In the past two decades the growth of the offshore oil and gas industry of Western Australia has resulted in an increased number of families experiencing the intermittent absence of a partner/parent. The gendered nature of the offshore oil and gas industry means workers tend to be male and the partner left at home tends to be female. This was the case for the participants in this study. For two/three weeks the family experience the absence of the male 'breadwinner', creating a gap within the family as the women and children experiences the loss of the partner/parent. Two/three weeks later the male worker returns home for his rest period and he reengages in his roles and the family is reunited. When the worker is absent the partner at home takes on the worker's gendered roles, tasks and responsibilities; upon his return she surrenders (sometimes willingly) his gendered roles, tasks and responsibilities. Solheim (1988) state families of offshore oil and gas workers experience three social realities; his life at work, her 'single' life when he is at work, and their couple life when the worker arrives home. The families can develop a range of methods to adjust to the flux that occurs within families due to the work schedule (Forsyth and Gramling 1989). The repeated cyclical patterns of parting and reunion, weaving and balancing their three lives, and renegotiation of family work contribute to the stressors and strains the partners of offshore workers experience. This study investigated how the offshore lifestyle impacts the at home partner of offshore workers and in addition, how at home partners use their social networks as means to help adapt to the offshore work schedule, and makes two major findings. Firstly, the at home partners of offshore workers participate in exchanging, at various levels, social support with family, friends and neighbours, although the most important form of support which helps the at home partner adapt to the offshore lifestyle is the support they receive from the offshore worker. Secondly, adapting to the offshore lifestyle is highly influenced by a process consisting of four reactions. The reactions are: the beginning; normalising his presence; normalising his absence; and balancing two lives. The identification of the four reactions can provide a greater understanding of how the offshore oil and gas industry impacts on the daily lives of partners of offshore workers as it helps make visible the day-to-day lives of partners of offshore oil and gas workers.

The psychological trauma from a traumatic event is known to be 'contagious' for a witness. Psychotherapists who work with traumatised clients can potentially experience terror, anger and despair; causing secondary traumatic stress that can lead to compassion fatigue and burnout. So, how do psychotherapists, who often carry their own trauma histories, bear such fear and pain when being with and listening empathically to traumatised clients without feeling overwhelmed or losing a sense of hope? The purpose of this grounded theory study was to identify the main concerns of psychotherapists when working with traumatised clients and to describe and generate a conceptual model that explains the processes therapists use to continually manage these concerns. Over a period of ten months, eleven psychotherapists with a minimum of five years work experience were recruited from the New Zealand Association of Psychotherapists (NZAP). Constant comparative analysis of eleven interviews generated through open-ended questions was carried out. A total of twenty-one drawings obtained at different stages of the participant interviews, were used to fully capture the inner world of the traumatic impact. The emerging theory, whose development is grounded in the data, shows that psychotherapists grow through three main psychosocial developmental stages of balancing the impact of trauma: DOING to protect from pain and fear, BALANCING doing with being, and BEING with trust, pain and joy. The participants, however, were likely to involuntarily recycle the three stages when experiencing personal traumatic stress or organisational stressors, in addition to holding clients' trauma. The intention of this research was to raise awareness of work-related traumatic stress, and to provide an educational conceptual model to assist psychotherapists' understanding of how to positively manage secondary traumatic stress and its impact on the physical, emotional and spiritual, before it manifests in burnout, disillusionment or illness.

