佐藤, 由美

SATO, Yumi

occupational mental health

system development

middle-sized companies

The purpose of this study is to identify characteristics of activities in the process of structuring the mental healthsupport system by occupational health nurses( OHNs) at middle-sized companies where there are no full timeoccupational health physicians employed. Semi-constitutive interview was conducted on 14 OHNs with experience indeveloping the systems and the answers were qualitatively analyzed.The following seven processes were identified:( Process A) Build trusting employee/employer relationshipsthrough daily activities(; Process B) Capture mental health problems in the workplace through daily activities(; ProcessC) Plan to organize the structure of the System;( Process D) Strategize to obtain a consensus from the organization;(Process E) Address tasks that can be done at the OHNs' discretion in structuring the System;( Process F) Worktogether with the concerned parties in structuring the System; and( Process G) Discuss reformations throughoccasional evaluations.The following six items were considered as activity characteristics: 1) Understand organizational characteristicsrelated to personnel and labor management: 2) Develop a means for employees to participate in this structured Systemeasily; 3) Realize the changes in mental health within the entire workplace with actual feelings; 4) Occasionallyevaluate the activities of structuring the System and work on what can be done at the OHNs' discretion; 5) Align theSystem with the labor safety policies of the workplace through the Health and Safety Committee; and 6) Aim to makemental health activities an important task of the organization.