Psychosocial Work Environment Research Articles

Reliability and validity of the Vietnamese version of the 9-item Utrecht Work Engagement Scale.

ObjectivesThe present study investigated the reliability and validity of a newly developed Vietnamese version of the 9‐item Utrecht Work Engagement Scale (UWES‐9‐V) in a sample of hospital nurses in Hanoi, Vietnam.MethodsThe UWES‐9 was translated into Vietnamese following a standard procedure. A survey was conducted of 949 registered nurses in a large tertiary general hospital in Hanoi, Vietnam, in 2018, using a self‐administered questionnaire including the Vietnamese UWES‐9, other scales measuring health status, work performance, job demand, job control, and workplace social support, and questions pertaining to demographic variables. Cronbach’s alpha and interclass correlation coefficients (ICC) were calculated to assess reliability. Explanatory and confirmatory factor analyses were conducted to assess factorial validity. Convergent validity was tested based on associations between the UWES‐9‐V and subscales and other scales.ResultsThe Cronbach’s alpha coefficients of the UWES‐9‐V and the Vigor, Absorption, and Dedication subscales were 0.93, 0.86, 0.77, and 0.90, respectively. ICC of the UWES‐9‐V in a subsample after 3 months was 0.48. Confirmatory factor analyses indicated an acceptable fit of both one‐factor and three‐factor structures, with the three‐factor model having the better fit. The UWES‐9‐V and its subscales correlated with depression, anxiety and stress, health‐related quality of life and health condition, job performance, and psychosocial work environment.ConclusionsThe study findings suggest that the UWES‐9‐V is a reliable and valid instrument to measure work engagement among hospital nurses in Vietnam, a low‐ and middle‐income country. Future studies should confirm the validity and reliability of the UWES‐9‐V among various occupations.

Is it possible to gain energy at work? A questionnaire study in primary health care.

The area of regenerative work is still close to unexplored. The aim was to explore the possibility for employees to gain energy at work. Questionnaire to all employees (n = 599) from different professions in public and private primary health care centers in one health care district in Sweden. The questionnaire, which had a salutogenic perspective, included information on self-rated health, psychosocial work environment and experiences, recovery, social climate, and energy. Having an energy-building experience was defined by a positive response to two combined questions regarding energy at work. Analyses were performed with bivariate correlation and multiple logistic regression. The response rate was 84%. Health and energy correlated positively (r = 0.54). In total, 44.5% of the employees reported having an energy-building experience. Predictors for having an energy-building experience were recovery [positive odds ratio (POR) = 2.78], autonomy (POR = 2.26), positive workplace characteristics (POR = 2.09), and internal work experiences (POR = 1.88). The results support the hypothesis that it is possible to gain energy at work, an area that is still close to unexplored. There is a high correlation between energy and health. Employees' energy-building experiences relate to well-being at work and correlates to recovery, autonomy, positive workplace characteristics, and positive internal work experiences. This knowledge can help in improving future work environment development.

Discrimination and stigma among people with type 2 diabetes in the workplace: prejudice against illness or obesity?

ObjectivesBoth obesity/overweight and type 2 diabetes (T2D) have been independently identified as being the basis for stigma and discrimination in the workplace. The study sought to test the hypothesis that people with T2D are at increased risk of discrimination and adverse self-reported psychosocial work environment. Study designThis study was based on survey data from 2415 working Danes with T2D (n = 586) and without T2D (n = 1829) recruited from online panels. Single self-reported items were used to obtain information about diabetes status, exposure to discrimination and other individual factors. MethodsDescriptive statistics and linear regression were used for the data analysis. ResultsSix percent of the participants with T2D had experienced some type of discrimination at work, which was ascribed to their diabetes. People with diabetes had higher levels of effort-reward imbalance. When adjusting for body mass index, differences in relation to effort-reward imbalance were accounted for. ConclusionsPeople with T2D reported relatively poor psychosocial working environment compared with the general working population, but the difference was removed by adjusting for overweight/obesity. This indicates that T2D alone is not a source of stigma and discrimination in the context of work. Levels of perceived discrimination were notably lower than expected among people with diabetes as a whole, but a number of people, nonetheless, continue to be exposed to the destructive effects of discrimination in the context of work.

