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Evaluation of the Work Safety and Psychosocial Wellbeing of Disability Support Workers

Published online by Cambridge University Press:  20 October 2015

Julia Harries ,
Ka Yiu Yoyo Ng ,
Leah Wilson ,
Neil Kirby  and
Jerry Ford
Julia Harries*
Affiliation:
University of Adelaide, South Australia, Australia
Ka Yiu Yoyo Ng
Affiliation:
University of Adelaide, South Australia, Australia
Leah Wilson
Affiliation:
University of Adelaide, South Australia, Australia
Neil Kirby
Affiliation:
University of Adelaide, South Australia, Australia
Jerry Ford
Affiliation:
Flinders University of South Australia, Adelaide, Australia
*
Address for correspondence: Dr Julia Harries, School of Psychology, University of Adelaide, North Terrace, Adelaide SA 5005, Australia. Email: [email protected]
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Abstract

This study investigated organisational factors impacting disability support worker (DSW) psychosocial wellbeing and work safety to understand the relationship between wellbeing, using measures of burnout and job satisfaction, and work conditions and safety performance. This study also investigated factors predicting wellbeing using the Job Demand-Control-Support (JDCS) model. A sample of 87 DSWs completed normed measures of burnout, work conditions, and safety climate. Results showed DSWs experienced significantly higher personal and work-related burnout but significantly lower client-related burnout. Although the JDCS model components did not all predict any single wellbeing measure, they each predicted aspects of burnout and job satisfaction, with these wellbeing measures associated with safety performance. Findings highlighted the importance of monitoring worker job demands, support availability, and job control to improve safety performance. Compared to normative data, DSWs were experiencing significantly higher role conflict, the negative impact of which was effectively moderated by support for personal and work-related burnout and job satisfaction. Findings suggest the need to consider DSW work conditions, and particularly work practices contributing to role conflict, as well as increasing support for DSWs to prevent the development of personal and work-related burnout. Findings suggest further research associated with client-related burnout is required.

Keywords

psychosocial safetyburnoutsafety climatejob satisfactiondisability support workerswork conditionsrole conflictsupport
Type
Articles
Information
The Australasian Journal of Organisational Psychology , Volume 8 , 2015 , e9
Copyright
Copyright © Australian Psychological Society Ltd 2015 

