The document discusses the concept of workplace well-being, emphasizing its importance as a re-emerging concept defined by various health frameworks and indices. It identifies key elements that contribute to well-being, including emotional, environmental, and social dimensions, while also outlining the benefits of comprehensive well-being programs for both individuals and organizations. Additionally, it highlights the role of health promotion initiatives and frameworks like the Total Worker Health® approach in enhancing overall employee well-being.

1. Dr.
Ahmed-Refat
AG Refat
Workplace
well-being
elements
and benefits
Ahmed-Refat 2023 1

2. 1. Well-Being as a re-emerging concept
2. Well-Being related concepts (Health Promotion ,,
Wellness & OSH )
3. Workplace Well-Being Elements and Benefits .
4. Healthy Workplace Frame Model (WHO -2010)
5. Total Workers Health TWH® (NIOSH 2021) USA
6. Well-being Index ( WHO-5 items )
7. Well-Being Questionnaire (WellBQ)/NIOSH
8. The 5-steps to personal well-being (Give C.A.L.M)
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3. Well-Being
Well-Being
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4. Health
WHO constitution, signed on July 1946 by the represent. of 61 States and entered into
force on 7 April 1948
A state ?! of complete ?!
physical, mental and social?!
well-being ?!, and not merely
the absence of disease or
infirmity.
….
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5. Health (WHO 1948) ???!!!
1. Static definition
2. Neither objective nor measurable;
3. Demarcation: If you do not fit the description,
you are not healthy.
4. Unrealistic, because it ‘leaves most of us
unhealthy most of the time.
5. It fails to taking into account temporary spells
of ill health, and also the growing number of
people living with chronic illnesses and
disabilities.
6. Focusing on ‘complete’ health as a goal
contributes to the overmedicalisation of society
by pathologising suboptimal health states..
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6. Ottawa Charter for
Health Promotion
After about 40 years
…………….1986
the 1st Int. Conference on
Health Pro’motion
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7. Health pro’motion is :
“the process of enabling people
to increase control over, and to
improve their health”.
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Ottawa Charter for Health Promotion.
WHO,1986

8. The Ottawa Charter for Health
Promotion identifies
health is a resource for everyday
life, not the object of living.
It is a positive concept emphasizing
social and personal resources as
well as physical capabilities
1986 the 1st Int. Conference on Health Pro’motion
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9. Goal 3: Good health and well-being
…..pro’mote well-being for all at all ages.
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UN
2015

10. WHO Global Health Promotion
Conferences
Ahmed-Refat 2023 10
From Ottawa ….1986 (1st)
to Geneva……… 2021(10th)
Dr. Ahmed-Refat AG Refat
35
Years
35
Years

11. Global Conferences on Health
Promotion
1. Ottawa 1986 “Charter for Health Promotion”
2. Adelaide 1988 “Healthy Public Policy”
3. Sundsvall 1991 “Supportive Enviro. for Health”
4. Jakarta 1997 “Leading Health Promotion into the 21st Century”
5. Mexico 2000 “Promotion of Health: From Ideas to Action”
6. Bangkok 2005 “Health Promotion in a Globalized World”
7. Nairobi 2009 Promoting health and development: closing the
implementation gap
8. Helsinki 2013 “ Health in All Policies”
9. Shanghai 2016 Promoting health, promoting sustainable
development
10. Geneva 2021 Health Promotion for Well-Being +
Geneva charter for creating „well-being societies‟
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12. Ahmed-Refat 2023 12
Health Promotion for Well-Being

13. • The 10th Global Conference on Health
Promotion on December 2021 marked
the start of a global
movement on the
concept of well-being in
societies.
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14. Geneva Charter for Well-being
The document encourages five key actions:
1. Design an equitable economy that serves
human development within planetary
boundaries;
2. Create public policy for the common good;
3. Achieve universal health coverage;
4. Address the digital transformation to
counteract harm and disempowerment and
to strengthen the benefits; and
5. Value and preserve the planet.
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15. Well-being is
a positive state experienced by
individuals and societies.
Similar to health, it is a
resource for daily life and
is determined
by social, economic and
environmental conditions.
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Unmodified/
Modified/
New Term

16. Ahmed-Refat 2023 16
There is no consensus around a
single definition of well-being.
• the presence of positive
emotions and moods (e.g.,
happiness), the absence of
negative emotions (e.g.,
depression),
• satisfaction with life, fulfillment
and positive functioning.
• judging life positively and
feeling good.

