Psychosocial risk at a Hospital in Rome: the relationship between Local Culture and satisfaction at San Filippo Neri Hospital Complex Authority.

Abstract

The paper presents the results of an intervention research on psychosocial risk carried out at a hospital in Rome. The study, preceded by an exploratory phase, used a questionnaire ISO (Organizational Development Indicators) developed ad hoc, completed by the entire hospital staff. The questionnaire consists of two parts: the first one detects the staff’s satisfaction – both the overall and 12 specific variables-related one; the second one detects the Local Culture of the hospital, that is the specific collusive dynamics of that context by means of multiple correspondence analysis and cluster analysis. The data obtained allow to relate satisfaction and specific cultural repertoires of the Hospital (components of Local Culture, clusters in statistical terms). The overall satisfaction correlates with psychosocial risk in the sense of a lower satisfaction for the culture at greatest risk, and a higher value for the culture with lower risk. The single elements defining satisfaction behave consistently within different cultures and give no information on the psychosocial risk, differently from some authors’ perspective. The hypothesis is that the low satisfaction, associated with anomic cultures, reveals the most at risk areas of the hospital, on which to intervene.