Showing posts with label Duty of Care.. Show all posts
Showing posts with label Duty of Care.. Show all posts

WELCOME TO 'HELP'



ABOUT HELP

It has been a long time since I have taken the time to write here, Sorry. 

From as early as 2001 having finished my training as a Counsellor, with no money, a job, a beautiful new wife and hopes for the future, I set up a voluntary support service for those suffering as a result of Stress, Anxiety, Trauma, Panic Attacks, Bullying and False Allegation in the workplace and life in general.  20 plus year laters I am still here. Happily married, a father, fatter, balder and I would say wiser but lets say more understanding of the world, which sounds better better than miserable cynic.😉  

In 2002, when blogging was a new and exciting way of sharing knowledge I set up this site, and it was free. The hope then as always, was to try and help those in need.  I still don't have all the answers but will do my best to support people to find their own answers and way through their difficult times.

 "The impact of stress can be felt at all levels and within every walk of life. The negative influences of stress are damaging not only to ourselves, our families, loved ones and business but also to the fabric of society and will continue to do so until this issue is taken more seriously by all who can affect change"

                                                                        M. Reddy Irish Independent 2002 

 Stress is essentially reflected by the rate of all the wear and tear caused by life. although we cannot avoid stress as long as we live,we can learn a great deal about how to keep its’ damaging side-effects, distress, to a minimum.”
Hans Selye, M.D.



Mark Reddy M.Sc.  Psychotherapist, Psychologist, Mediation and Conflict Resolution,  Consultancy and proud Mental Health Advocate. 


email:mark.reddy1@gmail.com 
www.gardasupport.ie


Stress Reactions in Policing (An Garda Siochana)


Published Garda Review in 2007.

The members of the Grada Representative Association (GRA) and its CEC work tirelessly on behalf of all rank and file members of An Garda Siochana to bring about positive and lasting change in relation to Health, Safety and Welfare within the force. http://www.gra.cc/

INTRO
We need a certain amount of stress to function; but what actually is it?
Stress is experienced regularly. We require a certain amount of it to get through tasks, keep us focused and motivated. The problems occur when our body and mind is subjected to high levels of stress for extended periods of time. This is further heightened if we perceive certain situations to be life threatening, harmful to our health or to our sense of self.


These incidences may lead to distress, a natural defence mechanism designed for our bodies to respond to such perceived times of danger; known as ‘flight or fight’. At such times our body creates high levels of stress hormones such as epinephrine (adrenaline), norepinephrine (noradrenaline) dopamine and cortisol, which has harmful effects; that contribute to increases in blood pressure and blood sugar levels and may cause infertility in women. It suppresses the immune system as well as damaging long term memory.

DEVASTATING

The overall hormonal reaction can wear down both body and subsequently emotions; people under distress can often become emotional, irritable, anxious, have difficulty making decisions and even suffer from symptoms of depression and insomnia. If that weren’t enough, sufferers can also expect biological stress-related illnesses and conditions such as weight loss, lethargy, stomach complaints, high blood pressure and even heart attacks. These issues have devastating effects.

It’s obvious why the World Health Organisation’s experts in health and welfare consider policing to be one of the most stress-inducing professions.
Garda work is challenging; traumatic events such as death from violence, accident or suicide, as well as witnessing, securing and reporting such incidences the job then expects that the member informs family members of the tragedy.

Within policing many different aspects provide extremely stress-inducing incidences and strains that can deeply affect both the life of the Garda and their families. Members involved in routine duties potentially face harrowing, challenging and dangerous situations throughout a shift. Other specialist units dealing with such areas as child abuse and child-related areas are not only challenged by the inherent dangers associated with front line duties but also the challenges they face to their own attitudes, cultural beliefs and personal values.

Criminality and social disorder is a side of society most don’t see.Members can be immersed into aspects of society deemed as depraved and violent yet are then expected to finish a shift and enter back into ‘normal’ society; back to family and friends with little opportunity to address the challenges faced on each shift.

FALSE ALLEGATIONS

The operational aspects of policing can be difficult, but when a policeman or policewoman is investigated for their role in carrying out their jobs they can find themselves to be completely isolated and alone to face endless possibilities that may affect them and their families for the rest of their lives.
I have worked with individuals on the wrong end of false allegations arising directly from stress-filled working environments and the level of damage to all aspects of one’s life is immense and devastating. The area of disciplinary procedures is an area that requires high levels of support, communication, understanding and pro-active research to address the needs of individuals under investigation.

Within an organisation the issues of stress are far reaching and are experienced at every level from the new recruit trying to fit in, to the most senior of management positions charged with the operational duties and the responsibilities to each member.

The culture of police work is insular and strong; issues of stress are still, sadly and naively, considered by some to be issues of weakness that are best not discussed or addressed. The truth is simple: the negative affects of stress are very real and will be a major factor in low morale, health and productivity if they are not addressed effectively.

The most serious problems faced by the Force may have stress-related roots. Serious aspects of stress are often a symptom of poor employment relations and have serious implications for the individual and the organization. Those that may suffer from the negative affects of stress at senior levels may find it hard if not impossible to change with the times, as change can be very difficult for most to accept and requires individuals to leave their safe comfort zones.

OLD RULES

A symptom of such for those in a leadership role maybe to compensate by enforcing ill conceived and old rules to the letter of the law in order to keep an internal sense of achievement, while shying away from making adaptations that will add to the process of change, it's easier at times to not challenge and fight for change in an environment that may be negative towards you for doing so. Such issues can result in a breakdown in communication, a dividing of opinion, frustration, anger and a lack of open transparent communication resulting in many more problems.


Within such environments the right of the individuals to have their own opinions can be lost and censored. The right of people to change their minds can be seen as a weakness and the right to ask for help can be seen as an inability to do ones job. Fear to challenging such issues can also be great as there is a very real openly reported sense within AGS that to challenge such concerns will lead to you being “gotten” in the future, either by impacting on your promotion options or added and undue pressure to conform or leave the service.

