Oncology Healthcare Professionals’ Awareness and Uptake of the Employee Assistance Programme in Three Public Healthcare Facilities in KwaZulu-Natal, South Africa
DOI:
https://doi.org/10.25159/2708-9355/16107Keywords:
employee assistance programme, oncology healthcare professionals, psychosocial support services, awareness, uptake, workplace wellbeingAbstract
Institutional psychosocial support services have gained traction, globally, more so within the context of healthcare facilities. This is mainly due to the recognition that institutional psychosocial support services are beneficial to both employees and employers, alike. However, while these institutional psychosocial support services are important, their uptake remains relatively low. With the focus being on the employee assistance programme (EAP), this study aimed to explore the awareness and uptake of institutional psychosocial support services among oncology healthcare professionals (OHPs) in public healthcare facilities in KwaZulu-Natal (KZN), South Africa. Using the interpretative phenomenological approach, the qualitative study was conducted in three public healthcare facilities that offer oncology services in KZN. Semi-structured in-depth interviews were conducted among 31 participants who were OHPs in the three public healthcare facilities. Thematic data analysis produced two main themes and six respective sub-themes. The main themes were awareness of institutional psychosocial support services and low uptake of institutional psychosocial support services, mainly owing to adequate personal support systems, privacy and confidentiality concerns, and stigma. The study findings point to the need for stronger EAPs that are needs-based, promoted regularly, and evaluated, in public healthcare facilities. To encourage service uptake and address privacy, confidentiality and stigma concerns, innovative and non-stigmatising ways of promoting these services are required, including hybrid approaches to the provision of EAP services. The study findings can provide a valuable contribution to the continued development and strengthening of institutional psychosocial support services in public healthcare facilities.
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References
Akbulut, N., and O. Razum. 2022. “Why Othering Should Be Considered in Research on Health Inequalities: Theoretical Perspectives and Research Needs.” SSM – Population Health 20: 101286. https://doi.org/10.1016/j.ssmph.2022.101286 DOI: https://doi.org/10.1016/j.ssmph.2022.101286
Attridge, M. 2014. “Employee Assistance Programs.” Wiley Encyclopedia of Management. Accessed May 4, 2024. https://doi.org/10.1002/9781118785317.weom050126 DOI: https://doi.org/10.1002/9781118785317.weom050126
Bardoel, E. A., T. M. Pettit, H. De Cieri, and L. McMillan. 2014. “Employee Resilience: An Emerging Challenge for HRM.” Asia Pacific Journal of Human Resources 52 (3): 279–297. https://doi.org/10.1111/1744-7941.12033 DOI: https://doi.org/10.1111/1744-7941.12033
Berry, L., A. M. Mirabito, and W. B. Baun. 2020. “What’s the Hard Return on Employee Wellness Programs?” Harvard Busines Review. Accessed May 4, 2024. https://hbr.org/2010/12/whats-the-hard-return-on-employee-wellness-programs
Bozdağ, F., and N. Ergün. 2021. “Psychological Resilience of Healthcare Professionals during COVID-19 Pandemic.” Psychological Reports 124 (6): 2567–2586. https://doi.org/10.1177/0033294120965477 DOI: https://doi.org/10.1177/0033294120965477
Carroll, M. 2016. “Othering and Its Guises.” Philosophy, Psychiatry, & Psychology 23 (3): 253–256. https://doi.org/10.1353/ppp.2016.0026 DOI: https://doi.org/10.1353/ppp.2016.0026
Csiernik, R., M. Cavell, and B. Csiernik. 2021. “EAP Evaluation 2010–2019: What Do We Now Know?” Journal of Workplace Behavioral Health 36 (2): 105–124. https://doi.org/10.1080/15555240.2021.1902336 DOI: https://doi.org/10.1080/15555240.2021.1902336
EAPASA (Employee Assistance Professionals Association of South Africa). 2024. “What Is an Employee Assistance Programme?” Accessed May 4, 2024. https://www.eapasa.co.za/about-eapa-sa/what-is-an-employee-assistance-programme/
Eicher, M., M. Matzka, C. Dubey, and K. White. 2015. “Resilience in Adult Cancer Care: An Integrative Literature Review.” Oncology Nursing Forum 42 (1): E3–E16. https://doi.org/10.1188/15.ONF.E3-E16 DOI: https://doi.org/10.1188/15.ONF.E3-E16
Etikan, I., S. A. Musa, and R. S. Alkassim. 2016. “Comparison of Convenience Sampling and Purposive Sampling.” American Journal of Theoretical and Applied Statistics 5 (1): 1–4. https://doi.org/10.11648/j.ajtas.20160501.11 DOI: https://doi.org/10.11648/j.ajtas.20160501.11
Fereday, J., and E. Muir-Cochrane. 2006. “Demonstrating Rigor Using Thematic Analysis: A Hybrid Approach of Inductive and Deductive Coding and Theme Development.” International Journal of Qualitative Methods 5 (1): 80–92. https://doi.org/10.1177/160940690600500107 DOI: https://doi.org/10.1177/160940690600500107
Govender, T., and R. Vandayar. 2018. “EAP in South Africa: HIV/AIDS Pandemic Drives Development.” Journal of Employee Assistance 48 (4): 12–21.
