Blackwell Publishing LtdOxford, UKCFSChild and Family Social Work1356-7500© 2006 The Authors; Journal compilation © 2006 Blackwell Publishing Ltd? 2006122182191Original ArticleBurnout and job satisfaction in child welfare service C A Stalker et al . doi:10.1111/j.1365-2206.2006.00472.x Child welfare workers who are exhausted yet satisfied with their jobs: how do they do it? Carol A. Stalker*, Deena Mandell†, Karen M. Frensch‡, Cheryl Harvey§ and Margriet Wright¶ *Professor, †Associate Professor, Faculty of Social Work, ‡Project Manager, Partnerships for Children and Families, §Associate Professor, School of Business and Economics, ¶PhD Candidate, Research Associate, Wilfrid Laurier University, Waterloo, Ontario, Canada Correspondence: Carol A. Stalker, Faculty of Social Work, Wilfrid Laurier University, Waterloo, Ontario, Canada, N2L 3C3 Email: cstalker@wlu.ca Keywords: burnout, child welfare, emotional exhaustion, job satisfaction Accepted for publication: October 2006 Published online: February 2007 A B S T R AC T In response to a study of Canadian child welfare workers that unexpectedly found participants scoring high on a measure of emotional exhaustion (burnout) and, at the same time, high on overall job satisfaction, this paper reviews research that has investigated these constructs in the social work literature as well as in selected studies from sociology, social psychology, management and women’s studies. The review reveals that some previous studies also report the coexistence of high levels of emotional exhaustion and strong job satisfaction in child welfare and social worker samples. Several studies have suggested that individual characteristics, including finding reward in helping others, having a commitment to the mandate of child welfare and believing that one’s labour is ‘making a difference’, contribute to satisfaction with child welfare work in spite of work overload and emotional exhaustion. Attributions regarding causes of exhaustion, coping strategies and goal orientation may also attenuate the expected negative effects of emotional exhaustion. Considerable evidence supports the positive influence of variables organizational managers can control, including job autonomy, supportive supervisors, workload, promotional opportunities and perception of personal safety. The degree to which this phenomenon is associated with female socialization and the ‘ethic of care’ underlying social work is discussed. Implications for child welfare research, practice and policy are offered. INTRODUCTION This paper was prompted by unexpected results from a study assessing burnout1 and job satisfaction (JS) among direct service workers of four child welfare agencies. The study was implemented during transitions within child welfare agencies in Ontario, Canada, associated with changes in legislation that broadened the legal definition of a child in need of protection, demanded shorter time parameters for response and increased required documentation. We hypothesized that levels of emotional exhaustion (EE/ burnout) would be high, and JS would be low, because of long-standing reports of high turnover and stressful working conditions in these agencies. The 182 Child and Family Social Work 2007, 12, pp 182–191 study found that, of 220 direct service workers (181 women and 39 men), 44% scored in the high range on EE (48% of the women and 28% of the men); 32% scored in the moderate range (30% of the women and 38% of the men); and 24% scored in the low range (22% of the women and 33% of the men) (χ2(2, n = 220) = 5.382, P = 0.068). Of 232 direct service workers (192 women and 40 men), 41% (41% of the women and 40% of the men) were highly satisfied with their jobs overall; 49% were moderately satisfied (51% of the women and 45% of the men); and only 8% of the women and 15% of the men were low on overall JS. We were surprised by these high levels of JS, especially in view of the relatively high levels of EE. We were even more surprised © 2007 The Authors Journal compilation © 2007 Blackwell Publishing Ltd Burnout and job satisfaction in child welfare service C A Stalker et al. that 20 participants (9%), of whom 95% were women, scored high on EE and high on JS simultaneously.2 The purpose of this paper is to review research related to the coexistence of burnout and high JS in child welfare workers, to advance our understanding of this phenomenon and to consider its implications for practice, policy and future research. We begin by reviewing studies of child welfare samples that assessed both EE and JS, noting those that reported unexpected relationships between JS and EE. We highlight several other studies of child welfare samples that reveal that a sense of mission or commitment to the purpose of child welfare and to making a difference with children seems to contribute to increased satisfaction in some child welfare workers. Next, we review the findings from studies that assessed both EE and JS in social worker samples, again discussing those relatively few that report unexpected relationships between these two constructs. We then widen our review to include selected studies of EE and JS from fields outside of social work, including sociology, social psychology, management and women’s studies. We conclude with a summary of the variables that the literature suggests may contribute to simultaneous experiences of EE and JS in child welfare workers, and make suggestions for future research that will enhance our understanding of this phenomenon. Our method for reviewing the literature entailed a search of relevant research databases, including ERIC (Education Resources Information Centre), Human Resources