scholarly journals ‘Stressed, uncomfortable, vulnerable, neglected’: a qualitative study of the psychological and social impact of the COVID-19 pandemic on UK frontline keyworkers

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e050945
Author(s):  
Tom May ◽  
Henry Aughterson ◽  
Daisy Fancourt ◽  
Alexandra Burton
Keyword(s):  
Social Impact ◽  
Qualitative Interviews ◽  
Well Being ◽  
Work Conditions ◽  
Work Related ◽  
Psychosocial Concerns ◽  
Postal Services ◽  
Exposure Risks ◽  
The Uk ◽  
The Impact

ObjectivesNon-healthcare keyworkers face distinct occupational vulnerabilities that have received little consideration within broader debates about ‘essential’ work and psychological distress during the COVID-19 pandemic. The aim of this study was therefore to explore the impact of the pandemic on the working lives and mental health and well-being of non-healthcare keyworkers in the UK.DesignIn-depth, qualitative interviews, analysed using a reflexive thematic analysis.SettingTelephone or video call interviews, conducted in the UK between September 2020 and January 2021.Participants23 participants aged 26–61 (mean age=47.2) years employed in a range of non-healthcare keyworker occupations, including transport, retail, education, postal services, the police and fire services, waste collection, finance and religious services.ResultsKeyworkers experienced adverse psychological effects during the COVID-19 pandemic, including fears of COVID-19 exposure, contagion and subsequent transmission to others, especially their families. These concerns were often experienced in the context of multiple exposure risks, including insufficient personal protective equipment and a lack of workplace mitigation practices. Keyworkers also described multiple work-related challenges, including increased workload, a lack of public and organisational recognition and feelings of disempowerment.ConclusionsIn efforts to reduce psychosocial concerns among non-healthcare keyworkers, there is a need for appropriate support during the COVID-19 pandemic and in preparation for other infections (eg, seasonal influenza) in the future. This includes the provision of psychological and workplace measures attending to the intersections of personal vulnerability and work conditions that cause unique risks and challenges among those in frontline keyworker occupations.

scholarly journals ‘Stressed, uncomfortable, vulnerable, neglected’: a qualitative study of the psychological and social impact of the COVID-19 pandemic on UK frontline keyworkers.

2021 ◽  
Author(s):  
Tom May ◽  
Henry Aughterson ◽  
Daisy Fancourt ◽  
Alexandra Burton
Keyword(s):  
Social Impact ◽  
Work Conditions ◽  
Structured Interviews ◽  
Work Related ◽  
Health And Wellbeing ◽  
Working Lives ◽  
Psychosocial Concerns ◽  
Postal Services ◽  
Exposure Risks ◽  
The Impact

Aims: Non-healthcare keyworkers face distinct occupational vulnerabilities that have received little consideration within broader debates about ‘essential’ work and psychological distress during the COVID-19 pandemic. The aim of this study was therefore to explore the impact of the pandemic on the working lives and mental health and wellbeing of non-healthcare keyworkers in the UK.Methods: In-depth, semi-structured interviews were conducted with 23 participants employed in a range of non-healthcare keyworker occupations, including transport, retail, education, postal services and the police force. Interviews were audio-recorded and transcribed verbatim. Data were analysed using a reflexive thematic approach. Results: Keyworkers experienced adverse psychological effects during the COVID-19 pandemic, including fears of COVID-19 exposure, contagion and subsequent transmission to others, especially their families. These concerns were often experienced in the context of multiple exposure risks, including insufficient PPE and a lack of workplace mitigation practices. Keyworkers also described multiple work-related challenges, including increased workload, a lack of public and organisational recognition and feelings of disempowerment. Conclusion: In efforts to reduce psychosocial concerns among non-healthcare keyworkers, there is a need for appropriate support during the COVID-19 pandemic and in preparation for other infections (e.g. seasonal influenza) in the future. This includes the provision of psychological and workplace measures attending to the intersections of personal vulnerability and work conditions that cause unique risks and challenges among those in frontline keyworker occupations.

scholarly journals Psychosocial impact on frontline health and social care professionals in the UK during the COVID-19 pandemic: a qualitative interview study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e047353
Author(s):  
Henry Aughterson ◽  
Alison R McKinlay ◽  
Daisy Fancourt ◽  
Alexandra Burton
Keyword(s):  
Personal Growth ◽  
Social Care ◽  
Well Being ◽  
Work Conditions ◽  
Individual Interviews ◽  
Work Related ◽  
Qualitative Interview Study ◽  
Health And Social Care ◽  
Communication Challenges ◽  
The Uk

