Workers’ Health in the Webs of Organizational Culture: Worker Health Culture at Federal Universities of the Rio de Janeiro State
Worker Health Culture. Organizational Culture. Federal Universities. Dialogical Emancipatory Narrative Analysis. Instructions to the Substitute.
This study investigated the existence of elements that constitute a "worker health culture" in the Federal Higher Education Universities of the State of Rio de Janeiro (UFE-RJ), considering worker health issues and shared ways of experiencing them. The research adopted a mixed-method, exploratory approach, comprising a bibliographic and field study (CAAE: 68522123.6.0000.5255), structured into two integrated studies, and grounded in conceptual references on health (WHO and Dejours), culture (Geertz), and organizational culture (Schein). The Study 1 involved a bibliographic review and a field survey with 145 participants from 75% of UFE-RJ institutions. It analyzed organizational culture using the IBACO scale (reduced version) and applied inferential statistics (SPSS), identifying cultural proximity among UFE-RJ institutions, with a prevalence of cooperative professionalism (VPC) and external integration practices (PIE). A questionnaire assessing worker health problems, directed care, and levels of cultural observability was analyzed using IRAMUTEQ, identifying worker health issues explored in Study 2 and cultural elements related to worker health. The Study 2 was a qualitative, exploratory case study involving 14 participants from one UFE-RJ institution in five data collection workshops. The methodology combined Dialogical Emancipatory Narrative Analysis (ANDE) and Instructions to the Doppelgänger, considering workers as experts in their own work experiences. The narratives reaffirmed the worker health issues identified in Study 1, organizing them into five categories that highlighted coping strategies, shared experiences, and learning processes suggestive of the existence of a worker health culture. This culture reflects an organizational culture focused on institutional goals (teaching, research, and extension) that prioritizes students over worker well-being. The main cultural threat to worker health in UFE-RJ institutions is precarious labor conditions under a framework of "shortages" within a political environment. This leads to the normalization of these shortages and the failure of formal attempts at solutions, resulting in passive acceptance of using personal resources for workplace infrastructure and well-being. Workers learn that the "magic" of meeting their needs depends on building good relationships. A joint analysis indicates that workers internalize beliefs, values, and unconscious assumptions that trap them in unfavorable ways of managing health, reinforcing a worker health culture that prioritizes achieving work-related goals at the expense of worker well-being. The study confirms the existence of a "worker health culture", contributes to its conceptual development, and suggests the inclusion of a fourth institutional pillar in UFE-RJ universities, focused on "worker health", to balance organizational objectives (goal pillars) with the promotion of workplace well-being as a means-oriented pillar.