Factors Associated with Providers’ Work Engagement and Burnout in Homeless Services: A Cross‐national Study

Lenzi, Michela; Santinello, Massimo; Gaboardi, Marta; Disperati, Francesca; Vieno, Alessio; Calcagnì, Antonio; Greenwood, Ronni Michelle; Rogowska, Aleksandra M.; Wolf, Judith; Loubière, Sandrine; Beijer, Ulla; Bernad, Roberto; Vargas-Moniz, Maria; Ornelas, José; Spinnewijn, Freek; Shinn, Marybeth

doi:10.1002/ajcp.12470

Cited by 18 publications

(19 citation statements)

References 62 publications

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“…While burnout is significant in the homelessness sector, there is evidence to suggest that organizations can play a role in protecting workers against burnout. One study found that availability of perceived relevant training was positively associated with service provider work engagement and negatively associated with burnout [ 31 ]. Another study introduced the “Florence Nightingale effect” that higher perceived client suffering was correlated with higher job satisfaction and lower burnout among staff, and this relationship was mediated by greater identification with the organization [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Perspectives of homeless service providers on their work, their clients, and the healthcare system

Qian

Hauser

2022

PLoS ONE

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Purpose To describe the perspectives of homeless service providers who work for Chicago organizations that primarily serve persons experiencing homelessness. Methods A qualitative, cross-sectional study of Chicago homeless service providers (n = 17) consisting of a semi-structured interview and the Attitudes Toward the Homeless Inventory (ATHI). Interviews were analyzed for themes and patterns using inductive approach. Results Four categories of 16 themes describing homeless service providers’ perspectives and perceptions: 1) perspectives on work, 2) perspectives on the general population of those experiencing homelessness at large, 3) perceptions of the population of those experiencing homelessness based on client interactions, and 4) perceptions of hospitals and healthcare. Conclusions A richer understanding of the perspectives of homeless service may provide guidance in recruitment and training of workers in this area and offer insight into caring for persons experiencing homelessness in hospital settings.

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Section: Discussionmentioning

confidence: 99%

Perspectives of homeless service providers on their work, their clients, and the healthcare system

Qian

Hauser

2022

PLoS ONE

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“…For example, an organisational ethos which encourage feelings of efficacy and control, as well as good supervision and managerial support (Adams et al., 2006; Lloyd et al., 2002), are likely to lead to higher levels of job satisfaction and provide a protective buffer against STS (Berger et al., 2015; Hinderer et al., 2014; Makic, 2015). Similarly, provision that instils or facilitates appreciated collegial and supervision support is equally beneficial (Drüge & Schleider, 2016; Kidd et al., 2007; Lenzi et al., 2020; Stalker et al., 2007; Wirth et al., 2019). In addition, commitment to an organisational ‘identity’ can play a significant supporting role.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, Kosny and Eakin (2008) (Schön, 1983) and TIC values being central to PIE approaches (Cockersell, 2011;Johnson & Haigh, 2010;Phipps et al, 2017), this finding highlights the need for the host organisation to proactively address these engagement challenges. Additional initiatives are needed to highlight and share identified support needs with staff and to promote their relevance for personal well-being and practice (Lenzi et al, 2020).…”

Section: Perceptions Of the Quality Of Support Of Client Needs Experi...mentioning

confidence: 99%

“…Research has highlighted that homelessness practitioners describe: feelings of helplessness or ineffectiveness in being able to change people's situations; difficulties in maintaining ‘professional distance’ between work and home life (Wirth et al., 2019); levels of ‘emotional exhaustion’ (Stalker et al., 2007) and vulnerability to what has been termed secondary traumatic stress (STS; with symptoms akin to primary trauma and post‐traumatic stress disorder; Bride et al., 2004; Chrestman, 1999; Figley, 1995). These challenges, especially when enduring, can lead to reduced well‐being and work effectiveness, ‘emotional detachment’, and, in some cases, ‘burnout (BO)’ and ultimately high rates of attrition and staff turnover (Borritz et al., 2006; Collins & Long, 2003; Hagen & Hutchison, 1988; Kidd et al., 2007; Lenzi et al., 2020; Lloyd et al., 2002). Moreover, beyond negatively impacting well‐being, these challenges may adversely shape practitioners’ perceptions of their working environments and client relationships (Maslach, 1982), as well as attitudes towards their organisation's methods of practice and interventions (Deci & Ryan, 1985; Lynch et al., 2005; Ryan & Deci, 2000).…”

