinitis, back pain, tension neck syndrome, and hand-arm vibration syndrome.

Occupational medicine, until 1960 called industrial medicine, is the branch of medicine which is concerned with the maintenance of health in the workplace, including prevention and treatment of diseases and injuries, with secondary objectives of maintaining and increasing productivity and social adjustment in the workplace.

A job safety analysis (JSA) is a procedure which helps integrate accepted safety and health principles and practices into a particular task or job operation. In a JSA, each basic step of the job is to identify potential hazards and to recommend the safest way to do the job. Other terms used to describe this procedure are job hazard analysis (JHA) and job hazard breakdown.

Occupational rehabilitation is the science and practices of returning injured workers to a level of daily work activities that is appropriate to their functional and cognitive capacity related to their position of which may be influenced by the severity of a worker's injuries.

Workplace health surveillance or occupational health surveillance (U.S.) is the ongoing systematic collection, analysis, and dissemination of exposure and health data on groups of workers. The Joint ILO/WHO Committee on Occupational Health at its 12th Session in 1995 defined an occupational health surveillance system as “a system which includes a functional capacity for data collection, analysis and dissemination linked to occupational health programmes”.

Occupational health psychology Health and Safety psychology

Occupational health psychology (OHP) is an interdisciplinary area of psychology that is concerned with the health and safety of workers. OHP addresses a number of major topic areas including the impact of occupational stressors on physical and mental health, the impact of involuntary unemployment on physical and mental health, work-family balance, workplace violence and other forms of mistreatment, psychosocial workplace factors that affect accident risk and safety, and interventions designed to improve and/or protect worker health. Although OHP emerged from two distinct disciplines within applied psychology, namely, health psychology and industrial and organizational psychology, for a long time the psychology establishment, including leaders of industrial/organizational psychology, rarely dealt with occupational stress and employee health, creating a need for the emergence of OHP. OHP has also been informed by other disciplines, including occupational medicine, sociology, industrial engineering, and economics, as well as preventive medicine and public health. OHP is thus concerned with the relationship of psychosocial workplace factors to the development, maintenance, and promotion of workers' health and that of their families. The World Health Organization and the International Labour Organization estimate that exposure to long working hours causes an estimated 745,000 workers to die from ischemic heart disease and stroke in 2016, mediated by occupational stress.

Occupational burnout Type of occupational stress

According to the World Health Organization (WHO), occupational burnout is a syndrome resulting from chronic work-related stress, with symptoms characterized by "feelings of energy depletion or exhaustion; increased mental distance from one’s job, or feelings of negativism or cynicism related to one's job; and reduced professional efficacy". While burnout may influence health and can be a reason for people contacting health services, it is not itself classified by the WHO as a medical condition or mental disorder. The World Health Organization states that "Burn-out refers specifically to phenomena in the occupational context and should not be applied to describe experiences in other areas of life."

Occupational stress Tensions related to work

Occupational stress is psychological stress related to one's job. Occupational stress refers to a chronic condition. Occupational stress can be managed by understanding what the stressful conditions at work are and taking steps to remediate those conditions. Occupational stress can occur when workers do not feel supported by supervisors or coworkers, feel as if they have little control over the work they perform, or find that their efforts on the job are incommensurate with the job's rewards. Occupational stress is a concern for both employees and employers because stressful job conditions are related to employees' emotional well-being, physical health, and job performance. A landmark study conducted by the World Health Organization and the International Labour Organization found that exposure to long working hours, which are theorized to operate through increased psycho-social occupational stress, is the occupational risk factor with the largest attributable burden of disease, according to these official estimates causing an estimated 745,000 workers to die from ischemic heart disease and stroke events in 2016.

Physical hazard Hazard due to a physical agent

A physical hazard is an agent, factor or circumstance that can cause harm with contact. They can be classified as type of occupational hazard or environmental hazard. Physical hazards include ergonomic hazards, radiation, heat and cold stress, vibration hazards, and noise hazards. Engineering controls are often used to mitigate physical hazards.

Positive psychology is defined as a method of building on what is good and what is already working instead of attempting to stimulate improvement by focusing on the weak links in an individual, a group, or in this case, a company. Implementing positive psychology in the workplace means creating an environment that is more enjoyable, productive, and values individual employees. This also means creating a work schedule that does not lead to emotional and physical distress.

Occupational health nursing is a specialty nursing practice that provides for and delivers health and safety programs and services to workers, worker populations, and community groups. The practice focuses on promotion, maintenance and restoration of health, prevention of illness and injury, and protection from work‐related and environmental hazards. Occupational health nurses (OHNs) aim to combine knowledge of health and business to balance safe and healthful work environments and a "healthy" bottom line.

Occupational safety and health Field concerned with the safety, health and welfare of people at work

Occupational safety and health (OSH), also commonly referred to as occupational health and safety (OHS), occupational health, or occupational safety, is a multidisciplinary field concerned with the safety, health, and welfare of people at occupation. These terms also refer to the goals of this field, so their use in the sense of this article was originally an abbreviation of occupational safety and health program/department etc.

Occupational heat stress is the net load to which a worker is exposed from the combined contributions of metabolic heat, environmental factors, and clothing worn which results in an increase in heat storage in the body. Heat stress can result in heat-related illnesses, such as heat stroke, hyperthermia, heat exhaustion, heat cramps, heat rashes and chronic kidney disease. Although heat exhaustion is less severe, hyperthermia is a medical emergency and requires emergency treatment, which if not provided can even lead to death.

Occupational cardiovascular disease is disease of the heart or blood vessels that are caused by working conditions, making them a form of occupational illness. Cardiovascular disease is the leading cause of death in the US. Little is known about occupational risks for heart disease, but links have been established between cardiovascular disease and certain toxins, extreme heat and cold, exposure to tobacco smoke, ultrafine particles, depression, and occupational stress. Other occupational hazards potentially related to cardiovascular disease include noise exposure at work, shift work, and physical activity at work.

Engineering controls are strategies designed to protect workers from hazardous conditions by placing a barrier between the worker and the hazard or by removing a hazardous substance through air ventilation. Engineering controls involve a physical change to the workplace itself, rather than relying on workers' behavior or requiring workers to wear protective clothing.

Workplace impact of artificial intelligence

The impact of artificial intelligence on workers includes both applications to improve worker safety and health, and potential hazards that must be controlled.

References

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