The Effect of Organizational Changes on the Psychosocial Work Environment: Changes in Psychological and Social Working Conditions Following Organizational Changes.

Purpose: The present study aimed to clarify the prospective effects of various types and frequencies of organizational changes on aspects in the psychosocial work environment.Methods: The study had a prospective, full-panel, repeated measures design. Data were collected by self-administered, online questionnaires, with a 2-year interval between measurement occasions. Five types of organizational change were assessed – company restructuring, downsizing, layoffs, partial closure, and partial outsourcing. The effects of change on eleven, specific work factors were measured utilizing QPS Nordic. At baseline, 12652 employees participated, while 8965 responded at follow-up. Generalized estimating equations were utilized to estimate the effects of change taking place within the last 12 months or more than 24 months prior.Results: Cross-sectional analyses, i.e., changes occurring within the last 12 months, showed all 11 work factors to be statistically significantly associated with the organizational changes restructuring, downsizing, and partial closure (coefficients ranging −0.28 to 0.04). In the prospective analyses, i.e., the effects of change taking place more than 24 months prior, associations were no longer significant for a number of work factors, although all types of organizational change remained significantly associated with at least three work factors (coefficients ranging −0.14 to 0.05). Following repeated organizational changes, statistically significant associations were shown for all 11 work factors (coefficients ranging from 0.39 to −0.04).Conclusion: Following both separate and repeated organizational change, various psychological and social work factors were altered, with the most pronounced effects following repeated change. These results suggest the implementing organizational change, especially repeated change, may have an adverse effect on various parts of the psychosocial work environment. The negative effects of a company’s psychosocial working conditions may contribute to the adverse health effects often observed following such changes and help explain why many change initiatives fail to reach its intended results.

Health, work and demographic factors associated with a lower risk of work disability and unemployment in employees with lower back, neck and shoulder pain

BackgroundChronic musculoskeletal pain affects over 20% of the adult population and is one of the most common reasons for sick leave in Sweden. The aim of this study was to investigate which demographic, health and psychosocial work environment factors are of importance for a lower risk of future work disability and unemployment among workers with low back pain (LBP) and/or neck shoulder pain (NSP), and if familial factors influence these associations.MethodsAll 5556 persons that reported having LBP and/or NSP in a web-based questionnaire study in 2004–2006 were included. They were followed up for work disability (sick leave > 90 days or disability pension), and unemployment (> 180 days in a year) until 31 December 2013. Hazard ratios (HR) with 95% confidence intervals were calculated using cox proportional hazard models of the whole sample, adjusting for covariates. In addition, co-twin analyses of outcome discordant twin pairs were conducted to assess the impact of familial confounding on the associations.ResultsBeing male, 19–28 years old, having higher education, only NSP, no history of depression or anxiety, good self-rated health, low job demands and high job control were associated with a lower risk of work disability (adjusted HR ranging between 0.29–0.85). No history of anxiety and depression and high job control was associated with a lower risk of unemployment (adjusted HR ranging from 0.53 and 0.67). Familial factors were found to affect the association between education and work disability, but none of the other associations investigated.ConclusionsAmong those with LBP or NSP, good health in terms of mental- and self-rated health, few pain sites, as well as good psychosocial working conditions seem to indicate a lower risk for work disability.

