{"id":18322,"feature_order":5,"feature_code":null,"name":"Stress Management","type":"O","intent":"Identify areas of stress within the workplace and create a plan for stress management.","intervention":"This\r\nWELL feature requires projects to assess stress within the organization and create\r\na plan for relieving or modifying sources of stress.","issue":"Stress is directly linked to seven of the ten leading causes of death in the world, as well as numerous negative health consequences, including obesity, high cholesterol, muscle tension and backache, migraines and chronic headaches and poor recovery from illness.1\u20134<\/sup> Stress is also a predictor of adverse mental health outcomes, such as depression, anxiety, substance use, suicide, emotional exhaustion and burnout.3\u20135<\/sup> When stressed, individuals are less likely to engage in other key health behaviors, including smoking cessation, healthful eating and physical activity.3<\/sup> Employee stress is incredibly common, with recent studies reporting 94% of workers feel stress on the job and 25% report work as their number one stressor.6,3<\/sup> Stressed employees are more likely to quit, be involved in an accident, experience reduced performance and incur an average of nearly 46% higher health care expenditures compared to less-stressed peers.7<\/sup> Employees who experience stress are more likely to miss work, resulting in an estimated one million worker absences per day due to stress.3<\/sup>","evidence":"Numerous factors increase\r\nthe likelihood of workplace stress, such as low support from supervisors and\r\ncolleagues, little control over work processes, unmanageable and high demands,\r\nconcern over a lack of job security and low opportunity for advancement or professional\r\ndevelopment.3<\/sup> <\/sup>Stress and its associated risks can be reduced through\r\ninterventions that adjust job stressors, such as changes in operations,\r\nincreases in co-worker and supervisor support and training employees in\r\ndeveloping resilience to withstand job stressors.4,5<\/sup>   
","implementation":"","impact":"","max_points":2,"concept_id":1733,"slug":"stress-management","gbd_exists":null,"review_summary":null,"citations":"
  1. Quick J, Henderson D. Occupational Stress: Preventing Suffering, Enhancing Wellbeing. Int J Environ Res Public Health. 2016;13(5):459. doi:10.3390\/ijerph13050459<\/li>
  2. Higgins C, Lyons S, Duxbury L. Reducing Work\u2013Life Conflict: What Works? What Doesn\u2019t?<\/li>
  3. Sharma M, Rush SE. Mindfulness-Based Stress Reduction as a Stress Management Intervention for Healthy Individuals. J Evid Based Complementary Altern Med. 2014;19(4):271-286. doi:10.1177\/2156587214543143<\/li>
  4. Institute for Health and Productivity Studies Johns Hopkins Bloomberg School of Public Health. From Evidence to Practice: Workplace Wellness that Works. 2015. https:\/\/www.transamericacenterforhealthstudies.org\/docs\/default-source\/wellness-page\/from-evidence-to-practice---workplace-wellness-that-works.pdf?sfvrsn=2.<\/li>
  5. LaMontagne AD, Martin A, Page KM, et al. Workplace mental health: developing an integrated intervention approach. BMC Psychiatry. 2014;14(1):131. doi:10.1186\/1471-244X-14-131<\/li>
  6. The Stress Epidemic: Employees Are Looking for a Way Out.<\/li>
  7. Anderson DR, Whitmer RW, Goetzel RZ, Ozminkowski RJ, Wasserman J, Serxner S. The Relationship Between Modifiable Health Risks and Group-level Health Care Expenditures. Am J Heal Promot. 2000;15(1):45-52. doi:10.1097\/00043764-199810000-00003<\/li>
  8. European Parliament, Council of the European Union. Directive 2003\/88\/EC of the European Parliament and of the Council of 4 November 2003 concerning certain aspects of the organisation of working time. 2004;8(1):3. doi:10.4201\/lsjm.car.002<\/li>
  9. Centers for Disease Control and Prevention. The CDC Worksite Health ScoreCard: An Assessment Tool for Employers to Prevent Heart Disease, Stroke, and Related Health Conditions. Atlanta; 2014. https:\/\/www.cdc.gov\/dhdsp\/pubs\/docs\/hsc_manual.pdf.<\/li>
  10. Knifton L, Watson V, Gr\u00fcndemann R, Dijkman A, den Besten H, ten Have K. A Guide for Employers. To Promote Mental Health in the Workplace. Hoofddorp, Netherlands; 2011. www.enwhp.org.<\/li><\/ol>","deleted_at":null,"equivalency_count":1,"faq_count":0,"resource_count":0,"feature_full_name":"M05 Stress Management","feature_faq_name":"M05 Stress Management-v2","max_core_points":1,"parts":[{"id":30645,"name":"Develop Stress Management Plan","part_number":1,"points":2,"possible_points":null,"core_points":1,"possible_core_points":null,"min_points":0,"rer_points":0,"wor_points":0,"parent_part_id":null,"feature_id":18322,"note":"","slug":"1-develop-stress-management-plan-34","note_position_override":"top","new_core_shell":null,"existing_core_shell":null,"new_occupied":null,"existing_occupied":null,"education":null,"retail":null,"mfr":null,"others":null,"photographic_verification":0,"gbd_exists":0,"hospitality":null,"assisted_living":null,"cultural_institutions":null,"public_assembly":null,"deleted_at":null,"na_alternative":0,"na_alternative_text":null,"leed_well":0,"part_prefix":"M05.1","feature_name":"Stress Management","parent":null,"sub_parts":[{"id":32930,"condition":"AND","part_id":30645,"deleted_at":null,"space_types_included":[{"id":1,"name":"All Spaces","name_plural":"all"}],"space_types_excluded":[],"options":[{"id":41792,"option_order":1,"name":null,"description":"

