Læs præsentationen
Transcription
Læs præsentationen
Working in Europe: earning a living without losing your mind? Consortium for methods to improve the psychosocial environment 10 June 2009 Dr. Eusebio Rial González Head of the European Risk Observatory Overview ¾ The European Agency ¾ Impact of psychosocial risks on health ¾ Future trends: a fragmented future ¾ Going beyond risk assessment ¾ Current major initiatives at EU-OSHA regarding psychosocial risks ¾ Conclusions & questions How can we foster effective interventions? What are the success factors? Overview ¾ The European Agency ¾ Impact of psychosocial risks on health ¾ Future trends: a fragmented future ¾ Going beyond risk assessment ¾ Current major initiatives at EU-OSHA regarding psychosocial risks ¾ Conclusions & questions How can we foster effective interventions? What are the success factors? Aim of the Agency ¾ “In order to improve the working environment, (…) the aim of the Agency shall be to provide (…) technical, scientific and economic information of use in the field of safety and health at work.” ¾ Tripartite Governing Board, with all 27 Member States represented + EC European Agency for Safety and Health at Work A network agency: Focal Points Eurofound Eurostat Arbejdstilsynet EU Focal Points Candidate & Potential Candidate Countries EEA/EFTA Focal Points Global network of the Agency IOSH IOSH RUSSIA IOHA UEMS ILO AGENCY CANADA ICOH KOREA ISSA USA PAHO JAPAN BRAZIL AUSTRALIA European Agency Partner International Organisations Partner countries Under discussion Stress: a top OSH priority ¾ Consistently identified as one of the 2-3 top priorities by all MS ¾ Agreement that it is necessary to develop effective preventive interventions ¾ The ‘changing world of work’ is likely to lead to increased exposure to psychosocial hazards, and therefore to increasing occupational and work-related diseases Overview ¾ The European Agency ¾ Impact of psychosocial risks on health ¾ Future trends: a fragmented future ¾ Going beyond risk assessment ¾ Current major initiatives at EU-OSHA regarding psychosocial risks ¾ Conclusions & questions How can we foster effective interventions? What are the success factors? Growing importance of psychosocial risks ¾ Community strategy for OSH (2002-2006): “The increase in psycho-social problems and illnesses is posing a new challenge to health and safety at work (…). The various forms of psychological harassment and violence at work likewise pose a special problem nowadays” ¾ Renewed attention in 2007-2012 strategy: “At the present time, problems associated with poor mental health constitute the fourth most frequent cause of incapacity for work. The WHO estimates that depression will be the main cause of incapacity by 2020. The workplace can be an appropriate place in which to prevent psychological problems and promote better mental health.” The impact of work-related diseases *ILO estimates ¾ 205 million employees in EU-27 ¾ 225 million economically active ¾ 167,000* fatalities attributed to work-related accidents and diseases, of which: 159,500* fatalities attributed to work-related diseases • ILO: 74,000* fatalities attributed to dangerous substances at work (asbestos included) 7,460* fatalities caused by accidents at work EUROSTAT: 5,720 fatalities caused by accidents at work but covering only 87% of those employed Major causes of death by age group, EU-25, 2003 Preparing for a changing world of work ¾ Changes in society and workplaces that affect occupational safety and health, e.g.: Rapid technological developments Globalisation ¾ But it’s not just the workplace that is changing: Adapting to a changing workforce ¾ Europe’s ageing workforce 30% of the EU27 population to be aged 65 or more in 2060 compared to 17% in 2008 Natural change and net migration plus adjustments in the EU-27 EUROSTAT 2008 Adapting to a changing workforce ¾ Europe’s ageing workforce 30% of the EU27 population to be aged 65 or more in 2060 compared to 17% in 2008 ¾ Women in the workforce Traditionally overlooked and under-researched working population; focus on accidents (vs. diseases) Æ in-built gender bias Population pyramids EU-27 2008 and 2060 (EUROSTAT 2008) Adapting