Search Results (313)

Background: The COVID-19 pandemic caused lasting disruption to healthcare systems and the mental health of frontline workers. Though the acute crisis has passed, many healthcare workers (HCWs) continue to experience long-term psychological effects, including anxiety, grief, and burnout. This mixed-methods study investigates the enduring effects of the COVID-19 pandemic on the mental health of physicians in a low-resource country. Methods: Drawing on data from the ear, nose, and throat (ENT) or otolaryngology department at a tertiary care hospital in Pakistan, the study employed an explanatory mixed-methods design, combining structured surveys and semi-structured interviews. The Hospital Anxiety and Depression Scale, the Perceived Stress Scale, and the Brief COPE Inventory were administered to 42 ENT specialists, trainees, and house officers, alongside semi-structured interviews with eight ENT physicians. Results: Survey results revealed moderate to high levels of anxiety, depression, and stress that persisted beyond the acute crisis phase of the pandemic. Interviews provided nuanced insights into the emotional burden experienced by physicians, including persistent concerns about contagion risk, professional isolation, and increased workload. Physicians described maladaptive responses and employed active coping strategies, such as seeking peer support and utilizing adaptive problem solving. Conclusions: The COVID-19 pandemic has had enduring effects on the mental well-being of physicians. Targeted interventions and policy reforms that address the ongoing pressures frontline physicians face in resource-constrained environments may help mitigate these burdens, support healthcare professionals more effectively, and improve their mental health. Full article

Public safety personnel (PSP), including correctional workers, firefighters, paramedics, police, and public safety communicators, are at increased risk for posttraumatic stress injury, yet face barriers in receiving timely support. Mobile health (mHealth) applications (apps) offer promising avenues for confidential, on-demand access to relevant information and support. The purpose of this study was to assess implementation of PeerOnCall, a new mHealth platform designed by and for PSP (the platform includes two parallel apps: one for frontline workers and one for peer support providers). A multi-site mixed methods implementation trial was conducted over 3−6 months in 42 public safety organizations across Canada. App usage trends were tracked through software analytics, and facilitators and barriers to app use were explored via interviews with organizational champions. Over 11,300 employees across 42 organizations were invited to use the PeerOnCall app over the trial period, with approximately 1759 PSP (15% of total) downloading the app. Variation within and across sectors was evident in app downloads and feature use. Approaches to communication (mode, timing, and messenger), and organizational culture related to mental health and help outreach affected uptake levels. PeerOnCall is a promising tool to facilitate access to peer support; however, culturally relevant strategies are needed to overcome barriers and integrate this tool into workplace practices. Full article

Emotional labor, particularly in frontline service roles, has traditionally been examined through the lens of performance strategies, such as surface or deep acting. However, emerging research suggests that employees’ subjective interpretations of emotionally demanding situations—especially attributions of responsibility and perceived fairness—play a critical role in shaping their well-being. This study adopts a qualitative phenomenological approach to explore how frontline employees engage in meaning-making regarding the emotional labor demands during customer interaction. Drawing on six group semi-structured interviews, we conducted a thematic analysis to investigate ho<w workers attribute responsibility for emotion regulation demands and how these attributions relate to perceptions of distributive justice and emotional exhaustion. Results indicate that employees differentiate between emotional labor demands based on who they perceive as responsible for the triggering event—whether the client or themselves. Attributions of responsibility for these demands, especially when placed on clients, were associated with a stronger sense of distributive injustice and heightened emotional exhaustion. The evidence extend current emotional labor models by highlighting the centrality of meaning-making processes in employee experience and suggest that responsibility attribution and fairness appraisals are critical mechanisms through which emotional labor impacts occupational well-being. Implications for theory and workplace practices in service contexts are discussed. Full article