Interaction effects of physical and psychosocial working conditions on the risk of disability pension among nursing professionals and care assistants in Sweden: A prospective study

BackgroundNursing professionals and care assistants are often subject to a combination of negative physical and psychosocial work environment factors, but most disability pension studies on such occupations have focused on one or the other of these factors. As they often coexist, there are reasons to assume that simultaneously being exposed to both types of exposures will increase the risk of disability more than being exposed to either. ObjectivesThe study examined combinations of physical and psychosocial work conditions as predictors of future disability pension among nursing professionals and care assistants in Sweden. ParticipantsThe study was based on a random and representative sample of 79,004 participants in any of the Swedish Work Environment Surveys from 1993 to 2013. A total of 2576 nursing professionals, 10,175 care assistants, and 66,253 workers in other occupations were included. MethodsInformation on background factors and disability pension was obtained from population registers. Cox proportional hazard regressions with 95% confidence intervals (CI) were performed to study if pairs of combinations of physical and psychosocial factors were related to an increased risk of disability pension. Additionally, measures of synergistic effects were estimated. The analyses were stratified on occupation group, with adjustment for selected confounders. ResultsThe results indicated increased hazard ratios (HR) for disability pension for most combinations of physical and psychosocial working conditions. The hazard ratios for joint exposure to high demands and heavy physical work were high among both nursing professionals (HR 1.91; CI 1.06–3.44) and care assistants (HR 2.09; CI 1.63–2.69). Also, the combination of high demands and strenuous postures resulted in significantly elevated risks of disability pension among nursing professionals (HR 1.95; CI 1.20–3.16) and care assistants (HR 2.18; CI 1.71–2.77). The HRs for joint exposure to low control and both heavy physical work and strenuous postures were significant among all other occupations (HR 2.30; CI 2.05–2.58 and HR 2.24; CI 2.01–2.51), and among care assistants (HR 1.52; CI 1.26–1.85 and HR 1.61; CI 1.34–1.93), but not significant among nursing professionals. The synergistic effects on disability pension from combined exposures were generally positive among all three occupational groups. ConclusionNursing professionals and care assistants exposed to both negative physical and psychosocial conditions had an increased risk of disability pension. A synergistic effect with respect to disability pension was found among care assistants who reported low control and strenuous postures at work.

Psychosocial work environment, work engagement, and employee commitment: A moderated, mediation model

• Workplace bullying was found to be prevalent in the US hospitality sector. • Work engagement was found to be a full mediator of the relationships between HPWS, POS, and affective commitment. • Workplace bullying mediated the relationship between HPWS and affective commitment, while psychosocial safety climate moderated this mediating impact. This paper contributes to the growing body of literature on the wellbeing of hospitality employees from a perspective of strategic human resource management. The role of high performance work systems (HPWS) in enhancing the affective commitment of hospitality employees is examined. The study found work engagement to mediate the relationships between HPWS, perceived organizational support, and affective commitment. Workplace bullying, a highly prevalent phenomenon in the hospitality sector, was found to mediate the relationship between HPWS and affective commitment, while psychosocial safety climate moderated this mediating impact. We will suggest the implications for managing psychosocial work hazards in hospitality organizations.

Effectiveness of the Labour Inspection Authority’s regulatory tools for work environment and employee health: study protocol for a cluster-randomised controlled trial among Norwegian home-care workers

IntroductionThere is a need to evaluate whether, and to what degree, labour inspections or other regulatory tools have the desired effects on psychosocial, organisational and mechanical work environment, and employee...

Gender differences in managers’ attitudes toward depressed employees: a cross-sectional study

