• Summary:In recent decades the public welfare sector has been subjected to major structural changes, and studies of various occupational groups within human service work have reported increased workload and a high prevalence of work-related stress. Using questionnaire data from a sample of human service workers within social work, child care and elderly care, the aim of this study was to identify different patterns of coping strategies to manage the imbalance between work demands and resources, and then to investigate their impact on outcomes in employee health and service quality. • Findings:Cluster analysis identified three strategy profiles: compensatory and quality reducing, voice and support seeking and self-supporting, and the comparative analysis indicated that the compensatory and quality reducing cluster may be regarded as a risk group. Results of hierarchical regression analyses disclosed that the identified strategies affected health outcomes as well as perceived service quality. The use of compensatory and quality reducing strategies was negatively related to health and quality, although work demands, resources and background characteristics were controlled for. • Applications:The results add to the research field through the identification of compensatory and quality reducing strategies not previously described in the coping literature, as well as the risks associated with them. Applied in practice, the identified strategy clusters might help distinguish ‘risk behaviors’ from more beneficial strategies. The results also point toward the importance of providing organizational structures that allow the employees to voice their opinions and critique, as well as to give and receive social support.

This study investigates the relationship between the work conditions in higher education work settings, the academic staff's strategies for handling excessive workload and impact on well-being and work-life balance. The results show that there is a risk that staff in academic work places will start using compensatory coping strategies to deal with excessive demands and that this might seriously impair their health. The compensatory strategy cluster emerged as a 'risk group' among the three identified strategy clusters, having a lower work-life balance and suffering from stress-related symptoms more often than the other two strategy clusters. The results also show that high educational level, management position and wide discretion as regards regulation of work in time and space (when and where to work) are factors that might contribute to a lower work-life balance. In practice, the results can contribute to create more sustainable work environments by detecting risk behaviours and risk factors.

The restructuring of human service organisations into more lean organisations has brought increased work demands for many human service professions. Social work stands out as a particularly exposed occupational group, in which high work demands are paired with a large individual responsibility to carry out the job. The objectives of the study were to identify what kind of coping strategies social workers employ to handle the imbalance between demands and resources in work and to investigate how different strategies affect outcomes regarding health, service quality and professional development. Sixteen individual interviews and four group interviews with another 16 social workers were conducted. The analysis identified five different main types of strategies: Compensatory, Demand-reducing, Disengagement, Voice and Exit. An extensive use of compensatory strategies was connected with negative outcomes in health. Often, these compensatory strategies were replaced or combined with different means of reducing the work demands, which in turn influence performance and service quality in a negative way. The results highlight dilemmas the social workers are facing when the responsibility to deal with this imbalance is 'decentralised' to the individual social worker. When resources do not match the organisational goals or quality standards, the social workers are forced into strategies that either endanger their own health or threaten the quality of service.

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