Week 13 - Workplace Wellness Flashcards

(35 cards)

1
Q

Snoozing on the Job

A
  • Not getting enough sleep is associated with hypertension, heart disease, and depression.
  • Evidence
  • Afternoon naps associated with lesser risk for coronary mortality.
  • Short naps (<30 min) associated with better alertness and performance.
  • Nap rooms/pods introduced
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2
Q

Workplace Wellness Initiatives: Prevalence

A
  • active attempts should be made to ensure a healthy and safe work environment
  • 90% of American companies with more than 200 employees offer health-related programs
  • Canadian companies offer a range of wellness programs. Examples include
    vaccination programs, nutrition, fitness, weight control, or stress management
    support.
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3
Q

Canada versus USA

A
  • public healthcare - less of a financial impetus to develop employee health initiatives (but is shifting)
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4
Q

Work-Family Conflict / Family-Friendly Policies in the Workplace

A
  • inter-role conflict whee pressures in the work and family domains are incompatible
  • costly for organizations: associated with reduced work performance and increased absenteeism
  • costly for individuals: perceived stress, poorer physical health, decreased family functioning and increased alcohol use
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5
Q

Reduced Time in Workplace: Flexible Work Arrangements

A

compressed workweek: full-time hours in fewer days/weel
job splitting: 2 people divide the responsbilities of a job (e.g., admin versus front facing tasks
job sharing: two people share the responsibilities of a job (e.g., different days)

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6
Q

Increase Control of Schedule

A

Flextime: employees to have variable start and finish work times, want to ensure some common hours for team-related tasks
Flexplace: aka telecommuting, remote work, work-from home

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7
Q

Remote Work: Pro’s

A
  • Large-scale implementation during the COVID-19 Pandemic
  • Canadian Scoping Review of 65 academic papers:
    – Some positive effects:
  • Greater work-life balance satisfaction
  • Reduced work-family conflict
  • Reduced experiences of stress and/or strain
  • Improved well-being
  • Improved psychological well-being (dependent on age and
    adaptability)
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8
Q

Remote Work: Cons

A

– Increased loneliness and social isolation
– Anxiety and nervousness
– Depression, mood drop and negative feelings/emotions
– Increased experiences of stress and or strain; mental overload,
time pressure (especially with no schedule)
– Burnout and emotional exhaustion, lack of boundaries between
work and family (can be made better or worse with family and
work social support)
– Increased work-family conflict (particularly for women)
– Reduced psychological well-being

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9
Q

Personal Leave Systems

A

– Maternity leave & Parental leave (min 1 year with portion
of regular earnings through EI program)
– Personal days
– Family leave
– Sick leave
– Bereavement leave

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10
Q

Family Care Benefits

A

Examples:
- Daycare benefits (e.g., on site, nearby)
- eldercare benefits (stipend)

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11
Q

Research often inconclusive, but meta-analytic evidence suggests modest positive effects (but not always)

A

– E.g., flex time makes people feel in control of their work but did not actually reduce work-family conflict, in some may increase

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12
Q

Organizational outcomes

A

– Flexible work options have positive effects on job satisfaction and performance, decreased intentions to quit, improved commitment
– ROI: $1.68 for every $1 invested in family-friendly programs

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13
Q

Availability of family-friendly programs versus employee uptake of these programs? Can people actually use them?

A
  • some feel that using certain policies (e.g., flextime) will face stigma or negative repercussions on their career progress
  • organizational support of inititiaves can help to improve uptake
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14
Q

Health Promotion

A
  • combination of diganostic, educational and behavioural modificationa ctivities designed to support attainment and maintenance of positive health
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15
Q

Wellness in Small Business

A
  • reasonable effort for small businesses
  • absent or lower-performing workers can have a substantial impact
  • research supports the argument that wellness programs in small workplaces can thrive and carry substantial benefits for employees and employers
    –> presence of a wellness champion, leveraging tight-knit coheisve nature of employee base can help
    bring in a wellness consultant
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16
Q