17. What is wellbeing?
… an optimal
and dynamic
state that
allows people
to achieve
their full
potential.
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18. What is wellbeing?
and
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19. Well-Being
Well-Being
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20. 1-Subjective Well-Being
includes/involves
psychological factors, such as our
perceptions, confidence,
fulfillment, sense of belonging
and purpose.
When considered subjectively,
well-being is unique to each
individual.
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21. 2-Objective Well-Being
includes/involves physical factors that
widely account for our basic needs.
Examples include food/nutrition, money,
employment, housing, safety, physical
and mental health, and human rights.
Objectively, well-being comprises
elements or standards that apply
within larger society.
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22. 1-Individual Well-Being 2-Community Well-Being
Individual well-being
can be described as
the perceived
assessment of one's
own life, having one's
human rights and
needs met, and one's
contribution to the
community.
Community well-being can be described as
the relationships and
connectedness,
perceived quality of
life for all people in
the community, and
how well the
community meets
the needs of all
members.
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23. Ahmed-Refat 2023 23

24. (Global Level)
•World Happiness Report
deals with Subjective Well-Being
•Social Progress Index
deals with objective measures only.
It includes access to food, water, shelter, safety, knowledge,
information, advanced education and the standard of health,
rights, freedom, tolerance and the ecosystem sustainability.
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25. Wellness vs well-being
• Wellness refers to a state of physical health in
which people have the ability and energy to
do what they want to do in life, without
chronic suffering.
• Wellness describes a healthy lifestyle beyond
acute illness.
• Wellness is an important element of overall
wellbeing. However, wellness is only one part
of a person’s wellbeing .
‫هللا‬ ‫يا‬
..
‫هلل‬ ‫الحمد‬
. ‫ازي‬
‫صحتك‬
....
‫البومب‬ ‫زي‬
...
‫كيف‬
‫احوالك‬
..
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26. Quality of Life vs Well-Being
• Health-related quality of life has been linked
to patient outcomes, and has generally
focused on deficits in functioning (e.g., pain,
negative affect).
• In contrast, well-being focuses on assets in
functioning, including positive emotions and
psychological resources (e.g., positive affect,
autonomy, mastery) as key components.
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27. OHS and Workplace Well-being
If we consider Maslow hierarchy …… OH&S can
be seen as the foundation, the basic needs
within the workplace which must
be met first. Once these are clearly met, then
you can move up the hierarchy.
Workplace wellbeing can help to fulfil the self-
fulfilment aspects of Maslow’s hierarchy.
“…workplace well-being is to complement
OSH measures…”.
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28. • Unlike health and safety programs, employee
participation in workplace health programs
must always be completely voluntary.
Through needs assessments.
• it is still the worker's choice whether to
participate or not
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OHS and Workplace Well-being

29. Dimensions of Well-Being
1. Emotional – Cultivating an emotional capacity that encompasses optimism,
self-esteem, self-acceptance and the ability to form healthy relationships.
2. Environmental – Encouraging a way of life that maximizes harmony with the
earth and minimizes harm to the environment.
3. Financial – Ensuring the ability to effectively manage your current and future
economic life.
4. Intellectual – Exercising the mind through creative and stimulating mental
activities to expand knowledge and improve skills.
5. Occupational – Using your gifts, skills, and talents in order to gain purpose,
happiness, and enrichment as part of a balanced life.
6. Physical – Making a habit of healthy behaviors including adequate exercise,
proper nutrition, and abstaining from harmful habits.
7. Social – Developing the ability to interact successfully in our local and global
community and creating networks of support.
8. Spiritual – Possessing a set of guiding beliefs, principles, or values that help
give direction to one’s life.
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30. Benefits of a CWHS Program
Improved:
1. creativity
2. employee co-operation
3. employee engagement
4. employee retention
5. loyalty to organization
6. morale and employee satisfaction
7. productivity, and
8. recruitment
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31. Benefits of a CWHS Program
Reduced:
1. absenteeism
2. employee turnover (means reduced
recruitment and retraining costs)
3. complaints
4. health costs
5. medical leave or disability
6. workplace injuries and incidents, and
7. work time lost
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32. For employers, the costs of poor employee wellbeing
go far beyond insurance -- they ultimately
impact employee engagement,
productivity and performance
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33. Well-designed well-being programs
• Studies show that well-designed well-being programs
have a return on investment of $1.50 to $3 per
dollar spent over a two- to nine-year
timeframe.
• Thriving and healthy workforces typically
perform 2.2 times above average compared
with organizations who don’t invest in their
employees’ health and wellbeing.
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34. ILO and Well-Being
“Workplace wellbeing relates to all aspects of
working life, from the quality and safety of the
physical environment, to how workers feel
about their work, their working environment,
the climate at work and work organization.
Workers wellbeing is a key factor in
determining an organization’s
longterm effectiveness.
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35. What are workplace health programs
• Coordinated and comprehensive set
of strategies which include
programs, policies, benefits,
environmental supports, and links to
the surrounding community
designed to meet the health and
safety needs of all employees.
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36. Comprehensive Workplace Health
and Safety Program
Four main components:
1. Occupational health and safety
(the physical work environment)
2. Psycho-social work environment
(organizational culture)
3. Workplace health promotion (wellness)
4. Organizational community involvement
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38. Ahmed-Refat 2023 38

