Spanish Journal of Psychology (2014), 17, e51, 1–12.
© Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid
doi:10.1017/sjp.2014.55
Employers, employees, safety managers, trade unions,
company insurance funds and politicians are some of
the stakeholders who share the objective to improve
occupational health and safety. Nevertheless, problems
arise when different stakeholders have not a common
understanding about occupational risks (Holmes,
Lingard, Yesilyurt, & de Munk, 1999; Sadhra, Petts,
McAlpine, Pattison, & MacRae, 2002). Differences in
the way that experts and non-experts judge risk have
been documented in several areas (Kraus, Malform, &
Slovic, 1992; Lee, Mehta, & James, 2003; Savadori et al.,
2004). Sjöberg (1999) has eloquently summarized the
main crash of ideas: “Experts see the public as misin-
formed, badly educated and highly emotional (…)
while the public suspects that experts know less than
they claim and that they are corrupt due to their being
hired by the industry or government” (p. 5).
A debate about the convenience to complement
“technical” risk research (as done in natural sciences or
economics) with social-scientific approaches has been
ongoing (Goldstein, 2005). The logic is that each
approach captures a different, and only partial, aspect
of the complex and multidimensional reality. Both are
needed to produce a comprehensive account of the
nature and extent of risk and to help decision makers
to make better and more informed decisions. This
combination provides the basis for a participatory
approach in risk management and risk communication
as a way for designing, selecting and implementing
policy alternatives that are more likely to be widely
accepted by a variety of stakeholders (Mereu, Sardu,
Minerba, Sotgiu, & Contu, 2007).
Much risk communication research is formulated
at the social or public level and it does not contribute
to spread the use of the concepts of risk communication
within the organization in order to prevent workplace
illness and injury (Real, 2008). The focus of the present
study was on the healthcare workplace. Health services
are one of the fundamental sectors of the society and
the economy, employing around 10% of all workers
throughout the European Union (European Agency for
Safety and Health at Work, 2007). Healthcare workers
are exposed to biological, chemical, ergonomic, organi-
zational and psychosocial hazards. What makes the
Characterizing Occupational Risk Perception: the
Case of Biological, Ergonomic and Organizational
Hazards in Spanish Healthcare Workers
Mariona Portell
1
, Rosa M. Gil
2
, Josep M. Losilla
1
and Jaume Vives
1
1
Universitat Autònoma de Barcelona (Spain)
2
Grupo Sagessa (Spain)
Abstract. Understanding how risk is perceived by workers is necessary for effective risk communication and risk man-
agement. This study adapts key elements of the psychometric perspective to characterize occupational risk perception
at a worker level. A total of 313 Spanish healthcare workers evaluated relevant hazards in their workplaces related to
biological, ergonomic and organizational factors. A questionnaire elicited workers' ratings of 3 occupational hazards on
9 risk attributes along with perceived risk. Factor and regression analyses reveal regularities in how different risks are
perceived, while, at the same time, the procedure helps to summarize specificities in the perception of each hazard. The
main regularity is the weight of feeling of dread/severity in order to characterize the risk perceived (β ranges from .22
to .41; p < .001). Data also suggest an underestimation of expert knowledge in relation to the personal knowledge of risk.
Thus, participants consider their knowledge of the risk related to biological, ergonomic, and organizational hazards to
be higher than the knowledge attributed to the occupational experts (mean differences 95% CIs [.10, .30], [.54, .94], and
[0.52, 1.05]). We demonstrate the application of a feasible and systematic procedure to capture how workers perceive
hazards in their immediate work environment.
Received 27 February 2012; Revised 4 March 2013; Accepted 13 September 2013
Keywords: occupational health, risk perception, risk communication, psychometric paradigm, healthcare workers.
Correspondence concerning this article should be addressed to
Mariona Portell. Department of Psychobiology and Methodology of
Health Sciences. Edificio B. Universitat Autònoma de Barcelona.
08193. Cerdanyola del Vallès (Spain). Phone: +34–935811623.
Fax: + 34–935812001.
E-mail: mariona.portell@uab.cat
We are very grateful for the cooperation of Grupo SAGESSA. We are
also grateful for the comments and interest expressed by Etienne
Mullet, M. Dolors Solé and Eduard Gaynés. This research was funded
in part by grant PSI2010–16270 from the Spanish Ministerio de Ciencia
e Innovación. Its contents are solely the responsibility of the authors.