Occupational stress,rescue workers and English law

Abstract

This paper shows how two strands of English case law, one establishing liability to compensate for shock suffered by those at the scene of disaster, and the other concerned with physical injury suffered by rescuers, were brought together in the 1960s to provide a remedy for a rescuer suffering from what the law describes as ‘nervous shock’. It further traces the development of employers' liability in this context, but finds that the law provides few examples of the contractual duty of employers to protect employees generally against stress that may cause psychological injury. It points out that there is no case law on the liability of employers for stress suffered by rescue workers, whether professional or otherwise. It notes that law reports give little guidance as to the medical evidence judges require to persuade them that nervous shock has been suffered. Finally, it spells out that EC-inspired regulations could now be used to require employers to assess, and take steps to control, stress to which their employees, including rescue workers, are exposed.     

Occupational stress and cardiovascular reactivity in blue-collar workers

This study analyses the influence of chronic occupational stress on cardiovascular reactivity (heart rate [HR] and blood pressure [BP] elevation from baseline to maximal challenge) during a standard mental stress test (modified version of the STROOP colour word interference test). The test was applied to a sample of 190 healthy male blue-collar workers at the end of a regular working day. Our research hypothesis was based on the assumption that sustained autonomic activation due to chronic occupational stress may reduce cardiovascular responsiveness to challenge: workers defined by high level of chronic occupational stress exhibited lower maximal HR and BP elevations under challenge as compared to workers with low levels of stress. Three distinct indicators of occupational stress were derived from structured interviews: 'cumulative workload', 'worsening of job conditions', and 'high demand and low job security'. Statistical analysis, using ANOVA, showed that all main effects of chronic stress were in the expected direction (6 of 9 effects were statistically significant at the 0'05 level). These effects remained stable after adjusting for age, hypertensive status, physiological baseline level, cigarette smoking, test performance, and individual style of coping. In summary, cardiovascular reactivity under experimental challenge is modulated by an individual's experience of chronic occupational stress.     

Employee stress litigation: The UK experience

This paper considers the extent to which stress-induced illness can be regarded as a personal injury that could give rise to civil action for damages against employers in the UK. It outlines the results of a brief survey of personal injury solicitors, which indicates that claims are already being initiated by employees who allege they have suffered a stress-induced illness. The potential for claims within industrial tribunal cases that have already been decided is also examined. Consideration is given to the hurdles that litigants will have to surmount, such as proving that their condition was in fact caused by some feature of their working conditions, showing that it was foreseeable that they would suffer a stress-based injury, and demonstrating that their employer was in some way at fault. This leads to a questioning of what employers can do to protect themselves from such claims, or at least defend them successfully. The paper points out that success is likely to depend heavily upon the quality of expert medical opinion, and also upon policy conditions that may influence those adjudicating on such cases. It is concluded that the cost of losing claims may be significant, and that employees who ignore the warning signs do so at their peril.     

Job stress, satisfaction and mental health of factory workers in Bangladesh

The present study examined the relationship between job stress, job satisfaction and mental health, and attempted to assess the effects of job stress on different parameters of satisfaction and mental health in the context of two groups of Bangladeshi factory workers. There were 26 subjects in a 'high stress' group and 33 in a 'low stress' group. Individual data were collected by using the Stress and Arousal Checklist, the Job Satisfaction Scale, the General Health Questionnaire, absenteeism by sick leave, a self-esteem at work scale and heart rate monitor. Chi-square and t-tests were applied in the analyses of these data by group. The results, quite expectedly, showed that a greater number of high stress subjects were dissatisfied and had poorer mental health than low stress subjects. The results also showed that low stress subjects were significantly more satisfied and possessed better mental health than the high stress subjects. It would appear that the experience of stress plays an important role in determining the quality of working life of Bangladeshi factory workers having similar consequences in terms of health and well-being to those observed in developed countries. The dynamics of absenteeism in Bangladesh are discussed.     

