Burnout and Death Anxiety in Hospice Social Workers

Hospice work has been regarded as particularly stressful due to the complexity inherent in the provision of end-of-life care. Burnout and death anxiety are especially relevant to hospice social workers because they regularly function in a high-stress, high-loss environment. The purpose of this study was threefold: to determine the prevalence of burnout and death anxiety among hospice social workers; to examine associations between burnout and death anxiety; and to explore the factors which may contribute to the development of death anxiety and burnout. Participants completed four items: the Maslach Burnout Inventory-Human Services Survey (MBI-HSS), the Death Anxiety Questionnaire (DAQ), a demographic questionnaire, and a set of open-ended questions. Findings indicate that mean scores on the subscales of the MBI-HSS ranged from the low to moderate range and that a strong positive correlation existed between death anxiety and the depersonalization subscale of the MBI. Three key themes emerged from the qualitative data: (a) personal interest in hospice social work developed through a variety of ways; (b) although death anxiety decreased from exposure and understanding of the death process, there was increased death anxiety surrounding working with certain patients; and (c) burnout was primarily related to workload or difficult cases.     

Factorial Validity of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) in a Sample of Spanish Social Workers

Burnout has been considered important to understanding the well-being of social workers and the quality of the services they render. Despite the ample international usage of the Maslach Burnout Inventory, its psychometric properties have come into question and alternative models of measuring the inventory have been suggested. The purpose of this study was to examine the psychometric properties and the applicability of a Spanish version of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) in an incidental sample of 947 social workers. Three alternative models of the MBI-HSS were tested for the purpose of identifying the most suitable model for measuring burnout in Spain. The confirmatory factor analysis supported the theory that the model of three correlated factors was superior to alternative models of one and two factors. The structure of three factors (emotional exhaustion, depersonalization, and personal accomplishment) and 19 items showed the best adjustment and a suitable internal consistency of the dimensions of the MBI-HSS. These findings demonstrate that the MBI-HSS has validity and reliability acceptable for measuring burnout in social workers, providing valuable information to the managers of social services in order to reduce burnout among social workers. The limitations of the study and recommendations for future investigation are emphasized.     

Work satisfaction, burnout, and turnover among social workers in Israel: a causal diagram

This study developed a causal diagram addressing the predictors of work satisfaction, burnout and turnover among professional social workers in Israel. A random sample of 218 social workers completed self-administered surveys. Multiple regression and canonical correlation analyses were conducted to estimate a causal model that best predicts work satisfaction, burnout, and turnover among social workers. The results indicated that higher satisfaction, lower burnout, and lower turnover were a function of higher collegial relationship, greater supervision, adequate working conditions, greater opportunities for promotion, and Jewish ethnicity. In addition, higher satisfaction and lower burnout were a function of higher education and greater autonomy, whereas higher turnover was related to a lower salary and the social worker's relative youth. Limitations of the study and recommendations are discussed.     

Whether Professional Training Matters: Attitudinal Antecedents to the Turnover Intentions of Social Workers in Guangzhou,China

This study aims to identify whether the professional training of social workers has an effect on the attitudinal antecedents of turnover intention. This study investigated 395 trained and 353 non-trained social workers from the Integrated Family Service Centers in Guangzhou, China. It was found that professional education did not significantly alter the attitudinal antecedents to turnover intention. In both groups, a higher feeling of burnout or a lower level of organizational commitment produced a higher intention of turnover. Furthermore, the significant influences of burnout and organizational commitment were found to be respectively mediated by job satisfaction with professional association or job satisfaction with organizational environment. This study not only provides insights into the stabilization of the emerging workforce of Chinese social workers, but also poses serious questions about social work education.     

Predicting Burnout Syndrome in Greek Mental Health Professionals

The aim of the study was to explore predictors of burnout in clinicians working across different mental health settings in Greece. The Maslach & Jackson Inventory (Maslach Burnout Inventory, MBI; Maslach & Jackson, Journal of Organizational Behavior, 1981, 2(2), 99–113) was used to evaluate burnout syndrome and assess the relationship between demographic factors (age, children, education, and job experience) and each sub-factor (emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA)) of the MBI. Results revealed that out of three burnout factors, EE and PA demonstrated one significant predictor each whereas DP showed no significant predictors. In addition, job experience (years in the job) was found to be a significant predictor of EE in clinical staff. Further analysis showed no significant differences across job type for EE, DP, and PA. The findings are discussed with a focus on prevention and coping strategies for clinicians working in mental health settings.     

Well-Being and Affective Commitment among Ambulance Volunteers: A Mediational Model of Job Burnout

ABSTRACT

Burnout represents a relevant risk for ambulance volunteers. According to the Job Demands-Resources model, role conflict and social support can be considered as antecedents of burnout which, in turn, may lower affective commitment. This study aims to investigate the relationship between social support, role conflict, and affective commitment, as mediated by job burnout. Survey data were collected from 352 Italian volunteers and analyzed using structural equation modeling methods. Social support was confirmed as a protective factor, and role conflict as an antecedent of burnout which, in turn, decreases affective commitment. The relationship between role conflict and affective commitment is mediated by burnout which, on the contrary, does not mediate the effect of social support on affective commitment. Social support may protect against burnout. Because of its positive effects on a personal and an organizational level, affective commitment may be increased raising levels of supervisor support and reshaping role expectations. It could be useful to carry out future longitudinal studies, in order to confirm the antecedents and effects of job burnout; furthermore, this research should be extended to other ambulance organizations, in order to generalize the results; finally, multi-group analyses would allow to bring out possible differences between paid-staff and volunteers.     