ObjectivesTo explore the psychosocial well-being of health and social care professionals working during the COVID-19 pandemic.DesignThis was a qualitative study deploying in-depth, individual interviews, which were audio-recorded and transcribed verbatim. Thematic analysis was used for coding.ParticipantsThis study involved 25 participants from a range of frontline professions in health and social care.SettingInterviews were conducted over the phone or video call, depending on participant preference.ResultsFrom the analysis, we identified 5 overarching themes: communication challenges, work-related stressors, support structures, personal growth and individual resilience. The participants expressed difficulties such as communication challenges and changing work conditions, but also positive factors such as increased team unity at work, and a greater reflection on what matters in life.ConclusionsThis study provides evidence on the support needs of health and social care professionals amid continued and future disruptions caused by the pandemic. It also elucidates some of the successful strategies (such as mindfulness, hobbies, restricting news intake, virtual socialising activities) deployed by health and social care professionals that can support their resilience and well-being and be used to guide future interventions.

scholarly journals The Impact of Non-Standard Work Arrangements and Communication Climate on Organisational and Team Identification and Work-Related Outcomes Amongst Millennials in Chile and the UK

2019 ◽  
Vol 14 (3) ◽  
Author(s):  
Ilka H. Gleibs ◽  
Andrea Lizama Alvarado
Keyword(s):  
Well Being ◽  
Social Identification ◽  
Work Status ◽  
Team Identification ◽  
Communication Climate ◽  
Work Arrangements ◽  
Standard Work ◽  
Work Related ◽  
The Uk ◽  
The Impact

Previous research has found inconsistent results on the impact of work-status (permanent vs. fixed term vs. causal work) on attitudinal and behavioural outcomes. This study explored this topic from a social identity perspective and examines the effect of communication climate, organisational and team identification on job-affective well-being, organisational commitment and intentions to recommend. In Study 1, 631 professionals working in Chile completed our survey. In Study 2, which was pre-registered, 520 professionals from the UK completed the same survey. In both studies we conducted multi-group path analyses comparing employees with three work-statuses: permanent, fixed-term, and casual workers (Study 1: n = 369, 129, and 131, respectively; Study 2: n = 438, 53, and 34, respectively). We found work-status influenced the relationship between organisational and team identification with job-affective well-being, but not with organisational citizenship behaviour or intentions to recommend. Across all groups, communication climate was an important predictor for identification measures, job-affective well-being and intention to recommend. These findings offer an understanding of the dynamics of social identification in the workplace that are related to work-status in the context of two different countries; Chile, a country that is characterised by high rates of fixed-term and casual job agreement and the UK, which has comparatively fewer non-standard work-arrangements.

scholarly journals International Students’ Perceptions and Experiences of British Drinking Cultures

2018 ◽  
Vol 23 (3) ◽  
pp. 572-588 ◽  
Author(s):  
Thomas Thurnell-Read ◽  
Lorraine Brown ◽  
Philip Long
Keyword(s):  
International Students ◽  
International Student ◽  
Social Space ◽  
Qualitative Interviews ◽  
Heavy Drinking ◽  
Well Being ◽  
Drinking Habits ◽  
Public House ◽  
The Uk ◽  
The Impact

While the increased scale and importance of international students to the UK Higher Education sector is now well established, little is known about the ways in which students from non-UK countries experience and interact with the heavy drinking culture that predominates on and near many British universities. Drawing on qualitative interviews, this article analyses the perceptions, attitudes, and experiences of British drinking cultures held by international students studying on postgraduate courses at a UK university. Students report prior awareness of alcohol consumption being important to British culture and recount both positive and negative experiences of witnessing and, for many, participating in drinking alcohol. Students make ready comparisons with the drinking habits and attitudes of their own culture. Further still, many made a distinction between the public house, or ‘pub’, as a welcoming and friendly social space, and bars and nightclubs, where a far greater risk of exposure to violence and harassment was perceived. The article provides theoretical insights to support future and more wide-ranging research into mobile drinking cultures and also suggests practical implications to inform stakeholders with interests in the welfare of international students in the UK in relation to the provision of effective and proactive policies which address the impact of British drinking cultures on international student integration and well-being.

scholarly journals Constructing better health and wellbeing? Understanding structural constraints on promoting health and wellbeing in the UK construction industry

