title: Occupational psychosocial health policies in Hong Kong schools: a review and exploration of key stakeholder perceptions.
abstract: OBJECTIVE
  It is widely acknowledged that teachers are suffering from work-related health problems. However, the implementation of relevant occupational safety and health (OSH) policies is complex and under-studied. This study reviews key legislation of relevance to psychosocial health and explores stakeholders' perceptions on their implementation in Hong Kong (HK) schools.
  
  
  METHODS
  The content of OSH legislation applicable to psychosocial health was systematically reviewed by the modified WHO checklist on legislation. Semi-structured interviews were then conducted with 38 key stakeholders. These were transcribed and subjected to Framework Analysis.
  
  
  RESULTS
  The review showed that there were several ambiguities in the legislation and the interviews found that awareness and understanding in relation to OSH issues and policies differed on the basis of the level of implementation bodies. The importance of management, trust, communication and interpersonal relationships was emphasised.
  
  
  CONCLUSIONS
  On the basis of the study it is concluded that implementation of psychosocial health policies in HK schools is poor and there appears to be a gap among stakeholder communication. Also, the content of these policies needs to be clarified so that it can be more conducive to implementation in practice. The improvement of OSH climate and social capital could foster a more effective implementation of OSH policies.
authors.affiliation: Institute of Work, Health and Organisations, University of Nottingham, Jubilee Campus, Wollaton Road, Nottingham NG8 1BB, UK.
authors.forename: Jessica Janice
authors.initials: JJ
authors.lastname: Tang
authors.forename: Stavroula
authors.initials: S
authors.lastname: Leka
authors.forename: Nigel
authors.initials: N
authors.lastname: Hunt
authors.forename: Sara
authors.initials: S
authors.lastname: MacLennan
mesh_terms: D000328:Adult; D001294:Attitude to Health; D005178:Faculty; D006291:Health Policy; D006723:Hong Kong; D006801:Humans; D007398:Interpersonal Relations; D007407:Interviews as Topic; D008875:Middle Aged; D009784:Occupational Diseases / Q000517:prevention & control; D009786:Occupational Health Services / Q000331:legislation & jurisprudence / Q000458:organization & administration; D011050:Policy Making; D011584:Psychology; D012574:Schools / Q000331:legislation & jurisprudence / Q000458:organization & administration*