"Out of office": Availability norms and feeling burned out during the COVID-19 pandemic: The mediating role of autonomy and telepressure.

Introduction: Digital innovations make it possible to work anywhere and anytime using any kind of device. Given these evolutions, availability norms are emerging at work. These norms specifically refer to the experienced beliefs or expectations from colleagues or superiors to be available for work-related communication after regular work hours. We rely on the Job-Demands Resources Model as we aim to investigate the relationship between these availability norms and burnout symptoms during the COVID-19 pandemic. We first of all study to what extent availability norms are associated with heightened burnout symptoms. Secondly, we study how both a personal demand, namely telepressure, and a job resource, namely autonomy, could offer distinct and relevant explanations for the role these availability norms play in experiencing burnout symptoms. Method: We collected data through a survey study with 229 employees from various organizations in the second half of 2020. Results: The findings indicated that indeed availability norms are significantly associated with more burnout symptoms and that both heightened telepressure and reduced autonomy mediated this relationship. Discussion: This study contributes to theory and practice as we offer insight into how availability norms at work could be detrimental for the occupational health of employees, which can be taken into account when setting up rules and regulations at work.

An Explorative Study on the Relationship between Learning Opportunities at School and at Work and Adolescents' Mental Health.

Based on the Job Demands-Resources model, this study examined the association of learning opportunities of adolescents at school and work with their mental health, operationalized in terms of life satisfaction and depression. Intrinsic motivation at school and at work were studied as potential mediators. Within a representative sample of adolescents (n = 474), the results supported within domain relationships in the sense that learning opportunities at school and at work were positively related to intrinsic motivation at school and at work, respectively, which in turn were related to higher levels of life satisfaction and lower levels of depression. Cross-domain relationships were not significant, except for a negative relationship between learning opportunities at work and intrinsic motivation at school, suggesting that having a good job can pull students away from school.

Development and validation of a care process self-evaluation tool.

Clinical pathways are used as a method of organizing care processes. Although they are used worldwide, the concept remains unclear, with little understanding of what exactly is being implemented. A recent systematic review revealed that, although a tool exists to score the instrumental qualities of clinical pathways, no tools are available to assess how the clinical pathway influences the process of care. These tools are needed for a better understanding of the impact of clinical pathways on the length of hospital stay and patient outcomes. In this study, a Care Process Self-Evaluation Tool (CPSET), based on the clinical pathway concept, for assessing the organization of the process of care has been developed and tested. Qualitative and quantitative methods, involving 885 professionals and patients, were used in the development and validation. The CPSET is a valid and reliable 29-item instrument for assessing how the process of care is organized. The CPSET has five subscales: patient-focused organization, coordination of care, communication with patients and family, cooperation with primary care and monitoring/follow-up of the care process. The CPSET can be used in the audit and accreditation of care processes and will help managers and clinicians to understand better how care processes are organized.