Category Archives: Workplace Safety

Are You Depressed Because of Your Job or Are You Depressed Regardless?

Businessman sitting on floor in corridor | Credit: Blend_Images
Businessman sitting on floor in corridor | Credit: Blend_Images

A Careers Reporter for Business Insider contacted me about signs that a person’s job is making him/her depressed. I’ve been wanting to write about mental illness and the workplace but just never got around to doing it and was happy that this gave me a chance to do so.

Here is what I wrote back:

The APA Dictionary of Psychology (2nd ed.) defines depression as follows:

“Depression: a negative affective state, ranging from unhappiness and discontent to an extreme feeling of sadness, pessimism, and despondency, that interferes with daily life.”

According to “Mental Illness in the Workplace” (Harder, Wagner, & Rash, 2014), depression is the most prevalent type of mental illness both inside the workplace and outside of it.

Signs of depression (and I’m referring to clinical depression) include significant sadness lasting most of the day and occurring most days of the week. What’s more, many depressed people also have trouble sleeping and/or eating. They’re tired or are chronically fatigued, can’t concentrate, feel worthless, have thoughts about suicide, or have lost experiencing joy from activities that they once enjoyed (Harder, Wagner, & Rash, 2014).

Other signs to look for, particularly in the workplace, are employees who look sad, angry, unmotivated, withdrawn, or who are tired with frequent mistakes or errors at work and/or decrease in performance or performance that’s inconsistent or unpredictable. They may also have interpersonal relationships that are stormy or diminished (Harder, Wagner, & Rash, 2014).

So how would you know if your job is making you depressed? We would want to look at workplace factors that include the following:

  • High job strain – Is the job highly and psychologically demanding, with low decision flexibility?
  • High stress, high threat – Does the job expose the employee to a high stress, high threat environment?
  • Lack of or low support system – Is there support from colleagues and managers?

If we were to take what I just shared and put them into a list, it might look like this:

Is Your Job Making You Depressed?

  1. High job strain – Is the job highly and psychologically demanding, with low decision flexibility?
  2. High stress, high threat – Does the job expose the employee to a high stress, high threat environment?
  3. Lack of or low support system – Is there support from colleagues and managers?
  4. Being or feeling sad, angry, unmotivated, or withdrawn.
  5. Feeling tired and making frequent mistakes or errors at work and/or being less productive or demonstrating performance that’s inconsistent or unpredictable.

But, and I believe this is very important, we should also phrase it this way . . .

Are You Depressed Regardless of The Job You Have? In other words, it might just be that an individual is depressed no matter what type of job he/she has. And if that’s the case (that it’s really about a person who is or might be depressed), then we would want to look for a combination of symptoms below:

  1. Significant sadness lasting most of the day, and occurring most days of the week.
  2. Difficulty sleeping and/or eating.
  3. Feeling tired or is chronically fatigued.
  4. Unable or trouble concentrating.
  5. Feeling worthless.
  6. Have thoughts about suicide.
  7. Does not enjoy activities that you once enjoyed.
  8. Rocky or reduced interpersonal relationships.
  9. These problems are significantly interfering with your daily life.

Written By: Steve Nguyen, Ph.D.
Leadership Advisor & Talent Consultant

References

Harder, H. G., Wagner, S., & Rash, J. (2014). Mental illness in the workplace: Psychological disability management. Burlington, VT: Gower.

VandenBos, G. R. (Ed.). (2015). APA dictionary of psychology (2nd ed.). Washington, DC: American Psychological Association.

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Distracted Doctoring is a Workplace Safety Issue

Surgery” by Army Medicine

I came across a fascinating article (Richtel, 2011) posted on the New York Times. The article talked about doctors, nurses, and other hospital staff who are distracted by texting, surfing the web, doing online shopping, and/or using social networks (e.g., Facebook).

The NY Times article said that the unintended consequence of depending on computers and smartphones to access patient data, drug information, and patient care resources is that doctors and nurses are now fixated on these devices and not their patients, even during critical care (such as during an operation).

Examples include a neurosurgeon who, instead of focusing on the surgery, was making a personal phone call or a nurse who was checking airfares during surgery. Forget distracted driving, let’s talk about distracted doctoring!

Results from an October 2010 online survey posted on a perfusion* listserv and forum revealed that use of a cell phone during the performance of cardiopulmonary bypass (CPB) was reported by 55.6% of perfusionists, and sending text messages while performing CPB was acknowledged by 49.2% (Smith, Darling, & Searles, 2011).

*In basic terms, cardiopulmonary bypass (CPB) refers to using a heart-lung machine to take over the function of the heart and lungs during surgery and maintain blood and oxygen flow throughout the body.

Ironically, while many perfusionists believed that cell phone use raises significant safety issues when operating the heart-lung machine, the majority of them have used a cell phone while performing this activity.

According to the Institute of Medicine,

  • Between 44,000 to 98,000 Americans die as a result of medical errors every year.
  • Medication-related mistakes for people who are hospitalized cost about $2 billion annually.
  • Medical mistakes/errors kill more Americans per year than breast cancer, AIDS, or motor vehicle accidents.

The NY Times article summed this up well:

“Doctors and medical professionals have always faced interruptions from beepers and phones, and multitasking is simply a fact of life for many medical jobs. What has changed, doctors say, especially younger ones, is that they face increasing pressure to interact with their devices.”

Just as in distracted driving, one might ask the rhetorical question:

“What is so important that it just can’t wait until after you’re finished?” Or “What’s so important that you can’t hold off until after performing the operation?”

References

Institute of Medicine. The Chasm in Quality: Select Indicators from Recent Reports Retrieved from http://mem.iom.edu/?id=14991

Richtel, M. (December, 2011). As Doctors Use More Devices, Potential for Distraction Grows. The New York Times. Retrieved from http://www.nytimes.com/2011/12/15/health/as-doctors-use-more-devices-potential-for-distraction-grows.html

Smith, T., Darling, E., & Searles, B. (2011). 2010 Survey on cell phone use while performing cardiopulmonary bypass. Perfusion, 26(5), 375-380. doi:10.1177/0267659111409969