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Article
Publication date: 29 August 2019

David Lindsay, Daryl Brennan, Daniel Lindsay, Colin Holmes and Wendy Smyth

The purpose of this paper is to describe the patterns of self-disclosure of long-term conditions at work by health professionals in a large regional health service. Recent…

432

Abstract

Purpose

The purpose of this paper is to describe the patterns of self-disclosure of long-term conditions at work by health professionals in a large regional health service. Recent research by the authors has reported on the self-reported long-term conditions of nursing, medical and allied health staff within a large regional hospital and health service in North Queensland, Australia. Data regarding self-disclosure of health information were gathered during those two previous studies, but has yet to be reported. This current study thus offers the opportunity to explore and describe patterns of self-disclosure by a multi-disciplinary cohort of health professionals within that regional health service.

Design/methodology/approach

This current study was a component of two larger studies, reported elsewhere, which explored long-term conditions among health professional staff at a large regional health service in North Queensland, Australia. A cross-sectional survey design was used.

Findings

Decision-making associated with self-disclosure of long-term conditions by health professional staff in the workplace is multifactorial, and affected by considerations of age, gender, workplace circumstances and nature of the health condition. It also differs according to professional grouping. The medical profession were less likely than nurses and allied health workers to disclose to their work colleagues. Respondents with a mental health condition were more cautious and selective in their disclosures, and alone in being more likely to disclose to their supervisor than to colleagues; they were also most likely to value the sympathy and understanding of their colleagues and managers.

Research limitations/implications

This study was conducted across only one large regional health service; a fuller picture of patterns of self-disclosure of long-term conditions by health professional staff would be gained by expanding the number of sites to include metropolitan hospitals, smaller rural or remote health services and non-hospital settings.

Practical implications

Healthcare organizations need to develop support strategies and communication processes so that staff with one or more long-term condition, particularly those that have associated stigma, are empowered to disclose information to line managers and colleagues without fear of discrimination, ostracism, incivility or bullying.

Originality/value

There is a paucity of evidence about self-disclosure of long-term conditions by health professionals and this study therefore makes an important contribution to the extant literature. The findings raise important questions about the culture and dynamics of health care organizations in respect to the patterns of self-disclosure of health professional staff.

Details

International Journal of Workplace Health Management, vol. 12 no. 5
Type: Research Article
ISSN: 1753-8351

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Article
Publication date: 29 October 2019

Kathy Lee Wright, Karen Verney, Daryl Brennan, David Lindsay, Daniel Lindsay and Wendy Smyth

The purpose of this paper is to investigate the long-term conditions affecting the administration workforce of a regional Australian health service, and their self-management of…

93

Abstract

Purpose

The purpose of this paper is to investigate the long-term conditions affecting the administration workforce of a regional Australian health service, and their self-management of these conditions.

Design/methodology/approach

A cross-sectional survey design was used. The sample consisted of all administration staff members employed in 2018 across a large regional health service in Northern Australia.

Findings

Of the 328 respondents, 167 (51 per cent) reported having at least one long-term condition. Of these, 136 (81.4 per cent) indicated a single main condition for which management strategies were used. Musculoskeletal conditions were the most commonly nominated category (59.6 per cent), followed by mental health (10.3 per cent). Respondents with musculoskeletal conditions were statistically more likely to have a co-existing mental health long-term condition, χ2(1) = 95.64, p<0.001. There was also a statistically significant association between respondents reporting a mental health condition and being overweight, χ2(1) = 54.27, p< 0.05.

Research limitations/implications

The response rate of 35 per cent, whilst relatively low, is a slight increase on similar surveys within this organisation. The reliability of the self-report data, presence of study bias and a weakening of the study’s external validity is acknowledged.

Practical implications

Targeted workplace intervention strategies, such as holistic wellness programs, should complement personal approaches, promote an ergonomic environment and create opportunities for increased dialogue between employees and their line managers, particularly regarding the complex interplay between long-term physical and mental health.

Originality/value

This is the first study of self-reported long-term conditions among administration staff within a health service, and augments findings from previous studies involving health professional groups in the same organisation.

Details

International Journal of Workplace Health Management, vol. 12 no. 6
Type: Research Article
ISSN: 1753-8351

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Article
Publication date: 4 December 2017

Wendy Smyth, David Lindsay, Daryl Brennan and Daniel Lindsay

The purpose of this paper is to describe the self-reported long-term conditions of medical officers and allied health staff working in a regional public health service in northern…

251

Abstract

Purpose

The purpose of this paper is to describe the self-reported long-term conditions of medical officers and allied health staff working in a regional public health service in northern Australia and how these conditions are managed.

Design/methodology/approach

A cross-sectional survey design was used. The sample was all medical officers and allied health staff employed in mid-2015.

Findings

Of the 365 respondents, 217 (59.5 per cent) reported having at least one long-term condition. There was a statistically significant association between professional group and the number of long-term conditions reported, χ2=10.24, p<0.05. A greater proportion of medical officers (n=29, 43.9 per cent) reported having only one long-term condition compared with allied health staff (n=36, 24.5 per cent). The top four categories of conditions were respiratory, musculoskeletal, mental health and episodic and paroxysmal, although the patterns varied amongst the professional groups, and across age groups. Respondents usually managed their main long-term conditions with personal strategies, rarely using workplace strategies.

