In this Article

• What is job stress?
• What are the causes of job stress?
• Job stress and health
• Job stress, health, and productivity
• What can be done about job stress?
• How to change the organization to prevent job stress
• Preventing job stress: Getting started
• Steps toward prevention
• Health and the Workplace Glossary
• Health and the Workplace Index

Steps toward prevention

Low morale, health and job complaints, and employee turnover often provide the first signs of job stress. But sometimes there are no clues, especially if employees are fearful of losing their jobs. Lack of obvious or widespread signs is not a good reason to dismiss concerns about job stress or minimize the importance of a prevention program.

Step 1 - Identify the Problem. The best method to explore the scope and source of a suspected stress problem in an organization depends partly on the size of the organization and the available resources. Group discussions among managers, labor representatives, and employees can provide rich sources of information. Such discussions may be all that is needed to track down and remedy stress problems in a small company. In a larger organization, such discussions can be used to help design formal surveys for gathering input about stressful job conditions from large numbers of employees.

Regardless of the method used to collect data, information should be obtained about employee perceptions of their job conditions and perceived levels of stress, health, and satisfaction. The list of job conditions that may lead to stress and the warning signs and effects of stress provide good starting points for deciding what information to collect.

Regardless of the method used to collect data, information should be obtained about employee perceptions of their job conditions and perceived levels of stress, health, and satisfaction. The list of job conditions that may lead to stress and the warning signs and effects of stress provide good starting points for deciding what information to collect.

Objective measures such as absenteeism, illness and turnover rates, or performance problems can also be examined to gauge the presence and scope of job stress. However, these measures are only rough indicators of job stress-at best.

Data from discussions, surveys, and other sources should be summarized and analyzed to answer questions about the location of a stress problem and job conditions that may be responsible-for example, are problems present throughout the organization or confined to single departments or specific jobs?

• Hold group discussions with employees.
  
  
• Design an employee survey.
  
  
• Measure employee perceptions of job conditions, stress, health, and satisfaction.
  
  
• Collect objective data.
  
  
• Analyze data to identify problem locations and stressful job conditions.

Survey design, data analysis, and other aspects of a stress prevention program may require the help of experts from a local university or consulting firm. However, overall authority for the prevention program should remain in the organization.

Step 2 - Design and Implement Interventions. Once the sources of stress at work have been identified and the scope of the problem is understood, the stage is set for design and implementation of an intervention strategy.

In small organizations, the informal discussions that helped identify stress problems may also produce fruitful ideas for prevention. In large organizations, a more formal process may be needed. Frequently, a team is asked to develop recommendations based on analysis of data from Step 1 and consultation with outside experts.

Certain problems, such as a hostile work environment, may be pervasive in the organization and require company-wide interventions. Other problems such as excessive workload may exist only in some departments and thus require more narrow solutions such as redesign of the way a job is performed. Still other problems may be specific to certain employees and resistant to any kind of organizational change, calling instead for stress management or employee assistance interventions. Some interventions might be implemented rapidly (e.g., improved communication, stress management training), but others may require additional time to put into place (e.g., redesign of a manufacturing process).

• Target source of stress for change.
  
  
• Propose and prioritize intervention strategies.
  
  
• Communicate planned interventions to employees.
  
  
• Implement Interventions.

Step 3 - Evaluate the Interventions. Evaluation is an essential step in the intervention process. Evaluation is necessary to determine whether the intervention is producing desired effects and whether changes in direction are needed.

Time frames for evaluating interventions should be established. Interventions

involving organizational change should receive both short- and long-term scrutiny. Short-term evaluations might be done quarterly to provide an early indication of program effectiveness or possible need for redirection. Many interventions produce initial effects that do not persist. Long-term evaluations are often conducted annually and are necessary to determine whether interventions produce lasting effects.

Evaluations should focus on the same types of information collected during the problem identification phase of the intervention, including information from employees about working conditions, levels of perceived stress, health problems, and satisfaction. Employee perceptions are usually the most sensitive measure of stressful working conditions and often provide the first indication of intervention effectiveness. Adding objective measures such as absenteeism and health care costs may also be useful. However, the effects of job stress interventions on such measures tend to be less clear-cut and can take a long time to appear.

The job stress prevention process does not end with evaluation. Rather, job stress prevention should be seen as a continuous process that uses evaluation data to refine or redirect the intervention strategy.

• Conduct both short- and long-term evaluations.
  
  
• Measure employee perceptions of job conditions, stress, health, and satisfaction.
  
  
• Measure employee perceptions of job conditions, stress, health, and satisfaction.
  
  
• Include objective measures.
  
  
• Refine the intervention strategy and return to Step 1.

For more information about occupational safety and health problems, call 1-800-35-NIOSH (1-800-356-4674), or visit www.cdc.gov/niosh (http://www.cdc.gov/niosh).

Portions of the above information has been provided with the kind permission of the Centers for Disease Control.

Suggested Reading by Our Doctors

• Vaccination Schedule for Adults and Adolescents - Read the vaccination schedule for adults and teens, and learn about recommended immunizations for MMR, HPV, Td/Tdap, varicella, tetanus, shingles, hepatitis and typhoid.
• Headache - Learn about the different types of headaches, migraine, tension, cluster, menstrual, and spinal headaches; and their causes, symptoms, diagnosis and treatment.
• Stress - Read about stress symptoms, signs, causes and treatment. Get information on stress management tips, the effects on the body and stress types (teen, job, PTSD).

Read more Health and the Workplace related articles »

Latest Medical News

• No Health Insurance, Higher Death Risk
• Businesses Need Swine Flu Action Plan: Experts
• Insured Kids With Uninsured Parents Miss Needed Health Care
• Migraines Reduce Workplace Productivity