I'm going back to work: back injured clients' perceptions and experiences of their worker roles

This study aimed to elicit perceptions and experiences of facilitators and barriers that affected individuals who received back rehabilitation and their ability to resume their worker roles. Qualitative research methods were used in order to explore the research question. Participants were selected by means of simple random sampling and the data were collected by means of semi-structured focus groups. Some factors that were seen as facilitatory in maintaining the worker role of an individual who received back rehabilitation included injury management strategies, a positive work culture and having meaningful/satisfactory work experiences. Factors or barriers that prevented individuals from resuming their worker roles included physical and psychosocial stressors of the job, a lack of education by the employer and inadequate workplace policy. The results indicated that occupational therapists need to reassess their role within the wider context of the helping professions where they should become more involved in on-the-job evaluations, work placements and training of individuals who received back rehabilitation.     

A return to the worker role after injury: firefighters seriously injured on the job and the decision to return to high-risk work

This paper presents information on occupational choices and behaviors as described by the model of human occupation and the profession of occupational therapy. This project was designed to answer the research question, "Why do people choose to return to the same high-risk careers after sustaining a serious work-related injury?" Two firefighters from a New York metropolitan area were interviewed individually to explore their roles, especially the worker role, their injuries, and their decisions to return to the same high-risk type of work. The results indicate that a strong social support system from co-workers, and the motivation and enjoyment of the job were the common factors that influenced the two participants to return to their jobs.     

SELF-CONCEPT AS THE ORGANIZATION OF ROLES: Importance, Centrality, and Balance

Data from a set of middle-aged working men and women from the Raleigh-Durham-Chapel Hill metropolitan area are used to explore three different ways that individuals organize their self-concepts and infuse personal significance into their roles. Five sets of findings include the following: (1) both men and women identify many of their roles as personally significant, especially work and family roles; (2) men tend to attribute more importance and centrality to the role of worker than do women, while women tend to assign greater importance and centrality to most other roles; (3) different combinations of importance, centrality, and balance influence worker, spouse, and parent role satisfaction and identity meanings; (4) worker role centrality tends to have negative effects on spouse and parent role satisfaction and identity meanings; and (5) worker role importance and spouse centrality have a positive influence on self-esteem while worker centrality has a negative impact on self-esteem. The findings suggest that importance, centrality, and balance appear to be independent dimensions of personal significance that individuals ascribe to their roles.     

Role De-Differentiation as a System Response to Crisis: Occupational and Political Roles of Women*

The relationship between crisis and role change is examined in terms of a three-stage model of role development: differentiation, de-differentiation, and reconfiguration. Crisis is conceptualized as a sufficient but not necessary condition of rapid and significant role change. Trends in occupational and political roles of women during and after World War II are presented as empirical support of the theoretical framework.     

Occupational roles and life satisfaction in psychiatric outpatients with vocational disabilities

OBJECTIVES: To investigate: 1) internalization of occupational roles and 2) levels of satisfaction in psychiatric outpatients with vocational disability. STUDY DESIGN: Twenty subjects, 8 men and 12 women, aged 20-55, participated in the study. The past, present and expected values of 10 occupational roles were identified. Levels of satisfaction with life as whole and on eight different domains were reported on a six-step scale ranging from very dissatisfied to very satisfied. RESULTS: The student and worker roles were not part of current life, in contrast to the past (5 years ago) and the expected future. The roles of family member and home maintainer were the most appreciated both in the past and at present. All of the participants expected to add both number and level of role involvement in the future. No-one were satisfied with life as whole. All but one were dissatisfied with their vocational and financial situations. Most were also dissatisfied with their leisure situation, family life, partnership relations, sexual life, and contacts with friends. CONCLUSIONS: The low levels of satisfaction with life as whole and the different domains reflect the disadvantageous situation of the participants in the study. The low number of occupational roles and the low level of meaningful role involvement support the associations between occupational roles and life satisfaction. It is suggested that occupational role assessment would be an important focus in occupational therapy to help people to more adaptive daily routines and to improve their quality of life.     