This too adds to the overall stress levels, frustration and low moral of the workforce. So for some it’s easier not to make decisions, not to raise your head above that parapet. This way of doing things however understandable not only diminishes an individual’s rights but burdens those prepared to challenge the system for the right reasons to be isolated and ridiculed.

The negative effects of stress affect all levels of the organisation and will continue to do so if not addressed. If addressed properly however with acceptance and openness the benefits will be great.

Another area not discussed in regard to stress both for the individual and the organisation is the damage it has on one’s sense of self or one’s ‘self concept’. This is one’s understanding of who you are or an organization’s understanding of what it is. We form our self concept through introspection (looking inward at oneself) and through feedback back from others (the Force has had considerable negative feedback through the press).
An example of this conflict might be when individuals choose to drink or smoke to excess in order to attempt to cope with such things as stress. They know that this is both unhealthy and does not help, yet tend to justify it in order to try and elevate the sense of inner conflict. This spirals into a cycle of further unhappiness.

POSE A REAL THREAT

The World Health Organisation states that up to half of workers in industrialized countries experience psychological stress. Environmental stressors such as hazardous conditions are one cause, but occupational stress also results from work organization -workload, lack of autonomy and control over work, shift work, wage scales and routine, repetitive work. Stress associated with work has been shown to contribute to cardiovascular disease, musculoskeletal problems and other conditions.”

The International Labour Committee reviewed a study of potential sources of stress among Scottish police officers which indicated that the stressors stemming from organizational aspects, such as perceived staff shortages, inadequate resources, time pressures and lack of communication were more significant than those relating to police work. It found that “officers under stress could pose a real threat to their own safety and that of others”.
Coping mechanisms to avoid thinking or dealing with such conditions include over working, using alcohol, self medicating or ‘just getting on with it’. This in part I believe extends from the culture of police work which covertly dictates that signs of genuine stress and difficulty are considered to be signs of weakness, yet for someone to acknowledge their sense of stress and difficulty is a sign of great strength and personal awareness.

The role of a Garda requires emotional health and well being. People with good emotional health are in control of their thoughts, feelings, and behaviours. They feel good about themselves and have good relationships. They can keep problems in perspective and act with clarity and insight. Good mental health is a key piece of equipment, the one ‘dependent variable’ that you rely on daily. Stability of thought allows you to make quick, appropriate decisions and deal with difficulties as they arise. Without this stability the frustrations and stressors of the job may make the decision process difficult and may result in doing things based on stress and frustration arising from the day to day duties associated with the job.

STRONG MIND

The management of stress and providing counselling is a key issue for emergency services workers. Many can be seriously psychologically affected by incidents of trauma specifically related to death, injury, contracting diseases and life-threatening situations. For those who have survived and got through such incidents there can be often times of avoidance and difficulty accepting that they may have been affected, followed by periods of stress or even acute and post-traumatic stress disorders. A study carried out on emergency service workers in New South Wales reported that about “30% of respondents had experienced stress severe enough to seek help, but 39% of these did not seek help for various reasons. Only 9% reported that the information on the availability of such help was given to them during initial training.

There are many things that cannot be done to make the job of policing easier but there are the basics that can be in place; more professionally-trained support officers by way of a better supported EAP Service, proper and up to date equipment, more pro-active training in the areas of stress management and communications and proper working conditions. For An Garda Siochana there is an essential requirement and need for an Internal Garda Specific Unit of Trained non member Psychologists/Therapists providing individual Confidential Therapeutic Support designed to care for Police Officers and their families in complete confidence, to attend where possibly scenes of trauma and crisis to support members and to advise on policy in order to support the future requirements of all members in need.


Employers have a duty of care to their staff to assess the risk of stress related ill health and to control that risk, this requires the identification of risk at source which has been raised in research carried out by myself, health and safety research carried out by Dr Garavan of Limerick University and other work such as research carried out Prof. Cary Cooper in which he confirms that “stress at work does exist” and that one in five people are stressed at work.

It is important to note that a Garda Specif Confidential Therapeutic Support Service for which I support will not counteract the full extent of problems faced, but it will go a long way to establishing change and supporting those that need it. However, the focus should never be removed from the responsibilities of the organisation to deal with their duty of care and the fundamental issues of the emotional health and welfare of their employees. Although, if in place it should be madatory for members who experience trauma during their working shift to have to attend therapy as a matter of course, in this regard the stigma of seeing a therapist is removed completly.

The areas of unhappiness, workplace stress and the need of people to seek support should not be seen as an individual problem but as an area that needs to be addressed as an organisational issue. These are not disciplinary issues or issues to be ignored, it takes a strong mind to know when to ask for support and it takes a committed and caring organisation to embrace change and offer the most effective support possible knowing that it will continue to enhance the overall and exceptional service offered.

By Mark Reddy


Editor: Neil Ward Garda Review


http://www.worklifebalance.ie/

This is a link to an article on Debriefing and PTSD that should be reviewed by all involved in the Emergency Services LINK

Please see the related articles in regard to Stress and Policing and Stress and the Emergency Services by either clicking here or looking under November. Contact me or leave your comments in regard to any issues raised.


HELP

Thin Blue Line Stretched by STRESS




Thin blue line stretched by stress
By Andy Dickenson

Police took almost 20,000 days off sick with stress over the last three years, costing the tax payer at least £1.2 million.

Rank-and-file officers said today they were "working themselves into the ground" then having to spend months off due to the strain.
Sussex officers took 18,755 days off between January 2004 to December 2006, due to stress, depression and mental fatigue - the equivalent to one officer being off work for 51 years.
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Based on the salary of a constable the force would have paid at least £1,181,400 to officers on sick leave - enough to pay the wages of about 20 extra PCs each year.

However, the real figure is likely to be much higher with staff being brought in to cover the absentees and National Insurance costs take into account.
Brian Stockham, chairman of the Sussex Police Federation, said the "wear and tear" of policing was a big issue.

