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健康生成理论在工作中的应用

The Application of Salutogenesis to Work

作者信息

Jenny Gregor J., Bauer Georg F., Vinje Hege Forbech, Vogt Katharina, Torp Steffen

机构信息

Division of Public and Organizational Health, Epidemiology, Biostatistics and Prevention Institute, University of Zürich, Hirschengraben 84, Zürich, 8001, Switzerland

Department of Health Promotion, University College of Southeast Norway, 235, Kongsberg, 3603, Norway

Abstract

Work is both detrimental and health promoting. Antonovsky accentuated the distinction between eliminating stressors and developing health-enhancing job characteristics. He elaborated on job characteristics that potentially relate to a sense of coherence, offering a dense description of a workplace where individuals experience meaningfulness, manageability, and comprehensibility. This chapter presents models, measures, and intervention approaches that relate to the double nature of work and to both its pathogenic and its salutogenic qualities. Hereby, the view of Antonovsky is enhanced, insofar that health-promoting, salutogenic job characteristics are not solely understood as buffering the pathogenic effects of stressors at work, but have a direct effect on positive health outcomes. Antonovsky’s original model is first specified and simplified for the context of work. Then, Antonovsky’s line of thinking is related to frameworks researching job resources and demands. After a review of the prevalence of salutogenic measures in worksite health promotion, the point of making salutogenesis more visible in work-related research and practice is elaborated upon. This is illustrated with a practical example of a survey-feedback process promoting salutogenic work. Finally, the implications and challenges for practice and future research on salutogenic work are discussed.

摘要

工作既有害又有益健康。安东诺夫斯基强调了消除压力源与培养增进健康的工作特征之间的区别。他详细阐述了可能与连贯感相关的工作特征,对一个让员工体验到意义感、可控性和可理解性的工作场所进行了详尽描述。本章介绍了与工作的双重性质及其致病和 salutogenic 特质相关的模型、测量方法和干预途径。据此,安东诺夫斯基的观点得到了拓展,即增进健康的、具有 salutogenic 特质的工作特征不仅被理解为缓冲工作压力源的致病影响,而且对积极的健康结果有直接影响。首先针对工作背景对安东诺夫斯基的原始模型进行了细化和简化。然后,将安东诺夫斯基的思路与研究工作资源和需求的框架联系起来。在回顾了工作场所健康促进中 salutogenic 措施的流行情况后,阐述了在与工作相关的研究和实践中使 salutogenesis 更显著的要点。这通过一个促进 salutogenic 工作的调查反馈过程的实际例子加以说明。最后,讨论了 salutogenic 工作的实践意义以及对未来研究的挑战。

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