Research limitations/implications

Although somewhat low, the response rate of 32 per cent was similar to previous surveys in this health service. Since this survey, the health service has implemented a broad Health and Wellness Programme to support their qualified workforce. Future evaluations of this programme will be undertaken, including whether the programme has assisted health professionals to manage their long-term conditions.

Practical implications

There is an urgent need for targeted, workplace-based health promotion strategies to support staff with long-term conditions. Such strategies would complement self-management approaches, and also provide an important recruitment and retention initiative.

Originality/value

This study adds empirical evidence regarding the long-term conditions among health professionals and their self-management strategies. Little is known about the long-term conditions among the various health professional groups and the findings thus make an important contribution to the existing literature.

Details

International Journal of Workplace Health Management, vol. 10 no. 6
Type: Research Article
ISSN: 1753-8351

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Article
Publication date: 3 January 2017

Kate Westberg, Constantino Stavros, Aaron C.T. Smith, Joshua Newton, Sophie Lindsay, Sarah Kelly, Shenae Beus and Daryl Adair

This paper aims to extend the literature on wicked problems in consumer research by exploring athlete and consumer vulnerability in sport and the potential role that social…

1177

Abstract

Purpose

This paper aims to extend the literature on wicked problems in consumer research by exploring athlete and consumer vulnerability in sport and the potential role that social marketing can play in addressing this problem.

Design/methodology/approach

This paper conceptualises the wicked problem of athlete and consumer vulnerability in sport, proposing a multi-theoretical approach to social marketing, incorporating insights from stakeholder theory, systems theory and cocreation to tackle this complex problem.

Findings

Sport provides a rich context for exploring a social marketing approach to a wicked problem, as it operates in a complex ecosystem with multiple stakeholders with differing, and sometimes conflicting, objectives. It is proposed that consumers, particularly those that are highly identified fans, are key stakeholders that have both facilitated the problematic nature of the sport system and been rendered vulnerable as a result. Further, a form of consumer vulnerability also extends to athletes as the evolution of the sport system has led them to engage in harmful consumption behaviours. Social marketing, with its strategic and multi-faceted focus on facilitating social good, is an apt approach to tackle behavioural change at multiple levels within the sport system.

Practical implications

Sport managers, public health practitioners and policymakers are given insight into the key drivers of a growing wicked problem as well as the potential for social marketing to mitigate harm.

Originality/value

This paper is the first to identify and explicate a wicked problem in sport. More generally it extends insight into wicked problems in consumer research by examining a case whereby the consumer is both complicit in, and made vulnerable by, the creation of a wicked problem. This paper is the first to explore the use of social marketing in managing wicked problems in sport.

Details

Journal of Social Marketing, vol. 7 no. 1
Type: Research Article
ISSN: 2042-6763

Keywords

Available. Content available
Book part
Publication date: 6 October 2017

Abstract

Details

Ethics in the Global South
Type: Book
ISBN: 978-1-78743-205-5

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Article
Publication date: 28 June 2022

David A. Griffith and Goksel Yalcinkaya

The COVID-19 pandemic highlights the influence that nation-states can have on the engagement of international marketing activities. The purpose of this study is to understand the…

748

Abstract

Purpose

The COVID-19 pandemic highlights the influence that nation-states can have on the engagement of international marketing activities. The purpose of this study is to understand the influence of the institutional response to the COVID-19 pandemic on international marketing activities and to highlight the need to formally incorporate institutional economics into the study of international marketing phenomena.

Design/methodology/approach

The paper uses institutional economics as the environmental element of the general theory of competitive rationality to present a foundation for understanding how state actions influence marketing and international marketing activities. Data are presented and empirically tested, demonstrating the heterogeneity of government influence on personal and economic freedoms during the pandemic, both of which influenced international marketing activities. To broaden the implications of this work, we also provide anecdotal illustrations unrelated to the COVID-19 pandemic to demonstrate the breadth of nation-state influence on international marketing activities.

Findings

Heterogeneity in nation-state formal and informal institutional elements influence international marketing activities during the COVID-19 pandemic. However, other incidents, unrelated to the COVID-19 pandemic, demonstrate the importance of contextualizing international marketing activities under a holistic institutional framework.

Originality/value

The paper employs the general theory of competitive rationality along with institutional economics to provide a theoretical foundation to better understand the differential impact on international marketing as a result of formal and informal institutional influences. This general framework can be employed to provide a holistic understanding of both international and cross-national marketing activities.

Available. Content available
Book part
Publication date: 14 November 2016

Robert H. Herz

Free Access. Free Access

Abstract

Details

More Accounting Changes
Type: Book
ISBN: 978-1-78635-629-1

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Article
Publication date: 23 January 2025

Daryl Mahon

The purpose of this umbrella review is to synthesise existing evidence on the effectiveness and implementation of peer support in substance use settings, providing insights into…

12

Abstract

Purpose

The purpose of this umbrella review is to synthesise existing evidence on the effectiveness and implementation of peer support in substance use settings, providing insights into its benefits, challenges and implications for practice and research.