Abstract Background Depression is known to carry negative attitudes within society and organisations. In the workplace, managers are responsible for the psycho-social work environment and attitudes to depression will likely affect that environment. The few studies performed among managers have found that female, more educated and managers working in the public sector were less likely to report negative attitudes. However, these studies did not take organization characteristics into account. The aim was to investigate the association between gender and negative attitudes toward employees with depression controlling for individual and organisational factors. Methods A cross-sectional web-survey was sent to 4737 Swedish managers, aged 20-65 years in 2017, response rate 71%; We included those answering the “Managerial stigma toward employee depression” instrument, n = 2663 (901 women, 1762 men), consisting of 12 items tapping negative attitudes towards depression. The 3rd quartile was used as a cut-off. Multivariate logistic regression analyses on attitudes towards depression were performed (95% CI) to generate odds ratios (OR) adjusted for co-variates (individual and organisational characteristics). Results Male managers were more likely to report negative attitudes compared to female managers (OR 1.64, 95% CI 1.28 - 2.10) irrelevant of individual (age, education, current workplace management experience, lifetime experience in management, managerial position) or organisational (work sector, staff gender composition, presence of staff members with Common Mental Disorders) characteristics. Conclusions A gender difference in reporting negative attitudes was appraised regardless any of the co-variates included. To manage depression within the workplace, companies should also address managers’ attitudes towards depression. Key messages Important to heed managers’ attitudes to CMDs and their impact on RTW processes. Gender-tailored approach in managers’ training is suggested for awareness and knowledge on mental health.

Connotations of psychological and physiological health in the psychosocial work environment: An industrial context.

Psychological conditions are experiences of the conscious and unconscious elements of the work context, which revolve around workers' perceptions of feeling either engaged or disengaged with the assigned tasks. In the psychosocial work environment of hazardous industries like petrochemicals where production lasts twenty-four hours a day and continues seven-days-a-week, a psychologically available worker is extremely important. Psychological availability refers to when workers who are physically, emotionally and psychologically engaged at the moment of performing tasks. The broad objective of this study was to investigate the direct and indirect effects of behavioral factors on the psychological and physiological health of workers. The latest, second generation technique, which is structural equation modeling, is used to identify the relationships between behavioral antecedents and health outcomes. A total of 277 technical workers participated, aged between 20 and 49 and were healthy in all aspects. The study results showed quantitative demands, emotional demands, work-family conflict, and job insecurity were significantly associated with both psychological (stress) and physiological (Body Mass Index) factors. The social support of colleagues produced mixed findings with direct and indirect paths. Stress also significantly mediates the psychosocial factors and burnout of the workers. The study concluded that workers were physically available, but they experienced distractions as members of social systems, affecting their physiological and psychological health.

Associations between occupational factors and self-rated health in the national Brazilian working population

BackgroundThe literature remains seldom on the topic of self-rated health (SRH) among the national working populations of emerging countries. The objectives of the study were to examine the associations of occupational factors with SRH in a national representative sample of the working population in Brazil.MethodsThis study relied on a cross-sectional sample of 36,442 workers, 16,992 women and 19,450 men. SRH was the studied health outcome. Sixteen occupational factors related to four topics were studied: employment characteristics, working time/hours, psychosocial work factors and physical and chemical work exposures. The associations between occupational factors and SRH were studied using logistic regression models with adjustment for sociodemographic characteristics (age, ethnicity and marital status). The analyses were performed for each gender separately and using weights.ResultsThe prevalence of poor SRH was 26.71%, this prevalence being higher among women (29.77%) than among men (24.23%). The following risk factors for poor SRH were found among men and women: working as a self-employed worker, clerk/service worker, manual worker, part-time (≤ 20 h/week), exposure to work stress, exposure to high physical activity and exposure to sun. The risk factors for poor SRH among women only were: working as a domestic worker and exposure to noise, and among men, working in the agriculture sector.ConclusionsOur study suggested that occupational factors related to both physical and psychosocial work environment may be associated with SRH in the working population in Brazil. Improving working conditions may be beneficial for health at work in Brazil.

Perspectives of Registered Nurses on refugee healthcare in Lebanon and Jordan (PROfILE): A multi-site cross-sectional study protocol.

