Workplace stress, burnout and coping: A qualitative study of the experiences of Australian disability support workers

Disability support workers (DSWs) are the backbone of contemporary disability support services and the interface through which disability philosophies and policies are translated into practical action. DSWs often experience workplace stress and burnout, resulting in a high turnover rate of employees within the non-professional disability service workforce. The full implementation of the National Disability Insurance Scheme in Australia is set to intensify the current challenges of attracting and retaining DSWs, as the role becomes characterised by greater demands, ambiguity and conflict. The aim of this study was to explore DSWs' perceptions of enjoyable and challenging aspects of disability support work, sources of stress and burnout and the strategies they use to cope when these issues arise. Twelve DSWs workers providing support for adults living with intellectual and physical disabilities were interviewed. Thematic analysis revealed a superordinate theme of 'Balance' comprising three sub-themes: 'Balancing Negatives and Positives', 'Periods of Imbalance', and 'Strategies to Reclaim Balance'. Participants spoke of the rewarding and uplifting times in their job such as watching a client learn new skills and being shown appreciation. These moments were contrasted by emotionally and physically draining aspects of their work, including challenging client behaviour, earning a low income, and having limited power to make decisions. Participants described periods of imbalance, wherein the negatives of their job outweighed the positives, resulting in stress and sometimes burnout. Participants often had to actively seek support and tended to rely on their own strategies to manage stress. Findings suggest that organisational support together with workplace interventions that support DSWs to perceive the positive aspects of their work, such as acceptance and mindfulness-based approaches, may help to limit experiences of stress and burnout. The further development and evaluation of emotion-focused workplace therapies, and interventions that consider organisational (macro) factors is suggested

Caring for cancer patients with an intellectual disability: Attitudes and care perceptions of UK oncology nurses

NOTICE: this is the author’s version of a work that was accepted for publication in European Journal of Oncology Nursing. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in European Journal of Oncology Nursing, vol. 19, issue 5 (2015) 10.1016/j.ejon.2015.03.002Background: Caring for people with cancer or an intellectual disability (ID) is stressful: little is known about the combined impact of caring for cancer patients with an ID, though this is expected to be especially challenging. Method: Eighty-three nurses, working in oncology or a related field (i.e. palliative care) were recruited. Perceptions of caring for patients with and without an ID were measured, alongside potentially confounding information about participant demographic characteristics and perceived stress. Results: Participants felt less comfortable communicating with patients with an ID about their illness (F(1,82) = 59.52, p <0.001), more reliant on a caregiver for communication (F(1,82) = 26.29, p < 0.001), and less confident that the patient's needs would be identified (F(1,82) = 42.03, p < 0.001) and met (F(1,81) = 62.90, p < 0.001). Participants also believed that caring for this patient group would induce more stress, compared with patients without an ID (F(1,81) = 31.592, p < 0.001). Previous experience working with ID patient groups appears to mitigate some perceptions about providing care to this population. Conclusions: Caring for cancer patients with an ID may intensify this, already difficult, role. Through training and knowledge exchange, oncology nurse's confidence in communication, providing appropriate care, and positivity towards this patient group may be improved

Zero-Hour Contracts and Stress in UK Domiciliary Care Workers

UK domiciliary care workers play a vital role in maintaining and improving the lives of service users who have a variety of needs. Around 60% of these employees work under zero-hours contracts but, while it is known that conditions such as temporary and shift working can influence employee health and performance, zero-hours have not been widely investigated. This project sought to firstly investigate the stress associated with working as a domiciliary care worker, as well as comparing the experiences of employees contracted to zero hours with those contracted to at least 16 hours per week. Twenty-nine semi-structured interviews (15 zero-hour, 14 contracted hours) were conducted in the West Midlands of the UK and analysed using thematic analysis. Across all participants, four predominant stressors were found. Firstly, level of pay for what is a job with high levels of responsibility were poor. Secondly, participants described struggling to maintain an adequate work-life balance due to the varied timings of visits, as well as rude and aggressive behaviour from both service users and their families. Lastly, a lack of peer support and poor care from peers was discussed. However, every respondent described the positive relationships that they develop with service users being a distinct stress-reliever. Zero-hours respondents discussed two further stressors. Power refers to the relationship between employee and management, with respondents describing the balance of power being with management. Uncertainty reflected respondents not having set hours of work or pay, and thus not being able to plan in their personal lives and sometimes not being able to pay bills. Findings suggest that domiciliary care workers are exposed to a range of stressors, with zero-hours adding to these. Further research should look into methods to improve both the job role for workers, and redress the power relationships for those with zero-hours contracts

Stress, depression, workplace and social supports and burnout in intellectual disability support staff

Background: Staff providing support to people with intellectual disabilities are exposed to stressful work environments which may put them at an increased risk of burnout. A small prior literature has examined predictors of burnout in disability support staff, but there is little consensus. In this study, we examined direct and indirect associations between work stressors (i.e. challenging client behaviour), staff emotional response to the behaviour (i.e. perceived stress, anxiety, depression), social and organisational support resources, and staff burnout. Methods: A short survey examined client behaviour, staff psychological stress, anxiety, depression, social support (number, satisfaction), organisational support and burnout in 80 disability support staff in a community setting. Results: Burnout levels were similar to or slightly lower than normed values for human services staff. Cross-sectional regression analyses indicated that depression symptoms and organisational support were related to worse emotional exhaustion and depersonalisation, whereas less social support was related to less personal accomplishment. Social support satisfaction (but not social support number or organisational support) moderated between high psychological stress to less emotional exhaustion. Conclusions: Taken together, these results suggest that depression symptoms and low organisational support were frequently concurrent with burnout symptoms. Furthermore, worker's personal and organisational supports may have helped bolster their sense of personal accomplishment, and buffered against the potential for emotional exhaustion