But critics said the time taken off for stress was alarming given that forces are spending thousands on psychologists, psychiatrists and counsellors.
Figures, released under freedom of information laws, show that 6,466 days were lost to stress, anxiety and depression, in the last financial year alone.
This is the equivalent of every one of the force's 3,178 officers taking off two days a year.

Mr Stockham said some officers were so committed to cutting down crime in the region, their own welfare was being ignored.
He said: "You can understand these figures have a great relevance to the officers out there. There are a lot of officers who are doing themselves no good by working themselves into the ground".

"The nature of police work is that you are involved in confrontation regularly and it has a wearing effect." Improvements in detection rates and higher numbers of criminals being brought before the courts were all adding to the strain, he said.

Mr Stockham said: "Achieving those improved results costs in terms of human endeavour." Some of our people become so committed to the task that their own health and well-being are being ignored." Because of financial constraints we've not been able to support their welfare and that has a detrimental effect on moral.

"These officers are basically taking a lot of wear and tear."
Last year the Sussex force completed a stress poll among officers. All of the 62 per cent of staff who responded agreed their jobs were stressful.
Since the report extra resources are being pumped into stress awareness training and reviewing bullying and harassment policies.

Christine Melsom, founder of the anti-council tax campaign Is It Fair said: "Of course, the council tax payer is having to pay for all these things. I think the police should tighten their belts up a bit and cut down on all these absentees.
"I've long had the theory that if police officers are not well enough to go out on the beat surely they are able to do some very valuable work in the office, helping to cut back on the amount of civilians required."

Over the last financial year £45,000 was spent on the force's councelling scheme, open to all Sussex Police personnel and their partners.
But more needs to be done to stop bobbies pushing themselves too far, Mr Stockham said. He cited the case of one local officer who was being treated for stress and told by his psychiatrist he had "the worst case of professional burn-out he had ever seen".

Mr Stockham said: "Our officers may be delivering greater performances but we're suffering as a result. "But if you can't do confrontation you shouldn't be a copper. "I don't think the Sussex force is more stressed than any other in the police service. It goes hand in hand with the job."

A spokeswoman for Sussex Police said: "There are a variety of reasons why Sussex police officers take stress-related sickness absence, both work-related and personal.

"Through its Health, Safety and Welfare Unit, the force has specialist health and well being services available to its police officers to support them and their families in both aspects of stress-related sickness absence and also more pro-actively, to help them remain at work."

PLEASE SEE RELATED ARTICLES AND LINKS ON THE LEFT OR CONTACT ME IN CONFIDENCE ON STRESSKILLS@GMAIL.COM

Dealing with Stress in the Emergency Services....

This is the Conclusion from the First Report written by Andrew Beal, 2003. The Tiltle is Dealing with Stress in the Emergency First Responders Part One.

It is well worth a read;

Conclusions

In the modern working environment all EFR organisations are plagued by management solutions and reforms, as is most of the public sector. Effective control of all EFR organisations must take into account, but not necessarily mirror the latest management fads and they must apply government led reforms wisely. Management practises and reforms that fit neatly in industry are not so comfortable when applied to the emergency services. This is apparent when it comes to trying to quantify the services 'effectiveness' in the community. It is hard to quantify the deterrent effect of the police, the reduced levels of fire damage as a result of the timely intervention of the fire-fighters or, the shortening of patient recovery time as a result of initial application of medical skills by competent and contented medics. Sadly much of the recent reform programmes have, as a by-product, general workplace 'Stress'; poorly managed this can wreak havoc in EFR organisations. This workplace stress must also clearly be separated from incidences of PTSD; greater stress is generated in the EFR workplace by poor management practices and attitudes than the horrific nature of the job.

There is clear evidence across many disciplines that negative-stress will materially affect the provision of service at point of delivery therefore, if EFR organisations wish to improve their quality of service they must reduce stress; whatever its source. To achieve this a package that draws heavily upon Total Quality Management (TQM) tools and methods should be employed simply because application of TQM will be beneficial to EFR in all facets of the organisation (Southworthy & Judd, 1997; Eastham & Walz, 1992; Arbuthnot, 1995:15).

Employing a system of work and a culture of acceptance then maybe the key to relieving some of the problems of stress in EFR organisations. In the next article we will look at just such a management approach.

The full report can be found at http://www.isma.org.uk/stressnews.htm

This is a related site for information on PTSD, you can also research any other condition or therapy associated with any of the articles on this site.
Feel free to contact me on STRESSKILLS@GMAIL.COM in Confidence.

Please Click on the related articles and links on the left of this page.
HELP

Workplace Stress an insight

Stress in the workplace is becoming a major concern for employers, managers and government agencies, owing to the Occupational Health and Safety legislations requiring employers to practice 'duty of care' by providing employees with safe working environments which also cover the psychological wellbeing of their staff.

One of the costs, for employers, of work place stress is absenteeism, with the A.C.T.U. reporting that owing to stress, nearly fifty per cent of employees surveyed had taken time off work. Other negative effects were reductions in productivity, reduced profits, accidents, high rates of sickness, increased workers' compensation claims and high staff turnover, requiring recruiting and training of replacement staff.

While a certain amount of stress is needed to motivate individuals into action, prolonged stress can have a huge impact on overall health. More than two-thirds of visits to doctors' surgeries are for stress-related illnesses. Stress has been linked to headaches, backaches, insomnia, anger, cramps, elevated blood pressure, chronic fatigue syndrome, fibromyalgia and lowered resistance to infection. For women, stress is a key factor in hormonal imbalances resulting in menstrual irregularities, PMS, fibroids, endometriosis and fertility problems. Stress can also be a factor in the development of almost all disease states including cancer and heart disease.