to a changing workforce ¾ Europe’s ageing workforce 30% of the EU27 population to be aged 65 or more in 2060 compared to 17% in 2008 ¾ Women in the workforce Traditionally overlooked and under-researched working population; focus on accidents (vs. diseases) Æ in-built gender bias ¾ Migrant workers Account for nearly 80% of population growth Natural change and net migration, EU-27 2010 - 2060 EUROSTAT 2008 Adapting to a changing workforce ¾ Europe’s ageing workforce 30% of the EU27 population to be aged 65 or more in 2060 compared to 17% in 2008 ¾ Women in the workforce Traditionally overlooked and under-researched working population; focus on accidents (vs. diseases) Æ in-built gender bias ¾ Migrant workers Account for nearly 80% of population growth Concentrated in high-risk sectors Over-represented in hazardous jobs Changes in the economic & employment structure ¾ More, smaller employers Micro enterprises (1-9 employees) account for 30% of those employed (mainly retail, HORECA and motor trade)* 99.8% of Europe’s 20 million enterprises are either micro or SME (up to 249 employees)* ¾ Increasing service sector Employment up 12 % from 2000 to 2004 compared to 6 % in economy as a whole and down 5 % in Industry* Employing 76 million (60% of total) in 2005* *Non-financial business economy, excluding agriculture, public administration, other non-market services and financial services sector. Employment trends in the main subsections of EU-27 Services and Industry, 1998 to 2007 EUROSTAT, STS 2008 Trends: then and now What does the future hold? Expert forecast on emerging psychosocial risks related to OSH Emerging psychosocial risks related to OSH: expert forecast ¾ The main emerging psychosocial risks identified were related to five areas: 1. New forms of employment contracts and job insecurity 2. The OSH risks for the ageing workforce 3. Work intensification - high workload and work pressure 4. High emotional demands at work, violence and bullying 5. Poor work-life balance Workplace and broader issues ¾ Some of the ultimate causes of (and solutions to) stress at work lie outside the immediate workplace ¾ The interaction of working and private life causes and effects make joined-up policies essential OSH, public health, employment, equal opportunities, research… Overview ¾ The European Agency ¾ Impact of psychosocial risks on health ¾ Future trends: a fragmented future ¾ Going beyond risk assessment ¾ Current major initiatives at EU-OSHA regarding psychosocial risks ¾ Conclusions & questions How can we foster effective interventions? What are the success factors? Overall trend: a fragmented future Fragmented working lives, workplaces and workforces Overall trend: a fragmented future Fragmented working lives, workplaces and workforces ¾ We’ll have a longer working life, but no longer “a job for life” A challenge for effective health surveillance Æ risk of weaker evidence base of harm to worker health Working beyond 65 Æ effects of work-related diseases become more apparent Overall trend: a fragmented future Fragmented working lives, workplaces and workforces ¾ ¾ ¾ ¾ ¾ ¾ Atomised enterprise structure: micro & SME Multiple worksites Teleworking “Mobile workers” and road warriors Global workplace ICT: 24/7 availability, workÆhome spillover How do we maintain effective prevention? Overall trend: a fragmented future Fragmented working lives, workplaces and workforces ¾ Diversity: more women, migrants, older workers, workers with disabilities, workers with chronic illnesses… New risks, and old risks in new guises How do we help enterprises to manage this increased complexity to ensure a healthy workplace for all? The challenge for OSH & psychosocial issues ¾ Fragmented future that needs concerted action from the OSH community (& beyond) researchers, practitioners, policy-makers… ¾ Economic crisis: the temptation of short-term savings that cause long-term costs prevention (especially psychosocial) often has immediate & visible costs, and only long-term & less tangible (or unmeasured) benefits we need new metrics of OSH success ¾ Demonstrate that a good psychosocial work environment is a decisive factor for quality, creativity, innovation, competitiveness… Overview ¾ The European Agency ¾ Impact of psychosocial risks on health ¾ Future trends: a fragmented future ¾ Going beyond risk assessment ¾ Current major initiatives at EU-OSHA regarding psychosocial risks ¾ Conclusions & questions How can we foster effective interventions? What are the success factors? Beyond risk assessment (Æ risk management/reduction) Going beyond risk assessment: although it is not easy ¾ Psychosocial risks are less tangible ¾ They are context-dependent: we don’t have a recipe book, or a symptomsÆtreatment matrix But: ¾ The acceptance of psychosocial risks as a health & safety issue is now (mostly) settled: They are, genuinely, a hazard to health, They can be managed within the same framework (mutatis mutandis) as other hazards (Framework Directive 1989; cf. c.1993) ¾ We have to go further: taking preventive action It can also help us establish cause-effect relationships Risk management: assessment + reduction ¾ The “mortal sin” in prevention: to diagnose and not to treat ¾ Few interventions, but we’re running out of excuses: ¾ Causes and consequences are well known Cox et al., 2002; Levi, 2002 (EC’s Vejledning vedrørende arbejdsbetinget stress: “Appetit på livet — eller forsmag på døden?”) ¾ We have validated assessment/measurement tools and intervention protocols/models ¾ Examples and case studies Ideas about what to do, and how, They’re also examples of what is possible ¾ Success factors and examples of “miniinterventions” EU-OSHA: Good Practice Awards 2002 EU-OSHA: Good Practice Awards 2002 EU-OSHA: Good Practice Awards 2002 EU-OSHA: Good Practice Awards 2002 Success factors: 2002 (& today?) 1. Passende risikoanalyse 2. Grundig planlægning og en trinvis fremgangsmåde 3. Kombinationer af foranstaltninger rettet mod arbejdets tilrettelæggelse 4. Kontekstspecifikke løsninger 5. Erfarne fagfolk og dokumenterede indgreb 6. Social dialog, partnerskab og medarbejderinvolvering 7. Fortsat forebyggelse og støtte fra den øverste ledelse 2002: “support from top management” ¾ Management “support” is not enough. ¾ We need active commitment, and leadership Trying to ‘fake it’ is pointless: you’re quickly found out, and it has a counterproductive effect Overview ¾ The European Agency ¾ Impact of psychosocial risks on health ¾ Future trends: a fragmented future ¾ Going beyond risk assessment ¾ Current major initiatives at EU-OSHA regarding psychosocial risks ¾ Conclusions & questions How can we foster effective interventions? What are the success factors? What are we doing? ¾ European Campaign on Risk Assessment: 2008-09 Awareness raising Practical tools & information ¾ European Survey of Enterprises on New and Emerging Risks (ESENER) Data collection Input into policy-making Stimulating debate & awareness raising Healthy Workplaces Good for you. Good for business. A European campaign on Risk Assessment Campaign builds on … • 2000: Turn your Back on MSDs • 2001: Success is no Accident • 2002: Working on Stress • 2003: Dangerous Substances • 2004: Building in Safety • 2005: Stop that Noise! • 2006: Safe Start • 2007: Lighten the Load Network-based campaigning • 25 million SMEs – 205 million workers ► Beyond Agency capabilities to reach them all • Agency’s Focal Points ► One in each EU Member State (27) + beyond • Tripartite network ► Employers, workers, governments ► On EU and national level • Stakeholders and other partnerships ► European Commission; other EU Agencies; NGOs; sectoral federations and networks; EEN (Enterprise Europe Network) ► Large enterprises and their supply chain (SMEs) ► Strengthen partnership with EU Presidencies Campaign objectives • Raise awareness and encourage to do a risk assessment • Demystify the process ►Not necessarily complicated or bureaucratic ►Not only for specialists • Underline that quality counts ►Involvement of everyone in the workplace ►On-going process (not a one-off) • Identify and promote good practices Work-related stress and Risk Assessment A European campaign on Risk Assessment Arbejdsbetinget stress og arbejdspladsvurdering En europæisk kampagne om arbejdspladsvurdering Arbejdsbetinget stress – et udbredt problem • Stress er det næsthyppigste arbejdsbetingede helbredsproblem • Næsten hver fjerde arbejdstager i EU rammes af stress • Ifølge undersøgelser er mellem 50% og 60% af alle tabte arbejdsdage forbundet med arbejdsbetinget stress • De økonomiske omkostninger ved arbejdsbetinget stress i EU-15 beløb sig til ca. 20.000 mio. EUR i 2002 • Antallet af personer med arbejdsbetinget stress forventes at stige. Flere oplysninger findes på: http://osha.europa.eu/topics/stress Hvorfor er problemet så stort? Flere og flere mennesker rammes af arbejdsbetinget stress på grund af: • ændringer i arbejdets art, tilrettelæggelse og ledelse • usikre ansættelseskontrakter • manglende sikkerhed i ansættelsen • øget arbejdsbyrde og -tempo • høje følelsesmæssige krav til arbejdstagere • vold og chikane • ubalance mellem arbejdsliv og privatliv. Hvad er arbejdsbetinget stress? • Folk føler stress, når de oplever en ubalance mellem: ► de krav, der stilles til dem, og ► deres personlige ressourcer til at opfylde kravene • Stress udgør en sundheds- og sikkerhedsmæssig risiko, når tilstanden forekommer over en længere periode • Stress kan give psykiske og fysiske helbredsproblemer Hvem rammes af stress? • Stress på arbejdspladsen kan ramme: ► alle personer på alle niveauer ► inden for alle sektorer ► i alle virksomheder uanset størrelse • Stress påvirker: ► enkeltpersoners sundhed og sikkerhed ► virksomhedernes sundhed ► samfundets sundhed • Stress kan udgøre en trussel mod sikkerheden på arbejdspladsen og medvirke til andre arbejdsbetingede helbredsproblemer såsom muskel- og skeletbesvær. • Stress har stor indflydelse på virksomhedens bundlinje Symptomer på arbejdsbetinget stress (1) På virksomhedsplan: • Fravær • Stor udskiftning af medarbejdere • Disciplinære problemer • Fysisk vold og chikane • Nedsat produktivitet • Fejl og ulykker • Øgede erstatnings- eller sundhedsudgifter Symptomer på arbejdsbetinget stress (2) På det personlige plan: • Følelsesmæssige reaktioner (irritabilitet, angst, søvnproblemer, depression, hypokondri, fremmedgjorthed, udbrændthed, familiære problemer) • Kognitive reaktioner (problemer med koncentration, hukommelse, indlæring, beslutningstagning) • Adfærdsmæssige reaktioner (misbrug af narkotika, alkohol og tobak, destruktiv adfærd) • Fysiologiske reaktioner (rygproblemer, svækket immunforsvar, mavesår, hjerteproblemer, forhøjet blodtryk) Lovgivningen – arbejdsgiverens ansvar • Arbejdsgivere er juridisk forpligtede til at håndtere arbejdsbetinget stress på lige fod med alle andre sikkerheds- og sundhedsmæssige risici på arbejdspladsen • Arbejdsbetinget stress kan forebygges med de rette foranstaltninger • Nøglen til dette er den særlige arbejdspladsvurdering (APV) • Arbejdsgivere er juridisk forpligtede til jævnligt at foretage en APV Hvad er en arbejdspladsvurdering? • En arbejdspladsvurdering (APV) indebærer en evaluering af de sundheds- og sikkerhedsmæssige risici ved farer på arbejdspladsen. Det er en systematisk undersøgelse af alle aspekter af arbejdet, som omfatter: ► hvad kan forårsage ulykker eller skader ► kan faren fjernes, og hvis det ikke er tilfældet, ► hvilke forebyggende eller beskyttende foranstaltninger bør der træffes for at imødegå risikoen • APV’en udgør grundlaget for en vellykket håndtering af arbejdsbetinget stress Arbejdspladsvurdering af stress (1) • Uanset hvem der foretager arbejdspladsvurderingen (arbejdsgiveren, en udvalgt medarbejder eller en ekstern rådgiver), er det afgørende, at de ansatte spørges til råds og inddrages i processen. De ansatte: ► kender deres arbejdsplads ► skal implementere eventuelle ændringer i arbejdsforhold/rutiner • Det er ikke muligt ud fra den enkeltstående situation at afgøre, hvor meget stress den kan forårsage Arbejdspladsvurdering af stress (2) • • En arbejdspladsvurdering af stress sker på grundlag af de samme grundlæggende principper og processer, som anvendes ved andre risici på arbejdspladsen Der kan anvendes forskellige metoder, men for de fleste virksomheder er det hensigtsmæssigt at benytte en simpel risikovurderingsmodel med fem trin: 1. 2. 3. 4. 