Organização do trabalho e riscos psicossociais: um estudo diagnóstico em uma instituição pública de saúde no estado do Amazonas

Abstract

Organization of Work is a central factor in worker health, as it is the setting where work takes place and, consequently, directly influences the experience of suffering at work and its outcomes. In the Amazonian context, sociocultural and structural specificities may intensify organizational challenges in the public service. This study investigated the organization of work and its psychosocial risks in a public health institution in Amazonas, based on Psychodynamics of Work. The objective was to analyze how task structuring and social relations influence the health and well-being of public servants. Methodologically, a mixed-method, cross-sectional, and explanatory research was conducted with 225 participants. Data collection used the Organization of Work Scale and a restitution meeting, allowing for statistical and qualitative analyses. The results revealed an opposition between structural and relational conditions. The Division of Tasks factor was classified as moderate risk, reflecting suffering caused by insufficient personnel, scarcity of material resources, and inadequate physical space. On the other hand, the Social Division of Work presented a positive average, indicating that fluid communication and cooperation among workers act as collective protective factors, although detailed analysis indicates that autonomy is strained due to formal power limitations. Comparative analyses showed no significant differences between genders or age groups. It is concluded that public servants use social cohesion as a defensive strategy to compensate for flaws in the work structure. Nevertheless, maintaining labor health requires managerial interventions focused on resource replacement and expanding worker participation in decision-making to prevent psychic illness.