Each profession has its own unique factors that may cause stress; below are some causes of stress that cross many professions:
Increased workload
Organizational changes
Lack of recognition
High demands
Lack of support
Personal and family issues
Poor work organization
Lack of training
Long or difficult hours
Inadequate staff numbers and resources
Poor management communication
Lack of control or input


So what can be done to effectively manage workplace stress?
Organizations can:
Educate their employees to recognise the signs of stress.
Where possible, give their employees the chance to be involved in decisions and actions that affect their jobs.
Improve employer-employee communications.
Provide employees with opportunities to socialise together.
Be understanding of employees' personal and family responsibilities.
Ensure employee workloads suit their capabilities and resources (provide more training and resources if not).
Provide support (internal) for employees who have complex stress issues.
Employees can reduce their overall stress by:
Regularly exercising, as this releases 'happy hormones'.
Eating a healthy diet, as stress depletes vital nutrients.
Getting adequate rest.
Being more organized. Get up earlier to have more time.
Delegating responsibility where possible. Say no!



Avoiding caffeine and sugar. Although this may provide an instant lift it later depletes the body of energy and nutrients.



Taking time to do things that bring enjoyment and pleasure.
Making the work environment pleasurable. Taking care of their overall health and wellbeing by practising good self-care.



Sometimes trying to implement change (even for the better) can itself cause stress and prevent a person remaining motivated. In this case it's important to get support for your stress from a counsellor, doctor, naturopath, friend, peer or life coach who specializes in stress issues.


The benefits of a systematic and joint approach to reducing work stress are:


Increased productivity
Decrease in absenteeism
Improved morale
Decrease in workers' compensation claims
Reduction in workplace accidents


The most important benefit of reducing workplace stress is that it will promote a healthy, happy and pleasant work environment for all.

PLEASE CLICK ON THE RELATED LINKS AND ARTICLES ON THE LEFT. OR CONTACT ME IN CONFIDENCE AT STRESSKILLS@GMAIL.COM

HELP

Road Rage and Stress

INTRO

The negative impact of stress and how we in fact manage it has effects in every aspect of our daily living routines.

One such routine that we can tend to take for granted is driving. Never before has there been so many fatalities and carnage on our roads. The high level of press and media coverage appears in some cases to desensitizes us to the very real fact that some of these incidences may in fact have a link to being stressed out at the wheel.

More awareness of our personal responsibility to take this issue seriously is vital, many times over the holiday period we are told to imagine how it would be if one of our family did not come home because of a needles and senseless accident that may well of been avoided if we took a little more consideration and maturity on the roads

Road Rage

The rate of aggressive driving or "road rage" has risen by 51 percent since 1990. Road rage occurs when a driver reacts angrily toward other drivers. For example, cutting them off, tailgating, giving obscene gestures, or waving a fist. Road rage is generally caused by stress, anything from being called into the boss's office to having an argument with your significant other. Road rage is often the flash point of the accumulated stresses in one's life.

Avoid Road Rage:

Don't take traffic problems personally
Avoid eye contact with an aggressive driver
Don't make obscene gestures
Don't tailgate
Use your horn sparingly
Don't block the passing lane
Don't block the right hand turn lane


Other Tips:

Allow adequate time for your trip
Create a relaxing and comfortable environment in your car (play relaxing music.) Stay away from aggressive drivers

http://www.alecgore.com/roadrage.html

Don't be another satistic, please take a moment before driving to check in with yourself, are you stressed? Does it matter that you're five minutes late? is it better to be late that to kill another person? Simple stuff when we think of it.


If you suffer from stress please take your time to review the articles on the links page.
HELP

Workplace Health and the Law

WHAT THE LAW REQUIRES

Against this background of unacceptable humanitarian, social and economic costs; legislation has been introduced to control all aspects of Safety and Health. The result is that Health and Safety requirements are now a major influence on every work activity however large or small. The principal aim of Health and Safety legislation and practice is the prevention of accidents and ill health. The three principal pieces of legislation in Health and Safety, which outline and detail this preventive approach are: The Safety, Health and Welfare at Work Act 1989 and The Safety, Health and Welfare at Work (General Application) Regulations 1993 The Safety Health and Welfare at Work Act 2005

2.1 The Safety, Health & Welfare at Work Act 1989 The 1989 Act reflects and encourages the preventative approach by including the following key elements:

1. Placing general obligations on employers and employees to ensure Safety and Health at work.
2. Requiring employers to implement a system for managing Safety and Health in the workplace.
3. Requiring that employees and employers consult on Safety and Health matters.
4. Requiring employers to produce a safety statement based on hazard identification and risk assessment.

The safety statement requires written details as to how accidents and ill health are to be prevented.

The Safety, Health & Welfare at Work Act(general application) regulations 1993 Under the 1989 Act, employers have to ensure the health and safety of employees and others who may be affected by their work. The Act applies to all work activities and premises. Employers are therefore required to provide suitable control equipment and train, instruct, inform and supervise employees so that their health at work is not affected. Employees also have responsibilities under this Act not to endanger themselves or others. The General Application Regulations add detail to the 1989 Act on accident and ill health prevention measures, and the notification of accidents and dangerous occurrences. It also covers Safety and Health aspects on:

• Safety and Health management.
• Risk Assessment.
• Emergency Procedures.
• Workplace Conditions and Facilities.
• Work Equipment.
• First Aid.
• Electricity.
• Manual Handling.
• Working with VDUs.
• Personal Protective Equipment.

In addition all employers are required to appoint a competent person to assist in complying with Safety and Health legal requirements and in the design and use of protective measures. The person appointed to assist could be a manager who has been properly trained to do this, although if the risks are complicated, or involves special knowledge, you may need to involve people from outside your business.

The Safety, health and Welfare at Work Act 2005
The Safety , Health and Welfare at Work Act 2005, was passed by the Oireachtas and signed into Law, will come into force on September 1st 2005. Though the basic principles of health and safety law are unchanged. The Act includes many new and more detailed and more stringent provisions than the 1989 act which it replaces.