Well-being and occupational roles among middle-aged women

One purpose of the present study is to explore the stability of the pattern of health/work and sickness absence among middle-aged women over a period of three years. This study tested two hypotheses: (a) that enduringly healthy working women would perceive more valued occupational roles and higher well-being than long-term sick-listed women; (b) that high levels of well-being at baseline would predict enduring health and occupational role value at a 3-year follow-up. Middle-aged women (n = 208) answered a postal survey with the Role checklist, a well-being scale and questions about work and sickness situation. The results showed that there was a considerable variability in the pattern of health/work and sickness absence. The variability was greatest among the women who were long-term sick-listed at baseline, and the internal drop out was great among them. The results showed that the enduringly healthy women experienced a more valued worker role and higher well-being than the long-term sick-listed women. Furthermore, high levels of well-being concerning health and work predicted enduring health in the studied sample, and high well-being concerning work was predictive of a valued worker role. Interventions that enable women to develop valuable worker and leisure roles, as well as harmony between different roles, may be important constituents of health promotion/rehabilitation programmes.     

Job matching and return to work: Occupational rehabilitation as the link

Return to work after injury or illness is important for the worker and the employer. Medical providers manage and treat the worker with the illness or injury. Except in cases of focused specialists, the medical professional's role is to take care of a patient, rather than empower a worker. As much as there is promotion of the workers compensation health care system to be similar to sports medicine, there are significant dissimilarities. One major barrier is that the medical caregivers do not know the demands of jobs as they would know the details of sports. Thus, there is a gap in returning a worker to function as the medical professional cannot accurately match the worker to specific jobs. A new model of job function matching, based on research and skills of occupational rehabilitation professionals, is proposed to bridge the gap between the medical community, the employers and the workers.     

Professional quality of life of adult protective service workers

Adult Protective Services (APS) workers are exposed to substantial occupational hazards and job stress, but these stressors are underdocumented. Therefore, we sought to describe APS workers’ work environments and responses to occupational hazards and stressors, including compassion fatigue, burnout, and secondary traumatic stress. Survey data were gathered with closed-ended questionnaires administered to APS workers in an urban setting. Virtually all workers (97%) reported exposure to one or more environmental hazards in their work, and 80% reported hazard exposure in the past month. Workers also reported mixed responses to their work environment and to experiences with supervision. A sizable minority (22.7%) was at high risk for burnout, 24.6% were at risk for secondary traumatic stress, and 19.9% reported low compassion satisfaction. The results document multiple stressors in APS work. The APS partner is committed to ongoing efforts to better support its staff, and these findings can inform future efforts to enhance supervisor support and worker self-care, to minimize burnout and secondary traumatic stress.     

Identity Management among Indonesian and Filipina Migrant Domestic Workers in Singapore

This study examines how the identities of migrant domestic workers are likely to be endangered and how these individuals struggle to reconstitute them. It is largely based on an interview and observational study with Indonesian and Filipina domestic workers in Singapore. Inspired by the sociological discussion of Goffman and Ishikawa, the study reveals how each migrant domestic worker manages her identity in her specific social context. This study shows that domestic workers contrive tactics to negotiate their situations, given that domestic work is considered a low prestige occupation and workers tend to be divested of the usual “identity kit” to make up their identity front. Specifically, to compensate for their discredited status, domestic workers attempt to reconstitute their damaged identity, obtain a new identity kit, recall previous social and family roles, or anticipate a future identity. They also attempt to acquire new skills and increase their value, so they can identify themselves as more than “just a maid.” They obtain additional roles in an attempt to change how they feel about themselves, to alter the meaning of being a domestic worker, and to redefine their relationships with others either by individual struggles or through collective activities. This study also points out a possible pitfall of identity management among the actors. The mechanism of identity politics might lead to an erosion of value, alienation from other domestic workers, and a strengthening of conventional stereotypes and generalizations regarding ethnicity, nationality, and gender. In this context, how non‐governmental organizations play a role in mitigating the pitfalls of identity management among domestic workers is also examined.     