2019 ◽  
Vol 12 (3) ◽  
pp. 146-159 ◽  
Author(s):  
Esmée Sinéad Hanna ◽  
Steven Markham
Keyword(s):  
Health Promotion ◽  
Construction Industry ◽  
Qualitative Interviews ◽  
Well Being ◽  
Structural Constraints ◽  
Content Type ◽  
Work Related ◽  
Health And Wellbeing ◽  
The Uk ◽  
Health And Well Being

Purpose The construction industry has high rates of work-related ill health. Whilst there have been more recent calls for a “health like safety” narrative within the industry, health has still predominantly been viewed via health risks rather than a more holistic conceptualisation of health and well-being. The workplace is viewed as a fruitful site for health promotion work, yet we know little about the possibilities and promise of health promotion within the construction industry. The paper aims to discuss these issues. Design/methodology/approach This paper explores the views of stakeholders with health-related roles and responsibilities within the UK construction industry. From the 21 semi-structured qualitative interviews, thematic analysis was conducted and two key themes emerged: the construction industry as anti-health promoting and understanding industry-specific health issues. Findings The construction industry faces significant constraint in attempting to promote better health and well-being due to its makeup, yet the health and well-being issues of the industry notably stress, and early retirement are major issues for both the industry and individuals. Practical implications The authors argue that only through understanding the structural constraints of the industry in this way can the possibilities and potentials for undertaking health promotion work be fully embedded within the industry in order to help create meaningful change for both employees and the industry as a whole. Originality/value This paper offers insight into the challenges that exist within construction for promoting positive employee health and well-being and takes an in-depth approach to exploring why health promotion may not be occurring within the industry.

scholarly journals Impact of military service on physical health later in life: a qualitative study of geriatric UK veterans and non-veterans

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e028189
Author(s):  
Victoria Williamson ◽  
Hannah Harwood ◽  
Karla Greenberg ◽  
Sharon A M Stevelink ◽  
N Greenberg
Keyword(s):  
Physical Health ◽  
Military Service ◽  
Qualitative Interviews ◽  
Later Life ◽  
Well Being ◽  
Health Problems ◽  
Face To Face ◽  
Work Related ◽  
Physical Health Problems ◽  
The Impact

ObjectivesMilitary veterans often experience physical health problems in later life; however, it remains unclear whether these problems are due to military service or are a feature of the ageing process. This study aimed to explore veteran and non-veteran perceptions of the impact of their occupation on their physical well-being later in life.DesignSemi-structured qualitative interviews analysed using thematic analysis.SettingInterviews were conducted face-to-face in participants’ homes or via telephone.Participants35 veterans (≥65 years), 25 non-veterans (≥65 years) were recruited, as well as a close companion of all participants for triangulation (n=60).ResultsMost veterans reported good physical health later in life which they attributed to the fitness they developed during military service. However, several veterans described challenges in maintaining their desired level of physically activity due to new commitments and limited sports facilities when they left service. Fewer non-veterans had experienced work-related fitness activities or exercise in their civilian jobs. Ongoing physical health difficulties, such as deafness, were perceived to be due to exposure to workplace hazards and appeared more common in veterans compared with non-veterans. Veterans also described greater reluctance than non-veterans to seek medical treatment for physical health difficulties, which could be challenging for close companions who had to provide informal care.ConclusionsMilitary service was largely perceived to be beneficial for physical well-being; although when occupation-related physical health problems were experienced, many veterans were unwilling to seek treatment. These findings may inform clinicians of the needs of older veterans and highlight potential barriers to care.

Effects of non-standard work arrangements on organisational and team identification and work-related outcomes in Chile and the UK

2019 ◽  
Author(s):  
Ilka Helene Gleibs ◽  
Andrea Lizama Alvarado
Keyword(s):  
Well Being ◽  
Social Identification ◽  
Work Status ◽  
Team Identification ◽  
Communication Climate ◽  
Work Arrangements ◽  
Standard Work ◽  
Work Related ◽  
The Uk ◽  
The Impact