• Fines of up to 3m and /or up to two years in jail for serious breaches of health and safety.
• The introduction of on the spot fines systems for certain safety offences, which will be specified in further regulations
• Drug and alcohol testing for employees, the procedures for which will be specified in further regulations. Employers The significant new duties imposed on employees are to e.g.
• Manage health and Safety
• Ensure, in so far as is responsibly practicable, the preventions of risk to employees, Health from exposure to noise, vibration or ionising or other radiation of any other physical agents.
• Provide employees with training, information and supervision in a firm manner and, as appropriate, a language that is reasonably likely to be understood.
• Review Risk Assessments and Safety statements when there has been a significant change or there is another reason to believe the risk assessment is no longer valid and, following the review, to amend as appropriate.
• Bring Safety Statements to the employee’s attention on commencement of employment and annually have the Safety Statement, or a relevant extract from it available in every workplace.
Employees • E.g. Not to be under the influence of an intoxicant to the extent that they endanger their own or other persons safety.
• To submit to tests for intoxicants, if reasonably required with the tests carried out by or under supervision of a registered medical practitioner who is a competent person.

HEALTH AND SAFETY
Other legislation for consideration In addition there are several laws that relate to specific risks to health at work, such as construction work, lead, asbestos, chemicals and noise, and some that relate to particular industries such as major chemical plants.

Please See Related Links and Articles on the left for further information.

Employers and Workplace Stress

Why should employers be concerned about workplace stress?

A Report by

The National Institute of Occupational Safety and Health


Stress is a normal occurrence. However, with increasing demands of work and home life, stress on the job is a problem causing physical, mental, and financial consequences for employers as well as employees. Studies show that stressful working conditions are associated with increased absenteeism, tardiness, and intentions by workers to quit their jobs—all of which have a negative effect on a company’s success. Employers, managers, supervisors, and business owners have many reasons to consider the stress level of their workers:

Financial
Stressed employees take more sick days and file more disability claims than do contented employees
Disgruntled employees often quit after extensive investment has been made in their training, and another person has to be trained in their place
Job stress can result in decreased productivity
Errors made by stressed workers can result in faulty products that cannot be sold, or worse, that fail after sale and lead to lawsuits

Emotional
Stressed workers may become depressed or angry
Alcohol or drug use increases as self-medication for distress, which in turn creates more problems

Safety
People who are overly stressed are less attentive and can accidentally damage equipment or injure themselves or others
At the extreme, stress can lead to violence, and management or co-workers can be hurt or killed – the term “going postal” has become part of the language expressing a murderous rampage as a result of job dissatisfaction

What is job stress?

A survey by St. Paul Fire and Marine Insurance Co. found that problems at work are more strongly associated with health complaints than are any other life stressor—more so than even financial or family problems. While challenges are a normal and satisfying part of work life, stress is not a necessary evil in the workplace. However, for many people stress has become synonymous with work.
According to The National Institute for Occupational Safety and Health (NIOSH), early warning signs of job stress include:

A. headache
B. sleep disturbances
C. difficulty in concentrating
D. short temper
E. upset stomach
F. job dissatisfaction
G. low morale

What causes stress in the workplace?

The National Institute for Occupational Safety and Health (NIOSH) is the federal agency responsible for conducting research and making recommendations for the prevention of work-related illness and injury. As part of its mandate, NIOSH is directed by Congress to study the psychological aspects of occupational safety and health, including stress at work. NIOSH works in collaboration with industry, labor, and universities to better understand the stress of modern work, the effects of stress on worker safety and health, and ways to reduce stress in the workplace. Through its research program in job stress and through educational materials, NIOSH is committed to providing organizations with knowledge to reduce this threat.

A report by the National Institute for Occupational Safety and Health.
The NIOSH report states that job stress results from both the characteristics of a worker and the working conditions, but that there are differing views as to which set of circumstances is the primary cause of job stress:

1. Individual characteristics – According to one school of thought, differences in personality and coping style of the worker are most important in predicting job stress. Thus, what is stressful for one person may not be a problem for someone else. This viewpoint leads to prevention strategies that focus on workers and ways to help them cope with demanding job conditions.

2. Working conditions – Scientific evidence suggests that certain working conditions are stressful to most people. Evidence from recent studies argues for a greater emphasis on working conditions as the key source of job stress and for job redesign as a primary prevention strategy.

Both viewpoints suggest ways to prevent stress at work, but NIOSH “favors the view that working conditions play a primary role in causing job stress.” The report cites the following job conditions that may lead to stress:

1. The design of tasks – heavy workload; infrequent rest breaks; long hours; and routine tasks that do not utilize workers' skills
2. Management style – poor communication in the organization and a lack of family-friendly policies
3. Interpersonal relationships – an unsupported social environment
4. Work roles – conflicting or uncertain job expectations; too much responsibility
5. Career concerns – job insecurity; lack of opportunity for advancement or promotion
6. Environmental conditions – unpleasant or dangerous physical conditions such as crowding, noise, air pollution, or ergonomic problem.

What are the health effects of job stress?

The nature of work is changing at whirlwind speed. When the requirements of the job do not match the capabilities, resources, or needs of the worker, harmful physical and emotional responses occur. Perhaps now more than ever before, workplace stress poses a threat to the health and safety of employees and to the health organizations responsible for their care.

According to NIOSH, many recent studies have looked at the relationship between job stress and physical and emotional problems. The report states: “Mood and sleep disturbances, upset stomach and headache, and disturbed relationships with family and friends are examples of stress-related problems that are quick to develop and are commonly seen in these studies. These early signs of job stress are usually easy to recognize. But the effects of job stress on chronic diseases are more difficult to see because chronic diseases take a long time to develop and can be influenced by many factors other than stress.”

NIOSH reports that evidence suggests workplace stress plays an important role in several types of chronic health problems, especially:

1. cardiovascular disease
2. musculoskeletal conditions
3. psychological disorders

The economic impact of these issues impacts not only the individual, but also the businesses that employ them: Health care expenditures are nearly 50% greater for workers who report high levels of stress.

What can managers or employers do to reduce stress at work?
To reduce stress at work, an individual should try to maintain a balance between work and family or personal life, a supportive network of friends and coworkers, and a relaxed and positive outlook. But it is also important that the workplace is a “healthy” organization. There are several ways to reduce stress in the workplace. While the employee may not have control over whether the workplace entirely supports a more stress-free lifestyle, possible changes can be made, or individuals can make an educated decision as to whether the workplace is right for him or her.

