Abstract:The impact of stress on mental health in high-risk occupations may be mitigated by organizational factors such as leadership. Studies have documented the impact of general leadership skills on employee performance and mental health. Other researchers have begun examining specific leadership domains that address relevant organizational outcomes, such as safety climate leadership. One emerging approach focuses on domain-specific leadership behaviors that may moderate the impact of combat deployment on mental hea… Show more
“…Extending the supervisor support training to other domains of leadership in need of development is important. Consistent with the concept of behavioural health leadership suggested by Adler, Saboe, Anderson, Sipos and Thomas (), extending training to domains beyond work–family support (Hammer et al , ) and support for veteran transition into the workplace in the present study, to domains such as workplace violence prevention, sleep quality improvement, and training supervisors on more general culture of health issues is warranted and should be examined in future research.…”
The present study evaluates the effectiveness of a supervisor support training programme on both supervisor attitudes and employee sleep and stress outcomes by drawing on a multi-level rigorous randomized controlled trial in 35 organizations. Utilizing theory from the social support and training literatures, the purpose of the current study was to understand ways to improve the transition, and ultimately the health and well-being, of military veteran employees in the workplace via a supervisor support training intervention. Drawing on a sample of 982 supervisors and a subsample of 189 matched supervisor-employee dyads, the current study demonstrated that supervisor support training led to improved supervisor attitudes towards veteran employees. Additionally, supervisors' attitudes towards veteran employees at baseline significantly moderated the effects of the training on employee sleep and stress outcomes, suggesting that the training was more effective when supervisors started out with more positive attitudes towards veterans. These results demonstrate the importance of training supervisors to support employed veterans and employees more generally, and have implications for research, practice, and theory development.
Practitioner pointsThe Veteran Supportive Supervisor Training (VSST) promotes more positive supervisor attitudes towards veteran employees. When supervisor attitudes towards veteran employees are more positive, the supportive supervisor training improves sleep and stress outcomes for veteran employees. The VSST effects suggest that the training has promise to be extended to other leadership support domains, such as supervisor support for health; to other types of vulnerable and underserved workers, such as those with disabilities; and to other employee well-being outcomes, such as engagement and satisfaction at work and at home.With tens of thousands of U.S. veterans returning from Iraq and Afghanistan, and millions of international veterans residing worldwide, surprisingly little attention has been concentrated on their post-deployment transition into the civilian workforce.
“…Extending the supervisor support training to other domains of leadership in need of development is important. Consistent with the concept of behavioural health leadership suggested by Adler, Saboe, Anderson, Sipos and Thomas (), extending training to domains beyond work–family support (Hammer et al , ) and support for veteran transition into the workplace in the present study, to domains such as workplace violence prevention, sleep quality improvement, and training supervisors on more general culture of health issues is warranted and should be examined in future research.…”
The present study evaluates the effectiveness of a supervisor support training programme on both supervisor attitudes and employee sleep and stress outcomes by drawing on a multi-level rigorous randomized controlled trial in 35 organizations. Utilizing theory from the social support and training literatures, the purpose of the current study was to understand ways to improve the transition, and ultimately the health and well-being, of military veteran employees in the workplace via a supervisor support training intervention. Drawing on a sample of 982 supervisors and a subsample of 189 matched supervisor-employee dyads, the current study demonstrated that supervisor support training led to improved supervisor attitudes towards veteran employees. Additionally, supervisors' attitudes towards veteran employees at baseline significantly moderated the effects of the training on employee sleep and stress outcomes, suggesting that the training was more effective when supervisors started out with more positive attitudes towards veterans. These results demonstrate the importance of training supervisors to support employed veterans and employees more generally, and have implications for research, practice, and theory development.
Practitioner pointsThe Veteran Supportive Supervisor Training (VSST) promotes more positive supervisor attitudes towards veteran employees. When supervisor attitudes towards veteran employees are more positive, the supportive supervisor training improves sleep and stress outcomes for veteran employees. The VSST effects suggest that the training has promise to be extended to other leadership support domains, such as supervisor support for health; to other types of vulnerable and underserved workers, such as those with disabilities; and to other employee well-being outcomes, such as engagement and satisfaction at work and at home.With tens of thousands of U.S. veterans returning from Iraq and Afghanistan, and millions of international veterans residing worldwide, surprisingly little attention has been concentrated on their post-deployment transition into the civilian workforce.
“…Domain-speci c leadership has been studied in a variety of contexts from family-supportive supervisory behaviors (38) to safety leadership (39,40). In the military, this concept has included combat operational stress control leadership (41), sleep leadership (42,43), and health-promoting leadership (41,44,45). This research identi es speci c areas that leaders can focus on to support relevant outcomes.…”
Background
Infectious disease outbreaks are uniquely stressful for non-medical essential employees. Promoting the health of these workers is vital to minimize their distress and to ensure they are able to continue in their professional capacity. One way to support worker health is for supervisors to engage in behaviors that promote their employees’ behavioral health, wellbeing, and attitudes towards preventive medicine practices.
Methods
The present study examined if health-promoting leadership contributes to these outcomes in employees operating in an epidemic. Active-duty soldiers (N = 173) deployed to provide non-medical support in Liberia during the 2014 Ebola crisis completed surveys assessing posttraumatic stress disorder (PTSD), depression, anxiety, sleep problems, burnout, morale and attitudes, and rating their leaders on health-promoting behaviors. An exploratory factor analysis identified two leadership factors, one focused on psychological health and one on preventive medicine behaviors.
Results
Using mixed effects logistic regression, after adjusting for general leadership and soldier rank, health-promoting leadership focused on psychological health was associated with decreased odds of PTSD, depression, anxiety, and burnout, and increased odds of high morale and avoiding unnecessary risk. Health-promoting leadership behaviors focused on preventive medicine were associated with decreased odds of depression and anxiety, and increased odds of high morale, understanding the level of risk from disease, positive attitudes towards the deployment and preventive practices, and avoiding unnecessary risk.
Conclusions
Findings suggest health-promoting leadership behaviors could be valuable for employees responding to infectious disease outbreaks. Future research should examine whether training leaders in these skills can improve outcomes for non-medical employees in both military and civilian settings.
“…For example, even if the resilience training is highly successful, meaning that skill retention and application is high, the training effect would likely be incidental if the organization fails to offer providers with the proper resources, a reasonable and balanced caseload, reasonable administrivia, and good leadership. Indeed, Adler and coauthors [23] provided initial empirical evidence of a link between military leader behaviors and subordinate psychological health, so perhaps such work could be expanded to the medical provider community. Research on the horizon must not only focus on the individual factors associated with provider resilience but also account for factors largely outside of the providers' control at the organizational and contextual levels.…”
Section: Future Research Needs and Conclusionmentioning
After more than a decade of war, the US military continues to place significant emphasis on psychological health and resilience. While research and programs that focus on the broader military community's resilience continue to emerge, less is known about and until recently little focus has been placed on military medical provider resilience. In this article, we review the literature on military medical provider resilience, provide an overview of the programmatic and technological advances designed to sustain and develop military medical provider resilience, and finally offer recommendations for future research.
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