This thesis addresses the identification of critical incidents in schools, the factors influencing teachers' coping, and the implications for crisis intervention and management. An argument is developed that school communities may be best served by a salutogenic (wellness) perspective for crisis response and recovery, which focuses on the personal and collective resources that contribute to successful coping and mental health. Three aims were addressed. First considered was the potential for commonly occuring events (e.g., the death or injury of a teacher or student, assault, vandalism or damage to school property, professional misconduct on the part of a teacher), to evoke stress, grief, or trauma responses in individuals and organisations. Emphasised was the nature of individual differences in responses to such critical incidents, and ways of dealing effectively with the varying character and intensity of such responses. The second aim was to examine the influence of pre-existing personal wellbeing and resources on individuals' responses, adjustment and growth after an incident. The third aim was to explore the interface between the individual and the organisation following critical incidents, and the nature and impact of intervention and management strategies on an individuals' sense of wellbeing and ongoing investment within the organisation. Two related studies investigated the impact of critical incidents on teachers. In Study 1, 245 teachers completed a self-report questionnaire that gathered quantitative data comprising three measures of personality and positive functioning (Psychological Wellbeing & Sense of Coherence), demographic data, and teachers' previous experience of critical incidents. Teachers also provided an autobiographical account of a personally significant critical incident. Results showed that commonly occuring events, such as the death of a student or teacher, and other issues such as professional misconduct of a colleague, professional conflict, theft and vandalism were regarded as critical incidents by teachers. The four distinct response categories indentified (negative feelings, positive cognitions, negative conditions, & negative impact on functioning) were characteristically grief or stress responses rather than those associated with psychological trauma. Significant relationships were identified among the personality variables and the measures of positive functioning. Extraversion was positively related to positive functioning, and introversion negatively related. The findings point to personal and collective issues that have the potential to facilitate and enhance coping and recovery after a critical incident. In particular, six management strategies (Wellness Factors), comprising both personal and organisational components, emerged as potential contributors to ongoing psychological wellbeing, sense of coherence, and posttraumatic growth outcomes. These Wellness Factors were identified as: (a) emotional and practical support; (b) active involvement; (c) responding according to individual need; (d) access to information; (e) readiness; and (f) leadership. Study 2 involved a more detailed examination of the experience of 30 teachers following a critical incident subsequent to the completion of Study 1. This study examined personality, posttraumatic growth and personal trauma history (gathered through a self-report questionnaire), in conjunction with the pre-event personal characteristics gathered in Study 1. The second component of Study 2 consisted of a semi-structured interview that explored the teachers' personal experiences of the critical incident. Results revealed that PCI Extraversion showed significant positive relationships with Psychological Wellbeing and Sense of Coherence. PCI Emotionality showed a significant positive relationships with Posttraumatic Growth. Interview data showed that 22.5% of teachers reported a high incidence of Acute Stress responses (DSM-IV-TR criteria). In addition, anger directed at the school's leadership, and conflict between disillusionment with authority and the impact of the event. Strong negative relationships were identified among Extraversion and Openness, and the Wellness factors. Results showed that moderate stress responses are associated with Posttraumatic Growth at a personal level. However, the same responses can evoke disillusionment and cynicism at an organisational level. The findings are discussed in terms of the personal and organisational factors that contribute to healing and recovery following critical incidents. Implications for critical incident management planning, intervention and recovery are considered, along with directions for future research.

This research shows that sense of community reduces the effect of job stress on burnout among a sample of 672 New Zealand nurses. Sense of community - a feeling that members matter to one another (and to the group) and a shared faith that members� needs will be met through their commitment to be together - consists of four elements: membership, integration and fulfilment of needs, influence and shared emotional connection. Results indicate that nurses have a moderate to high level of sense of community. Apart from the influence element, subscale reliabilities for the other three elements were acceptably high on the Nurse Sense of Community Index, an instrument that was developed for use in this study. In relation to occupational stress, the study results indicate that high workload, rather than any difference in the practice requirements of various types of nursing work is the most important factor contributing to nurses� job stress. Public hospital nurses experience significantly higher levels of perceived job stress than their private sector counterparts because high workloads and problems of recruiting and retaining nurses are more typical of the public sector. Nurses who work full-time experience more job stress than those who work part-time, and those in the 20 to 30 age group experience the highest frequency of perceived job stress. Burnout is a syndrome of high emotional exhaustion and high depersonalisation in the presence of a lack of personal accomplishment. Nurses who work full-time experience significantly higher levels of emotional exhaustion and depersonalisation than those who work part-time. Accident and emergency nurses have the highest level of burnout and intensive care unit nurses the lowest level of burnout among public hospital nurses. Overall, the majority of nurses experience a low to moderate degree of burnout. Yet, a substantial proposition of the sample population acknowledge experiencing some aspect of burnout, and as has been found by other nursing studies, a nurse�s age influences burnout levels, with younger nurses experiencing more burnout than older nurses. A clear relationship between an increased frequency of perceived job stress and burnout was identified. Results suggest that nurses with a high level of sense of community have lower frequencies of perceived job stress, experience lower burnout than those with low and moderate levels of sense of community. Findings demonstrate that burnout remains a serious issue for nurses the nursing profession and, as the demands on professional workers increase, the health care sector. The theoretical and practical implications of the study�s findings for management practice are postulated in the conclusion of this thesis.

