Demanding Work Situations Research Articles

Thriving in the face of burnout? The effects of wellbeing-oriented HRM on the relationship between workload, burnout, thriving and performance

Purpose The development of sustainable employee-focused HRM approaches have grown in importance during and post-COVID-19. The purpose of this study is to examine the extent to which wellbeing-oriented HRM practices can transform workers’ feelings of burnout to enable thriving, and subsequently enhance in-role employee performance in high workload contexts.Design/methodology/approach This study draws on data gathered from 561 employees in bank branches operating in China across two time periods. The authors test the following hypotheses: (1) wellbeing-oriented HRM is positively related to employee thriving; (2) perceived workload is positively related to employee burnout; (3) thriving will mediate the relationship between wellbeing-oriented HRM and employee performance; (4) burnout will mediate the relationship between workload and employee performance; (5) thriving will mediate the relationship between workload and employee performance; and (6) burnout and thriving will sequentially mediate the relationship between wellbeing-oriented HRM and employee performance.Findings This study confirmed hypotheses 1–5. Hypothesis 6 was not confirmed. The authors find that thriving mediates the relationship between wellbeing-oriented HRM and employee performance, and burnout mediates the relationship between workload and employee performance. The authors also find workload was positively related to thriving (after controlling for burnout), consistent with the challenge–hindrance model of occupational stress.Originality/value The study builds on growing evidence that employees can thrive at work even when in stressful situations by using conservation of resources theory to examine how wellbeing-oriented HRM practices act as protective resources against demanding work situations. Findings demonstrate alternative pathways through which wellbeing-oriented HRM can enhance employee performance via reducing burnout and enhancing thriving.

Investigating the attentional focus to workplace-related soundscapes in a complex audio-visual-motor task using EEG.

In demanding work situations (e.g., during a surgery), the processing of complex soundscapes varies over time and can be a burden for medical personnel. Here we study, using mobile electroencephalography (EEG), how humans process workplace-related soundscapes while performing a complex audio-visual-motor task (3D Tetris). Specifically, we wanted to know how the attentional focus changes the processing of the soundscape as a whole. Participants played a game of 3D Tetris in which they had to use both hands to control falling blocks. At the same time, participants listened to a complex soundscape, similar to what is found in an operating room (i.e., the sound of machinery, people talking in the background, alarm sounds, and instructions). In this within-subject design, participants had to react to instructions (e.g., "place the next block in the upper left corner") and to sounds depending on the experimental condition, either to a specific alarm sound originating from a fixed location or to a beep sound that originated from varying locations. Attention to the alarm reflected a narrow attentional focus, as it was easy to detect and most of the soundscape could be ignored. Attention to the beep reflected a wide attentional focus, as it required the participants to monitor multiple different sound streams. Results show the robustness of the N1 and P3 event related potential response during this dynamic task with a complex auditory soundscape. Furthermore, we used temporal response functions to study auditory processing to the whole soundscape. This work is a step toward studying workplace-related sound processing in the operating room using mobile EEG.

Burnout, resilience and the quality of life among Malaysian healthcare workers during the COVID-19 pandemic.

Healthcare workers have to deal with highly demanding work situations, making healthcare as one of the most challenging professions. Up to now, far too little attention has been paid to burnout, resilience and the quality of life among Malaysian healthcare workers. Therefore, this paper explores the correlation between burnout, resilience and quality of life among Malaysian healthcare workers during the COVID-19 pandemic. A total of 394 healthcare workers reported their responses on Maslach Burnout Inventory questionnaire, World Health Organization Quality of Life (WHOQOL)-BREF, and Brief Resilience Scale. Respondents were contacted through convenience sampling method and targeted population constituted Malaysian healthcare workers aged 18 years and above. For occupational exhaustion, about 50.5% of participants have moderate degree, 40.6% have high degree, and 8.9% have low degree of burnout. Health workers from age 25 to 35 years have lower physical health compared to health workers aged <25 years (coefficient = -0.77, p = 0.021). Similarly, healthcare workers who were working more than 10 h every day were more likely to report poor psychological health (coefficient = -2.49, p = 0.06). Positive correlation between physical and psychological health was observed. Further, a negative correlation was found between occupational exhaustion and the quality of life. It is important to target physical as well as psychological wellbeing of the healthcare workers. Also, it is important to understand the contribution of long working hours in declining the quality of life of the healthcare workers. Thus, allocating fixed working hours for healthcare workers would bring a much-required change.

