Developing a holistic understanding of workplace health: the case of bank workers

Understanding health in the workplace from a holistic perspective requires appropriate research approaches. An exploratory, qualitative study with white-collar employees from a large banking organization in the North West of England is detailed here. The aim was to explore health from the perspective of the employee. Semi-structured interviews (n = 29) elicited detailed responses, allowing the relationship between psychosocial and lifestyle factors to be examined. Psychosocial factors such as job design, ability to make decisions and control over work were all reported to be positive contributors to health in the work setting - and often were reported to be more relevant than individual lifestyle issues. A more holistic approach to developing workplace health programmes in the future is recommended, which allows the workplace setting to be considered as a complex system. Very few comprehensive workplace health programmes exist at present within UK organizations, and there is a tendency for programmes to be designed by the health professional 'expert' rather than developed in conjunction with, and by the workforce. It is argued that qualitative research methods can help to begin the dialogue needed for workplace health programme development.