Granek, L., P. Mazzotta, R. Tozer, and M. K. Krzyzanowska. 2012. “What Do Oncologists Want?” Supportive Care in Cancer 20 (10): 2627–2632. https://doi.org/10.1007/s00520-012-1528-2 DOI: https://doi.org/10.1007/s00520-012-1528-2
Granek, L., P. Mazzotta, R. Tozer, and M. K. Krzyzanowska. 2013. “Oncologists’ Protocol and Coping Strategies in Dealing with Patient Loss.” Death Studies 37 (10): 937–952. https://doi.org/10.1080/07481187.2012.692461 DOI: https://doi.org/10.1080/07481187.2012.692461
Grey, F. 2016. “Benevolent Othering: Speaking Positively about Mental Health Service Users.” Philosophy, Psychiatry, & Psychology 23 (3): 241–251. https://doi.org/10.1353/ppp.2016.0025 DOI: https://doi.org/10.1353/ppp.2016.0025
Guille, C., H. Speller, R. Laff, C. N. Epperson, and S. Sen. 2010. “Utilization and Barriers to Mental Health Services among Depressed Medical Interns: A Prospective Multisite Study.” Journal of Graduate Medical Education 2 (2): 210–214. https://doi.org/10.4300/JGME-D-09-00086.1 DOI: https://doi.org/10.4300/JGME-D-09-00086.1
Hamilton, S., V. Tran, and J. Jamieson. 2016. “Compassion Fatigue in Emergency Medicine: The Cost of Caring.” Emergency Medicine Australasia 28 (1): 100–103. https://doi.org/10.1111/1742-6723.12533 DOI: https://doi.org/10.1111/1742-6723.12533
Hlubocky, F. J., M. Rose, and R. M. Epstein. 2017. “Mastering Resilience in Oncology: Learn to Thrive in the Face of Burnout.” American Society of Clinical Oncology Educational Book 37: 771–781. https://doi.org/10.1200/EDBK_173874 DOI: https://doi.org/10.1200/EDBK_173874
Hu, Y. Y., M. L. Fix, N. D. Hevelone, S. R. Lipsitz, C. C. Greenberg, J. S. Weissman, and J. Shapiro. Physicians’ Needs in Coping with Emotional Stressors: The Case for Peer Support.” Archives of surgery 147 (3): 212–217. https://doi.org/10.1001/archsurg.2011.312 DOI: https://doi.org/10.1001/archsurg.2011.312
ICAS (Independent Counselling and Advisory Services). 2023. “Who Is ICAS?” Accessed November 18, 2023. https://uksu.ukzn.ac.za/wp-content/uploads/2020/04/2020.039-ICAS-EWP-Presentation-UKZN.pdf
Jamshed, S. 2014. “Qualitative Research Method-Interviewing and Observation.” Journal of Basic and Clinical Pharmacy 5 (4): 87–88. https://doi.org/10.4103/0976-0105.141942 DOI: https://doi.org/10.4103/0976-0105.141942
Johnson, J. L., J. L. Bottorff, A. J. Browne, S. Grewal, B. A. Hilton, and H. Clarke. 2004. “Othering and Being Othered in the Context of Health Care Services.”