Improving construction site safety remains a critical challenge in Saudi Arabia’s rapidly growing construction sector, where high accident rates and diverse labor forces demand evidence-based managerial interventions. This study investigated the influence of Managers’ Safety Perceptions and Practices (MSP) on Workers’ Safety Behaviors (WSB) in the Saudi construction industry, emphasizing the mediating roles of Workers’ Safety Awareness (WSA), Safety Competency (WSC), and Safety Actions (SA). The conceptual framework integrates these three mediators to explain how managerial attitudes and practices translate into frontline safety outcomes. A quantitative, cross-sectional design was adopted using a structured questionnaire distributed among construction workers, supervisors, and project managers. A total of 352 from 384 valid responses were collected, and the data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) via SmartPLS 4. The findings revealed that MSP does not directly influence WSB but has significant indirect effects through WSA, WSC, and SA. Among these, WSC emerged as the most powerful mediator, followed by WSA and SA, indicating that competency is the most critical driver of safe worker behavior. These results provide robust empirical support for a multidimensional mediation model, highlighting the need for managers to enhance safety behaviors not merely through supervision but through fostering awareness and competency, providing technical training, and implementing proactive safety measures. Theoretically, this study contributes a novel and integrative framework to the occupational safety literature, particularly within underexplored Middle Eastern construction contexts. Practically, it offers actionable insights for safety managers, industry practitioners, and policymakers seeking to improve construction safety performance in alignment with Saudi Vision 2030. Full article

Tuberculosis (TB) remains a leading cause of death in Bangladesh, disproportionately affecting low socio-economic status (SES) populations. This review, guided by the WHO Social Determinants of Health framework and Rockefeller-Lancet Planetary Health Report, examined how social, economic, and ecological factors link SES to TB burden. The first literature search identified 28 articles focused on SES-TB relationships in Bangladesh. A second search through snowballing and conceptual mapping yielded 55 more papers of diverse source types and disciplines. Low-SES groups face elevated TB risk due to smoking, biomass fuel use, malnutrition, limited education, stigma, financial barriers, and hazardous housing or workplaces. These factors delay care-seeking, worsen outcomes, and fuel transmission, especially among women. High-SES groups more often face comorbidities like diabetes, which increase TB risk. Broader contextual drivers include urbanisation, weak labour protections, cultural norms, and poor governance. Recommendations include housing and labour reform, gender parity in education, and integrating private providers into TB programmes. These align with the WHO End TB Strategy, UN SDGs and Planetary Health Quadruple Aims, which expand the traditional Triple Aim for health system design by integrating environmental sustainability alongside improved patient outcomes, population health, and cost efficiency. Future research should explore trust in frontline workers, reasons for consulting informal carers, links between makeshift housing and TB, and integrating ecological determinants into existing frameworks. Full article

Improving occupational health and safety (OHS) in the construction industry can contribute to the advancement of the Sustainable Development Goals (SDGs), particularly Goals 3 (Good Health and Well-being) and 8 (Decent Work and Economic Growth). Yet, workers’ risk-taking behaviors (RTBs) remain a persistent challenge. Drawing on Social Cognitive Theory and Social Information Processing Theory, this study develops and tests a social influence model to examine how foremen’s safety attitudes (SAs) shape workers’ RTBs. Drawing on survey data from 301 construction workers in China, structural equation modeling reveals that foremen’s SAs significantly and negatively predict workers’ RTBs. However, the three dimensions of SAs—cognitive, affective, and behavioral—exert their influence through different pathways. Risk perception (RP) plays a key mediating role, particularly for the cognitive and behavioral dimensions. Furthermore, interpersonal trust (IPT) functions as a significant moderator in some of these relationships. By identifying the micro-social pathways that link foremen’s attitudes to workers’ safety behaviors, this study offers a testable theoretical framework for implementing the Sustainable Development Goals (particularly Goals 3 and 8) at the frontline workplace level. The findings provide empirical support for organizations to move beyond rule-based management and instead build more resilient OHS governance systems by systematically cultivating the multidimensional attitudes of frontline leaders. Full article