Design/methodology/approach

The preferred reporting items for systematic reviews and meta-analyses were used to guide an umbrella review. Three databases were searched: Academic Search Complete, Scopus and the Web of Science, supplemented with bibliography searches. Articles were included if they were peer reviewed in the English language from inception to 2024 and reported on peer support in substance use contexts. The Joanne Briggs Institute Critical Appraisal Checklist for Systematic Reviews and Research Syntheses was used to assess the quality of the included reviews. Findings are reported using a narrative synthesis.

Findings

The search yielded 4,062 articles, of which 8 systematic reviews were included, encompassing 177 (N = 177) primary studies with a combined sample size of 38,659 (N = 38,659) participants. Peer support in substance use settings was linked to improved outcomes, including reduced substance use severity, enhanced treatment engagement and better social supports. Challenges identified included inconsistent training, role definitions and organisational barriers, such as stigmatising attitudes and limited structural support. Most reviews used a narrative synthesis to report results, with no meta-analyses. Critical appraisal categorised the reviews as 25% high quality, 25% moderate quality, 25% low quality and 25% critically low quality. The findings further highlighted the need for clearer implementation strategies, standardised training and recovery-oriented care models to optimise peer support effectiveness. In addition, the role of the randomised control trial as a method for evaluating peer support is considered.

Originality/value

This umbrella review uniquely synthesises evidence from diverse systematic reviews on peer support in substance use settings, highlighting the multidimensional benefits and challenges while addressing critical gaps in implementation strategies and methodological approaches. It offers a novel perspective on optimising peer roles within recovery-oriented care models.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

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Article
Publication date: 28 December 2023

Daryl Mahon

Loneliness and social isolation are risk factors for morbidity and mortality and a growing health concern. Peer support is an intervention that has shown efficacy in the wider…

129

Abstract

Purpose

Loneliness and social isolation are risk factors for morbidity and mortality and a growing health concern. Peer support is an intervention that has shown efficacy in the wider health-care arena. However, little is known about its effectiveness when working with adults and adolescents experiencing these issues. The purpose of this study is to conduct a scoping review on loneliness and social isolation in adult and youth populations.

Design/methodology/approach

A preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews was conducted. Five databases, Web of Science, Academic Search Complete, Embase, PsycINFO and Scopus were searched for peer-reviewed literature published in English from inception to 2023.

Findings

The search yielded 2,402 articles of which (N = 12) met the inclusion criteria for this review. Peer support interventions for loneliness and social isolation are a relatively new topic of interest for academics. However, it is apparent that loneliness and social isolation cut across populations experiencing various health and social issues. More experiential research is needed to evidence the effectiveness of peer support in these areas with both adults and adolescents. Emerging areas of interest include the use of technology to deliver interventions and the use of technology to facilitate peer support implementation with populations difficult to reach.

Research limitations/implications

Peer support may be a promising social intervention to help those experiencing loneliness and social isolation associated with a range of health conditions. However, further research needs to be undertaken in this emerging area of practice.

Originality/value

Loneliness and social isolation are of increasing concern. To the best of the authors’ knowledge, this is the first scoping review conducted in this area

Details

Mental Health and Social Inclusion, vol. 28 no. 6
Type: Research Article
ISSN: 2042-8308

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Article
Publication date: 1 April 2024

Daryl Mahon

Employee burnout is increasingly coming under attention due to its negative impact on employee well-being and organisational effectiveness. This study, a systematic review, aims…

521

Abstract

Purpose

Employee burnout is increasingly coming under attention due to its negative impact on employee well-being and organisational effectiveness. This study, a systematic review, aims to evaluate the role of servant leadership and its mediators in preventing and mitigating against burnout experiences in organisations.

Design/methodology/approach

A preferred reporting items for systematic review and meta-analyses (PRISMA) was conducted using three databases, Academic search Complete, Embase and Scopus, in addition to bibliography searches. Articles were included if they reported on primary data, in English from inception to 2023. The mixed methods critical appraisal tool was used to assess the quality of articles, and a narrative synthesis was used to report results.

Findings

The search strategy yielded 4,045 articles, of which (N = 17), with total sample size of (N = 10,444) are included. Findings suggest that servant leadership is predictive of burnout, and that several mediators impact this relationship. Most studies were conducted in health care (n = 8) and banking (n = 3), and while the quality of the studies was mostly high (64%), the methods used were mainly descriptive and cross-sectional, which limits the extent to which causality can be inferred. A theory of change is provided based on the findings from this review and integrated with the extant literature on servant leadership theory, and can be used by organisations to support the policy, training and practice of servant leadership to reduce burnout.

Originality/value

Servant leadership is predictive of burnout; however, further research needs to be undertaken in this important emerging area.

Details

Mental Health and Social Inclusion, vol. 28 no. 4
Type: Research Article
ISSN: 2042-8308

Keywords

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