Expert witness evaluation of posttraumatic stress disorder (PTSD) and return to work

This author was hired by a defendant's attorney as an expert witness in the evaluation of a plaintiff who filed a lawsuit for the loss of her job and concomitant income due to posttraumatic stress disorder (PTSD) symptoms acquired after sustaining a traumatic injury. This writer evaluated her symptoms, level of function, roles, and interests using a variety of assessments. This case study is a report of the evaluation. The results indicated that the plaintiff developed adequate coping mechanisms to manage her symptoms of PTSD in order to function in her diverse and chosen roles of worker, mother, care giver, wife, family member, volunteer, home maintainer, and religious participant even though she did not return to her prior place of employment. Because of these results, the case was settled out of court in the favor of the defendant.     

Experience of cumulative trauma disorders on life roles of worker and family member: a case study of a married couple

The prevalence of diagnosed cumulative trauma disorders (CTD) within the workforce comes at a high price for employers burdened with financial losses from missed work and worker's compensation costs. Research has focused primarily on the impact of CTD on the worker role within the workplace, overlooking the impact on roles across multiple environments [24,35,54]. Furthermore, the influence of CTD on life roles of a spouse has not been examined. This single case study illustrated the experience of CTD within a marital relationship through the use of grounded theory. Results indicated that adaptations to CTD symptoms were least altering to the established routines and roles of the couple. With progression of symptoms, the spouse without symptoms was relied on more heavily for adaptations to manage pain. The results of this study indicate that occupational therapists must examine the client's valued roles and incorporate the family into intervention strategies.     

‘Aging’ identities: Degradation and negotiation in the search for employment

This study draws on data from interviews with individuals aged 45 to 65 (n = 30) to examine changes in identity that occur during their search for employment. Findings indicate that once participants perceive they have been labelled “old” by others (i.e. potential employers and personnel at older worker programs) they begin to define themselves as “old” and become susceptible to identity degradation. However, the majority of individuals are able to successfully negotiate their identities by drawing on social support, attending older worker programs, changing their identities, maintaining some of their key roles, and altering their overall mental outlook. This paper draws attention to the paradoxical nature of the job search process and to the latent consequences of older worker programs — individuals go to older worker programs for job search assistance, yet some of the experiences encountered during attendance at these programs mirrored many experiences encountered with discriminatory employers.     

Worker role identity development of women with disabilities who experience domestic violence

This two-year longitudinal qualitative study explored worker role identity development of seven women with disabilities who experienced domestic violence. Yearly semi-structured interviews and monthly follow up calls elucidated the meaning of work in women's lives and the development of role identity during transitions from shelters to the community. Participants aged 26-47, were from two domestic violence shelters and an independent living center in the Midwestern United States. Data analyses, using constant comparative methods, a peer team and member checking, revealed that women's work roles remained in a state of identity diffusion. Identity diffusion in the worker role was delineated into three themes: role ambivalence, impact of disability, and relationship of the worker role to other roles. Study findings suggest a conflict between staff urgency to support women's return to work and economic self-sufficiency, and women's readiness to assume stronger work identities.     

Forging an Identity as a Newly Qualified Worker in the Non-government Community Services Sector

Forging a professional identity is commonly assumed to be a key objective for new graduates transitioning to work. However, the extant literature on professional identity development gives minimal consideration to the role of contemporary work conditions such as increased contract-based employment and occupational instability in carving out a work identity. These workforce trends are particularly pronounced in the non-government community services sector, where worker mobility is high and workers often occupy roles that are not profession-specific. In light of these trends, this article seeks to broaden existing understandings of professional identity development. Focus groups were conducted with 24 newly qualified workers with degree-level qualifications in social work and the human services employed in the community services sector in Queensland. The findings suggest that these workers held a variety of allegiances, which were not necessarily aligned with a profession but instead shaped by the interplay of personal, professional, and organisational factors.     

