Handbook of Research on Stress and Well-Being in the Public Sector
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Handbook of Research on Stress and Well-Being in the Public Sector

Edited by Ronald J. Burke and Silvia Pignata

This timely Handbook addresses the concepts of stress and well-being among workers in various public sector roles and occupations across the globe. Emphasizing the importance of well-being and stress prevention initiatives in ever-changing workplace environments, this Handbook highlights successful organizational initiatives and provides insight into best practice for promoting healthy employees and workplaces. Containing contributions from leading international experts in their respective fields, the contributors hope that this multi-disciplinary Handbook will help to enhance the health and well-being of public sector employees.
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Chapter 16: An organizational perspective on well-being in the health sector: a focus on leadership, systems, and culture

Peter Spurgeon


The chapter looks at stress and well-being in the UK public sector and in particular the medical profession. An organizational and systemic approach is taken, focusing particularly on how the working environment contributes to challenges for the individual. In the first section on stress, an account is given of how societal changes have added to the interpersonal demands of the medical practitioner. An organizational perspective on stress is described using the Organizational Stress Measure. Subsequent sections concentrate on how the emerging drive towards greater medical leadership and medical engagement contribute to increased role conflict and role ambiguity.

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