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Stress in the Workplace

Notes from a briefing on 31 May 2001 by Dr Bill Mitchell Clinical Psychologist

The briefing covered three areas:

  1. Misunderstandings
  2. People who normally cope
  3. What can managers do to help?

1. Misunderstandings

Stress versus Pressure. We all work best with a degree of stress and under varying levels of pressure. They are not in themselves bad things. Managers need to consider if a pressure (e.g. by change to working hours) may be more difficult for some individuals to cope with than it will be for others (e.g. taking or collecting children from school). Changes for good business reasons may have significant impact on the human resource (e.g. the work - home balance).

2. People who normally cope

We have all developed "coping strategies" that help us to keep an optimum balance so that we are able to rest well, leave work behind in the office, be at one with life and keep our emotions in equilibrium.

 

 

As pressure increases we may become subject to mood swings and a drop in our energy level - quite often this is more obvious at home in a "safe" environment.

 

We can all go in and out of equilibrium and can function under extreme pressure, however we may experience the final straw that results in sudden illness. The illness can exhibit both psychological and physical symptoms. In two thirds of such cases the individual has not shown previous symptoms.

When we are ill we often call or visit our GP. Often the GP is too busy to give you enough time to help him diagnose the problem. The result is often a certificate for three weeks off work to rest. In too many cases the three weeks becomes months or a year. Referral to an expert at an early stage is important.

Stress - physical effects

(we may feel too embarrassed to talk
about some e.g. depression)

Pre-clinical effects

(moving away from equilibrium
- often noted first at home)

Headaches

Skin rashes and eczema

Eye strain

Cardiac symptoms

Gut disorders

Hyperventilation

Back discomfort

Muscle spasms

Immune system

Neurotransmitters

Tired

Irritable

Preoccupied

Sleep disturbance

Overwhelmed by work

Harder to reach decisions

Feeling out of control

Increasingly anxious

- low in mood

- depressed

Some examples of pressure are:

We are all individuals:

Perfectionists

Friction between commitment to colleagues and managers

Internal pressure to succeed

Different coping strategies

Journey to work - train problems may disrupt normal work/home schedule

How well do I understand my own coping strategies & therefore those of others?

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3. What can managers do to help?

The Occupational Health Unit and Staff Counsellor can be used to provide an initial contact point for staff who are showing signs of stress or for managers who are uncertain of what to do.

An automatic referral of all absences of 4 days or over can provide a safety net to help prevention of work related stress. It should not be used without human input. We need to be sensitive to individual circumstances but we should also be alert to unusual patterns of illness amongst our staff.

There could be automatic referral of under-performance or relationship problems to the OHU.

Coping Buffers

Key areas

Supportiveness

Need for support and able to accept help

Life Style

Give time to areas outside work that are gratifying and enjoyable

Control / Avoid ratio

 Being able to confront problems rather than avoid them

Cognitive Mechanisms

Inner conversation (threatening verses optimistic)

Our "Inner Dialogue" is a cognitive mechanism that we use to make sense out of our experiences. This can be helped by management support but without support it can be catastrophic. Staff may come to a very pessimistic and negative conclusion if they do not understand the managerial message.

Once staff are off work for long periods their "sense of self" and "who they are" can go. Work is highly therapeutic and it is therefore very difficult to get back into the work routine if sense of self has been destroyed.

 

Staff need a supportive environment and should not become isolated. The "coping buffers" need to be supported by management

It is recommended that

  1. People become more aware of their position on their own pressure/energy curve. They need to be aware of changes in energy and mood (indicators are less sleep, cutting out enjoyable things or being unable to enjoy them, reduced social life).
  2. Managers need to be "tuned in" to the problem. To be supportive managers need to "make it safe" for staff to come for a private personal discussion.

 

When asking staff to perform a task, a good management technique is a "project check":

 

Managers need to be trained to make work a more positive environment.

Try to make work a place of fun rather than anxiety.

We need to allow staff a line around their job and to allow flexibility in how individuals work.

Allow time for extra discussion - make more time for those who need a personal discussion.

Are working hours under the person's control are they enforced?

Think about the effect of change on the staff involved. (e.g. Does a change of starting or finishing have an impact on their commitment to care for children or other dependants?) Some individuals may find the change much more difficult than others - how can their needs be accommodated?

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