Health Communication 16 (2): 255–271. https://doi.org/10.1207/S15327027HC1602_7 DOI: https://doi.org/10.1207/S15327027HC1602_7
Kerasidou, A., and R. Horn. 2016. “Making Space for Empathy: Supporting Doctors in the Emotional Labour of Clinical Care.” BMC Medical Ethics 17 (1): 8. https://doi.org/10.1186/s12910-016-0091-7 DOI: https://doi.org/10.1186/s12910-016-0091-7
KZN (KwaZulu-Natal) Department of Health. 2024a. “Addington Hospital.” Accessed May 15, 2024. http://www.kznhealth.gov.za/addingtonhospital.htm
KZN (KwaZulu-Natal) Department of Health. 2024b. “Greys Hospital.” Accessed May 15, 2024. http://www.kznhealth.gov.za/greyshospital.htm
KZN (KwaZulu-Natal) Department of Health. 2024c. “Inkosi Albert Luthuli Central Hospital.” Accessed May 15, 2024. https://www.ialch.co.za/our-vision-history/
Long, T., and F. L. Cooke. 2022. “Advancing the Field of Employee Assistance Programs Research and Practice: A Systematic Review of Quantitative Studies and Future Research Agenda.” Human Resource Management Review 100941. https://doi.org/10.1016/j.hrmr.2022.100941 DOI: https://doi.org/10.1016/j.hrmr.2022.100941
Lyckholm, L. 2001. “Dealing with Stress, Burnout, and Grief in the Practice of Oncology.” Lancet Oncology 2 (12): 750–755. https://doi.org/10.1016/S1470-2045(01)00590-3 DOI: https://doi.org/10.1016/S1470-2045(01)00590-3
Maiden, R. P. 1992. Employee Assistance Programs in South Africa. London: Psychology Press.
Medisauskaite, A., and C. Kamau. 2017. “Prevalence of Oncologists in Distress: Systematic Review and Meta-Analysis.” Psychooncology 26 (11): 1732–1740. https://doi.org/10.1002/pon.4382 DOI: https://doi.org/10.1002/pon.4382
Medland, J., J. Howard-Ruben, and E. Whitaker. 2004. “Fostering Psychosocial Wellness in Oncology Nurses: Addressing Burnout and Social Support in the Workplace.” Oncology Nursing Forum 31 (1): 47–54. https://doi.org/10.1188/04.ONF.47-54 DOI: https://doi.org/10.1188/04.ONF.47-54
Naidoo, A. V., and R. Jano. 2003. “The Role of Employee Assistance Programmes (EAPs) in the South African Context.” Social Work Practitioner-Researcher 15 (2): 113–127.
Phillips, M., and J. Lu. 2018. “A Quick Look at NVivo.” Journal of Electronic Resources Librarianship 30 (2): 104–106. https://doi.org/10.1080/1941126X.2018.1465535 DOI: https://doi.org/10.1080/1941126X.2018.1465535
Roberts, M. L. A., and M. Schiavenato. 2017. “Othering in the Nursing Context: A Concept Analysis.” Nursing Open 4 (3): 174–181. https://doi.org/10.1002/nop2.82 DOI: https://doi.org/10.1002/nop2.82
SAACI (Southern African Association for the Conference Industry). 2023. “Independent Counselling and Advisory Services (ICAS).” Accessed November 13, 2023. https://www.saaci.co.za/page/icas/#:~:text=ICAS%20stands%20for%20Independent%20Counselling,companies%20across%20all%20SA%20sectors
Sefotho, M. M., and C. T. Seema. 2020. “Utilising Counselling Services by Law Enforcement: An Exploratory Case Study.” Journal of Psychology in Africa 30 (4): 374–378. https://doi.org/10.1080/14330237.2020.1796043 DOI: https://doi.org/10.1080/14330237.2020.1796043
Thanh, N. C., and T. T. Thanh. 2015. “The Interconnection between Interpretivist Paradigm and Qualitative Methods in Education.” American Journal of Educational Science 1 (2): 24–27.
Tracy, S. J. 2019. Qualitative Research Methods: Collecting Evidence, Crafting Analysis, Communicating Impact. Chichester: John Wiley & Sons.
Tuohy, D., A. Cooney, M. Dowling, K. Murphy, and J. Sixsmith. 2012. “An Overview of Interpretive Phenomenology as a Research Methodology.” Nurse Researcher 20 (6): 17–20. https://doi.org/10.7748/nr2013.07.20.6.17.e315 DOI: https://doi.org/10.7748/nr2013.07.20.6.17.e315
Wallace, J. E. 2012. “Mental Health and Stigma in the Medical Profession.” Health (London) 16 (1): 3–18. https://doi.org/10.1177/1363459310371080 DOI: https://doi.org/10.1177/1363459310371080
Wu, A., E. C. Roemer, K. B. Kent, D. W. Ballard, and R. Z. Goetzel. 2021. “Organizational Best Practices Supporting Mental Health In The Workplace." Journal of Occupational and Environmental Medicine 63 (12): e925–e931. https://doi.org/10.1097/JOM.0000000000002407 DOI: https://doi.org/10.1097/JOM.0000000000002407
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Accepted 2024-05-30
Published 2024-09-03