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References

Aiken, L.S., & West, S.G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage Publications.Google Scholar
Alexander, M., & Hegarty, J. (2000). Measuring staff burnout in a community home. British Journal of Developmental Disabilities, 46, 51–62.Google Scholar
Allen, D. (1999). Mediator analysis: An overview of recent research on carers supporting people with intellectual disability and challenging behaviour. Journal of Intellectual Disability Research, 43, 325–339.Google Scholar
Avergold, M., & Andersen, L. (2006). Incidence and impact of violence against staff on their perceptions of their psychosocial work environment. Nordic Psychology, 58, 232–247.Google Scholar
Barak, M.E.M., Nissly, J.A., & Levin, A. (2001). Antecedents to retention and turnover among child welfare, social work, and other human service employees: What can we learn from past research? A review and metanalysis. Social Service Review, 75, 625–661.Google Scholar
Blascovich, J., & Mendes, W.B. (2000). Challenge and threat appraisals: The role of affective cues. In Forgas, J. (Ed.), Feeling and thinking: The role of affect in social cognition (pp. 59–82). Cambridge, UK: Cambridge University Press.Google Scholar
Blascovich, J., & Tomaka, J. (1996). The biopsychosocial model of arousal regulation. Advances in Experimental Social Psychology, 28, 1–51.Google Scholar
Blewett, V., Shaw, A., LaMontagne, A., & Dollard, M. (2006). Job stress: Causes, impact and interventions in the health and community services sector. Adelaide, Australia: University of South Australia.Google Scholar
Blumenthal, S., Lavender, T., & Hewson, S. (1998). Role clarity, perception of the organization and burnout amongst support workers in residential homes for people with intellectual disability: A comparison between a National Health Service trust and a charitable company. Journal of Intellectual Disability Research, 42, 409–417.Google Scholar
Brough, P., & Biggs, A. (2014). Comparing the impact of occupation-specific and generic work characteristics. In Dollard, M., Shimazu, A., Nordin, R. Bin, Brough, P., & Tuckey, M. (Eds.), Psychosocial factors at work in the Asia Pacific (pp. 145–159). Dordrecht: Springer Books.CrossRefGoogle Scholar
Chan, A.O.M., & Huak, C.Y. (2004). Influence of work environment on emotional health in a health care setting. Occupational Medicine, 54, 207–212.CrossRefGoogle Scholar
Dallner, M., Elo, A.-L., Gamberale, F., Hottinen, V., Knardahl, S., Lindström, K., Skogstad, A., & Örhede, E. (2000). Validation of the General Nordic Questionnaire (QPSNordic) for Psychological and Social Factors at Work. Copenhagen: Nordic Council of Ministers.Google Scholar
De Jonge, J., Dollard, M., Dorman, C., Le Blanc, P., & Houtman, I. (2000). The demand-control model: Specific demands, specific control, and well-defined groups. International Journal of Stress Management, 7, 269–287.Google Scholar
De Jonge, J., & Kompier, M.A.J. (1997). A critical examination of the demand-control-support model from a work psychological perspective. International Journal of Stress Management, 4, 235–258.Google Scholar
Devereux, J., Hastings, R., & Noone, S. (2009). Staff stress and burnout in intellectual disability services: Work stress theory and its application. Journal of Applied Research in Intellectual Disabilities, 22, 561–573. doi: 10.1111/j.1468-3148.2009.00509.xGoogle Scholar
Devereux, J., Hastings, R.P., Noone, S.J., Firth, A., & Totsika, V. (2009). Social support and coping as mediators or moderators of the impact of work stressors on burnout in intellectual disability support staff. Research in Developmental Disabilities, 30, 367–377.Google Scholar
Devereux, J., Rydstedt, L., Kelly, V., Weston, P., & Buckle, P. (2004). The role of work stress and psychological factors in the development of musculoskeletal disorders: The Stress and MSD Study. Guildford, Surrey, U.K.: Robens Centre for Health Ergonomics, University of Surrey.Google Scholar
Dollard, M.F., Winefield, H.R., & Winefield, A. (2001). Occupational strain and efficacy in human service workers: When the rescuer becomes the victim. Dordrecht: Kluwer Academic Publishers.Google Scholar
Dyer, S., & Quine, L. (1998). Predictors of job satisfaction and burnout among direct-care staff of a community learning disability service. Journal of Applied Research in Intellectual Disabilities, 11, 320–332.Google Scholar