Previous research has found inconsistent results about the impact of work-status (permanent vs fixed term vs causal work) on attitudinal and behavioural outcomes. This study explored this topic from a social identity perspective and examines the effect of organisational and team identification on job-affective well-being, organisational commitment and intentions to recommend. In Study 1, 631 professionals working in Chile completed our survey. In Study 2, which was pre-registered, 520 professionals from the UK completed the same survey. In both studies we conducted multi-group path analyses comparing among employees with three work-statuses: permanent (n1=369, n2=438), fixed-term (n1=129, n2=53), and casual workers (n1=131, n2=34). We found work-status influenced the relationship between organisational and team identification with job-affective well-being, but not with organisational citizenship behaviour or intentions to recommend. Across all groups, communication climate was an important predictor for identification measures, job-affective well-being and intention to recommend. These findings offer an understanding of the dynamics of social identification in the workplace that are related to work-status in the context of two different countries; Chile, a country that is characterised by high rates of fixed-term and casual job agreement and the UK with comparatively less non-standard work-arrangements.

scholarly journals Impact of COVID-19 restrictions on preschool children’s eating, activity and sleep behaviours: a qualitative study

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e051497
Author(s):  
Joanne Clarke ◽  
Ruth Kipping ◽  
Stephanie Chambers ◽  
Kate Willis ◽  
Hilary Taylor ◽  
...  
Keyword(s):  
Child Health ◽  
Screen Time ◽  
Qualitative Interviews ◽  
Well Being ◽  
Preschool Age ◽  
Sleep Habits ◽  
Health And Development ◽  
The Uk ◽  
Healthy Activity ◽  
The Impact

ObjectivesIn spring 2020, the first COVID-19 national lockdown placed unprecedented restrictions on the behaviour and movements of the UK population. Citizens were ordered to ‘stay at home’, only allowed to leave their houses to buy essential supplies, attend medical appointments or exercise once a day. We explored how lockdown and its subsequent easing changed young children’s everyday activities, eating and sleep habits to gain insight into the impact for health and well-being.DesignIn-depth qualitative interviews; data analysed using thematic analysis.SettingSouth West and West Midlands of England.ParticipantsTwenty parents (16 mothers; 4 fathers) of preschool-age children (3–5 years) due to start school in September 2020. Forty per cent of the sample were from Black, Asian or minority ethnic backgrounds and half lived in the most deprived areas.ResultsChildren’s activity, screen time, eating and sleep routines had been disrupted. Parents reported children ate more snacks, but families also spent more time preparing meals and eating together. Most parents reported a reduction in their children’s physical activity and an increase in screen time, which some linked to difficulties in getting their child to sleep. Parents sometimes expressed guilt about changes in activity, screen time and snacking over lockdown. Most felt these changes would be temporary, though others worried about re-establishing healthy routines.ConclusionsParents reported that lockdown negatively impacted on preschool children’s eating, activity and sleep routines. While some positive changes were identified, many participants described lack of routines, habits and boundaries which may have been detrimental for child health and development. Guidance and support for families during COVID-19 restrictions could be valuable to help maintain healthy activity, eating, screen time and sleeping routines to protect child health and ensure unhealthy habits are not adopted.

scholarly journals Medical Students’ Experience of Mindfulness Training in the UK: Well-Being, Coping Reserve, and Professional Development

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Alice Malpass ◽  
Kate Binnie ◽  
Lauren Robson
Keyword(s):  
Medical Education ◽  
Mental Health Problems ◽  
Qualitative Interviews ◽  
General Medical Council ◽  
Well Being ◽  
Mindfulness Training ◽  
The Body ◽  
Free Text ◽  
Medical Council ◽  
The Uk

Medical school can be a stressful experience for students, resulting in stress-related mental health problems. Policy recommendations from the General Medical Council (GMC), the body responsible for improving medical education in the UK, recommend the use of mindfulness training to increase well-being and resilience to stress. Students participating in an eight-week mindfulness training between Autumn 2011 and Spring 2015 were invited to complete a free text survey at the end of their mindfulness course. In addition, six qualitative interviews were conducted lasting between 60 and 90 minutes. Interviews used a topic guide and were recorded and transcribed verbatim. We used the framework approach to analyse the data. Students reported a new relationship to their thoughts and feelings which gave a greater sense of control and resiliency, an ability to manage their workload better, and more acceptance of their limitations as learners. The small group context was important. Students described improved empathy and communication skills through building inner awareness of thoughts and feelings, noticing judgments, and developing attentive observation. The findings show how resiliency and coping reserve can be developed within medical education and the role of mindfulness in this process. We present a conceptual model of a learnt cycle of specific vulnerability and describe how MBCT intercepts at various junctures in this self-reinforcing cycle through the development of new coping strategies that embrace an “allowed vulnerability.”

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