Mediation Effect of Musculoskeletal Pain on Burnout: Sex-Related Differences.

Burnout occurs when people are exposed to emotionally demanding work situations over an extended period, resulting in physical, emotional, and mental exhaustion. This study adopted the personal burnout (PB) and work-related burnout (WB) scales of the Copenhagen Burnout Inventory to measure burnout levels. Musculoskeletal (MS) pain is one factor influencing burnout. Previous studies have demonstrated that male and female hormones may contribute to sex-related differences in MS pain. This was an observational and cross-sectional study conducted at a medical-university-affiliated hospital in Taichung, Taiwan, in 2021. Data were collected for demographic characteristics, family structure, living habits, occupation, physical health, Nordic Musculoskeletal Questionnaire score, and Copenhagen Burnout Inventory score. Of the 2531 questionnaires that were distributed, 1615 (63.81%) valid questionnaires remained after those with missing data were excluded. The results demonstrated neck and shoulder pain (NBSP) is commonly associated with burnout among healthcare workers, with a higher prevalence among women than among men. With confounders being controlled for, women were found to experience substantially higher levels of personal and work-related burnout than men did. NBSP is a mediating factor; therefore, it is a key reason why women are more likely than men to experience burnout.

Symptoms of Anxiety, Depression, and Post-Traumatic Stress Disorder in Health Care Personnel in Norwegian ICUs during the First Wave of the COVID-19 Pandemic, a Prospective, Observational Cross-Sectional Study.

Background: The COVID-19 pandemic has induced demanding work situations in intensive care units (ICU). The objective of our study was to survey psychological reactions, the disturbance of social life, work effort, and support in ICU nurses, physicians, and leaders. Methods: From May to July 2020, this cross-sectional study included 484 ICU professionals from 27 hospitals throughout Norway. Symptoms of anxiety and depression were measured on Hopkins Symptom Checklist-10 (HSCL-10). Symptoms of post-traumatic stress disorder (PTSD) were measured on the PCL-5. Results: The study population were highly educated and experienced professionals, well prepared for working with COVID-ICU patients. However, 53% felt socially isolated and 67% reported a fear of infecting others. Probable cases of anxiety and depression were found in 12.5% of the registered nurses, 11.6% of the physicians, and 4.1% of the leaders. Younger age and <5 years previous work experiences were predictors for high HSCL-10 scores. Reported symptom-defined PTSD for nurses 7.1%; the leaders, 4.1%; and 2.3% of physicians. Conclusions: ICU health care professionals experienced talking with colleagues as the most helpful source of support. The COVID-ICU leaders reported a significantly higher mean score than physicians and nurses in terms of pushing themselves toward producing high work effort.

Remote workers’ well-being, perceived productivity, and engagement: which resources should HRM improve during COVID-19? A longitudinal diary study

In European countries, the COVID-19 pandemic has given rise to a demanding work situation for office employees who have been required to work from home (hereinafter referred to as remote workers). Due to curfews, school closures, and leisure restrictions in Austria, remote work circumstances have changed compared to before the pandemic. By combining event system theory with transactional stress theory, we aim to identify the most important resources for maintaining remote workers’ well-being, perceived productivity, and engagement during the COVID-19 pandemic. We collected daily data (five working days for each remote worker) once from March to May 2020 (2222 employees) and again from November 2020 to January 2021 (1268 employees) and explored the role of personal (self-goal setting, self-efficacy, home-office experience), external (equipment at home), and organizational (work-related and social) resources for changes in well-being, perceived productivity, and engagement. Well-being and engagement decreased less when remote workers indicated high resources of self-efficacy and social support at the beginning of the crises. Results further reveal that an improvement in resources from the first to the second measurement was associated with a reduced decline in well-being, productivity, and engagement, respectively. We discuss implications for HRM and provide suggestions for future research.