Job stress in managers,professionals, and clerical workers

Abstract

The intensity and frequency of occurrence of 30 job stressors as measured by the job stress survey (JSS) were examined in white-collar employees of a large manufacturing firm, consisting of 68 managers, 171 professional (mostly engineers), and 69 clerical personnel. The highest levels of stress intensity were attributed to ‘lack of opportunity for advancement’ and ‘poor or inadequate supervision’. Individual stressors rated as occurring most often during the past six months were ‘frequent interruptions', ‘meeting deadlines’, and ‘dealing with crisis situations’. Factor analyses of the ratings of individual job stressors identified two job-stress factors, job pressure and lack of support, which were differentially related to age, gender, occupational level, locus of control, and job tenure and satisfaction. All three occupational groups attributed greater intensity to stressors that reflected lack of organizational support than to job pressures. Managers reported experiencing job pressures more often than professionals/engineers, but attributed less stress intensity to these pressures. ‘Lack of opportunity for advancement’ and ‘inadequate salary’ were the most salient stressors for the clerical workers. Implications of the findings for the design of stress management and organizational change programmes were discussed.     

Job stress in managers, professionals, and clerical workers

The intensity and frequency of occurrence of 30 job stressors as measured by the job stress survey (JSS) were examined in white-collar employees of a large manufacturing firm, consisting of 68 managers, 171 professional (mostly engineers), and 69 clerical personnel. The highest levels of stress intensity were attributed to 'lack of opportunity for advancement' and 'poor or inadequate supervision'. Individual stressors rated as occurring most often during the past six months were 'frequent interruptions', 'meeting deadlines', and 'dealing with crisis situations'. Factor analyses of the ratings of individual job stressors identified two job-stress factors, job pressure and lack of support, which were differentially related to age, gender, occupational level, locus of control, and job tenure and satisfaction. All three occupational groups attributed greater intensity to stressors that reflected lack of organizational support than to job pressures. Managers reported experiencing job pressures more often than professionals/engineers, but attributed less stress intensity to these pressures. 'Lack of opportunity for advancement' and 'inadequate salary' were the most salient stressors for the clerical workers. Implications of the findings for the design of stress management and organizational change programmes were discussed.     

Determinants of perceived occupational stress among Chinese offshore oil workers

This is the first comprehensive study to explore the determinants of perceived sources of occupational stress among workers in the rapidly expanding Chinese offshore oil industry. In this study we surveyed 561 Chinese workers in a state-owned oil company using a questionnaire that measured occupational stress and Type A personality behaviour (TABP), social support and other socio-demographic data. Occupational stress was assessed by the Occupational Stress Scale, adapted from the questionnaire developed in previous studies (Cooper & Sutherland, 1987; Sutherland & Cooper, 1996). Using factor analyses, we identified nine sources of stress: 'interface between job and family/social life'; 'career and achievement'; 'safety'; 'management problems and relationship with workmates'; 'physical environment of workplace'; 'living environment'; 'managerial role'; 'ergonomics'; and 'organizational structure'. We performed hierarchical regression analyses on each source of stress with variables reflecting socio-demographic characteristics, TABP and social support. Better-educated workers perceived more stress from the interface between their job and family or social life and career achievement, but less stress from ergonomics. Type A workers perceived more stress from career achievement and the living environment. Social support was significantly associated with four sources of stress. Workers with different job titles perceived stress from different sources. Our findings imply that, in the stress management of offshore oil workers, different strategies and methods could be applied to different occupational groups, and to workers with different personalities and socio-demographic characteristics.     