More diverse programs offering seen now

A
  • Management trained some workers to listen to worker’s problems to reduce interference in productivity
  • 1920 – 1/3 of the 431 largest companies in the USA had a
    full-time welfare secretary (counselling role)
  • 1940’s – Occupational Alcohol Movement (direct precursor to
    EFAP’s) – alcoholism recognized as serious workplace issue,
    counseling provided
  • 1970’s – period of rapid expansion of EFAP’s
  • 1980’s – inclusion of stress management
17
Q

EFAPs

A

– Provide counselling and assistance to
employees and their family members
with problems that may interfere with
worker productivity such as:
* Alcohol and other drug abuse
- services are accesible and confidential
- now subsumed into modern health promotion programs focusing on
- stress management
- lifestyle programming

18
Q

Primary Intervention Level

prevention

A

– Focuses on preventing the causes of stress, such as reducing work overload, improving communication, and
increasing participation in decision-making.

19
Q

Secondary Intervention Level

helping employees deal with the situation

A

– Focuses on helping employees deal with the situation, such as by providing coping skills, employee fitness
programs, and job redesign.

20
Q

Teritary Intervention Level

IMPROVING well being AFTER employees have been made ill by their work

A

focuses on improving the well-being of employees who have been made ill by their work, such as by providing counseling, employee assistance programs and Cognitive-Behavioural Therapy

21
Q

Stress Management Programs

A
  • cognitive-behavioural skills training
  • relaxation training, meditation, and mindfulness
  • increasing social support
22
Q

Stress Management Programs

A
  • more comprehensive studies are needed to gauge effectiveness
  • cognitive behavioural interventuons are most effective
  • helps people to think about events in new ways and to be ware of how they view stressful events
  • skills to cope with stress
  • role playing, group therapy, classroom instuction
23
Q

Relaxation Training, Meditation, and Mindfulness

A
  • relaxation training focuses on relaxing the physical body
  • meditation focuses on quieting the mind
  • mindfulness brings attention to the present moment
  • does not remove the stressor, but helps deal with stress in the moment
24
Q

Increasing Social Support

A
  • providing for opportunities for social interaction with others
  • encouraging workers to engage with each other outside of the bounds of work conversation
  • facilitating employees to have less family-work conflict (e.g., policies/services to reduce demands of other roles)
25
Worksite Health Promotion: Lifestyle Changes
most common programs are designed to affect an employee's health practices or physical lifestyle - smoking cessation - alc and drug testing - nutrition/weight control - fitness programs
26
Lifestyle Programming: secondary level
steps in secondary level health promotion program - step 1: physical and psychological assessment - step 2: counselling and recommendations about personal health promotion - step 3: referall to resources
27
Lifestyle Programming: tertiary level
- identification of currently symptomatic as well as high-risk individuals - appropriate referral or treatment of individuals - follow up to ensure treatment was effective - evalution of health improvement and cost efficacy
28
Smoking Cessation
- each smoke costs their workplace more than 4k a year due to lost time - combine education, group support, counselling, nicotine etc - blanket bans on smoking do not seem to be associated with reducing smoking behaviour
29
What are alcohol and drug programs associated with?
- decreased performance, absenteeism, controversial practical implementations (privacy issues, exposure does not equal current impairment)
30
Canadian Human Rights Commission (for Ontario)
- deemed to be discriminatory with exceptions for alcohol (detection more indicative of impairment) - must make accommodations (if dependent)
31
Hypertension Screening
- high blood pressure - the silent killer
32
Hypertension Screening (process)
1. education: employees are alerted to the dangers of hypertension 2. Screening - employees are screened using blood pressure clinics in which participants have their blood pressure read by a mediclal professional 3. Referral - employees with elevated readings are referred to medical treatment 4. Follow up - referred employees are followed up to verify the outcome of treatment and to monitor progress
33
Nutrition, Weight Control and Physical Fitness
nutrition: education and changing avail foods weight control: group support, education fitness: awareness, encouraging time spent on fitness, subsidizing gym membership, providing onsite facilities
34
Developing a Successful Program
align, consider, target, tailor, participate, evaluate, communicate
35
Unintended Consequences
- reduction of health care use by employees may lead tol higher unit costs (through private benefits insurer) - participation in fitness programs may cause work disruptions, increase fatigue, lower performance, and increase accidents among those starting a program - health promotion can cause friction among workers - diagnosis of previously unknown risk factors may contribute to absenteeism