Sensemaking by Employees in Essential versus Non-essential Professions During the COVID-19 Crisis: A Comparison of Effects of Change Communication and Disruption Cues on Mental Health, Through Interpretations of Identity Threats and Work Meaningfulness.

This study examines the implications of categorizing workers into essential and non-essential groups due to disruptions in work associated with-and the quality of organizational change communication about-the COVID-19 pandemic. Specifically, we examine how these cues trigger identity threats and influence the meaningfulness of work, consequently affecting the mental health of workers (anxiety, distress, and depression). The results show that change communication reduces identity threat, while also increasing meaningfulness of work, for both work categories. However, the disruptions increase identity threat only for non-essential workers. Conversely, identity threat increases two of the three mental health issues while meaningfulness of work reduces two of them. The study contributes to our growing understanding of the pervasive, though subtle, implications of COVID-19 for the workplace by showing how a process of employee sensemaking and organizational change communication directly and indirectly influence important dimensions of mental health.

A tool and a tyrant: Social media and well-being in organizational contexts.

Social media technologies have the potential to be helpful and harmful to employees. We seek to move beyond this broad dichotomy by providing a concise review of current research on the relationship between social media use in organizational contexts and employee well-being. Our review comprises 51 articles which are grouped by theoretical focus: personal behavior theories, social behavior theories, and communication theories. The review illustrates that the negative implications of social media use can be ascribed to excessive usage patterns, the context, and personal circumstances of use. Alternatively, the positive implications of social media relate to the ways in which these technologies satisfy personal needs. The findings help contextualize the negative and positive implications of social media use for employee well-being.

Disruptions and General Distress for Essential and Nonessential Employees During the COVID-19 Pandemic.

The COVID-19 pandemic and outbreak response represent a global crisis that has affected various aspects of people's lives, including work. Speculation is rife about the impact of the crisis on employees. Countries and organizations worldwide have categorized some work as essential and, by extension, other work as nonessential. This study aims to investigate the impact of the pandemic by examining the relationship between work disruptions (at time 1) and general distress (at time 2) through various work stressors, contrasting the experiences of employees in essential versus nonessential work. For employees with essential jobs, there is a significant indirect effect of work disruptions on general distress through hindrance stressors. This relationship is not found for employees with nonessential jobs. The general distress of these employees is more strongly affected by disruptions through social stressors (here, social isolation). Hence, this study demonstrates how general distress is affected in different ways for employees conducting essential work and those conducting nonessential work. We further highlight the importance of considering social stressors in this relationship, especially for nonessential work. Organizational change communication quality mitigates the relationship between isolation and general distress for employees with nonessential jobs, but not for those with essential jobs.

"The Work Must Go On": The Role of Employee and Managerial Communication in the Use of Work-Life Policies.

The Netherlands is characterized by extensive national work-life regulations relative to the United States. Yet, Dutch employees do not always take advantage of existing work-life policies. Individual and focus group interviews with employees and managers in three (public and private) Dutch organizations identified how employee and managerial communication contributed to acquired rules concerning work-life policies and the interpretation of allocative and authoritative resources for policy enactment. Analyses revealed differences in employees' and managers' resistance to policy, the binds and dilemmas experienced, and the coordination of agreements and actions to complete workloads. There are also differences between public and private contexts in the enactment of national and organizational policies, revealing how national (e.g., gender) and organizational (e.g., concertive control) mechanisms play out in employee and managerial communication that determine the use of work-life policies.

The practical paradox of technology: The influence of communication technology use on employee burnout and engagement.

Technological advancements in the workplace frequently have produced contradictory effects by facilitating accessibility and efficiency while increasing interruptions and unpredictability. We combine insights from organizational paradoxes and the job demands-resources model to construct a framework identifying positive and negative mechanisms in the relationship between communication technology use (CTU) and employee well-being, operationalized as work engagement and burnout. In this study of Dutch workers, we demonstrate that CTU increases well-being through positive pathways (accessibility and efficiency) and decreases well-being through negative pathways (interruptions and unpredictability). We highlight the importance of (1) investigating CTU resources and demands simultaneously to grasp the relationship between CTU and employee well-being, and (2) considering CTU's downsides to successfully implement new communication technologies and flexible work designs.

The information needs of new radiotherapy patients: how to measure? Do they want to know everything? And if not, why?

PURPOSE: To establish 1) further psychometric properties of the information preference for radiotherapy patients scale (IPRP); 2) what information new radiotherapy patients want to receive; 3) which patients have a lower information need. METHODS AND MATERIALS: Eligible patients (n = 159; response rate 54%) of 15 radiation oncologists completed the IPRP and provided background characteristics before their first radiotherapy consultation. Exclusion criteria were: age <18 years, having undergone radiotherapy before, unable to read and write Dutch, cognitive problems or a brain tumor. RESULTS: Reliability (Cronbach's alpha 0.84-0.97) and concurrent validity (r from .39 to .57, p < 0.001) of the subscales of the IPRP were good. New radiotherapy patients want extensive information about their disease, treatment, procedures, side effects, and prognosis (mean scores between 4.1 and 4.4 on a scale from 1 to 5) but less information about psychosocial issues (mean = 3.4). Patients who are older and male, have lung or rectal cancer, more difficulty understanding and a higher trait anxiety level, need less information. CONCLUSIONS: The IPRP can reliably and validly address information needs of patients undergoing radiation treatment. Most new radiotherapy patients want much information. Yet, information giving should be tailored according to their background, understanding and anxiety.

