Mental Health Surveillance and Promotion at Work: A Psychosocial Study with Employees of a Health Institution

Objective: This study aims to investigate the factors that affect the mental health of employees in a healthcare institution, analyzing how surveillance and health promotion actions can be implemented to improve psychological well-being in the workplace, aligning the organization with the updates of NR-1. Theoretical Framework: The study is based on Christophe Dejours' Psychodynamics of Work, articulated with the Health Promotion framework of the World Health Organization, considering psychosocial risks as part of organizational management of mental health care. Method: This is an action-research with a qualitative-quantitative approach, conducted with 115 employees from a healthcare institution in Minas Gerais, Brazil. A structured questionnaire was used, addressing three dimensions: QAOSST (safety perception), SRQ-20 (mental suffering), and attitudes toward institutional practices. Data were analyzed using descriptive and inferential statistics (Mann-Whitney U and Chi-square tests). Results and Discussion: Approximately 26.1% of employees showed signs of mental suffering. Weaknesses were identified in the role of the CIPA, safety inspections, and institutional communication. Statistical analysis showed no significant differences among groups with different levels of suffering, indicating gaps in listening and subjective care strategies. Research Implications: Findings highlight the urgency of effective psychosocial actions, such as dialogue circles and support groups, strengthening participatory management and compliance with NR-1. Originality/Value: This study contributes relevant empirical data on mental health in the workplace, encouraging critical reflection on institutional practices and organizational culture in the health sector.