Role stress among Canadian white-collar workers

The incidence of various stressors at work and outside work was examined in a group of public service workers with a large Canadian federal government department. Workers were either in clerical, technical and supervisory ('officers'), or management positions. Measures of work stress included role stressors (load, insufficiency, conflict ambiguity and responsibility), as well as stress due to the physical environment. Both life events and daily hassles were included as measures of non-work stress. The consequences of stress were considered in terms of vocational, psychological, interpersonal, and physical strain, as well as in terms of job satisfaction and organizational commitment. Potential moderators of stress included social support and self-esteem. Among work stressors conflict, ambiguity and insufficiency were the more closely associated with vocational outcomes. MANCOVA followed by discriminant function analysis showed that clerical workers were distinguished by higher levels of insufficiency, officers by higher levels of conflict and the lowest levels of job satisfaction and organizational commitment, and managers by higher levels of perceived responsibility for others. The results are discussed in terms of social role theory.     

Talking about work stress: Discourse analysis and implications for stress interventions

This study used discourse analysis to explore the way in which employees understand work stress. Twenty-two female clerical workers in a Canadian city participated in focus group meetings where they talked about and made sense of their experiences of work stress. The women's accounts were analysed using discourse analysis methods (i.e. an examination of how talk is constructed). The findings revealed that talking about being stressed provides a socially acceptable way of expressing discomfort and regaining a sense of importance that is lost through feeling under-valued and under-appreciated in the organization. In contrast, admitting to being unable to cope with stress was considered to be 'abnormal'. The stress discourse fosters a sense of helplessness and ambiguity by not acknowledging external influences on clerical workers' experiences, such as their place within the power structure of the organization, and by limiting their sense of agency and control over problems experienced at work. The implications of these findings for organizational culture and interventions are discussed. For example, employers are encouraged to be conscious of the messages being sent to employees about how negative emotions or distressing experiences at work are to be addressed (i.e. how 'stress' is to be managed). Recommendations are made for future research using discourse analysis, such as the examination of alternative discourses that aim to improve conditions at work.     

Neuroticism,locus of control,type A behaviour pattern and occupational stress

Abstract

The aim of this study was to investigate the relationship between individual differences in personality and susceptibility to stress in the workplace. Stress in lecturers employed by a computer training organization was assessed by means of self-report and measurement of salivary cortisol output during lecturing and non-lecturing weeks. Neuroticism, Type A behaviour pattern and locus of control were measured. Self-reported stress was found to be much greater during lecturing weeks, but cortisol levels were unaffected by working conditions. There was a significant positive correlation between neuroticism and locus of control and a negative correlation between locus of control and Type A behaviour pattern that approached significance. Multiple regression was employed to explore relations between personality and stress. Subjects with lower neuroticism scores yielded a bigger increase in reported stress, in the lecturing compared with the non-lecturing week, than subjects with high neuroticism scores. Type B subjects showed a progressive decrease in cortisol over the working week while Type A counterparts showed a resurgence of cortisol towards the end of the week. Finally, Type B subjects having an internal locus of control showed a faster decline in cortisol level during the lecturing week than the other subjects. Implications of these results are discussed in terms of the importance simultaneously incorporating a variety of individual differences in personality dimensions and stress indices in research designs.     

Neuroticism, locus of control, type A behaviour pattern and occupational stress

The aim of this study was to investigate the relationship between individual differences in personality and susceptibility to stress in the workplace. Stress in lecturers employed by a computer training organization was assessed by means of self-report and measurement of salivary cortisol output during lecturing and non-lecturing weeks. Neuroticism, Type A behaviour pattern and locus of control were measured. Self-reported stress was found to be much greater during lecturing weeks, but cortisol levels were unaffected by working conditions. There was a significant positive correlation between neuroticism and locus of control and a negative correlation between locus of control and Type A behaviour pattern that approached significance. Multiple regression was employed to explore relations between personality and stress. Subjects with lower neuroticism scores yielded a bigger increase in reported stress, in the lecturing compared with the non-lecturing week, than subjects with high neuroticism scores. Type B subjects showed a progressive decrease in cortisol over the working week while Type A counterparts showed a resurgence of cortisol towards the end of the week. Finally, Type B subjects having an internal locus of control showed a faster decline in cortisol level during the lecturing week than the other subjects. Implications of these results are discussed in terms of the importance simultaneously incorporating a variety of individual differences in personality dimensions and stress indices in research designs.     

