Bullying in Fly-In-Fly-Out employees in the Australian resources sector: A cross-sectional study

A Narrative Review of Health Status and Healthcare Delivery in the Oil and Gas Industry: Impacts on Employees, Employers, and Local Communities

Workers in the oil and gas industry are exposed to numerous health risks, ranging from poor health behaviours to the possibility of life-threatening injuries. Determining the most appropriate models of healthcare for the oil and gas industry is difficult, as strategies must be acceptable to multiple stakeholders, including employees, employers, and local communities. The purpose of this review was to broadly explore the health status and needs of workers in the oil and gas industry and healthcare delivery models relating to primary care and emergency responses. Database searches of PubMed, EMBASE, CINAHL, PsycINFO, and Scopus were conducted, as well as grey literature searches of Google, Google Scholar, and the International Association of Oil and Gas Producers website. Resource-sector workers, particularly those in 'fly-in fly-out' roles, are susceptible to poor health behaviours and a higher prevalence of mental health concerns than the general population. Evidence is generally supportive of organisation-led behaviour change and mental health-related interventions. Deficiencies in primary care received while on-site may lead workers to inappropriately use local health services. For the provision of emergency medical care, telehealth and telemedicine lead to favourable outcomes by improving patient health status and satisfaction and reducing the frequency of medical evacuations.

Workplace bullying and suicidal ideation and behaviour: a systematic review and meta-analysis

OBJECTIVES

Suicidal ideation and behaviour are potential outcomes of workplace bullying. This review aimed to determine the extent of the association between workplace bullying and suicidal ideation and behaviour.

STUDY DESIGN

The study incorporated a systematic review and meta-analysis.

METHODS

The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement was followed to conduct a comprehensive systematic review and meta-analysis. A combination of subject terms and free words was used to search nine electronic databases. Two reviewers independently screened articles and extracted information according to the inclusion criteria. A meta-analysis was performed with averaged weighted correlations across samples using the STATA software (version 16.0) from pooled estimates of the main results from all studies.

RESULTS

In total, 25 articles of high or medium quality were included in the systematic review; 15 of these were included in the meta-analysis. The prevalence of suicidal ideation and behaviour was 18% and 4%, respectively. Individuals who experienced workplace bullying had 2.03-times and 2.67-times higher odds of reporting suicidal ideation and behaviour, respectively, after adjustment for confounding factors. Moderating and mediating factors may help reduce the risk of suicidal ideation and behaviour for individuals experiencing workplace bullying.

CONCLUSION

This study indicated that exposure to workplace bullying significantly increased the risk of suicidal ideation and behaviour.

Fly-in-fly-out work: A review of the impact of an extreme form of work-related travel on mental health

Large distances between work and home require many workers to stay away from home for work over extended periods. An extreme case of such work is fly-in-fly-out (FIFO) work. FIFO work requires workers to stay, over a fixed number of days or weeks, in remote employer-arranged accommodation. Given the disruptive nature of this work arrangement, it is important to develop an understanding of its implications for worker mental health. Based on a systematic review, we identify mostly negative mental health implications of FIFO work and propose an integrative model that brings together FIFO work's key features: the simultaneous fracturing and blending of personal and work lives. The model can guide future research. For example, we suggest that researchers investigate how FIFO workers and other work-related travelers experience fracturing and blending, and how they manage the frequent fluctuation between these two extremes.

Plain language summary

Fly-in-fly-out work represents a specific and extreme case of work-related travel in which workers are housed by employers and have fixed schedules that prescribe blocks of time at work followed by blocks of time at home, alongside other rules. This paper provides an overview of the literature regarding the mental health implications of FIFO work. Moreover, an integrative model of FIFO work is proposed that brings together its key defining attributes: the simultaneous fracturing and blending of personal and work lives, which FIFO workers, and by extension other work-related travellers, experience. The model identifies the key attributes of this type of work arrangement that shape fracturing namely the commute (i.e., duration, mode, distance) and rosters (i.e., length and ratio of time on and off) and blending experiences, namely accommodation (i.e., type and quality), extent to which autonomy is limited (i.e., via choice in food, activities, scheduling) and social isolation. While developed for an extreme, highly standardized, and specific case of work-related travel, the model may also be useful in research focused on work related travel more broadly,

Health and well-being of rotation workers in the mining, offshore oil and gas, and construction industry: a systematic review

Introduction

Rotation work, characterised by travelling long distances to work in isolated areas where workers typically rotate consecutive days working and living on-site with periods at home, is increasingly used in the resources and construction sectors globally. Such employment practices may have an impact on workers’ health and well-being. This systematic review explores the impact rotation work has on mental and physical outcomes in rotation workers in the resources and construction sectors.

Method

The PubMed, Medline, EMBASE, CINAHL, PsycINFO, and Scopus databases were systematically searched on 1 May 2020 to identify quantitative, qualitative and mixed-method studies addressing the health of rotation workers published in peer-reviewed journals. Findings from the studies were summarised narratively.

Results

Of 6268 studies retrieved, 90 studies were included in the review. Studies suggested higher prevalence of psychological distress in onshore rotation workers and higher overweight/obesity rates among rotation workers as compared with the general population. We found more sleep problems and higher levels of smoking during work periods compared with off-site days; and higher alcohol intake during off-site days compared with on-site days. Workers generally perceived their physical health status as good. High-perceived job demands (such as workload, repetitive work) were associated with mental distress and exhaustion, sleep problems and perceived poor physical health status, while high-perceived job resources (such as job clarity/control, support) were associated with low mental distress and exhaustion, less smoking and alcohol intake, and better sleep.

Conclusion

Rotation work is associated with several poorer health behaviours and outcomes, such as sleep problems, smoking, alcohol consumption and overweight/obesity. Interventions needed to improve rotation workers’ health should include maximising available job resources and reducing job demands. Further longitudinal studies are needed to explore the long-term health effects of rotation work and the short-term contextual effects of the different aspects of rotation work.