Background/Objectives: The COVID-19 pandemic affected frontline workers’ mental health, including healthcare workers, firefighters, and police officers, increasing the need for effective interventions. This study focuses on the pandemic’s psychological impact, perceived stress, depression/anxiety symptoms, and resilience, examining if a brief virtual reality (VR)–based relaxation session could reduce psychological symptoms. Methods: In this preliminary study with data collected in 2025 from frontline workers who had served during the acute phase of the COVID-19 pandemic, 54 frontline workers completed a baseline assessment of the perceived psychological impact of COVID-19 pandemic, general perceived well-being, perceived stress (PSS-4), anxiety/depression (PHQ-4) and resilience (RS-25). Each participant then engaged in a 10-min immersive VR relaxation session featuring a calming 360° nature environment with audio guidance, after which questionnaires were re-administered. Paired samples t-tests and repeated-measures ANOVA evaluated pre-/post-session differences, and a hierarchical multiple linear regression model tested predictors of the change in stress. Results: Pre-session results showed moderate perceived stress and resilience and low depression/anxiety. Occupation groups varied in baseline stress, mostly reporting negative pandemic psychological effects. After VR, significantly perceived well-being increased, and stress decreased, whereas depression/anxiety changes were nonsignificant. Repeated-measures ANOVA revealed a main effect of time on stress (p = 0.003) without occupation-by-time interaction (p = 0.246), indicating all occupational groups benefited similarly from the VR session. Hierarchical regression indicated baseline depression and higher perceived pandemic-related harm independently predicted greater stress reduction, whereas resilience and baseline anxiety showed no statistically significant results. Conclusions: A single VR relaxation session lowered perceived stress among frontline workers, particularly those reporting higher baseline depression or pandemic-related burden. Limitations include the absence of a control group. Results support VR-based interventions as feasible, rapidly deployable tools for high-stress settings. Future research should assess longer-term outcomes, compare VR to alternative interventions, and consider multi-session protocols. Full article

Previous discussions on customer injustice and emotional labor have primarily focused on employee–customer dyads, often neglecting the role of service co-workers in shaping emotional labor dynamics. To address this gap, the current study integrates intrapersonal and interpersonal factors to explore their joint effects on employees’ emotional labor strategies when encountering customer injustice. A full-factorial experimental design with 2 (self-construal: independent vs. interdependent) × 3 (service co-workers: alone vs. positive attitudes vs. negative attitudes toward customer injustice) is employed, using data from 179 frontline service employees at high-star hotels in Shanghai, with self-construal and service co-workers operationalized as manipulated conditions. Results reveal that self-construal significantly influences surface acting: interdependent individuals are more inclined to engage in surface acting than independent individuals. By contrast, self-construal has no direct effect on deep acting. While service co-workers do not moderate the relationship between self-construal and surface acting, they play a critical role in the relationship between self-construal and deep acting: for interdependent employees, service co-workers’ attitudes (rather than their mere presence) decisively impact deep acting, with positive attitudes promoting deeper emotional engagement and negative attitudes reducing it. This study advances a dual-path framework highlighting how intrapersonal dispositions (self-construal) and interpersonal impression cues (service co-workers’ attitudes) interact to shape emotional labor. By expanding the traditional employee–customer dyad to a triadic model, the study bridges impression management theory and workplace injustice research, offering theoretical insights into how intrapersonal traits and interpersonal dynamics jointly shape contextualized emotional labor. This thereby provides a theoretical foundation for nuanced management strategies in service organizations. Full article

