La construcción paradójica de la empresa saludableanálisis narrativo del fenómeno y propuestas desde la bioética

Resumen

Starting in 2015, a movement was established in Spain to create a culture of promoting health and well-being at work. Multiple actors spread the idea, models and tools to implement a new paradigm of occupational health, different from that of traditional protection and prevention. With this, the phenomenon of the healthy company begins in our country. This phenomenon, which began in the US almost half a century ago where it has been institutionalized, is spreading in Spain in different networks, with the support of large multinational companies, national policies and initiatives of the EU and the WHO. There is still no commonly accepted definition of what a healthy company is. The activities and interventions associated with companies recognized as role models for their good practices are very diverse and heterogeneous. The benefits at all levels promised by its defenders lack empirical verification to support them, as well as the ethical analysis essential in any health intervention. In this work, the study of the healthy company as a social process under construction has been addressed. This approach is necessary to identify the discourses, actors and practices that characterize it, and thus carry out the absent ethical analysis. Based on an ethnographic methodology of conferences extended over 7 years, five narratives have been identified and the paradoxes and contradictions present in each one, have been highlighted. In this way, possible unintentional damages related to the construction of a healthy company in Spain have been identified.