5. Identificering af farerne og de udsatte personer Vurdering og prioritering af risici Fastlæggelse af den forebyggende indsats Handling Overvågning og evaluering Trin 1: Identificer farer og udsatte personer (1) Faktorer, som kan give anledning til stress: • Stor arbejdsbyrde eller udsættelse for fysiske farer • Hvor stor indflydelse, de ansatte har på udførelsen af deres arbejde • Hvorvidt de ansatte forstår deres rolle • Arbejdsrelationer, herunder chikane og vold • Graden af kollegial og ledelsesmæssig støtte • Hvilken oplæring, de ansatte har brug for til at udføre deres arbejde. Trin 1: Identificer farer og udsatte personer (2) • Alle er sårbare, afhængigt af det pres man er underlagt på et givet tidspunkt • Følgende faktorer kan bidrage til at udpege de mest udsatte (grupper af) ansatte: ► Fravær, stor udskiftning af medarbejdere, aggressiv kommunikation, ulykker, psykosociale problemer, helbredsproblemer, klager fra de ansatte m.v. • Der skal udvises særlig opmærksomhed over for grupper af ansatte, som kan være udsatte for en forhøjet risiko, f.eks. handikappede medarbejdere, vandrende arbejdstagere, unge og ældre arbejdstagere Trin 2: Vurder og prioriter risici • Vurder de risici, der er forbundet med de identificerede farer, ved at vurdere følgende: ► Sandsynligheden for, at en fare vil føre til skader ► Hvor alvorlig skaden i givet fald forventes at være ► Hvor ofte (og hvor mange) ansatte, der udsættes for risiko • Lav en prioriteret liste over risiciene • Anvend listen til at udarbejde en handlingsplan Trin 3: Fastlæg en forebyggende indsats (1) • Det er bedre at forebygge følgerne af arbejdsbetinget stress end at reagere på dem, når de er opstået • Nøglen til at forebygge arbejdsbetinget stress skal findes i tilrettelæggelsen og ledelsen af arbejdet • Effektive foranstaltninger til at forebygge arbejdsbetinget stress er bl.a.: ► at afsætte nok tid til, at de ansatte kan udføre arbejdet ► at udarbejde klare jobbeskrivelser ► at belønne de ansatte for en god indsats ► at gøre det muligt for de ansatte at klage og få deres klage behandlet ► at give de ansatte indflydelse på deres arbejde Trin 3: Fastlæg en forebyggende indsats (2) Flere effektive foranstaltninger til at forebygge arbejdsbetinget stress: • Minimer de fysiske risici • Giv de ansatte indflydelse på beslutninger, der vedrører dem • Tilpas arbejdsmængden til den enkeltes færdigheder og ressourcer • Gør arbejdsopgaverne interessante • Udarbejd en klar beskrivelse af roller og ansvar • Giv mulighed for socialt samvær • Undgå tvetydighed vedrørende jobsikkerhed og karriereudvikling Trin 4: Handling • Indfør forebyggende og beskyttende foranstaltninger • Effektiv implementering indebærer udarbejdelse af en plan, der fastlægger: ► hvem gør hvad ► hvornår en opgave er færdig ► hvilke midler er anvendt for at implementere foranstaltningen Trin 5: Overvågning og evaluering • Effektiviteten af foranstaltningerne til at forebygge eller nedbringe arbejdsbetinget stress bør overvåges • APV’en skal evalueres: ► ved betydelige ændringer i arbejdets art, tilrettelæggelse og ledelse ► hvis de forebyggende foranstaltninger er utilstrækkelige ► løbende evaluering for at sikre, at APV’ens konklusioner stadig er relevante Dokumentation for APV • APV’en skal være dokumenteret • Dokumentationen kan benyttes til: ► at informere de berørte personer (arbejdstagere, sikkerhedsrepræsentanter, ledere osv.) ► at vurdere, hvorvidt de nødvendige foranstaltninger er iværksat ► at tjene som dokumentation over for tilsynsmyndig-hederne ► at revidere foranstaltningerne, hvis forholdene ændrer sig Yderligere oplysninger • Der er flere oplysninger og vejledninger på Arbejdsmiljø-agenturets websted: ► En side om arbejdsbetinget stress med publikationer og eksempler på god praksis fra forskellige EU-lande: http://osha.europa.eu/topics/stress ► En side om arbejdspladsvurdering med APV-værktøjer og tjeklister: http://osha.europa.eu/topics/riskassessment ► Oplysninger om arbejdsbetinget stress særligt rettet mod små og mellemstore virksomheder: http://sme.osha.europa.eu/products/stress_at_work ► Oplysninger om kampagnen om arbejdspladsvurdering: http://hw.osha.europa.eu http://hw.osha.europa.eu - godt for både dig og din arbejdsplads En europæisk kampagne om arbejdspladsvurdering What are we doing? ¾ European Campaign on Risk Assessment: 2008-09 Awareness raising Practical tools & information ¾ European Survey of Enterprises on New and Emerging Risks (ESENER) Data collection Input into policy-making Stimulating debate & awareness raising What’s going on?: ¾ How do enterprises actually manage OSH and, specifically, psychosocial risks? ¾ How can they be supported to take better preventive action? ¾ European Survey of Enterprises on New and Emerging Risks (ESENER) ¾ Covering all 27 Member States (+) ¾ Interviewing managers and staff representatives Psychosocial issues – management view ¾ How aware are enterprises of the problem? ¾ How do enterprises manage OSH and, specifically, psychosocial risks? ¾ What resources/support do they have? ¾ What resources/information do they need? ¾ Which are the most important drivers? Barriers? ¾ How are the employees involved? ¾ Are external services contracted? Psychosocial issues – employee view ¾ How aware are employees of the problem? ¾ Are they aware of a policy? Has there been a risk assessment? (why not?) What real impact do they have in practice? ¾ How were employee representatives involved? ¾ How easy is it for them to fulfil their duties? ¾ What training do they receive? ¾ What support or information is needed? Technical specifications ¾ Minima of 500, 1000 or 1500 interviews per Member State ¾ All enterprises with >10 employees ¾ All sectors except NACE ‘A’, ‘T’ & ‘U’ ¾ Both public and private sectors ¾ Very close cooperation with Eurofound ¾ Budget for EU27: €2.3 million (~DKK 17.1M) Croatia & Turkey (IPA funds) Switzerland & Norway (own costs) Project outline ¾ Fieldwork about to end ¾ First results: Governing Board (mid-Nov.) ¾ Launch of full results: Spring 2010 ¾ Secondary analyses: data available to researchers Overview ¾ The European Agency ¾ Impact of psychosocial risks on health ¾ Future trends: a fragmented future ¾ Going beyond risk assessment ¾ Current major initiatives at EU-OSHA regarding psychosocial risks ¾ Conclusions & questions How can we foster effective interventions? What are the success factors? Conclusions & questions ¾ How can we foster effective interventions? Applied research & science-based practice ¾ What should be the guiding principles of psychosocial intervention? To “improve the psychosocial environment” ¾ How can we better persuade organisations of the benefits of such improvement? The ‘business case’ ‘Positive psychology’ Conclusions & questions ¾ How can we help organisations to integrate psychosocial risk management into usual risk management? … and into the normal running of the business Tools, methods, guidance Importance of the process ¾ “Give psychology away” (Miller, 1969) Help others do it by themselves: teach them to fish Employee & manager involvement is crucial ¾ What are the success factors we should be promoting in our interventions? Success factors: 2002 (& today?) 1. Adequate risk analysis A baseline should be established through risk assessment. Surveys can be part of this process, but should not be undertaken unless there is a clear intention of taking timely action on the results. 2. Thorough planning and a stepwise approach Clear aims should be set and target groups identified; identify tasks, responsibilities and allocate resources. 3. Combination of work-directed and workerdirected measures Priority must be given to collective and organisational interventions to tackle risks at source. Worker-directed measures can complement other actions. Success factors: 2002 (& today?) 4. Context- specific solutions Employees’ on-the-job experience is a vital resource in identifying problems and solutions. Outside expertise may sometimes be necessary too. 5. Experienced practitioners and evidence-based interventions Only competent outside expertise should be used. 6. Social dialogue, partnership and workers’ involvement Involvement and commitment from employees, middle and senior management is crucial for every stage of an intervention. 7. Sustained prevention and top management support Sustainable improvement is not possible unless management is ready to make changes. Risk management should become a principle of the way business is done. Tak for jeres opmærksomhed Eusebio Rial González [email protected] http://osha.europa.eu