title: [Improvement of hospital working conditions: ORSOSA, from research to preventive actions].
abstract: The health of hospital workers, nurses and nurse-aids constitutes a public health challenge for three reasons: maintenance of personnel at work in a context in which many express their desire to quit their jobs, protection of their health, and maintenance of quality of care. ORSOSA (ORganisation des SOins et SAnté des soignants) is a multidisciplinary interventional population health research programme designed to improve quality of life in the workplace of healthcare workers. This programme is designed to develop a tool to diagnose psychosocial and organisational work factors (POWFs) and mechanical constraints (MC), and then to implement this method in primary prevention interventions. ORSOSA consists of two steps: research (ORSOSA 1) and intervention (ORSOSA 2). In ORSOSA 1, a prospective cohort of healthcare workers was developed to construct and validate the diagnostic tool of work-related constraints at the work unit level. ORSOSA 2 consists of using the tool to implement both a collective and consensual dynamic based on collective restitution of the strengths and weaknesses of the work unit in order to propose recommendations for better quality of life at work. ORSOSA is now deployed in 4 teaching hospitals (Lille, Bordeaux, Grenoble and Strasbourg), each with 5 peripheral hospitals. Evaluation and follow-up of the programme is ongoing.
authors.affiliation: INSERM, UMR 1027, Toulouse, F-31062, France. lamy_sebastien_emmanuel@hotmail.fr
authors.forename: Sébastien
authors.initials: S
authors.lastname: Lamy
authors.affiliation: CNRS, UMR 5525, Laboratoire TIMC-IMAG, Equipe Environnement et Prediction de la Santé des Populations, F-38706 Grenoble, France.
authors.forename: Régis
authors.initials: R
authors.lastname: De Gaudemaris
authors.affiliation: CHRU Lille, Clinique de Santé Publique, Médecine du Travail et Pathologies Professionnelles, F-59037 Lille, France.
authors.forename: Annie
authors.initials: A
authors.lastname: Sobaszek
authors.affiliation: CNRS, UMR 5194, Laboratoire PACTE (Politiques Publiques, Action Publique, Territoires), F-38040 Grenoble, France.
authors.forename: Sandrine
authors.initials: S
authors.lastname: Caroly
authors.affiliation: INSERM, UMR 1018, F-94807 Villejuif, France.
authors.forename: Alexis
authors.initials: A
authors.lastname: Descatha
authors.affiliation: INSERM, UMR 1027, Toulouse, F-31062, France.
authors.forename: Thierry
authors.initials: T
authors.lastname: Lang
mesh_terms: D002055:Burnout, Professional / Q000517:prevention & control*; D005602:France; D006801:Humans; D016272:Occupational Health; D010564:Personnel, Hospital; D011446:Prospective Studies; D011788:Quality of Life; D012958:Societies, Scientific