Section: Introductionmentioning

confidence: 99%

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‘Grounding a PIE in the sky’: Laying empirical foundations for a psychologically informed environment (PIE) to enhance well‐being and practice in a homeless organisation

Schneider

Hobson

Shelton

2021

Health Social Care Comm

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While psychologically informed environments (PIEs) are gaining in prominence in efforts to improve well-being and practice in the homeless sector, their empirical foundations remain tenuous. We present a unique scoping needs analysis of staff and client well-being, staff attitudes and the social-therapeutic climate in a UK-based homeless prevention organisation (prior to PIE implementation). Our aims were: (a) to apply a robust framework to pinpoint need and target forthcoming PIE initiatives and (b) to establish a validated needs baseline that informs and measures efficacy of PIE for its future development. Four established personal and practice well-being measures were administered to 134 (predominantly 'frontline') staff and 50 clients. Staff completed the: Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), Professional Quality of Life Scale (measuring compassion satisfaction [CS], burnout [BO] and secondary traumatic stress [STS]), Attitudes related to Trauma-informed Care Scale (ARTIC-10; measuring practice attitudes towards trauma-informed values)and the Essen Climate Evaluation Schema (EssenCES; measuring perceptions of client cohesion, safety and practitioner relationships in housing projects). Clients completed the WEMWBS and EssenCES. Vulnerability to STS was evident in nearly two-thirds of frontline staff and it was a statistically significant predictor of BO. It was not, however, associated with lesser levels of CS. We discuss this complex dynamic in relation to highlighted strategic recommendations for the PIE framework, and the identified potential challenges in implementing trauma-informed and reflective practice in the organisation. We conclude with a critique of the value and the lessons learnt from our efforts to integrate stronger empirical substance into the PIE approach.

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“…Organisational and individual personal factors can contribute to staff wellbeing. Organisational factors include management support, positive team dynamics and reflective practices [ 20 , 21 ]. Reflective practice refers to formal or informal arrangements that support staff to reflect honestly and openly on the emotional components of their work [ 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Stress and Wellbeing during the COVID-19 Pandemic: A Mixed-Methods Exploration of Frontline Homelessness Services Staff Experiences in Scotland

Carver

Price

Falzon

et al. 2022

IJERPH

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Staff working in homelessness services often find the work rewarding yet challenging, and the sector experiences high levels of staff burnout and staff turnover. During the COVID-19 pandemic, staff working in these services faced particularly stressful working conditions. This study explored the experiences of stress and wellbeing among those working in frontline homelessness service roles during the early stages of the pandemic in Scotland. Semi-structured interviews were conducted with 18 participants, 11 of whom completed the Maslach Burnout Inventory (MBI). Qualitative data were analysed using Framework Analysis in NVivo, informed by the Revised Transactional Model of occupational stress and coping. MBI data were analysed using descriptive statistics. The COVID-19 pandemic positively and negatively impacted participants’ lives and roles. Organisational culture acted as a magnifying glass for pre-pandemic practices: for some, the pandemic brought teams and staff closer together, creating a better working environment. For others, it led to fragmentation and frustration. Participants discussed coping strategies and recommendations for the future to protect staff wellbeing. Quantitative data suggested that participants were not experiencing burnout, although some were at heightened risk. Future research should explore the longer-term impact of the pandemic on homelessness service staff outcomes.

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Factors Associated with Providers’ Work Engagement and Burnout in Homeless Services: A Cross‐national Study

Cited by 18 publications

References 62 publications

Perspectives of homeless service providers on their work, their clients, and the healthcare system

Perspectives of homeless service providers on their work, their clients, and the healthcare system

‘Grounding a PIE in the sky’: Laying empirical foundations for a psychologically informed environment (PIE) to enhance well‐being and practice in a homeless organisation

Stress and Wellbeing during the COVID-19 Pandemic: A Mixed-Methods Exploration of Frontline Homelessness Services Staff Experiences in Scotland

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