Assessing measurement invariance of a health-related quality-of-life questionnaire in radiotherapy patients.

OBJECTIVE: If the assumption of measurement invariance is not tested, we cannot be sure whether differences observed are due to true differences in health-related quality-of-life (HRQoL), or are measurement artifacts. We aim to investigate this assumption in a sample of heterogeneous cancer patients, focusing on whether age, sex, previous treatment for cancer, and information regarding treatment preferences result in biased HRQoL scores. METHODS: 155 cancer patients who were about to begin their first session of radiotherapy were included. HRQoL was measured using the EORTC QLQ-C30. Structural equation modeling was applied to assess whether there was a violation of the assumption of invariance. RESULTS: A satisfactory single construct (Functioning HRQoL) measurement model was found and two violations of invariance were identified. Irrespective of patients' Functioning HRQoL, older patients reported worse physical functioning and patients who had received treatment prior to radiotherapy reported worse emotional functioning than we would otherwise expect. CONCLUSIONS: In the present study, accounting for measurement bias lead to a substantial improvement in the overall fit of the model. By ignoring the bias, we would have concluded that the model fit was unsatisfactory. The findings underline the importance of investigating measurement invariance in scales designed for heterogeneous samples.

Measuring cancer patients' reasons for their information preference: construction of the Considerations Concerning Cancer Information (CCCI) questionnaire.

OBJECTIVES: This paper describes the further development and psychometric properties of an instrument to measure cancer patients' reasons to want complete or limited information: the Considerations Concerning Cancer Information questionnaire (CCCI). Understanding cancer patients' reasons to want complete or limited information will provide the physician with information that enables him or her to tailor information giving. METHODS: CCCI's content validity, internal structure, and convergent validity were investigated among 145 cancer patients, new to radiotherapy. RESULTS: Underlying reasons for information preference among cancer patients were derived from existing qualitative studies, narratives, and interviews. This resulted in the CCCI containing two parts: reasons to favor complete information disclosure and reasons to prefer only limited information about disease and treatment. The four identified dimensions to prefer information consist of: sense of control, expectations of others, anxiety, and autonomy. The four dimensions for reasons to give up on acquiring information consist of: avoidance, optimism, comprehension, and not wanting to be a burden. Confirmatory factor analysis indicated that the measurement model provided good fit to the data. Scales had good internal consistency, satisfactory item-total correlations corrected for overlap and satisfactory convergent validity. CONCLUSIONS: These findings confirm evidence of the reliability and validity of the CCCI for use in cancer care. Researchers and health-care providers can use the instrument to assess cancer patients' reasons to want complete or limited information and provide tailored care.

Self-rated health and sickness-related absence: The modifying role of civic participation.

In this study, we examined civic participation as an effect modifier between self-rated health and absence from work. Building on the theoretical framework of social exchange, we use German data to test a conceptual model relating self-rated health to sickness-related absence, as well as the interaction between self-rated health and civic participation. We used the 1996 wave of the German Socio-Economic Panel Study. Since sickness-related absence is a censored variable, we used a tobit regression model. The results confirmed the hypotheses: the effect between self-rated health and sickness-related absence was modified by civic participation, indicating that the effect of self-rated health on sickness-related absence is less pronounced for people who participate more as opposed to those who report less civic participation. In other words, those who are unhealthy and participate more, are fewer days absent from work. We argue that civic participation buffers the relationship between self-rated health and sickness-related absence because those who participate more have more resources to fulfill self-regulatory needs. Our findings emphasize the importance of civic participation outside the workplace for people at work when they do not feel physically well.

Determinants of the use of a diabetes risk-screening test.

A study was designed to investigate why people do or do not make use of a diabetes risk test developed to facilitate the timely diagnosis of diabetes. Data were collected using a web-based questionnaire, which was based on the Health Belief Model, the Theory of Planned Behavior, and the Threatening Medical Situations Inventory. People who had and had not used the risk test were recruited to complete the survey. The sample consisted of 205 respondents: 44% who had used the test and 56% who had not. The hypothesized relationships between the dependent variable (diabetes risk test use) and the determinants used in this study were tested using logistic regression analysis. Only two significant predictors of diabetes risk test use were found: gender and barriers. More women than men use the test. Furthermore, people who experience more barriers will be less inclined to use the test. The contribution of diabetes screening tests fully depends on people's willingness to use them. To optimize the usage of such test, it is especially important to address the barriers as perceived by the public. Two types of barriers must be addressed: practical barriers (time to take the test, fear of complexity of the test), and consequential barriers (fear of the disease and treatment, uncertainties about where to go in the case of an increased risk of diabetes).