The relation of personal resources, participation, influence, interpersonal relationships and coping strategies to occupational stress, job strains and health: A multivariate analysis

The relation of personal resources, participation, influence, interpersonal relationships and coping strategies to occupational stress, job strains and health: a multivariate analysis     

When should there be liability for negligently causing psychiatric illness?

In March 1998 the Law Commission for England and Wales published the outcome of its review of the law on compensation of those who suffer psychiatric illness as a result of the negligence of another person. The report is largely, although not solely, concerned with work-related illness. It also reviews the literature on the incidenc and forms of psychiatric illness. It makes recommendations for legislation. This paper critically summarizes the findings of the Commission and concludes with some comments. It questions the appropriateness of common law litigation for these kinds of injury. It also comments on whether the Commission's recommendations will be implemented by Parliament and the likely impact of the proposed revision of the law upon the incidence of litigation.     

The rise and fall? Of mental stress claims in the USA

Occupation-related mental stress has been associated with significant loss in terms of diminished productivity, higher absenteeism, and increased workers' compensation claims. The Liberty Mutual Group workers' compensation data were analysed for the years 1984-93 for mental stress-related claims. This represented over 7 million claims, over 17000 of which were identified as mental stress-related. The proportion of all stress claims was estimated for each year. The proportion by gender, age and occupation (job classification code and occupation name) was also described. Stress claims increased during the late 1980s, peaking in 1991, accounting for 0.48% of all claims and 1.69% of all claims costs, and has declined since. Even at its peak, mental stress claims were not a major portion of workers' compensation losses. However, they are expensive. The average costs of a stress claim in 1993 was about $13000. The state of California accounts for 60% of the claims reported to Liberty Mutual over this 10-year period. In 1993 women accounted for 51% of the stress claims and about 30% of all claims. The mean age of workers with stress claims was 39.3 years, with most stress claims from 30 to 34 year-olds. High-risk occupations and industries include banks, insurance companies, general labourers, management, salespersons, and drivers. The current decline in stress claims can largely be explained by a combination of changes in unemployment, increasing litigation, and changes in law in California and other states that made more stringent the requirements whereby a mental stress claim can be considered work-related. While the data presented are helpful for comparing stress claims to all claims reported to Liberty Mutual and for identifying high-risk occupations and industries, because of the uniqueness of the stress claim selection algorithm and the uncertainties with cost estimates, the cost figures are not directly comparable to other claims reporting systems.     

Job satisfaction and occupational stress in UK general hospital nursing staff

This study investigated factors associated with the perceptions of stress reported by nurses in a general hospital environment in the UK. The levels and sources of stress experienced by nursing staff were examined in relation to the type of ward or department, and nursing grade. The association between reported stress and job satisfaction was also examined. By means of a self-completion questionnaire survey, data were collected from 234 nurses from 24 wards in a single general hospital. The Brayfield and Rothe job satisfaction index was used to provide data for analysis. Factor analysis, analysis of variance, and Pearson product moment correlation procedures were performed on these data. The factor analysis identified two main factors concerned with sources of stress: interpersonal relations and resource problems, and dealing with death. Although there were no differences found across wards, the analyses of variance revealed that reported stress varied over different nursing grades. It was also found that job satisfaction was correlated with nursing experience and negatively related to stress.     