Social work in a conflict context: Challenges facing social workers with indigenous inhabitants of unrecognised villages in Israel

This qualitative study presents the experiences of social workers whose clients are the inhabitants of unrecognised Bedouin Arab villages in Israel. It used in‐depth, semi‐structured interviews with 25 participants, recruited by the snowball method. These social workers reported that they are caught between their personal and professional values, on the one hand, and employer regulations, government policy and government law, on the other – which greatly limits their ability to fulfil their professional role. The social workers also comment that they are working in a ‘grey area’ in which the government’s policy is unclear. This adds another layer of complexity to their work and reveals the differential implementation of critical social work principles by social workers with different cultural identities.     

Using a Student-Led Support Group to Reduce Stress and Burnout Among BSW Students

This study evaluates the efficacy of using a student-led support group to decrease levels of stress and reduce burnout among BSW students. The exploratory mixed-methods study used a 10-item Perceived Stress Scale measuring levels of stress, a single item measuring burnout, and narrative journal entries submitted by students. This was part of a larger study that also explored the efficacy of using a student-led group to increase students' knowledge of group work. Although limited in its scope, this research suggests that student-led group work increases the knowledge process and reduces level of burnout among social work students.     

The Role of Family in Career Choices among Social Workers in China

Abstract

High turnover rate affects social work workforce development in China. Few empirical studies have been conducted to explore the factors that have influences on turnover intention among Chinese social workers. This study used data from China General Survey on Professional Social Workers to examine the influence of job satisfaction and family attitude on social workers’ career choices. The findings reveal that both job satisfaction and family’ attitude toward the profession have significant effects on social workers’ turnover intention. Family’s support or disapproval of the social work profession has moderate effect on the negative correlation between job satisfaction and turnover intention. The findings could be explained by the familyism culture of Chinese society and unique challenges of professional development experienced by social workers in China. Future studies should consider the influence of family to develop a more comprehensive research framework. Management in social service agencies should help family of social workers to learn and embrace the profession to gain their support of choosing social work as career.     

Intervention in the Experience of Burnout

ABSTRACT

Burnout has been considered a result of stress and lack of interpersonal skills. Consequently, this study compared two interpersonal skills workshops with matched controls to determine the effect of training on burnout. The results support the hypothesis that skill development can impact upon social workers' experience of burnout for an affective-oriented training, but not for a cognitive-oriented training.     

Instilling the Soul of Group Work in Social Work Education

This article addresses the process of developing an educational model for teaching social work with groups in an undergraduate social work degree program in Israel. The model was developed against a backdrop of decreasing status of social group work within the profession and the consequent loss of its unique identity and power in the social work field. The model's aims are to provide the students with the basic principles of social group work, to ensure its place in their professional identity, and to awaken curiosity regarding its use in their future practice as social workers.     

Intention to Leave the Profession: Welfare Social Workers Compared to Health Care and Community Social Workers in Israel

ABSTRACT

This study aimed to compare specific work related-factors (personal factor: length of work experience; structural factors: personal subjection to violence and fear of being subjected to violence; and psychological factors: professional quality of life—compassion satisfaction, burnout, and compassion fatigue) between welfare social workers (SWs) (n = 200) and health care and community SWs (n = 173). Furthermore, since the issue of turnover among SWs has important implications for the provision and programming of social services, the study also aimed to assess the relationship between these factors and SW intention to leave the profession. For the purpose of this study, online questionnaires were distributed to SWs working at social agencies and services. The findings suggest that the two categories of SWs showed a similarity with regard to the association between the personal and structural factors and intention to leave the profession. However, with regard to the psychological factors, the components of professional quality of life were found to operate differently in each category of SWs. It is suggested that future research examine other work-related factors and explore the intention to leave the profession among other social work specializations and employment sectors.     

Strengthening the Professional Selves of Social Workers Through the Lens of Self Psychology

New social workers have been shown to experience higher rates of burnout, vicarious trauma, compassion fatigue, and vocational turnover. It is critical to find ways to support the growth and development of competent and resilient social workers. Yet, due to current contextual issues in the workplace, social workers are often not in environments that are conducive to fostering the growth of strong professional selves. A self psychology lens is used to assess and form the basis for recommendations for agencies/organizations and individuals to strengthen the professional selves of individual social workers and, in turn, the profession itself.     