Public safety personnel and frontline healthcare professionals are at increased risk of exposure to potentially psychologically traumatic events (PPTEs) and developing post-traumatic stress injuries (PTSIs, e.g., depression, anxiety) by the nature of their work. PTSI is also connected to increased absenteeism, suicidality, and performance decrements, which compromise occupational and public health and safety in trauma-exposed workers. There is limited evidence on the cost effectiveness of proactive “prevention” programs aimed at reducing the risk of PTSIs. The purpose of this meta-analysis is to measure the economic effectiveness of proactive PTSI mitigation programs among occupational groups exposed to frequent occupational PPTEs, focusing on the outcomes related to PTSI symptoms, absenteeism, and psychological wellness. Findings from 15 included studies demonstrate that proactive interventions can yield substantial economic and health benefits, with Return On Investment (ROI) values ranging widely from −20% to 3560%. Shorter interventions (≤6 months) often produced higher returns, while longer interventions (>12 months) showed more moderate or negative returns. Notably, the level at which an intervention is targeted significantly affects outcomes—programs aimed at managers, such as the 4 h RESPECT training course, demonstrated a high ROI and broad organizational impact by enhancing leadership support for employee mental health. Sensitivity analyses highlighted significant variability based on the organizational context, program design, and participant characteristics. The majority of proactive interventions successfully reduced psychological distress and enhanced workplace outcomes, although thoughtful consideration of program design and implementation context is essential. Full article

The term “safety climate” describes how workers perceive and observe safety within an organization. Workers are typically on the front lines, where they are immediately exposed to safety procedures and working hazards. Their thoughts offer a practical perspective on how safety is applied on a daily basis. Therefore, this study employed the Fuzzy DEMATEL methodology to investigate the critical factors influencing safety climate from workers’ perspective. The research involved nine experts evaluating eight worker-related factors that affect safety climate. The incorporation of fuzzy logic improved the accommodation of the ambiguity and subjectivity inherent in expert judgments, particularly when examining employee viewpoints on safety. The study revealed that the following factors were identified as primary drivers (causal factors) of safety climate: Workers’ safety competence, Workers’ freedom speech about safety matters, and Worker’s ability to perceive hazards. From the perspective of workers, these causal factors have a considerable impact on the other dimensions of safety climate, implying that focused changes in these areas could deliver substantial advantages throughout the full safety spectrum. This distinction provides valuable information for firms to prioritize their safety improvement initiatives and resource allocation. By identifying important cause elements and their relationships, the study offers organizations with a strategic path for improving their safety climate. Full article

As a high-risk industry characterized by persistently high accident and casualty rates, the construction sector has been extensively studied in terms of individual behavioral safety, organizational safety culture, and safety climate. However, existing research remains fragmented, lacking an integrative perspective to systematically explore the interconnections between these interrelated dimensions. This study investigates the mechanisms through which the ownership climate influences safety behaviors among construction workers in China. Applying self-determination theory (SDT) and the theory of planned behavior (TPB), we propose a dual-mediation model with team building and risk perception as parallel mediators. Empirical data were collected from 312 frontline workers through structured surveys and analyzed using structural equation modeling (SEM) and bootstrapping techniques. The results demonstrate that a sense of ownership climate not only directly enhances the safety behaviors of construction workers but also functions via dual mechanisms: strengthening team building to improve both compliance with and the execution of safety protocols and heightening risk perception awareness to reduce the propensity for risk-taking behaviors. These findings highlight the need for strategies integrating ownership climate cultivation, team collaboration, and risk awareness training to optimize safety outcomes. This study extends the existing literature by bridging motivational (SDT) and cognitive (TPB) frameworks, offering culturally grounded solutions for transient workforce management in high-risk industries. Full article

Objectives: The present cross-sectional web-based survey study aimed to examine the impact of gender and frontline/non-frontline condition on psychological health (depression and peritraumatic distress) of a sample of Italian healthcare workers, and to explore the mediating effects of emotional processing in these relationships. Methods: Emotional processing styles and depressive and peritraumatic distress symptoms were assessed between March and December 2021, a period which in Italy corresponds to the third and the start of the fourth wave of COVID-19, along with gender, frontline versus non-frontline role in the pandemic emergency, and other sociodemographic and background variables. Results: Results showed that emotional processing mediated the relationship between gender and frontline/non-frontline role with depressive and peritraumatic distress symptomatology. Being a woman, working on the frontlines, and having a maladaptive emotional processing style increased the negative effects of stress during the pandemic. Conclusions: The obtained results strengthen the importance of providing useful psychological support for health professionals to facilitate the expression and management of emotions as well as the learning of healthy and functional styles of emotional processing. Full article