This is a study protocol to investigate nurses' perspectives on refugee health care in two countries. The aims are to: (a) explore self-reported work environment factors, including work stressors, self-rated leadership, staffing and resources adequacy, and teamwork among Jordanian and Lebanese nurses caring for refugees; (b) investigate the relationship between nurse related outcomes (physical health; emotional exhaustion) and their psychosocial work environment; and (c) assess the association between nurses' perceived work environment factors and implicit rationing of care and quality of patient care. Globally, the care of refugees is achieving increased attention. Over 6.3 million people are internally displaced and 4.8 million recorded Syrian expatriates are residing in and receiving healthcare services in the neighbouring host countries. This is a cross-sectional, comparative study using a survey design. The study setting involves both private and public hospitals and primary healthcare centres that provide care to refugees on regular basis in Lebanon and Jordan. The estimated sample size includes 3,000 Registered Nurses from Lebanon and 2,500 nurses and midwives from Jordan. Workplace factors affecting quality of nursing care and psychosocial status of nurses caring for refugees will be identified. Potential findings will help leaders design interventions to support nurses who are serving refugees for safer care and better patient outcomes. Findings will assist in more efficient resource allocation and management. New knowledge on the impact of providing health care for refugees will be generated based on the structure of nursing care (e.g., work environment), on the nursing process (e.g., implicit rationing of care), and nurse outcomes (health) in two hosting communities. Moreover, factors enabling resilience in patients, providers, and systems will be identified and be of potential use in addressing the growing global problem of caring for displaced persons.

Ankle Sprains Risk Factors in a Sample of French Firefighters: A Preliminary Prospective Study.

Firefighters participating in mandatory physical exercise sessions are exposed to a high risk of ankle sprain injury. Although both physiological and psychological risk factors have been identified, few prospective studies considered the complex interaction of these factors in firefighters. To prospectively determine whether intrinsic physical risk factors and work-related environments predict ankle sprains occurring during on-duty physical exercise in firefighters during an 8-month follow-up period. Prospective. Fire Department and Rescue Service. Thirty-nine firefighters were selected based on convenience sampling. Participants performed physical tests and completed questionnaires. Lower Quarter Y-Balance Test, Weight-Bearing Lunge Test, anthropometric measures, postural stability, chronic ankle instability (Cumberland Ankle Instability Tool) scores, previous injuries, and perceived psychosocial work environment (Copenhagen Psychosocial Questionnaire [COPSOQ]). During the follow-up, 9 firefighters sustained an injury. Lower Quarter Y-Balance Test and Weight-Bearing Lunge Test performances, Cumberland Ankle Instability Tool scores, history of previous ankle sprain, and specific dimensions of the COPSOQ significantly differed between injured and uninjured firefighters. Lower-limbs asymmetries of the Lower Quarter Y-Balance Test (ie,anterior, posteromedial, and posterolateral directions) and the Weight-Bearing Lunge Test were predictors of ankle sprains. These findings originally provide evidence that intrinsic factors mainly contribute to ankle sprains, although psychosocial work environment assessment could also characterize firefighters at risk.

‘Same, but different’: A mixed-methods realist evaluation of a cluster-randomized controlled participatory organizational intervention

Participatory organizational interventions are a recommended approach to improve the psychosocial work environment. As interventions of this type are shaped by employees and managers, their implementation can vary considerably, making evaluation challenging. This study contributes to our understanding of interventions by focusing on how the intervention mechanisms and the organizational context interact. In a mixed-methods design, we use multi-group structural equation modelling of pre-and post-intervention survey data ( N = 204) to test multiple mediational mechanisms in three different contexts. We then analyse interviews ( N = 67) and field observations of workshops to identify the role of contextual factors. The findings suggest that participatory organizational interventions do not produce one-size-fits-all results; on the contrary, intervention results are better understood as products of multiple intervention mechanisms interacting with the specific organizational contexts.

Dockworkers' health and safety. A cross-sectional study of self-perceived safety and psychosocial work environment amongst Danish dockworkers.