39. WHO (2010) Healthy Workplace Frame Model
• WHO definition of a healthy workplace:
A healthy workplace is one in which
workers and managers collaborate to
use a continual improvement process
to protect and promote the health,
safety and well-being of all workers
and the sustainability of the
workplace
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40. The Total Worker Health® (TWH) 2011
NIOSH has developed ‘Total Worker
Health®’ (TWH) 2011
TWH is a holistic approach to occupational
health and safety and worker wellbeing.
This recognizes that work has an important
function in the social determinants for
health.
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41. The Total Worker Health (TWH) 2011
Total Worker Health® is defined as :
policies, programs, and practices that
integrate protection from work-related
safety and health hazards with promotion
of injury and illness-prevention efforts
to advance worker well-being.
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42. Proposed worker well-being framework.
Source
Expanding the Paradigm of Occupational Safety and Health: A New Framework for Worker Well-Being
Journal of Occupational and Environmental Medicine60(7):589-593, July 2018.
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43. Well-Being
Well-Being
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44. The WHO 5 Well-Being Scale
1998
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45. The 5-item WHO Well-
being Index (WHO-5)
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46. Worker Well-Being
Questionnaire
(WellBQ)
Five domains:
(1) work evaluation and experience;
(2) workplace policies and culture;
(3) workplace physical environment
and safety climate;
(4) health status; and
(5) home, community, and society.
https://www.cdc.gov/niosh/docs/2021-110/
2021
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47. The 5 Ways To Wellbeing
at an individual level
• The most recent and extensive research evidence
suggests there are 5 main ways all individuals can
play an active role towards improving and
maintaining a sense of wellbeing:
1. Connect
2. Be Active
3. Keep Learning
4. Be Aware
5. Help Others
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49. Further Readings And References
• https://www.ccohs.ca/oshanswers/psychosocial/wellness_program.html
• https://www.ccohs.ca/oshanswers/psychosocial/mentalhealth_work.html
• https://www.ilo.org/safework/areasofwork/workplace-health-promotion-and-well-
being/WCMS_118396/lang--en/index.htm
• https://www.workplace-wellbeing.com/
• https://haptivate.co.uk/blog/the-benefits-of-wellbeing-at-work-where-to-start-what-works/
• https://www.gallup.com/workplace/340202/wellness-wellbeingdifference.
• aspx#:~:text=Wellness%20vs.%20Wellbeing%3A%20What%27s%20the%20Difference
• https://www.gallup.com/workplace/340202/wellness-wellbeing-difference.aspx
• https://www.gallup.com/workplace/404105/importance-of-employee-wellbeing.aspx.aspx
• https://www.cipd.co.uk/knowledge/culture/wellbeing/
• factsheet#:~:text=On%20this%20page,and%20organisational%20performance
• https://www.cdc.gov/workplacehealthpromotion/model/index.html
• https://www.workplace-
wellbeing.com/https://www.ccohs.ca/oshanswers/psychosocial/wellness_program.html
• https://www.ccohs.ca/oshanswers/psychosocial/mentalhealth_work.html
• https://www.ilo.org/safework/areasofwork/workplace-health-promotion-and-well-
being/WCMS_118396/lang--en/index.htm
• https://www.workplace-wellbeing.com/
• https://haptivate.co.uk/blog/the-benefits-of-wellbeing-at-work-where-to-start-what-works/
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50. Well-Being
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