Between the maternal and the professional: the impact of being a child welfare officer on motherhood

Child welfare officers experience stress from exposure to child neglect and abuse and the burden of responsibility for children's well‐being. This qualitative study addresses the question: How do social workers who are child welfare officers perceive and cope with the influence of their professional occupation on their relationships with their own children? The research is based on in‐depth interviews with a purposive sample of 10 child welfare workers who are mothers (of 2–4 children aged 2–23 years). The data analysis illustrates how the professional identity and the maternal identity of the child welfare officer fluctuate between two positions. The first is ‘anxious motherhood’ in which anxiety is the prism through which the welfare officer views the world as dangerous for her children, stimulating protective, control‐enhancing actions. The second position is reflective motherhood in which the welfare worker struggles with her own stresses and conflicts as a mother and searches for an experience of meaningful, positive motherhood. The findings reinforce the need to raise the consciousness of child welfare officers regarding the impact of encountering distress and trauma on their own well‐being as parents. In this way, they can prevent secondary traumatization and enhance professional and maternal growth.     

Turnover intention predictors among social workers in China

The purpose of this study was to examine factors that best predict turnover among social workers in nonprofit organizations in Guangzhou, Guangdong Province of China. A sample of 312 social workers was selected to complete a self‐administered anonymous survey in 2014. A multiple logistical regression model was used to explain the different factors that influence social workers’ intention to leave their current jobs. The findings showed that age, education, perceived working condition, the perceived prospect of the social work profession, and social support predict turnover intention among social workers.     

‘Doing it right?’– accessing the narratives of identity of newly qualified social workers through the lens of resilience: ‘I am,I have,I can’

Using narrative enquiry, this paper accesses the construct of identity through exploring resilience in newly qualified social workers based in statutory children's services. In seeking to avoid deficit‐based models of this role, this paper aims to present inductively the ‘voice’ of three social workers in a semi‐rural authority, storying the positive ways in which resilience has developed during their first year. Using the Grotberg resilience framework (1995) –‘I am, I have, I can’– as an analytical tool at the interface of personal, professional and organizational identities, we conclude that ‘I am’ and ‘I have’ are more important than the skills dimension of ‘I can’. Positive role models, trust, ‘managed’ optimism, flexibility of support in and beyond induction, and, crucially, self‐efficacy and space for reflexivity, are more prominent as sources of resilience and strong identity. The reflexivity, inspired by the process of narrative enquiry, is an important contributor to self‐efficacy. We propose that a positive view of growth and identity is preferable to deficit models in the context of the transition between the two ‘communities of practice’ and of the challenges of the workplace. Organizational approaches based on this view will be more likely to promote a sustainable workforce.     

Negative Aspects of Therapy: Client Perceptions of Therapists' Social Influence, Burnout, and Quality of Care

This study investigated the relationships between client perceptions of therapist use of social influence strategies, therapist burnout, and clients' perceptions of the quality of their therapy. Scales were developed to measure personal coercive power, personal reward power, various forms of expert power, and compromise strategies. A scale was also developed to measure clients' perceptions of their therapists' burnout that contained a combination of modified items from the Maslach Burnout Inventory (Maslach & Jackson, 1986) and original items based on stereotypical burnout behaviors. Research participants were 131 undergraduate students at the University of Pittsburgh who reported their experiences as therapy clients. Therapist use of personal coercive influence strategies and certain types of expert influence strategies were negatively associated with clients' perceptions of the quality of their therapy. Therapist use of personal reward influence strategies, compromise, and the therapist's reputation as an expert were positively related to clients' perceptions of the quality of their therapy. Perceived therapist burnout was positively associated with therapist use of personal coercive influence strategies, direct expert influence strategies, and indirect expert influence strategies. The implications of these findings are discussed.     

Susceptibility to Emotional Contagion

Abstract

This article reports a psychometric evaluation of a measure of susceptibility to emotional contagion, designed to measure the degree to which a person is vulnerable to “catching” and sharing the emotion experienced by another. The scale was examined to test its application to depression, burnout, and impairment among practicing social workers. Data from a probability sample of 751 practicing social workers were collected in an anonymous survey about social workers' health and work issues. The sample was split to conduct exploratory and confirmatory factor analyses. The factor analyses resulted in a revised scale that demonstrated acceptable internal consistency reliability, good content validity, excellent factorial validity, and preliminary construct validity. Susceptibility to emotional contagion was related to burnout, depression, and professional impairment. Future recommendations are made and this instrument may be a useful tool for the identification, prevention, intervention, and education of social workers at risk for depression, burnout, and professional impairment.     

Academic performance and peer relations among rural‐to‐urban migrant children in Beijing: Do social identity and self‐efficacy matter?

Due to the household registration system, millions of rural‐to‐urban migrant children in China are ineligible to receive urban social welfare benefits. These children potentially suffer from the evolving awareness of their perceived inferior social identity and experiences of inequalities at an early stage of life. This study examined whether self‐perceived social identity is related to academic performance and peer relations among rural‐to‐urban migrant children in Beijing. Data were collected from 136 children during 2013 and 2014 in three schools for migrant children in Beijing. Path analysis showed that children who identified as a Beijinger, compared with those who self‐identified with their rural hometown, had better self‐efficacy, which in turn was associated with better academic performance and better peer relations. Enlightened by Western theories, these findings suggest that migrant children’s performance in school could be enhanced by cultivating positive perceptions of their social identity through teachers’ practice and community‐ and policy‐level social support.