<p>The overall address of the present thesis is the relationship between being ‘on fire’ and burning out. More specifically, the thesis focused largely on two representations of involvement in work (work engagement and Type A behavior) and their respective relationships to burnout. Another pervasive theme was construct validity in assessing burnout and work engagement. These themes were addressed in four empirical studies, conducted in a sample of health-care workers (Study I) and a sample of information communication technology consultants (Studies II, III, and IV). Study I aimed to extend the previously preliminary support for the construct validity of the Swedish version of the Maslach Burnout Inventory (MBI). The objective of Study II was the discriminant validity of the Utrecht Work engagement Scale (UWES) against the theoretically adjacent constructs job involvement and organizational commitment. Another objective was the translation and evaluation of a Swedish version of the UWES. In Study III, the aim was to investigate (cross-sectional) association between Type A behavior, work engagement and burnout. Study III had two foci: 1) whether Type A behavior interacts with job factors to affect burnout and work engagement, and 2) the associations between the main components of Type A behavior (achievement-striving and irritability/impatience) and burnout as well as work engagement. Study IV concerned the longitudinal relationships between Type A behavior and burnout, and between work engagement and burnout. The results presented in this dissertation supported the construct validity of Swedish versions of the MBI and the UWES. It was further indicated that emotional exhaustion and depersonalization (or cynicism) constitute the core aspects of burnout, and that work engagement was more prominently associated with lack of health complaints than job involvement and organizational commitment. Type A behavior was found to be associated with burnout and work engagement in cross-sectional data, however different aspects of Type A behavior appeared to have somewhat different association with burnout and work engagement respectively. The achievement-striving aspect of Type A behavior was related primarily to work engagement, whereas irritability was associated with less engagement and more burnout complaints. No indications of an interaction between Type A behavior and job stress were found. The most important finding of Study IV was that change in Type A behavior was unrelated to change in burnout across time (one-year interval). Furthermore, Study IV supported the notion that work engagement and burnout are bipolar opposites and constitute a work well-being continuum. To conclude, the present thesis suggests that burnout should be viewed as an erosion of intrinsic, affective engagement in work occurring when intrinsic motivation is frustrated by job stress. To avoid conceptual confusion, burnout should be distinguished form exhaustion syndrome however it should be acknowledged that burnout may have negative impact on health. The present study indicated that Type A behavior is unrelated to the specific burnout reaction, a finding that needs to be replicated before generalizability can be assumed. However, it was assumed that Type A behavior represents an instrumental approach to work, further corroborating that burnout is a specific construct referring to the draining of a specific energetic and affective state. This does not imply that Type A behavior is unrelated to health deterioration – most plausibly, Type A behavior generates exhaustion and fatigue from over-exertion of energy. Both research and practice would benefit from exploring how work engagement may best be enhanced using job redesign.</p>

