No abstract

Work-related stress has become one of the major problems in working societies and it increases employees’ risk of disease. Its importance has been emphasized also due to its’ great socio-economic consequences. Different stress management and worksite interventions have been implemented, however, the actual practices in companies have been assessed little. The purpose of this study was to examine how enterprises in Finland manage work-related stress. An assessment of work-related stress methods was conducted in 40 enterprises acting in the metropolitan area of Finland in May 2010 by a questionnaire. The concept of work-related stress was well known by participants. Enterprises rarely had their own work-related stress management protocol even though all of the workplaces had experienced work-related stress at some point. The collaboration between the workplace and occupational health services varied. Companies easily placed the responsibility for work-related stress assessment and handling on occupational health services. Workplaces have to pay more attention to work-related stress and related issues. The easiest way to do this is to collaborate with occupational health services. Protocols for collaboration should be developed jointly using the available models which have been established as cost-effective.

Professional experience and close contact with organisation management favours successful stress management between occupational health and enterprises.

Occupational stress at work has been increasingly recognized as a major risk factor for chronic disease and poor quality of work life among employees. The purpose of this study was to examine how occupational health nurses in Finland manage work-related stress. A descriptive cross-sectional study design was used with a sample of 354 Finnish occupational nurses who responded to the survey. No specific standardized tools to assess or handle work-related stress in occupational health services or their client companies were identified. Open-ended interviews together with burnout questionnaires were the most frequently used methods to assess the stress of employees. Interventions were directed at individual employees. A need for standardized stress assessment instruments and stress management by work organizations was found. Methods to cope with work-related stress should be developed by the occupational health team and companies' health resources departments to ensure the adoption of common protocols.

Work-related stress has a strong influence on the health of workers. Occupational health care has an important role in assessing and managing this stress in collaboration with enterprises. The methods to reduce stress can be directed at the individual and at the organization as a whole. There is little information about stress handling methods in occupational health practices. This study aims to investigate these practices in Finnish occupational health physicians' and nurses' work. The data were generated through semi structured interviews of ten voluntary occupational physicians and eight occupational nurses in the metropolitan area of Finland in June 2009. The work-related stress was experienced as difficult to handle. There was no specific protocol for handling work-related stress in practice. Stress reduction activities were mostly randomly directed at the individual or the organizational level. Activities remained mainly on the individual level and were rarely allocated to the organization. There is a need for structured guidelines on how to manage work-related stress to assure standardized action on both the individual and organizational level. The roles of the physician, nurse and psychologist should be clarified in teamwork. Their collaborative activities should be directed also to the organisational level.