Gil-Monte, P.R., & Peiró, J.M. (1998). A study on significant sources of the ‘burnout syndrome’ in workers at occupational centres for the mentally disabled. Psychology in Spain, 1, 55–62.Google Scholar
Gray-Stanley, J.A., & Muramatsu, N. (2011). Work stress, burnout, and social and personal resources among direct care workers. Research in Developmental Disabilities, 32, 1065–1074.Google Scholar
Gray-Stanley, J.A., Muramatsu, N., Heller, T., Hughes, S., Johnson, T.P., & Ramirez-Valles, J. (2010). Work stress and depression among direct support professionals: the role of work support and locus of control. Journal of Intellectual Disability Research, 54, 749–761.Google Scholar
Harnois, G., & Gabriel, P. (2000). Mental health and work: Impact, issues and good practices. Geneva: World Health Organization and the International Labour Organization.Google Scholar
Hatton, C., Emerson, E., Rivers, M., Mason, H., Mason, L., Swarbrick, R., Kiernan, C., Reeves, D., & Alborz, A. (1999). Factors associated with staff stress and work satisfaction in services for people with intellectual disability. Journal of Intellectual Disability Research, 43, 253–267.Google Scholar
Hatton, C., Emerson, E., Robertson, J., Henderson, D., & Cooper, J. (1995). The quality and costs of residential services for adults with multiple disabilities: A comparative evaluation. Research in Developmental Disabilities, 16, 439–460.CrossRefGoogle ScholarPubMed
Hauke, A., Flintrop, J., Brun, E., & Rugulies, R. (2011). The impact of work-related psychosocial stressors on the onset of musculoskeletal disorders in specific body regions: A review and meta-analysis of 54 longitudinal studies. Work and Stress, 25, 243–256.Google Scholar
Häusser, J.A., Mojzisch, A., Niesel, M., & Schulz-Hardt, S. (2010). Ten years on: A review of recent research on the job demand-control (-support) model and psychological well-being. Work and Stress, 24, 1–35.Google Scholar
Hayes, A.F., & Matthes, J. (2009). A computational program for probing interactions in OLS and logistic regression: SPSS and SAS implementations. Behavior Research Methods, 41, 924–936.Google Scholar
Holmbeck, G.N. (2002). Post-hoc probing of significant moderational and mediational effects in studies of pediatric populations. Journal of Pediatric Psychology, 27, 87–96.Google Scholar
Karasek, R.A. (1979). Job demands, job decision latitude and mental strain: Implications for job redesign. Administrative Science Quarterly, 24, 285–308.Google Scholar
Karasek, R.A., & Theorell, T. (1990). Healthy work: Stress, productivity and the reconstruction of working life. New York: Basic Books.Google Scholar
Kines, P., Lappalainen, J., Mikkelsen, K.L., Olsen, E., Pousette, A., Tharaldsen, J., Tómasson, K., & Törner, M. (2011). Nordic Safety Climate Questionnaire (NOSACQ-50): A new tool for diagnosing occupational safety climate. International Journal of Industrial Ergonomics, 41, 634–646.Google Scholar
Kozak, A., Kersten, M., Schillmöller, Z., & Nienhaus, A. (2013). Psychosocial work-related predictors and consequences of personal burnout among staff working with people with intellectual disabilities. Research in Developmental Disabilities, 34, 102–115.Google Scholar
Kristensen, T., Borritz, M., Villadsen, E., & Christensen, K. (2005). The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work and Stress, 19, 192–207.Google Scholar
Larsson, A., Karlqvist, L., Westerberg, M., & Gard, G. (2012). Identifying work ability promoting factors for home care aides and assistant nurses. BMC Musculoskeletal Disorders, 13, 1–11.Google Scholar
Lawson, D., & O'Brien, R. (1994). Behavioural and self-report measures of staff burnout in developmental disabilities. Journal of Organizatonal Behavior Management, 14, 37–54.CrossRefGoogle Scholar
Lin, J.-D., Lee, T.-N., Yen, C.-F., Loh, C.-H., Hsu, S.-W., Wu, J.-L., & Chu, C.M. (2009). Job strain and determinants in staff working in institutions for people with intellectual disabilities in Taiwan: A test of the Job Demand-Control-Support Model. Research in Developmental Disabilities: A Multidisciplinary Journal, 30, 146–157.Google Scholar
Lindstrom, K., Elo, A., Skogstad, A., Dallner, M., Gamberale, F., Hottinen, V., Knardahl, S., & Orhede, E. (2000). User's guide for the QPS Nordic: General Nordic Questionnaire for Psychological and Social Factors at Work. Copenhagen: Nordic Council of Ministers.Google Scholar
Nahrgang, J.D., Morgeson, F.P., & Hofmann, D.A. (2011). Safety at work: A meta-analytic investigation of the link between job demands, job resources, burnout, engagement, and safety outcomes. Journal of Applied Psychology, 96, 71–94.CrossRefGoogle Scholar