Secondary traumatic stress and burnout in child welfare workers: a comparative analysis of occupational distress across professional groups

This study describes predictors of secondary traumatic stress and burnout in a national sample of helping professionals, with a specific focus on the unique responses of child welfare (CW) workers. Specific worker and exposure characteristics are examined as possible predictors of these forms of occupational distress in a sample of 669 professionals from across the country who responded to mailed (e-mail and post) invitations to participate in an online survey. E-mail and home mailing addresses were secured from licensure boards and professional membership organizations in six states from across the country that had high rates of child related deaths in 2009. Respondents completed the Professional Quality of Life IV (Stamm, 2005) to ascertain compassion fatigue (CF) and burnout symptoms. Being male, young, Hispanic, holding rural residence, and endorsing a lack of religious participation were significant predictors of secondary traumatic stress. Similarly, being male and young predicted high burnout rates, while actively participating in religious services predicted lower burnout. CW worker job status as a professional was significantly more likely to predict CF and burnout compared to all other types of behavioral healthcare professionals. Based on the findings from this study, this paper proposes strategies for enhancing self-care for CW workers, and describes the essential elements of a trauma-informed CW agency that addresses secondary traumatic stress and burnout.     

Do Female Colleagues and Supervisors Influence Family Role Attitudes? A Three‐Level Test of Exposure Explanations Among Employed Men and Women in 27 European Countries

This study examines the relationship between various aspects of female labor participation and people's family role attitudes. Following exposure theory, we expect that individuals may adopt more egalitarian family roles as they are more often exposed to employed women because it dispels negative ideas about women's capabilities and brings them into contact with nontraditional networks. This study provides an elaborate test by examining the role of exposure to female colleagues and supervisors in three contexts: workplaces, occupational sectors, and countries. We found that the number of female colleagues at work and in occupational sectors was positively related to egalitarian family roles of employed men. Our study further showed that this positive relationship between exposure to female colleagues at work and men's egalitarian family roles was weaker in female‐dominated sectors. Remarkably, exposure to national female labor participation was not significantly related to the family roles of employed women.     

Understanding the mobility chances of children from working-class backgrounds in Britain: How important are cognitive ability and locus of control?

Research in social stratification has shown that children from working-class backgrounds tend to obtain substantially lower levels of educational attainment and lower labor market positions than children from higher social class backgrounds. However, we still know relatively little about the micro-level processes that account for this empirical regularity. Our study examines the roles of two individual-level characteristics—cognitive ability and locus of control—in mediating the effect of individuals’ parental class background on their educational attainment and social class position in Britain. We find that cognitive ability mediates only about 35% of the total parental class effect on educational attainment and only about 20% of the total parental class effect on respondents’ social class position, net of their educational attainment. These findings contradict existing claims that differences in the life chances of children from different social class backgrounds are largely due to differences in cognitive ability. Moreover, we find that although individuals’ locus of control plays some role in mediating the parental class effect, its role is substantially smaller than the mediating role of cognitive ability. We measure individuals’ social class positions at different points in their careers—at labor market entry and at occupational maturity—and find that the mediating roles of cognitive ability and locus of control are remarkably stable across individuals’ working lives.     

The Delay of Grandparenthood: A Cohort Comparison in East and West Germany

This research explored the delay of grandparenthood in East and West Germany, investigating how the timing and life‐course context of this transition have changed across cohorts. The authors estimated the timing of passages into the grandparent role as well as demographic overlap with worker, parent, and filial roles. Data from the German Aging Survey (N = 3,628) revealed a rise of 3 months per birth cohort (1929–1958) in the median age at grandparenthood. As a result, the grandparent role decoupled almost entirely from active parenthood. Overlap with worker and filial roles was frequent and remained stable across cohorts. The findings direct attention to a neglected demographic trend that is striking in scope and precipitates change not only in the grandparent role but also in kinship structure.