An understanding of the relationship between individual and organizational health
Recent research suggests that policies benefiting worker health actually benefit the bottom line. A healthy organization—one that has low rates of illness, injury, and disability in its workforce—is competitive in the marketplace. NIOSH research has found the following organizational characteristics to be associated with both healthy, low-stress work and high levels of productivity:

1. recognition of employees for good work performance
2. opportunities for career development
3. an organizational culture that values the individual worker
4. management actions consistent with organizational values

Stress prevention
According to the Journal of Applied Psychology, St. Paul Fire and Marine Insurance Company conducted several studies on the effects of stress-prevention programs in hospital settings. Program activities included:
employee and management education on job stress
changes in hospital policies and procedures to reduce organizational sources of stress

establishment of employee assistance programs
In one study, the frequency of medication errors declined by 50% after prevention activities were implemented. In a second study, there was a 70% reduction in malpractice claims in 22 hospitals that implemented a stress-prevention program but no reduction in claims in a matched group of 22 hospitals that did not implement stress prevention policies.

Stress management
Nearly one-half of large companies in the United States provide some type of stress-management training and Employee Assistance Plans (EAPs) for their workforces. Workers can learn about stress, time management, and relaxation. EAPs also provide counseling for employees with work or personal problems. Stress-management training can help to rapidly reduce stress symptoms such as anxiety and sleep disturbances. Such trainings are often easy to implement and provide, but NIOSH reports that:

1. The beneficial effects on stress symptoms are often short-lived
2. They often ignore important root causes of stress because they focus on the worker and not the environment

Organizational change

Companies that bring in a consultant to recommend ways to improve working conditions take the most direct approach in reducing stress at work. According to NIOSH, programs that identify the stressful aspects of a working environment deal with the root causes of stress at work. Such programs result in the design of strategies that target the identified stressors. However, such programs can involve changes in work routines, production schedules, or organizational structure. Often managers are uncomfortable with this approach.

Yet as the NIOSH report states, this strategy is key: “As a general rule, actions to reduce job stress should give top priority to organizational change to improve working conditions.” The report continues: “But even the most conscientious efforts to improve working conditions are unlikely to eliminate stress completely for all workers. For this reason, a combination of organizational change and stress management is often the most useful approach for preventing stress at work.”

http://www.peersupport.org/

Extracts taken from a Help Guide to Mental Health Issues.

Emotional Exhaustion and Job Performance


This is an Article sent to me by a student of Psychology. It is a long but fantastic piece that should be read, I have added the link at the end for those wishing to read the full article.


Emotional Exhaustion and Job Performance : The Mediating Role of Motivation


Written By: Jonathon R. B. Halbesleben Department of Health Management and Informatics, University of Missouri—Columbia Wm. Matthew Bowler Spears School of Business, Oklahoma State University
Acknowledgement: Portions of this article were presented at the annual meeting of the Academy of Management, Seattle, Washington, August 2003.


We acknowledge the thoughtful comments of Mark Bolino, Stevan Hobfoll, and Jenn Becker.


Burnout is a psychological response to work-related stress that consists of emotional exhaustion, depersonalization, and reduced perceptions of personal accomplishment (Maslach, 1982; Maslach, Schaufeli, & Leiter, 2001). Unfortunately, burnout has become organizational reality for many employees. Maslach and Leiter (1997) argued that burnout had reached epidemic proportions in North America. What started as a “buzzword” in the popular press in the late 1970s has grown into an important research endeavor; burnout is now the subject of thousands of research articles and dozens of books (Halbesleben & Buckley, 2004b). Nonetheless, despite suggestions that burnout has significant impact on people, their performance, the performance of organizations, and society on the whole (Maslach et al., 2001; Minnehan & Paine, 1982; Paine, 1982; Schaufeli, 2003), more research is needed to understand the relationship between burnout and its consequences.


The purpose of this article is to investigate the relationship between the emotional exhaustion component of burnout and job performance. Although some research exists that has explored this relationship, researchers have not adequately positioned the effects on performance within a theory of burnout and have not addressed how theories of performance influence the burnout-performance relationship. Specifically, researchers have not adequately addressed the influence of motivation. Mitchell (1997) defined motivation as “those psychological processes involved with the arousal, direction, intensity, and persistence of voluntary actions that are goal directed” (p. 60), suggesting that key to motivation is determining the goals that individuals work toward (Barrick, Stewart, & Piotrowski, 2002).


Motivation is commonly considered a direct antecedent to performance but can also be linked to theories of burnout in terms of resources invested in work. In this article, we specifically address the issue of how motivation is the mediating link in the emotional exhaustion-performance process. We discuss the existing literature addressing the relationship between emotional exhaustion and performance and then discuss how consideration of performance models influences that theoretical relationship. We present the findings of a two-sample study designed to examine the emotional exhaustion-job performance relationship with motivation as a mediator. The use of two samples allowed for a constructive replication of the model presented as well as increasing generalizability in terms of occupation of the participants (Tsang & Kwan, 1999). We conclude by discussing the implications of our findings for organizations and future research that considers the link between burnout and job performance.


Emotional Exhaustion
In this study, we focus on the emotional exhaustion component of burnout. This approach is justified, in large part, because of two issues. First, although Maslach's (1982, 1993) original three-component conceptualization of burnout has dominated the burnout research (particularly as it relates to measurement of burnout), a number of researchers have called into question the three-component conceptualization of burnout (e.g., Moore, 2000; Shirom, 2003) and other conceptualizations have been proposed for the processes underlying burnout (cf. Demerouti, Bakker, Nachreiner, & Schaufeli, 2001; Pines, Aronson, & Kafry, 1981; Shirom, 1989).


The alternative conceptualizations of burnout differ in a variety of ways; however, all of them include emotional exhaustion as a primary component of burnout, suggesting that it is indeed central to the experience of burnout. Second, it is common in the burnout literature to find inconsistent relationships between components of burnout and antecedent or consequent processes; emotional exhaustion appears to be the most consistent in its relationships with outside variables, such as commitment and job satisfaction (Cordes & Dougherty, 1993; Demerouti et al., 2001; Green, Walkey, & Taylor, 1991; R. T. Lee & Ashforth, 1996).