Pelletier, D., Coutu, S., & Lamonde, A. (1995). A comparison of work-life quality among direct-care staff in institutional and community agencies for persons with mental retardation and staff in juvenile delinquency agencies. Developmental Disabilities Bulletin, 23, 16–31.Google Scholar
Pfeffer, J. (2010). Building sustainable organisations: The human factor. Academy of Management Perspectives, 24, 34–45.Google Scholar
Quick, J.D., Horn, R.S., & Quick, J.C. (1987). Health consequences of stress. Journal of Organizational Behavior Management, 8, 19–36.Google Scholar
Robertson, J., Hatton, C., Felce, D., Meek, A., Carr, D., Knapp, M., . . . Lowe, K. (2005). Staff stress and morale in community-based settings for people with intellectual disabilities and challenging behaviour: A brief report. Journal of Applied Research in Intellectual Disabilities, 18, 271–277.Google Scholar
Rose, D., Horne, S., Rose, J.L., & Hastings, R.P. (2004). Negative emotional reactions to challenging behaviour and staff burnout: Two replication studies. Journal of Applied Research in Intellectual Disabilities, 17, 219–223.Google Scholar
Rose, J., Jones, F., & Fletcher, B. (1998). The impact of a stress management programme on staff wellbeing and performance at work. Work and Stress, 12, 112–124.Google Scholar
Siu, O.L., Phillips, D.R., & Leung, T.W. (2004). Safety climate and safety performance among construction workers in Hong Kong: The role of psychological strains as mediators. Accident Analysis and Prevention, 36, 359–366.Google Scholar
Skirrow, P., & Hatton, C. (2007). ‘Burnout’ amongst direct care workers in services for adults with intellectual disabilities: A systematic review of research findings and initial normative data. Journal of Applied Research in Intellectual Disabilities, 20, 131–144.Google Scholar
Sparks, K., & Cooper, C.L. (1999). Occupational differences in the work-strain relationship: Towards the use of situation-specific models. Journal of Occupational and Organizational Psychology, 72, 219–229.CrossRefGoogle Scholar
Stavroula, L., & Aditya, J. (2010). Health impact of psychosocial hazards at work: An overview. Geneva: World Health Organization.Google Scholar
Thompson, L., & Rose, J. (2011). Does organizational climate impact upon burnout in staff who work with people with intellectual disabilities? A systematic review of the literature. Journal of Intellectual Disabilities, 15, 177–193.Google Scholar
Um, M.Y., & Harrison, D.F. (1998). Role stressors, burnout, mediators, and job satisfaction: A stress-strain-outcome model and an empirical test. Social Work Research, 22, 100–115.Google Scholar
van der Doef, M., & Maus, S. (1999). The Job Demand-Control (-Support) Model and psychological well-being: A review of 20 years of empirical research. Work and Stress, 13, 87–114.Google Scholar
Vassos, M., & Nankervis, K.L. (2012). Investigating the importance of various individual, interpersonal, organisational and demographic variables when predicting job burnout in disability support workers. Research in Developmental Disabilities, 33, 1780–1791.Google Scholar
Verhoeven, C., Maes, S., Kraaij, V., & Joekes, K. (2003). The Job-Demand-Control-Social Support model and wellness/health outcomes: A European study. Psychology and Health, 18, 421–440.Google Scholar
Viswesvaran, C., Sanchez, J.I., & Fisher, J. (1999). The role of social support in the process of work stress: A meta-analysis. Journal of Vocational Behavior, 54, 314–334.Google Scholar
Wanous, J., Reichers, A., & Hudy, M. (1997). Overall job satisfaction: How good are single-item measures? Journal of Applied Psychology, 82, 247–252.Google Scholar
Way, K. (2012). Psychosocial hazards and occupational stress. In HaSPA (Health and Safety Professionals Alliance), The Core Body of Knowledge for Generalist OHS Professionals (p. 8). Melbourne, Australia: Safety Institute of Australia.Google Scholar
White, C., Holland, E., Marsland, D., & Oakes, P. (2003). The identification of environments and cultures that promote the abuse of people with intellectual disabilities: A review of the literature. Journal of Applied Research in Intellectual Disabilities, 16, 1–9.CrossRefGoogle Scholar
White, P., Edwards, N., & Townsend-White, C. (2006). Stress and burnout amongst professional carers of people with intellectual disability: Another health inequity. Current Opinion in Psychiatry, 19, 502–507.Google Scholar