This study aimed to determine the characteristics and association between self-perceivedsafety and psychosocial work environment amongst dockworkers in Denmark. A cross-sectional study was conducted among dockworkers in three harbours inDenmark, using a triangulation strategy approach, with a questionnaire survey and telephone interviews.Both collection methods included questions on workplace safety, accidents, work environment, colleaguesand management. The majority felt confident about the safety at the work place (88.8%) and agreed thatgood collaboration and teamwork among colleagues (95.4%) was the reason they felt safe. The majoritywere very satisfied with their job (76.1%). Moreover, the majority stated that they were thriving well in thechangeable working hours (85.1%) and did not find it stressful to be a part-time worker with no guaranteeof work (80.2%). 46.1% had never felt stressed, and only 7.9% had felt stressed often the last 2 weeks.The main source of feeling stressed was the combination of work and personal life (39.3%). The studypopulation was 88 and the response rate of the questionnaire was 41%. Due to the small study population and the distribution of answers, it was notpossible to measure an association between self-perceived safety and psychosocial work environment;however, it was found that dockworkers were greatly satisfied with the working conditions, primarily becauseof good colleagues, flexible working hours and a satisfying pay cheque.

Legitimacy of work tasks, psychosocial work environment, and time utilization among primary care staff in Sweden

Objective: Primary care staff faces a complex work environment including a heavy administrative work load and perceive some work tasks as illegitimate. This study aimed to elucidate associations between the perceived legitimacy of work tasks, the psychosocial work environment, and the utilization of work time among Swedish primary care staff.Design and setting: The study was designed as a multicenter study involving all staff categories, i.e. registered nurses, primary care physicians, care administrators, nurse assistants and allied professionals, at eleven primary care centers in Sweden.Subjects: Participants completed the Bern Illegitimate Tasks Scale and the Copenhagen Psychosocial Questionnaire. They also recorded time spent on all work tasks, day by day during two separate weeks.Main outcome measures and results: More than a quarter (27%) of primary care physicians perceived a high proportion of unnecessary work tasks. After adjusting for profession, age and gender, the perception of having to perform unreasonable work tasks was positively associated with experiencing role conflicts and with the proportion of organization-related administration and service work tasks.Conclusion: Across all staff groups, the perception of unreasonable work tasks was more pronounced among staff with a high proportion of non-patient related administration. Also, the perception of having to perform a large amount of illegitimate work tasks affected the psychosocial work environment negatively, which might influence staffs perception of their professional roles. These results illuminate the importance of decision makers to thoroughly consider the distribution and allocation of non-patient related work tasks among staff in primary care.Key pointsWe observed an interaction between perception of having a large proportion of illegitimate work tasks and impaired psychosocial work environment. • More than a quarter of the primary care physicians perceived a high proportion of unnecessary work tasks.• Across all staff groups, performing unreasonable work tasks was associated with an experience of having role conflicts.• Across all staff groups, a perception of performing unreasonable work tasks was associated with the proportion of non-patient related administrative work tasks.

Determining Indicators Of Happiness Index Among University Staff

Besides playing their role to produce competent graduates, university staff have the commitment to develop their career as their final objective. While determining the achievability of the objectives, university staff are exposed to various situations that could potentially cause emotional imbalance. This could lead to unhappiness among them. Henceforth, a research on psychosocial aspect and work environment ecology needs to be carried out to identify indicators that help to improve the happiness of the university staff that directly affects the performance of the organization. A total of 535 respondents were randomly selected to answer a questionnaire which was based on the Model of Happiness. The benchmark used to construct the Happiness Index among Staff at University A was based on the measurement used in the World Happiness Index. Cumulative Index showed that the staff happiness was at a moderate level with a score value of 72%. The finding serves as a platform for University A to scrutinize and improve elements needed to create work life balance among academic and administrative staff.

Validation of the Job Content Questionnaire among hospital nurses in Vietnam.