As the baby boomer generation ages, and as advanced medical techniques keep people alive longer, the need for family caregivers will grow. Researchers have determined that the health of family caregivers is generally poorer that noncaregivers. Also, the type of family relationship has been determined to influence health outcomes. This study examined how caregiving parents and caregiving adult children compared with regard to caregiving variables and health outcomes. Social support was then assessed to determine if a mediating effect existed between the predictors and health outcomes. Using data from the MIDUS II survey, the health outcomes of self-identified caregiving parents and caregiving adult children was studied in light of the predictor variables of type of relationship, provision of activities of daily living, length of time caregiving, and family demands. Multiple regression analysis was used to determine the relation between the predictors and health outcomes. Mediation tests were administered to assess if social support mediated between the significant predictors and health outcomes. The type of family relationship influenced health outcomes with caregiving parents demonstrating poorer health than caregiving adult children. Caregiving parents had lower self-rated health and higher numbers of chronic conditions than caregiving adult children. Perceived family demands were associated with increased number of chronic conditions for both caregiving adult children and caregiving parents. No significant influence was found between provision of activities of daily living or length of time caregiving with health outcomes. Similarly, no mediation effect of social support was found between the significant predictor variables and health outcomes. Using the stress process model, this study examined caregiving predictor variables and health outcomes for caregiving parents and caregiving adult children. Caregiving parents were found to demonstrate poorer self-rated health and more chronic health conditions that caregiving adult children. Unlike many previous studies, perceived family demands was found to have a strong association with the number of chronic health conditions for both groups of caregivers. / Graduation date: 2012

The purpose of this dissertation study was to increase understanding of licensed mental health professionals' experiences as they have encountered and navigated through compassion fatigue (CF). CF is a complex construct with an attendant constellation of secondary stress responses. In order to examine the complex and varying factors associated with experiencing CF, the research was conducted using a grounded theory, qualitative approach and methodology. Nine licensed mental health professionals across the disciplines of marriage and family therapy, mental health counseling, professional counseling, psychology, and social work were individually interviewed three times, for a total of at least 180 minutes. All interviews were recorded, transcribed and analyzed. As a result of the analyses, four main categories emerged, experiencing internal dissonance, recognizing and processing the effects, becoming intentional, and creating ongoing changes. Becoming intentional is the central category because of its central and pivotal relationship to the whole process of participants' experience of encountering and navigating through CF. This fulcrum punctuates participants' experiences leading up to becoming intentional and those which came after as delineated in the other three categories of the theory. Prior to becoming intentional, participants experienced internal dissonance, which escalated to distress or crisis. When this distress or crisis reached a point where it became untenable, participants recognized and processed the effects. One of the effects which participants came to recognize was a loss of internal locus of control. Becoming intentional served as a catalyst for participants to take action and recapture their locus of control. The process of becoming intentional is reflected in three practices, transforming perceptions, developing support, and making professional changes. These findings are applicable to a variety of models of counseling, supervision, counselor education, and clinical practice in either a single or interdisciplinary setting. / Graduation date: 2013

<p>Much evidence exists that nurses are leaving the public health sector for the private sector, or leaving the country to seek better working conditions and higher salaries. Studies conducted on the job satisfaction of nurses are proof that there is a need to know more about the factors that influence their sense of job satisfaction. Most of these studies focus on the general nursing context. Due to its unique circumstances, many studies abroad have identified the field of psychiatric mental health nursing to investigate job satisfaction of nurses. The minithesis is an attempt to fill the gap that exists in job satisfaction studies in South Africa of nurses in a provincial psychiatric hospital. The study was a cross sectional, correlational, survey design study. The instrument was a self-administered questionnaire, combining a quantitative questionnaire with one qualitative open-ended question. The study was conducted on nurses of all categories in a provincial psychiatric hospital in the Western Cape. Sixty- eight nurses participated in the study. The data was analyzed statistically using the SAS v9 statistical software and Statistical Package for Social Sciences (SPSS). The open-ended question was analyzed qualitatively. The results revealed that the participating nurses were dissatisfied with remuneration, recognition and appreciation, training and development, as well as benefits and incentives. Nurses were most satisfied with supervision and support, interpersonal relationships, and rendering patient care. The study identified the factors influencing job satisfaction and job dissatisfaction of nurses in a provincial psychiatric hospital. Recommendations were made based on the results of the research.</p>

