title: Healthcare Work and Organizational Interventions to Prevent Work-related Stress in Brindisi, Italy.
abstract: BACKGROUND
  Organizational changes that involve healthcare hospital departments and care services of health districts, and ongoing technological innovations and developments in society increasingly expose healthcare workers (HCWs) to work-related stress (WRS). Minimizing occupational exposure to stress requires effective risk stress assessment and management programs.
  
  
  METHODS
  The authors conducted an integrated analysis of stress sentinel indicators, an integrated analysis of objective stress factors of occupational context and content areas, and an integrated analysis between nurses and physicians of hospital departments and care services of health districts in accordance with a multidimensional validated tool developed in Italy by the National Network for the Prevention of Work-Related Psychosocial Disorders. The purpose of this retrospective observational study was to detect and analyze in different work settings the level of WRS resulting from organizational changes implemented by hospital healthcare departments and care services of health districts in a sample of their employees.
  
  
  RESULTS
  The findings of the study showed that hospital HCWs seemed to incur a medium level risk of WRS that was principally the result of work context factors. The implementation of improvement interventions focused on team development, safety training programs, and adopting an ethics code for HCWs, and it effectively and significantly reduced the level of WRS risk in the workplace.
  
  
  CONCLUSIONS
  In this study HCW resulted to be exposed to occupational stress factors susceptible to reduction. Stress management programs aimed to improve work context factors associated with occupational stress are required to minimize the impact of WRS on workers.
authors.affiliation: Local Health Authority, Brindisi, Health Unit of Occupational Prevention and Protection, Brindisi, Italy.
authors.forename: Gabriele
authors.initials: G
authors.lastname: d'Ettorre
authors.affiliation: Local Health Authority, Brindisi, Department of Mental Health, Brindisi, Italy.
authors.forename: Mariarita
authors.initials: M
authors.lastname: Greco
keywords: healthcare worker; stress assessment; work stress
references.citation: Ind Health. 2010;48(3):251-5
references.pmid: 20562499
references.citation: Radiol Med. 2007 Oct;112(7):1069-84
references.pmid: 17952674
references.citation: Am J Ind Med. 1996 Apr;29(4):321-3
references.pmid: 8728132
references.citation: Ind Health. 2010;48(2):185-96
references.pmid: 20424349
references.citation: Saf Health Work. 2013 Jun;4(2):95-9
references.pmid: 23961332
references.citation: Chronobiol Int. 2008 Jul;25(4):625-43
references.pmid: 18622820
references.citation: J Nurs Manag. 2010 Apr;18(3):275-84
references.pmid: 20546467
references.citation: G Ital Med Lav Ergon. 2008 Jul-Sep;30(3):228-35
references.pmid: 19069220
references.citation: Med Pr. 2005;56(5):367-73
references.pmid: 16483007
references.citation: Occup Environ Med. 2006 May;63(5):326-34
references.pmid: 16621853
references.citation: Prim Care. 2000 Dec;27(4):1079-102
references.pmid: 11072300
references.citation: J Epidemiol Community Health. 2006 Jan;60(1):55-61
references.pmid: 16361455
references.citation: Eur J Cardiovasc Prev Rehabil. 2008 Apr;15(2):224-9
references.pmid: 18391652
references.citation: G Ital Med Lav Ergon. 2010 Oct-Dec;32(4 Suppl):134-7
references.pmid: 21438237
references.citation: Am J Ind Med. 2004 Jun;45(6):528-38
references.pmid: 15164397
references.citation: J Natl Cancer Inst. 2001 Oct 17;93(20):1563-8
references.pmid: 11604480
references.citation: BMC Public Health. 2014 Feb 08;14:135
references.pmid: 24507447
references.citation: Ind Health. 2014;52(3):216-24
references.pmid: 24583512
references.citation: Occup Med (Lond). 2003 Mar;53(2):103-8
references.pmid: 12637594
references.citation: G Ital Med Lav Ergon. 2010 Jul-Sep;32(3):326-31
references.pmid: 21061718
references.citation: J Nurs Manag. 2006 May;14(4):318-28
references.pmid: 16629846
references.citation: Iran J Nurs Midwifery Res. 2012 Jul;17(5):352-9
references.pmid: 23853647
references.citation: Work. 2015 ;51(1):135-42
references.pmid: 24594539