ObjectivesThe aim of this study was to examine the reliability and validity of the Job Content Questionnaire (JCQ) in Vietnamese among hospital nursing staff.MethodsThe 22‐items version of the JCQ was used. This includes four scales: (a) psychological demands (5 items); (b) job control (9 items); (c) supervisor support (4 items); and (d) coworker support (4 items). All 1258 nurses in a general hospital in Vietnam, excluding 11 who were due to retire, were invited to complete the cross‐sectional survey. The internal consistency reliability was estimated using Cronbach's α. Construct validity was examined using exploratory factor analysis (EFA). Convergent validity was evaluated by calculating correlations between the JCQ scores and DASS 21 and overtime work.ResultsIn total, 949 (75%) of the 1258 eligible nurses completed the survey. Cronbach's α values demonstrated acceptable internal consistency in two scales (supervisor support α = .87; coworker support α = .86), while Cronbach's α was below the acceptable threshold of 0.70 for job control (α = .45) and job demand (α = .50). EFA assuming a four‐factor structure showed a factor structure that was almost identical to the original JCQ, with two items loading on other scales. The subscales of depression, anxiety, and stress response of DASS 21 and the subscales of JCQ were significantly correlated, as expected.ConclusionThe results suggest that the JCQ in Vietnamese can be used with some reliability and validity for examining psychosocial work environment among nurses. Further studies should be done to confirm and expand our findings in a variety of occupational groups and in other Asian low‐ and middle‐income countries.

Effort-Reward Imbalance Is Associated With Alcohol-Related Problems. WIRUS-Screening Study.

There is ample evidence of associations between a perceived stressful working environment and several health-related outcomes. To better understand potential mechanisms behind these observations some studies have focused on the relationship between effort-reward imbalance at work and alcohol consumption. So far, the findings have been inconsistent. One reason for this inconsistency might come from the focus on alcohol consumption per se, while disregarding other aspects such as adverse consequences related to the consumption of alcohol. The aim of the present study was to explore associations between perceived effort and reward, effort-reward imbalance and overcommitment, and alcohol-related problems. Using data from the alcohol screening component in the Norwegian WIRUS-project (N = 5,080), we ascertained the perceived effort, reward, effort-reward imbalance (ERI) and overcommitment using the effort-reward imbalance questionnaire. Alcohol-related problems was determined using a cut-off ≥8 on the Alcohol Use Disorder Identification Test (AUDIT). Associations were estimated using crude and adjusted logistic regression models. Covariates were age, gender and education. We found associations between different aspects of ERI and overcommitment, and alcohol-related problems. Specifically, the main analysis indicated that there was an increased odds for alcohol-related problems among those who reported high levels of ERI in conjunction with high overcommitment [adjusted OR: 1.40 (CI 95% 1.10–1.78)] compared to those with low levels of ERI and low overcommitment. Our findings suggest that ERI and overcommitment is associated with increased likelihood of alcohol-related problems. These findings indicate that individual and work-related factors should be taken into account collectively when aiming to determine the impact of psychosocial work environment on alcohol-related problems. Due to the cross-sectional nature of the present study, we are not able to determine the direction of the associations, and future studies should aim to investigate this.

Instrumental, Interpersonal or Holistic: Social Work Managers’ Conceptions of Safety in the Psychosocial Work Environment

Social work managers are accountable for risks and safety in the psychosocial work environment. This article aims to understand how social work managers deal with safety in the psychosocial work environment in social service organizations with potentially conflicting logics of regulation and security, by answering the questions: How do social work managers conceptualize safety in the psychosocial work environment?; What are the implications of different conceptions of safety in the psychosocial work environment for social work management? Through a qualitative phenomenographic analysis of semi-structured interviews with 27 managers in the Swedish social services, three conceptions were found: an instrumental, interpersonal and holistic conception. As each conception encompasses the former and thus increases the level of comprehensiveness, tensions between the logics of regulation and security increases. Managers with a comprehensive conception must therefore reflect on the way regulations for safety may conflict with social relationships. Implications for social work management are the need to discuss how safety management relates to social work professionalism, and the self-regulation due to the integration of safety thinking in social work professionalization. Future research could investigate how the conceptions relate to managerial and professional practice and how different parts of the social services conceptualize safety.