Heart rate and blood pressure in male police officers and clerical workers on workdays and non-workdays

Abstract

Male police officers from a city police station in Tasmania (n = 20) and a matched group of clerical workers (n = 20) monitored their heart rate, blood pressure and self-reported levels of stress and arousal over a two-week period. Measurements on workdays during which stressful events occurred were compared to non-event workdays and non-workdays. Two group differences were demonstrated, with the clerical workers reporting higher levels of stress, and the police officers reporting higher levels of arousal. Support was evident for the distinction between workdays and non-workdays, and support was demonstrated for differences between different types of workdays. Evidence suggested that restricting the time frame of such research may lead to results that are inaccurate or inconsistent because workdays differ in content.     

Heart rate and blood pressure in male police officers and clerical workers on workdays and non-workdays

Male police officers from a city police station in Tasmania (n = 20) and a matched group of clerical workers (n = 20) monitored their heart rate, blood pressure and self-reported levels of stress and arousal over a two-week period. Measurements on workdays during which stressful events occurred were compared to non-event workdays and non-workdays. Two group differences were demonstrated, with the clerical workers reporting higher levels of stress, and the police officers reporting higher levels of arousal. Support was evident for the distinction between workdays and non-workdays, and support was demonstrated for differences between different types of workdays. Evidence suggested that restricting the time frame of such research may lead to results that are inaccurate or inconsistent because workdays differ in content.     

Discrepancies between chronological age and personal age as a reflection of unrelieved worker stress

The general proposition that stress-related variables will be associated with discrepancies between chronological age and perceived personal age of working adults was examined. Responses from a field survey of day, afternoon, and night fixed-shift workers in a large manufacturing organization (n = 1674) were used to explore the relationships between a variety of reported stress-related variables and personal age constructs. Discrepancies between perceived personal age and chronological age were reported by a large proportion of the workers surveyed. Three categories of stress-related variables each accounted for a significant proportion of the variance in discrepancies. As hypothesized, the reported presence of stressors and the frequency/extent of strains (stress-related outcomes) were positively correlated with feeling older than one's chronological age. In addition, the reported presence of support mechanisms for coping with stressors was negatively correlated with feeling older than one's chronological age. The manner in which work and non-work stress may impinge upon personal age perceptions is discussed, and appropriate avenues for future research in this domain are considered.     

Discrepancies between chronological age and personal age as a reflection of unrelieved worker stress

Abstract

The general proposition that stress-related variables will be associated with discrepancies between chronological age and perceived personal age of working adults was examined. Responses from a field survey of day, afternoon, and night fixed-shift workers in a large manufacturing organization (n = 1674) were used to explore the relationships between a variety of reported stress-related variables and personal age constructs. Discrepancies between perceived personal age and chronological age were reported by a large proportion of the workers surveyed. Three categories of stress-related variables each accounted for a significant proportion of the variance in discrepancies. As hypothesized, the reported presence of stressors and the frequency/extent of strains (stress-related outcomes) were positively correlated with feeling older than one's chronological age. In addition, the reported presence of support mechanisms for coping with stressors was negatively correlated with feeling older than one's chronological age. The manner in which work and non-work stress may impinge upon personal age perceptions is discussed, and appropriate avenues for future research in this domain are considered.     

Information systems and occupational stress: a theoretical framework

The information systems (IS) profession is a stressful profession. However, there is little theoretical or empirical research on the effects of occupational stress on IS professionals. A major reason is because IS professionals and researchers are unaware of the consequences of occupational stress and unfamiliar with the occupational stress literature. The purpose of this paper is to propose a theoretical framework of occupational stress for IS professionals. Based on a review of the IS, psychology, and general management literature, 12 occupational stress models are identified. These stress models are analyzed along the two dimensions of focus and theoretical foundation. The analysis shows that most of the occupational stress models consider stress to be the consequence of the interaction between an environmental stimulus and the idiosyncratic response of the individual. Further analysis of these models suggests that nine key points are critical in developing a theoretical framework of occupational stress for IS professionals. A mapping of how the existing stress models incorporate the nine key points is also presented. The findings of this paper can provide a theoretical basis for further research on the occupational stress of IS professionals. Finally, an agenda for further research into this issue is presented.