With the development of Taiwanese society, the tourist B&B industry has become particularly important, marking the origin of the significant development of the tourism industry. This study focuses on the quality of host–tourist relationships in B&Bs. It is proposed that tourists “discover” the emotions and feelings of B&B hosts through service contact processes. Although researchers have pointed out that frontline service employee personality traits affect the quality of interactions and satisfaction from the consumers’ point of view, very few studies have investigated the relationships between tourists and B&B hosts, the latter playing a double role—both as a host and a service worker. Data were collected from 422 tourists who had utilized B&B services. A quantitative analysis of the questionnaires was conducted through descriptive statistics, K-means clustering, one-way ANOVA and structural equation modeling (SEM), in order to determine the relationships among the three sets of variables. The results of this study reveal that the personality traits of B&B hosts directly affect their emotional labor and the quality of their relationships with tourists. However, the emotional labor of B&B hosts is found not to affect the quality of relationships; in this respect, our findings go counter to those of previous studies. Full article

Building on the interactionist perspective of organizational creativity, we investigated the relationship between conscientiousness and employee creativity. We surveyed 260 frontline technical workers and their supervisors at three Chinese manufacturing enterprises. The results showed a positive relationship between conscientiousness and employee creativity. We also found a three-way interaction effect between conscientiousness, perceived time pressure, and trust in one’s leader, which impacts employee creativity. We ended by discussing both the theoretical and managerial implications. Full article

A cross-sectional survey conducted between July and September 2020 and August and September 2021 estimated the prevalence and predictors of common mental disorders (CMDs) and post-traumatic stress disorder (PTSD) among healthcare workers (HCWs) at an infectious disease referral center during the COVID-19 pandemic. CMDs were assessed using the General Health Questionnaire (GHQ-12), and PTSD using the Impact of Event Scale-Revised (IES-R). Multivariate logistic regressions identified predictors of CMD and PTSD. The study included 371 HCWs in 2020 and 167 in 2021. The CMD prevalence was 34.3% (95% confidence interval (CI): 29.5–39.4) in 2020 and 30.5% (95% CI: 23.7–38.1) in 2021. The PTSD prevalence was 25.4% (95% CI: 21.0–30.2) in 2020 and 32.7% (95% CI: 25.6–40.5) in 2021. Factors increasing CMD odds included lower education (adjusted odds ratio (AOR) = 3.71, 95% CI: 1.60–8.61), lack of physical activity (AOR = 2.23, 95% CI: 1.33–3.73), and experiencing COVID-19 symptoms (AOR = 1.64, 95% CI: 1.02–2.64) in 2020; chronic diseases (AOR = 3.14, 95% CI: 1.34–7.35) and SARS-CoV-2 testing (AOR = 3.39, 95% CI: 1.13–10.17) raised CMD odds in 2021. Frontline HCWs had lower CMD odds in 2020 (AOR = 0.60, 95% CI: 0.36–1.00) and 2021 (AOR = 0.33, 95% CI: 0.14–0.75). PTSD was associated with having COVID-19 symptoms (AOR = 2.06, 95% CI: 1.23–3.45), living with high-risk individuals (AOR = 1.75, 95% CI: 1.03–2.95), and losing loved ones (AOR = 1.86, 95% CI: 1.09–3.17) in 2020. Chronic diseases increased PTSD odds in 2020 (AOR = 2.20, 95% CI: 1.25–3.86) and 2021 (AOR = 2.30, 95% CI: 1.03–5.13), while age decreased them in 2020 (AOR = 0.95, 95% CI: 0.93–0.98) and 2021 (AOR = 0.95, 95% CI: 0.91–0.99). Younger HCWs with chronic conditions living with high-risk individuals were particularly affected. These findings highlight the urgent need for targeted emotional support and stress management programs for HCWs. Full article