There has been some attention given to the various outcomes of burnout, including physiological consequences (cf. Shirom, Westman, Shamai, & Carel, 1997), turnover, and turnover intentions (Cherniss, 1992; Freudenberger, 1975; R. T. Lee & Ashforth, 1993, 1996; Maslach, 1976, 1978). Despite this effort, there still remain many questions regarding the outcomes, particularly those that are work related, of burnout (Maslach, 2001). Much of the theoretical work on burnout (e.g., Cordes & Dougherty, 1993) treats burnout as the end state, without considering what other consequences burnout may influence. This is problematic, as burnout is perhaps best considered as a mediator that leads to other important work-related consequences (Maslach & Leiter, 1999), among which is job performance.Job Performance


One of the most commonly cited negative consequences of burnout is a reduction in job performance (Maslach, 1982; Halbesleben & Buckley, 2004b). However, as noted by Wright and Bonett (1997), there has been a need for more empirical work conducted to investigate the relationship between burnout and job performance. In response, they conducted a longitudinal study that found a negative relationship between emotional exhaustion and job performance (see also Leiter, Harvey, & Frizzell, 1998; Vahey, Aiken, Sloane, Clarke, & Vargas, 2004; Wright & Cropanzano, 1998). Conversely, other studies have typically found very low amounts of shared variance between burnout dimensions and job performance (Bakker, Demerouti, & Verbeke, 2004; Schaufeli & Enzmann, 1998) and inconsistencies in findings when only considering emotional exhaustion and performance, particularly when considering multiple sources of performance information (Keijsers, Schaufeli, Le Blanc, Zwerts, & Miranda, 1995; Lazaro, Shinn, & Robinson, 1985; Randall & Scott, 1988).


A limitation of the previous thinking about the relationship between emotional exhaustion and job performance is that it has failed to adequately consider models of performance and burnout in explaining the effects of burnout on performance. When one considers theories of performance, it becomes clear that emotional exhaustion is unlikely to have a direct effect on job performance and instead should be mediated by a more direct antecedent of performance (Bakker et al., 2004; Jex, 1998; Sullivan & Bhagat, 1992). We propose that, because of its links to both performance and burnout theories, motivation is a potential mediator to the emotional exhaustion-job performance relationship.
Despite the theoretical mediating effect of motivation, there has been very little research investigating how motivation and emotional exhaustion are related. There is a paucity of research that has examined the effects burnout has on more direct perceptual-motivational processes. In particular, there is a need to better understand the choices employees make in directing their motivational resources; such an understanding will address gaps in understanding of the relationship between emotional exhaustion and job performance.Emotional Exhaustion, Performance, and the Conservation of Resources Model


The relationship among emotional exhaustion, motivation, and job performance can be explained in terms of the conservation of resources (COR) model of stress and burnout (Hobfoll, 1988, 1989, 1998; Hobfoll & Freedy, 1993). The model suggests three ways in which individuals experience stress: (a) loss of resources, (b) threat to current resources, and (c) inadequate return on investments made to maximize resources (e.g., an employee who takes extra courses in management to increase the likelihood of promotion but is passed over in the promotion). In recent years, the COR model has become an important model in understanding the burnout process (e.g., Brotheridge & Lee, 2002; Halbesleben & Buckley, 2004a).


One of the strengths of the COR model is its ability to explain the processes leading up to burnout, through the three processes noted above, and also the ability to explain the consequences of burnout. It is for this reason that we build on the COR as the theoretical framework for this study. Specifically, as emotional exhaustion represents a significant depletion of resources (Hobfoll, 2001), the COR model suggests that burned out employees will carefully select the manner in which they use their remaining resources (Siegall & McDonald, 2004).


Motivation as a Resource
Key to our link between emotional exhaustion and performance through the COR model is the notion that motivation represents the investment of resources. Hobfoll (1989) defined resources as “those objects, personal characteristics, conditions, or energies that are valued by the individual” (p. 516). In Hobfoll's (1989) theory, motivation serves as an energy resource; in fact, Hobfoll (1998) specifically listed time for work and motivation to get things done as part of a list of COR resources. Moreover, he noted, energy “resources are typified not by their intrinsic values so much as their value in aiding the acquisition of other kinds of resources” (Hobfoll, 1989, p. 517). As such, motivation is invested in the job to obtain other valued resources (e.g., good performance, continued employment).


Tying the notion of motivation as a resource to the relationship between emotional exhaustion and job performance requires further investigation of Hobfoll's (1998, 2001) notion of investment in resources. As a result of resource loss or threat of loss, employees tend to take steps to protect their resources. In effect, employees distance themselves from the situation that is causing the emotional exhaustion to begin with (Cherniss, 1980; Freedy, Shaw, Jarrell, & Masters, 1992; Siegall & McDonald, 2004). Moreover, employees protect their resources by coming up with better strategies for resource investment, such that they attempt to maximize the returns associated with investment of their resources (particularly their energy resources; M. M. Baltes & Baltes, 1990; P. B. Baltes, 1997; Hobfoll, 2001). One way in which employees might seek to protect resources is to put less effort into their work (lower motivation), resulting in lower job performance (Wright & Cropanzano, 1998).
However, as we have noted, employees who are experiencing emotional exhaustion will be selective in the manner in which they invest resources. This suggests that they will carefully select the type of motivational resources they will engage to satisfy performance goals at work. Throughout the motivation literature, various goals have been proposed, with three primary goals emerging: achievement striving, status striving, and communion striving (Barrick et al., 2002; Hogan & Shelton, 1998; McClelland, Atkinson, Clark, & Lowell, 1953). Achievement striving is defined as an individual's motivation to achieve tasks, independent of other people. Status striving is defined as an individual's motivation to obtain power within the organizational hierarchy. Finally, communion striving is defined as energy directed at “obtaining acceptance in personal relationship and getting along with others” (Barrick et al., 2002, p. 44).


