The Conservation of Resources (COR) model of burnout (Hobfoll & Freedy, 1993) suggests that resources are differentially related to burnout dimensions. In this paper, I provide a meta-analysis of the social support and burnout literature, finding that social support, as a resource, did not yield different relationships across the 3 burnout dimensions (emotional exhaustion, depersonalization, and personal accomplishment), challenging the COR model. However, when considering the source of the social support (work vs. nonwork) as a moderator, I found that work-related sources of social support, because of their more direct relationship to work demands, were more closely associated with exhaustion than depersonalization or personal accomplishment; the opposite pattern was found with nonwork sources of support. I discuss the implications of this finding in relation to the COR model and suggest future research directions to clarify the relationship between resources and burnout dimensions.

Sources of social support and burnout: A meta-analytic test of the conservation of resources model.

In the study, skeletal status was evaluated in 2850 females aged 7 to 77 yr using quantitative ultrasound (QUS amplitude-dependent speed of sound [Ad-SoS]). Ad-SoS ranged from 1923 ± 30 to 1876 ± 81 m/s, and the peak value (2121 m/s) was achieved in 19-yr-old females. Ad-SoS increased significantly between subgroups aged 11 and 12 yr, 12 and 13 yr, 13 and 14 yr, 14 and 15 yr, and 15 and 16 yr. After the age of 19 yr the only significant drop was noted between age groups 47 and 48 yr. Ad-SoS was regressed on age, weight, and height for age ranges 7 to 11 yr. (before an increase in Ad-SoS), 12 to 19 yr (from the onset of the increase to the peak value), and older than 19 yr to menopause. In females after menopause, years since menopause (YSM) were taken into consideration. In the two youngest groups Ad-SoS was affected positively by age, and in the two next groups, age had a negative influence on Ad-SoS, whereas weight had a negative and height a positive influence in all groups. YSM did not influence the Ad-SoS value. It was concluded that QUS measurements at the hand phalanges are a useful tool in assessment of skeletal status in the female population.

/pdf/a-cross-sectional-study-5bxl913lpz.pdf

A Cross-Sectional Study

The authors propose that broad aspects of lateral relationships, conceptualized as coworker support and coworker antagonism, are linked to important individual employee outcomes (role perceptions, work attitudes, withdrawal, and effectiveness) in a framework that synthesizes several theoretical predictions. From meta-analytic tests based on 161 independent samples and 77,954 employees, the authors find support for most of the proposed linkages. Alternative explanations are ruled out, as results hold when controlling for leader influences and mediation processes. The authors also observe differential strengths of coworker influence based on its valence, content, and severity, and on the social intensity of the task environment. The authors conclude with a call for more comprehensive, complex theory and investigation of coworker influences as part of the social environment at work.

Do Peers Make the Place? Conceptual Synthesis and Meta-Analysis of Coworker Effects on Perceptions, Attitudes, OCBs, and Performance

Do peers make the place? Conceptual synthesis and meta-analysis of coworker effects on perceptions, attitudes, OCBs, and performance.

The Role of Social Support in the Stressor-Strain Relationship: An Examination of Work-Family Conflict

This study considered the nature of home/work stress and investigated the role of social support from both intra- and extraorganizational sources in reducing that stress and buffering its impact on burnout. Specifically, demographic factors affecting perceptions of home/work stress and the impact of various sources of social support were examined. Data were collected from nursing-home nurses and analyzed using regression techniques. Results suggested that participants with children and those cohabiting with their partners were particularly vulnerable to home/work stress. Results also indicated that different sources of social support worked in unique ways to relieve the strain of home/work stress. Implications of this research for theory on social support are considered, along with the pragmatic suggestions for using study results in dealing with home/work stress.

Social Support, Home/Work Stress, and Burnout: Who can Help?:

This article presents an integrative perspective on the role that doctor-patient communication and cultural competency training play in health care disparities. Communication between minority patients and physicians is characterized by doctors' biased expectations, patients' perceptions of discrimination, linguistic asymmetry, and self-fulfilling prophecy spirals. Cultural competency training, which has been put forth as a remedy, is itself a complex construct, and methodological variations in cultural competency research make it difficult to reach simple conclusions about its effects. The authors review and synthesize the cross-disciplinary literature in these areas. They propose several directions for research, emphasizing that new studies can lay the groundwork for more trusting verbal communication between doctors and minority patients.

Doctor-Patient Communication, Cultural Competence, and Minority Health: Theoretical and Empirical Perspectives

This study examined the relationship among structural communicative variables and perceptions of social support, stress, and burnout in a sample of elementary school teachers. Specifically, it was hypothesized that participation in decision making, network link strength, and link multiplexity would influence perceptions of supervisory (principal) and co-worker support. These perceptions, and workload, then influence burnout and job satisfaction. The results provide support for a model that (a) suggests a differentiation between relational depth and relational breadth in predicting perceived support, (b) highlights the importance of supportive communication in reducing role ambiguity, and (c) suggests that burnout has distinctive affective and exhaustion dimensions that should be considered in future research.

The Influence of Communication Structure and Social Support on Job Stress and Burnout

(1993). When the links become chains: Considering dysfunctions of supportive communication in the workplace. Communication Monographs: Vol. 60, Into the New Century, pp. 106-111.

When the links become chains: Considering dysfunctions of supportive communication in the workplace

Cancer recurrence presents oncologists with many challenges, including discussing prognosis. A thematic analysis of patient interviews was conducted to learn more about how this challenge is met by doctors and patients in their communication. Female patients being treated for a cancer recurrence at a comprehensive cancer center (N = 30) were asked to recall how they discussed their prognosis with oncologists when initially diagnosed and when the cancer recurred. All interviews were recorded, transcribed, and thematic analysis applied to patients' remarks concerning prognosis. Following comparison of prognosis quotes identified in the transcript, two primary themes were drawn from the data: communicating optimism at the initial diagnosis; and communicating chronic disease management at recurrence. Three subthemes were also identified in the recurrence communication: managing the new information; ambiguous communication about the prognosis; and the information seeking paradox. Problematic integration theory is offered as an important explanatory mechanism for understanding oncologist-patient communication about prognosis during a cancer recurrence.

Eileen Berlin Ray

Papers

Social Support, Home/Work Stress, and Burnout: Who can Help?:

Doctor-Patient Communication, Cultural Competence, and Minority Health: Theoretical and Empirical Perspectives

The Influence of Communication Structure and Social Support on Job Stress and Burnout

When the links become chains: Considering dysfunctions of supportive communication in the workplace

Patient Perceptions of Oncologist–Patient Communication About Prognosis: Changes From Initial Diagnosis to Cancer Recurrence