Delivery truck drivers\u2019 work outside the cab: psychosocial discomforts and risks based on participatory video analyses

PurposeDelivery truck drivers face various physical and psychosocial discomforts and risks in their work. Psychosocial perceptions are linked to physiological and psychological loads—strain and stress—affecting drivers throughout various mechanisms within activities and conditions. In this study, participatory video-assisted analyses were utilised for identifying psychosocially demanding work situations that delivery truck drivers encounter outside the cab.MethodsIdentifications were made by the drivers from previously recorded videos of their own work in their daily work environments. In addition, other stakeholders, such as managers and designers, also identified situations. The video identification data were further processed by the researchers, showing differences between the perceptions of the drivers and stakeholders on the causal conditions and intervening conditions behind the discomfort identifications.ResultsAll together 99 identified situations—over half (53%) of which included a fear of causing different types of undesired events with risks of losses, such as human injuries or material damages. The results showed not only do risks and discomforts exist in demanding work situations, which seemed relevant, but they also indicated the importance of involving different stakeholders.ConclusionsThis study provides a unique methodological approach, as video observations and analyses and qualitative data analysis are combined to provide more in-depth data with visualizations into risk management processes.

Emotional Dissonance, Mental Health Complaints, and Sickness Absence Among Health- and Social Workers. The Moderating Role of Self-Efficacy.

Health- and social workers are frequently exposed to emotionally demanding work situations that require emotion regulation. Studies have demonstrated a direct relationship between emotion regulation and health complaints and sickness absence. In order to prevent health complaints and to reduce sickness absence among health- and social workers, there is need for greater attention to mechanisms explaining when and how emotionally demanding work situations are related to employee health and sickness absence. The overarching aim of this study was therefore to examine the moderating role of generalized self-efficacy on the association between emotional dissonance, employee health (mental distress and exhaustion), and registry based sickness absence. The sample consisted of 937 health- and social workers. Data on emotional dissonance, generalized self-efficacy, exhaustion, and mental distress was collected through questionnaires, whereas official registry data were used to assess sickness absence. A two-step hierarchical regression analysis showed that emotional dissonance was significantly associated with exhaustion, mental distress, and sickness absence, after adjusting for sex, age, and occupation. Interaction analyses with simple slope tests found that self-efficacy moderated the association between emotional dissonance and both exhaustion and mental distress, but not the association with sickness absence. This study shows that health- and social workers who frequently experience emotional dissonance report higher levels of exhaustion and mental distress, and have a higher risk of medically certified sickness absence. Further, health- and social workers with lower self-efficacy beliefs are apparently more sensitive to the degree of emotional dissonance and experienced higher levels of exhaustion and mental distress.

Mental Resilience of Crime Scene Investigators: How Police Officers Perceive and Cope With the Impact of Demanding Work Situations

This study provides an in-depth analysis of the resilience of crime scene investigators (CSIs) in the Netherlands and how they perceive and cope with daily work stressors. Observational studies within five CSI teams and 35 semistructured interviews with investigators revealed that administrative accumulation, long and irregular working hours, confrontations with human suffering, decision making, and dirty and physically demanding circumstances at the crime scene can be very stressful. By employing strict management of thoughts, visualization, focus on sensemaking, sharing of emotions and responsibilities, and avoiding potentially distressing working situations, CSIs overcome the strain of forensic investigations. However, successful implementation of these resilience-enhancing strategies depends on the availability of several individual, team, and organizational resources. To reduce the risk of health problems and to stimulate positive functioning, these resources require permanent investment by police management and CSIs themselves.