    The project or organization develops a stress management plan by completing the following:<\/p>","description_alt":null,"space_property":null,"certification":null,"note":null,"sub_part_id":32930,"deleted_at":null,"note_position_override":"top","verification_note":null,"verification_condition":"AND","requirements":[{"id":120140,"option_id":41792,"requirement_order":1,"description":"

    Assess at least three of the organization- or project-wide metrics below:<\/p>\r\n\r\n

      \r\n\t
    1. Frequency of employees working more than 48 hours per seven-day period.8<\/sup> <\/li>\r\n\t
    2. Frequency of absenteeism amongst employees (i.e., use of paid or unpaid time off due to disability or illness).<\/li>\r\n\t
    3. Frequency of employees not using allocated paid time off.<\/li>\r\n\t
    4. Frequency of performance issues amongst employees.<\/li>\r\n\t
    5. Employee retention and turnover rates.<\/li>\r\n\t
    6. Responses to employee satisfaction surveys that indicate high levels of stress or burnout<\/li>\r\n<\/ol>","description_alt":null,"deleted_at":null,"photographic_verification":0},{"id":120141,"option_id":41792,"requirement_order":2,"description":"

      Identify opportunities for improvement, covering the topics below:<\/p>\r\n\r\n

        \r\n\t
      1. Organizational change to address employee stress (e.g., adjustments to work environment, shifts in work processes, workload, management or staffing).9 <\/sup><\/li>\r\n\t
      2. Employee participation in organizational decisions regarding work-related issues that may affect stress (e.g., work environment, processes, scheduling).9<\/sup><\/li>\r\n<\/ol>","description_alt":null,"deleted_at":null,"photographic_verification":0},{"id":120142,"option_id":41792,"requirement_order":3,"description":"

        Create and implement a stress management plan that identifies the following:<\/p>\r\n\r\n

          \r\n\t
        1. The person leading implementation of the plan.10<\/sup><\/li>\r\n\t
        2. The changes that are to be completed as part of the plan.10<\/sup><\/li>\r\n\t
        3. Who will be impacted by those changes.10<\/sup><\/li>\r\n\t
        4. When and how the changes will be implemented.10<\/sup><\/li>\r\n\t
        5. Confirmation of support from executive leadership.4<\/span><\/sup><\/li>\r\n<\/ol>","description_alt":null,"deleted_at":null,"photographic_verification":0}],"verifications":[{"id":14,"name":"Professional Narrative","chinese_name":"\u4e13\u4e1a\u8bf4\u660e","is_auditable":1,"scale_type":"Audited","note":null}],"pvgbs":[]}]}],"on_sites":[],"annotated_documents":[],"letter_of_assurances":[],"part_guidances":[{"id":33059,"part_id":30645,"category":"WELL Core","sub_category":null,"rating_note":null,"alignment_note":null,"doc_guidance":"Meet these requirements for direct staff.","points":null}],"methods":[]}],"ihmes":[],"sdgs":[{"id":3,"name":"3: Good Health and Well-being","max_points":0}]}