From these ideas, Barrick et al. (2002) designed a measure of motivation that assesses the arousal, attention-direction, and intensity-persistence of each of the three cognitive emotional motives, consistent with the definition of motivation provided by Mitchell (1997). They also presented empirical support for the three-factor conceptualization of motivation and its relationship to performance in their study of telemarketing sales representatives. Specifically, they found that achievement, status, and communion striving served as mediators between sales representative personality traits and job performance (based on supervisor ratings of performance). In the present study, we argue that the three types of motivation mediate the relationship between emotional exhaustion and job performance. Moreover, as they serve as different forms of motivational resources, we argue that the manner in which employees invest in the different types of motivation, and their subsequent relationships to types of job performance, are associated with the experience of emotional exhaustion.


Work/Burnout Questionnaires

Work Stressor Questionnaire

Work Stressors can be identified in almost all aspects of one's job. Before taking action to eliminate or reduce these stressors, pinpoint their sources. Isolate these factors so corrective action can begin.

If the following burnout questionniare does not suit follow this link.
http://www.mindtools.com/stress/Brn/BurnoutSelfTest.htm

Instructions:

Think about how often you encounter the following situations.
Circle the appropriate frequency.

A. Disagreement & Indecision
Unsure of co-workers expectations
Unfriendly attitude in co-workers.
Job responsibilities go against your better judgement.
Can't satisfy conflicting demands from superiors.
Trouble refusing overtime

B. Pressure on the Job
Overloaded at work, unable to complete tasks during an average day.
Too much supervision.
Job requirements are taking their toll on your private life.
Rushed to complete work or short on time.
Too much red tape.

C. Job Description Conflict
Uncertainty about your exact job responsibilities.
Too much teamwork.
Poor flow of information to you in order to carry out your job.
Not enough authority for you to properly do your job.
Discomfort in handling unethical assignments.

D. Communications & Comfort with Supervisor
Ideas differ from those of your supervisor.
Trouble talking to boss.
Unable to predict supervisors reactions.
Boss gives little feedback about your work.
Boss is overly critical of your work.

E. Job Related Health Concerns Work conditions are unhealthy.
Physical danger exists at work place
Heavy physical tasks to complete.
Hostile threats from co-workers.
Sick days are discouraged.

F. Work Overload Stress Can't consult with others on projects.
Co-workers are inefficient.
Often take work home to complete.
Responsible for too many people/projects.
Shortage of help at work.

G. Work Underload Stress Too little responsibility at work.
Overqualified for your job.
Little chance for growth exists.
Trying to "look" busy on job.
Feeling unstimulated.

H. Boredom Induced Stress Repetitive or highly specialized routine.
Not learning anything new.
Can't see final outcome of your efforts.
Job is too easy.
Daydreaming frequently.

I. Problem of Job Security Fear of being laid-off or fired.
Worry about poor pension.
Concerned about low wages.
Need "pull" to get ahead.
Could be fired without cause.

J. Time Pressure Constant reminders that "time is money".
Starting and ending times are rigid.
Monotonous pace of work.
Not enough break or meal time.
Work pace is too fast.

K. Job Barrier Stress
Hope for advancement or raise is limited.
Sex/age discrimination exists at job.
Not suited to job.
Work has no personal meaning.
Work goes unrecognized.

Scoring Instructions
1. Never
2. Rarely
3. Occasionally
4. Usually
5. Constantly

For each section, add the numbers associated with your answers and record them in the list below. Put a star (*) next to the highest scoring category.

A. Disagreement & Indecision. Answer.

B. Pressure on the Job. Answer.

C. Job Description Conflict. Answer.

D. Communication & Comfort with Supervisor. Answer

E. Job-Related Health Concerns. Answer.

F. Work Overload Stress. Answer.

G. Work Underload Stress. Answer.

H. Boredom Induced Stress. Answer.

I. Problem of Job Security. Answer.

J. Time Pressure. Answer.

K. Job Barrier Stress. Answer.

TOTAL SCORE (add scores A to K)

Within each area scores will range from 5 to 25. Scores of 14 or above suggest problem areas.

Overall scores will fall within the 55 to 275 range. Scores of 135 or above would suggest an unusual amount of work related stress. Use the Ten Tips for Preventing Burnout below to combat the effects of work related stress.

http://www.mindtools.com/stress/Brn/BurnoutSelfTest.htm

Preventing Burnout

People`s work life can range from exhilarating to exhausting. There are periods when work can become overwhelming and prevent a normal life. When this happens we call it burnout. Burnout is described as a condition of feeling depleted, exhausted or just worn out while striving to reach some goal. It is the fatigue and frustration that is felt when stress management is neglected or work loads are excessive. Complete this self inventory to determine burnout factors in your work life.Instructions:

Think back over the past six months of your life. Have things changed? Do you feel different? Think about your job - your family - your social activities. Ask yourself the questions listed below, then indicate the appropriate response. Add up your score.

Do you tire more easily?

Have people been saying, "You don`t look so good lately" ?

Are you working harder and accomplishing less?

Are you becoming more cynical?

Do you often feel a sadness you can`t explain?

Are you forgetful? (Appointments, deadlines, dates.)

Are you more irritable, short-tempered and disappointed in other people?

Do you see close friends and family members less than you`d like?

Are you too busy to do even routine things?

Are you suffering from physical complaints? (Aches, pains, headaches, a lingering cold?)

Is it hard to find joy in life?

Are you unable to laugh at yourself?

Does sex seem like more trouble than it is worth?

Do you have little to say to people?



Scoring Instructions
1. No change
2. Some small changes
3. Varies from day to day
4.More changes than I like
5. A great deal of change


The Burnout Scale
0-25 . You`re doing fine
26-35 . You`re okay, but should be cautious
36-50 . You`re a candidate for burnout
51-65 . You`re burning out
over 65. You`re in a dangerous state that`s a threat to your physical and mental well-being.


© copyright 2001 American Institute for Preventive Medicine Systematic Stress Management