High Job Demands, Still Engaged and Not Burned Out? The Role of Job Crafting.

Traditionally, employee well-being has been considered as resulting from decent working conditions arranged by the organization. Much less is known about whether employees themselves can make self-initiated changes to their work, i.e., craft their jobs, in order to stay well, even in highly demanding work situations. The aim of this study was to use the job demands-resources (JD-R model) to investigate whether job crafting buffers the negative impacts of four types of job demands (workload, emotional dissonance, work contents, and physical demands) on burnout and work engagement. A questionnaire study was designed to examine the buffering role of job crafting among 470 Finnish dentists. All in all, 11 out of 16 possible interaction effects of job demands and job crafting on employee well-being were significant. Job crafting particularly buffered the negative effects of job demands on burnout (7/8 significant interactions) and to a somewhat lesser extent also on work engagement (4/8 significant interactions). Applying job crafting techniques appeared to be particularly effective in mitigating the negative effects of quantitative workload (4/4 significant interactions). By demonstrating that job crafting can also buffer the negative impacts of high job demands on employee well-being, this study contributed to the JD-R model as it suggests that job crafting may even be possible under high work demands, and not only in resourceful jobs, as most previous studies have indicated. In addition to the top-down initiatives for improving employee well-being, bottom-up approaches such as job crafting may also be efficient in preventing burnout and enhancing work engagement.

Demographic factors associated with moral sensitivity among nursing students.

Today's healthcare environment is often characterized by an ethically demanding work situation, and nursing students need to prepare to meet ethical challenges in their future role. Moral sensitivity is an important aspect of the ethical decision-making process, but little is known regarding nursing students' moral sensitivity and its possible development during nursing education. The aims of this study were to investigate moral sensitivity among nursing students, differences in moral sensitivity according to sample sub-group, and the relation between demographic characteristics of nursing students and moral sensitivity. A convenience sample of 299 nursing students from one university completed a questionnaire comprising questions about demographic information and the revised Moral Sensitivity Questionnaire. With the use of SPSS, non-parametric statistics, including logistic regression models, were used to investigate the relationship between demographic characteristics and moral sensitivity. Ethical considerations: The study followed the regulations according to the Swedish Ethical Review Act and was reviewed by the Ethics Committee of South-East Sweden. The findings showed that mean scores of nursing students' moral sensitivity were found in the middle to upper segment of the rating scale. Multivariate analysis showed that gender (odds ratio = 3.32), age (odds ratio = 2.09; 1.73), and parental status (odds ratio = 0.31) were of relevance to nursing students' moral sensitivity. Academic year was found to be unrelated to moral sensitivity. These demographic aspects should be considered when designing ethics education for nursing students. Future studies should continue to investigate moral sensitivity in nursing students, such as if and how various pedagogical strategies in ethics may contribute to moral sensitivity in nursing students.

Trait Resilience Fosters Adaptive Coping When Control Opportunities are High: Implications for the Motivating Potential of Active Work

Purpose We examine the interaction between trait resilience and control in predicting coping and performance. Drawing on a person–environment fit perspective, we hypothesized resilient individuals would cope and perform better in demanding work situations when control was high. In contrast, those low in resilience would cope and perform better when control was low. Recognizing the relationship between trait resilience and performance also could be indirect, adaptive coping was examined as a mediating mechanism through which high control enables resilient individuals to demonstrate better performance.