The overall address of the present thesis is the relationship between being ‘on fire’ and burning out. More specifically, the thesis focused largely on two representations of involvement in work (work engagement and Type A behavior) and their respective relationships to burnout. Another pervasive theme was construct validity in assessing burnout and work engagement. These themes were addressed in four empirical studies, conducted in a sample of health-care workers (Study I) and a sample of information communication technology consultants (Studies II, III, and IV). Study I aimed to extend the previously preliminary support for the construct validity of the Swedish version of the Maslach Burnout Inventory (MBI). The objective of Study II was the discriminant validity of the Utrecht Work engagement Scale (UWES) against the theoretically adjacent constructs job involvement and organizational commitment. Another objective was the translation and evaluation of a Swedish version of the UWES. In Study III, the aim was to investigate (cross-sectional) association between Type A behavior, work engagement and burnout. Study III had two foci: 1) whether Type A behavior interacts with job factors to affect burnout and work engagement, and 2) the associations between the main components of Type A behavior (achievement-striving and irritability/impatience) and burnout as well as work engagement. Study IV concerned the longitudinal relationships between Type A behavior and burnout, and between work engagement and burnout. The results presented in this dissertation supported the construct validity of Swedish versions of the MBI and the UWES. It was further indicated that emotional exhaustion and depersonalization (or cynicism) constitute the core aspects of burnout, and that work engagement was more prominently associated with lack of health complaints than job involvement and organizational commitment. Type A behavior was found to be associated with burnout and work engagement in cross-sectional data, however different aspects of Type A behavior appeared to have somewhat different association with burnout and work engagement respectively. The achievement-striving aspect of Type A behavior was related primarily to work engagement, whereas irritability was associated with less engagement and more burnout complaints. No indications of an interaction between Type A behavior and job stress were found. The most important finding of Study IV was that change in Type A behavior was unrelated to change in burnout across time (one-year interval). Furthermore, Study IV supported the notion that work engagement and burnout are bipolar opposites and constitute a work well-being continuum. To conclude, the present thesis suggests that burnout should be viewed as an erosion of intrinsic, affective engagement in work occurring when intrinsic motivation is frustrated by job stress. To avoid conceptual confusion, burnout should be distinguished form exhaustion syndrome however it should be acknowledged that burnout may have negative impact on health. The present study indicated that Type A behavior is unrelated to the specific burnout reaction, a finding that needs to be replicated before generalizability can be assumed. However, it was assumed that Type A behavior represents an instrumental approach to work, further corroborating that burnout is a specific construct referring to the draining of a specific energetic and affective state. This does not imply that Type A behavior is unrelated to health deterioration – most plausibly, Type A behavior generates exhaustion and fatigue from over-exertion of energy. Both research and practice would benefit from exploring how work engagement may best be enhanced using job redesign.

The purpose of this thesis was to examine the relationship between locus of control and the intensive care nurse's perception of job-related situations. It was hypothesized that intensive care nurses who evidenced an external locus of control would classify job-related situations as more stressful, more threatening, and less challenging than intensive care nurses who evidenced an internal locus of control. The instruments consisted of (1) a demographic questionnaire, (2) an instrument developed by this investigator to measure the degree of perceived stressful, threatening, and challenging aspects of certain job-related situations, and (3) Rotter's Internal-External Locus of Control Scale. The questionnaires were distributed to nurses working in intensive and coronary care units in one medium sized city in Indiana. An N of 75 was obtained.The hypotheses that external intensive care nurses would classify job-related situations as more stressful and more threatening were supported (F = 9.26, p<0.01, and F = 6.08, p<0.01 respectively). The hypothesis that internal nurses would classify more job-related situations as challenging was not supported by the data (F = 0.01, p = 0,91).Ball State UniversityMuncie, IN 47306