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Psychosocial Considerations of the Workplace Working Hours Shiftwork Human Behaviour Biopsychosocial model Mental Distress Occupational ill-health Dr. Craig Jackson Senior Lecturer in Psychology BCU.
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Psychosocial Considerations of the Workplace Working Hours Shiftwork Human Behaviour Biopsychosocial model Mental Distress Occupational ill-health Dr. Craig Jackson Senior Lecturer in PsychologyBCU
“Peoples’ health should be no worse at the end of a working day than it was at the start” M.J. Harrington (1997)
“People who work sitting down get paid more than people who work standing up” Ogden Nash (1902 - 1971)
Core Occupational Diseases (EU) Chemical Chemical Biological Physical Physical Inorganic Organic Dusts Others Cadmium CS5 Zoonoses Asbestos Radiation Chromium Benzene Hepatitis Silica(te) NIHL Mercury Chlorine TB Mesothelioma Cataract Manganese Aromatics Vibration Nickel P.aromatics Dermatitis Lead Isocyanates
21st Century Workplaces • Global companies and operations • Leaner & Meaner managers • Gender issues • Disability issues • Migrant issues • Longer & less fixed working hours • Shorter contracts • Dirty jobs out-sourced
Regulation of working hours • 1800 – 1900 • 12 hour days & 6 day weeks • Thomas Paine 1737 - 1809 • Age of Reason • Rights of Man • Annie Besant 1847 – 1933 • Reformist movement • Fabian Society • Secular Society • “Fruits of philosophy” “The Link” “White slavery in London” • 1889 • Humanitarian concerns influenced change • 48 hour week + regular rest = increased productivity
Regulation of working hours 1900 – 1970 progressive reduction in working hours traditional work patterns 1970 working hours increase shiftwork increases irregular hours increase 24 hour processing technology unpaid extended hours flexible working annualised hours
assumption reality units units time time Regulation of working hours Linear Assumption of workers and productivity
Wembley Stadium • 326.5 Million pounds – Multiplex 2002 • Million pounds • British Library • 32 Million pounds – estimate • 511 Million pounds – 10 yrs late • Scottish Assembly • 37 Million pounds – estimate • 431 Million Pounds – 3 yrs late
Stress @ # Fatigue
Pilot Fatigue “Nodding off” Uncontrolled spontaneous episodes of sleep Can last seconds or minutes Disengages from reality and becomes unresponsive Fail to respond to outside information Aircraft cruising at 450 knots on glide path can travel nearly 730 feet during a one-second lapse. 123 feet
Headlines of 1st Gulf War BABY IS GULF WAR SYNDROME VICTIM JABS LINKED TO GULF WAR SYNDROME MORE THAN 10,000 DEAD FROM GULF WAR SYNDROME! GWS and Yank’s gift of Coca-Cola
Environmental effects upon Performance Disturbed concentration Impaired memory Impaired decision making Mood changes Sleep disturbance Increased risk taking
Emerging issues for Employers . . . 1 + Workability for the UK +Remote & isolated working +Homeworking +Rural OH +Vocal health – “communication age” +Obesity +NSBS + “Workaholism”
Emerging issues for Employers . . . 2 +Drugs and Alcohol +Ageing +New technologies +New industries +Vocational rehabilitation +Genetic screening +Psychosocial surveillance
Difficult to Access Populations • Disenfranchised / Excluded people • Research-Poor occupations • e.g. cleaners, au pairs, farm workers • Disabled workers • Migrant communities • Immigrant workers • Illegal cash workers • Can we now have access please?
Deep Vein Thrombosis • DVT likely to occur at work • Long-term postures at VDUs • Prolonged working periods • Increased risk of obesity • Chairs and workstation • Increased risk from respiratory and urinary infections
Obesity & Odd Body Shapes Different problems but similar anthropometric outcomes Poor-fitting PPE Ergonomic problems Equipment modifications required Exposure abnormalities e.g. welding plume “Ergonomes’ imperative”
Vocal Hygiene Communication age Most jobs have increased vocal use Vocal load “unaware” Equipment modifications required Exacerbated by stress, alcohol, exposure
European directive on working time Organisation of work Min. daily rest period of 11 consecutive hours per 24 hours 1 rest break where working day > 6 hours Min. uninterrupted rest period of 35 hours per 7 day period Max. of 48 work per week Min. 4 weeks paid annual leave
10 20 30 40 50 60 70 80 90 100 % returning to work <1 2 4 6 8 10 12 14 16 18 20 22 24 months not working • Return to Work • Longer off work = Less likely to return to work Waddell, 1994
“The good physician treats the disease, but the great physician treats the person.” William Osler
Regional Picture • Self-reporting? • Who’s best off? • Who’s worse off?
Work Related Ill-Health in the UK 33 Million days lost per year Males lose more working days than females Days lost increase with age Low managerial / professionals had highest rate of absence Most sickly occupations are health & social welfare, construction, teaching, and research
Work Related Ill-Health in the UK Bakers appear highly with occupational asthma Metal workers appear highly with upper limb problems Mesothelioma deaths high in shipbuilders and asbestos workers Stress, depression and anxiety highest in: Public admin. Defence Education Health work Social work
Occupational Health Promotion Pre-employment screening Health Surveillance Health & Wellbeing Promotion
1) Pre-Employment Screening Ensure new employee…. … is fit to work … has no pre-existing health conditions that could pre-dispose him/her… … and increase risk of occupational disease / injury If health problem or pre-disposition is found, work with the employee to still allow them to take the job: 1) Eliminate Risk 2) Reduce Risk 3) Control Risk
2) Health Surveillance Routine medicals / examination of employer and / or Routine collection of data Ensure the current employee…. … is still fit to work … that pre-existing health conditions have not increased risk of occupational disease / injury
3) Health and Wellbeing Promotion Ensuring ways of working are engineered to optimize health 1/3 of lifetime spent working Ideal environment to “educate” the population Stop smoking clinics Healthy eating Diet advice Exercise clubs Gym memberships Ergonomic design and planning
Horizon Scanning….. Country of unpaid overtime Workaholic nation Home Working Isolated Working Hearing difficulties in young workers the ipod syndrome Fatter Workforces Crouch Syndrome Podcasting of materials Workplace suicide Robotic Colleagues Vocal Hygiene