Delivery Truck Drivers’ Work Outside Their Cabs: Ergonomic Video Analyses Supplemented with National Accident Statistics

AbstractDelivery truck drivers’ work contains various physically and psychosocially demanding work situations. Fifteen drivers’ and 8 other stakeholders’ identifications of such work situations were examined by video analyses in this study. The identifications were analyzed in‐depth by the researchers and compared with statistics on 3,507 accidents in the Finnish trucking industry. The aim was to determine what kind of identifications were made and to what degree the identifications coincided among the participants and with the accident statistics. The drivers’ identifications differed from the statistics data. The statistics showed a significantly higher relative frequency of movement‐related situations. However, the identifications also included risks for future workload‐related musculoskeletal disorders. Most commonly, these were emphasized during manual materials handling. The participation of different interest groups seems to increase the amount of relevant information obtained. Nonetheless, the age of the evaluator seems not to affect the analyses.

Participatory Video-Assisted Evaluation of Truck Drivers’ Work Outside Cab: Deliveries in Two Types of Transport

The aim of this study was to identify risks and ergonomics discomfort during work of local and short haul delivery truck drivers outside a cab. The study used a video- and computer-based method (VIDAR). VIDAR is a participatory method identifying demanding work situations and their potential risks. The drivers’ work was videoed and analysed by subjects and ergonomists. Delivery truck drivers should not be perceived as one group with equal risks because there were significant differences between the 2 types of transportation and specific types of risks. VIDAR produces visual material for risk management processes. VIDAR as a participatory approach stimulates active discussion about work-related risks and discomfort, and about possibilities for improvement. VIDAR may be also applied to work which comprises different working environments.

The satisfaction of teachers with their supervisors’ interpersonal communication skills in relation to job burn-out and growth satisfaction in southern India

Social support of supervisors and colleagues is thought to enable people to cope better with the demanding work situations. More specifically, supportive, supervisory communication has been found to reduce uncertainty, promote discussion, build self-esteem, clarify role expectations and inculcate meaning in the job among employees. In an attempt to help educators explore the full benefits of supervisory social support in academic institutions, this article examines the satisfaction of teachers with their supervisors’ interpersonal communication skills in relation to job burn-out and growth satisfaction in the job in southern India. Data were collected from 140 educational professionals of schools, colleges and universities located in southern India. The findings reveal that teachers’ satisfaction with supervisors’ interpersonal communication skills is positively related to their growth satisfaction in the job and negatively related to burn-out. The interview data that substantiated the findings of this study also highlight important interpersonal communication skills that need to be practiced by supervisors in the educational institutions in southern India.

A matter of match? An experiment on choosing specific job resources in different demanding work situations.

Though research on the demand-induced strain compensation (DISC) model has suggested that the type of job resources people employ to deal with job demands may have serious implications for job stress theory and practice, not much is known about the choices people make regarding the investment of job resources. The aim of this study is to fill this gap in the literature. In line with the DISC model, we were particularly interested in the extent to which people choose job resources that match job demands (i.e., matching job resources) and job resources that do not match job demands (i.e., nonmatching job resources). For that reason, several vignettes were developed to experimentally examine the extent to which people (92 undergraduates) choose cognitive, emotional, and physical job resources; combinations of these specific job resources; and no job resources at all in different hypothetical demanding work situations (i.e., cognitively, emotionally, and physically demanding jobs). As predicted, people generally chose cognitive job resources to deal with cognitive job demands, emotional job resources to deal with emotional job demands, and physical job resources to deal with physical job demands. Further, results showed that nonmatching job resources were particularly chosen as a supplement to matching job resources rather than as a substitute for matching job resources. However, in contrast to our predictions, there seemed to be a dominant role for nonmatching cognitive job resources in this respect, whereas nonmatching emotional job resources were chosen less often than expected.