Stress, depression, workplace and social supports and burnout in intellectual disability support staff

Background: Staff providing support to people with intellectual disabilities are exposed to stressful work environments which may put them at an increased risk of burnout. A small prior literature has examined predictors of burnout in disability support staff, but there is little consensus. In this study, we examined direct and indirect associations between work stressors (i.e. challenging client behaviour), staff emotional response to the behaviour (i.e. perceived stress, anxiety, depression), social and organisational support resources, and staff burnout. Methods: A short survey examined client behaviour, staff psychological stress, anxiety, depression, social support (number, satisfaction), organisational support and burnout in 80 disability support staff in a community setting. Results: Burnout levels were similar to or slightly lower than normed values for human services staff. Cross-sectional regression analyses indicated that depression symptoms and organisational support were related to worse emotional exhaustion and depersonalisation, whereas less social support was related to less personal accomplishment. Social support satisfaction (but not social support number or organisational support) moderated between high psychological stress to less emotional exhaustion. Conclusions: Taken together, these results suggest that depression symptoms and low organisational support were frequently concurrent with burnout symptoms. Furthermore, worker's personal and organisational supports may have helped bolster their sense of personal accomplishment, and buffered against the potential for emotional exhaustion

A solution processable fluorene-benzothiadiazole small molecule for n-type organic field-effect transistors

We report an n-type organic semiconductor [2-({7-(9,9-di-n-propyl-9H-fluoren-2-yl}benzo[c][1,2,5] thiadiazol-4-yl) methylene]malononitrile (herein referred to as K12) for use in organic field-effect transistors (OFETs). K12 can be processed by spin-coating from solution or by vacuum deposition, organizing into highly orientated microcrystalline structures at modest (75 degrees C) annealing temperatures. OFETs with n-octyltrichlorosilane or hexamethyldisilazane monolayers, or poly(propylene-co-1-butene) (PPCB) modified dielectric surfaces were prepared. The mobility, ON/OFF ratio, threshold voltage, and current hysteresis were found to be dependent on the thermal history of the film and surface onto which it was deposited. The highest OFET mobility achieved was 2.4 X 10(-3) cm(2)/V s, for spin-coated films with a PPCB modified silicon dioxide dielectric. (C) 2011 American Institute of Physics. [doi:10.1063/1.3569818

Three-dimensional carbazole-based dendrimers: model structures for studying charge transport in organic semiconductor films

We report the synthesis and charge transport properties of a series of three-dimensional dendrimers up to the third generation that have a 9,9'-spirobifluorene core, carbazole-based dendrons and di-n-propylfluorene surface groups. The dendrimers can all be spin-coated to form good quality amorphous films. The charge carrier mobility of the dendrimers was measured by two different methods; in an organic field-effect transistor (OFET) architecture, and by Charge Extraction by Linearly Increasing Voltage (CELIV). In the OFET configuration the first generation dendrimer had a maximum mobility of 4.1 x 10(-4) cm(2) V-1 s(-1) and an ON/OFF ratio of 1.1 x 10(5). Unexpectedly, in spite of the third generation dendrimer having a volume approximately six times that of the first generation, the mobility was found to decrease by only an order of magnitude. A similar trend in mobility was seen in the CELIV results. Photoluminescence (PL) measurements in solution showed that the first generation dendrimer was comprised of non-interacting chromophores, while the second and third generation dendrimers had substantial intra-dendrimer interchromophore interactions. In the solid-state, PL measurements showed that for the first generation dendrimer there were clear inter-dendrimer interchromophore interactions with little change for the second and third generations. Comparison of the dendrimer molecular volumes in solution and the solid-state showed that in the latter, the dendrimers took up a smaller volume suggesting that there was interdigitation of the dendrons. For the first generation dendrimer the interdigitation leads to trap sites for charge transport, with the small decrease in mobility in moving from the first to the second and third generation being due to the extra intra-dendrimer interchromophore interactions. Model dendritic systems such as these can be used to gain significant insight into the subtly of charge transport phenomena in solution processable macromolecular organic semiconductors, since they offer a level of molecular control that is difficult to achieve with polymers

A flexible n-type organic semiconductor for optoelectronics

n-Type organic semiconductors are important for a range of optoelectronic applications including organic photovoltaic devices, light-emitting diodes, and field effect transistors (FETs). In spite of this clear motivation there has been significantly less development of n-type compounds relative to p-type systems. We have developed a simple, small molecule n-type material, 2-[(7-{9,9-di-n-propyl-9H-fluoren-2-yl}benzo[c][1,2,5]thiadiazol-4-yl)methylene]malononitrile (K12), that can be processed either by spin-coating from solution or evaporation in vacuum. The thermal properties of K12 enable the film morphology to be controlled at easily accessible temperatures allowing the charge mobility to be tuned over two orders of magnitude. The electron mobility in the films was found to be independent of the initial processing conditions (solution or evaporation). The electron mobility measured in a FET configuration was of the order of 10(-3) cm(2) V-1 s(-1) for films prepared via either processing method whilst Photoinduced Charge Extraction in Linearly Increasing Voltage (PhotoCELIV) gave a mobility of order 10(-4) cm(2) V-1 s(-1)