The ward atmosphere important for the psychosocial work environment of nursing staff in psychiatric in-patient care

BackgroundThe nursing staff working in psychiatric care have a demanding work situation, which may be reflected in how they view their psychosocial work environment and the ward atmosphere. The aims of the present study were to investigate in what way different aspects of the ward atmosphere were related to the psychosocial work environment, as perceived by nursing staff working in psychiatric in-patient care, and possible differences between nurses and nurse assistants.Methods93 nursing staff working at 12 general psychiatric in-patient wards in Sweden completed two questionnaires, the Ward Atmosphere Scale and the QPSNordic 34+. Data analyses included descriptive statistics, the Mann-Whitney U-test, Spearman rank correlations and forward stepwise conditional logistic regression analyses.ResultsThe data revealed that there were no differences between nurses and nurse assistants concerning perceptions of the psychosocial work environment and the ward atmosphere. The ward atmosphere subscales Personal Problem Orientation and Program Clarity were associated with a psychosocial work environment characterized by Empowering Leadership. Program Clarity was related to the staff's perceived Role Clarity, and Practical Orientation and Order and Organization were positively related to staff perceptions of the Organizational Climate.ConclusionsThe results from the present study indicate that several ward atmosphere subscales were related to the nursing staff's perceptions of the psychosocial work environment in terms of Empowering Leadership, Role Clarity and Organizational Climate. Improvements in the ward atmosphere could be another way to accomplish improvements in the working conditions of the staff, and such improvements would affect nurses and nurse assistants in similar ways.

The role of psychosocial stress at work for the development of cardiovascular diseases: a systematic review

PurposeA systematic review was carried out to assess evidence for the association between different models of stress at work, and cardiovascular morbidity and mortality.MethodsA literature search was conducted using five databases (MEDLINE, Cochrane Library, EMBASE, PSYNDEX and PsycINFO). Inclusion criteria for studies were the following: self-reported stress for individual workplaces, prospective study design and incident disease (myocardial infarction, stroke, angina pectoris, high blood pressure). Evaluation, according to the criteria of the Scottish Intercollegiate Guidelines Network, was done by two readers. In case of disagreement, a third reader was involved.ResultsTwenty-six publications were included, describing 40 analyses out of 20 cohorts. The risk estimates for work stress were associated with a statistically significant increased risk of cardiovascular disease in 13 out of the 20 cohorts. Associations were significant for 7 out of 13 cohorts applying the demand–control model, all three cohorts using the effort–reward model and 3 out of 6 cohorts investigating other models. Most significant results came from analyses considering only men. Results for the association between job stress and cardiovascular diseases in women were not clear. Associations were weaker in participants above the age of 55.ConclusionsIn accordance with other systematic reviews, this review stresses the importance of psychosocial factors at work in the aetiology of cardiovascular diseases. Besides individual measures to manage stress and to cope with demanding work situations, organisational changes at the workplace need to be considered to find options to reduce occupational risk factors for cardiovascular diseases.

A Cross-Cultural Comparison of Nurses' Ethical Concerns

The aim of this study was to compare Swedish and Chinese nurses' experiences of ethical dilemmas and workplace distress in order to deepen understanding of the challenges neuroscience nurses encounter in different cultures. Qualitative interviews from two previously performed empirical studies in Sweden and China were the basis of this comparative study. Four common content areas were identified in both studies: ethical dilemmas, workplace distress, quality of nursing and managing distress. The themes formulated within each content area were compared and synthesized into novel constellations by means of aggregated concept analysis. Despite wide differences in the two health care systems, the nurse participants had similar experiences with regard to work stress and a demanding work situation. They were struggling with similar ethical dilemmas, which concerned seriously ill patients and the possibilities of providing good care. This indicates the importance of providing nurses with the tools to influence their own work situation and thereby reducing their work-related stress.

Belief, Optimism and Caring

What characterizes expertise in mental health social work? This article attempts to answer this question by reporting on the findings of a cross-national Australian and American study of social work practice expertise in mental health settings, particularly in working with people with long-term serious mental illness. The study identified expert practitioners through a peer-nomination process and asked each of them to describe a memorable practice situation in focus groups. These group interviews were transcribed verbatim and analysed using a constant comparative method. In the face of often complex and demanding work situations, these social workers demonstrated qualities specific to mental health social work that were designated as belief, optimism and caring. These three qualities are delineated and discussed in this article, as well as the implications for social work practice and education