Abstracts, Management and Organization Structures, MEDLINE, Nursing and Health Services, PsychINFO, Social Sciences Abstracts, Social Services Abstracts and Sociological Abstracts. Keywords included job satisfaction, burnout, emotional exhaustion, child welfare and social work. Space does not permit reference to all of the studies reviewed.3 We discuss those that were most relevant to our question. Numerous studies of burnout in human service workers support the intuitive expectation that employees who score high on EE normally score in the low range on measures of JS. This negative relationship has been supported in reviews by Cordes & Dougherty (1993), Leiter & Harvie (1996) and in a meta-analysis of 61 studies (Lee & Ashforth 1996). However, a closer look reveals that some studies did not find the expected relationship between EE and JS in samples of child protection workers and social workers. 183 Child and Family Social Work 2007, 12, pp 182–191 S T U D I E S A S S E S S I N G B OT H E E A N D J S I N C H I L D W E L FA R E S A M P L E S Six quantitative studies that assessed both JS and EE in samples of child welfare employees were located. The research questions guiding these studies vary, which probably explains why the correlation between JS and EE was not always reported. JS was measured in different ways, methodological limitations involving non-validated measures are numerous, and samples are small. In several studies, JS was measured by only one question and few report the proportion of the sample who scored high on EE or on JS. Only one of the six studies reports an unexpected relationship between JS and EE. Silver et al. (1997), examining predictors of JS in supervisors in a public child welfare agency, noted that participants were ‘relatively more job satisfied than might be expected given their level of emotional exhaustion’ (p. 17). EE was negatively correlated with JS (r = −0.41, P < 0.001), but 47% of the sample was highly satisfied with their jobs. The mean EE score on the Maslach Burnout Inventory (MBI) (Maslach & Jackson 1986) was in the high range. The findings from these six studies suggest that while personal characteristics may contribute to EE in some child welfare workers (e.g. value conflict; Jayaratne & Chess 1984), EE can be predicted best by organizational variables, including workload, role conflict, role ambiguity, variables related to agency change and lack of job challenge (Jayaratne et al. 1991; Bhana & Haffejee 1996). The only clientrelated variable that appears to affect EE is behaviour that leads the worker to fear physical harm (Jayaratne et al. 1991). One study found that strong commitment to remain in child welfare was associated with lower levels of EE; this was perceived as a surprising finding because committed workers had often been seen as more vulnerable to EE (Jayaratne et al. 1991). JS is also predicted by organizational factors, such as workload, intellectual challenge, satisfaction with promotional opportunities and factors related to agency change (Jayaratne & Chess 1984). Age and job tenure may also play a role in JS. Related studies of child welfare samples Several other studies of child welfare employees that did not assess both EE and JS but do report an unexpected relationship between related constructs are relevant. Anderson (2000) found that 62% of child protection workers scored in the high range on EE, © 2007 The Authors Journal compilation © 2007 Blackwell Publishing Ltd Burnout and job satisfaction in child welfare service C A Stalker et al. and, at the same time, scored in the moderate range on sense of personal accomplishment. She concluded that sense of personal accomplishment for this sample was higher than would have been expected given the high EE scores. Vinokur-Kaplan (1991) noted ‘a relatively high level of overall job satisfaction’ in a sample of social workers (77% female) trained in child welfare and surveyed during ‘a time of considerable turbulence’ in the early 1980s. Work with clients and feelings of accomplishment were the factors that contributed most to JS. Focusing on the effects of organizational characteristics on client outcomes in a child welfare agency, Yoo (2002) reported that case managers’ commitment to the families served and to the philosophy of family preservation were protective factors that decreased the potential for low satisfaction with pay/ promotion, harsh working conditions and lack of organizational leadership to negatively affect performance and client outcomes. Landsman (2001) also supports the notion that coexistence of high EE with high JS might be explained by the strength of the worker’s commitment to the mission of child welfare. The data suggested that the most important factor related to JS is ‘service orientation’, defined as the degree to which an individual believes that social work makes a difference in people’s lives. The literature includes two qualitative studies intended to increase understanding of the reasons some child welfare workers stay in child welfare despite stressful working conditions. Reagh (1994) administered the MBI and interviewed experienced child welfare professionals. They described themselves as believing a child welfare worker can make a difference in clients’ lives. Some felt ‘called’ to child welfare and most were committed to making a contribution to improve the lives of those adversely affected by social problems. The mean score on the personal accomplishment scale of the MBI was in the high range, but the EE score was not reported. Reagh (1994) concludes, The participants obviously get something for themselves from the work they do, yet they must remain ever vigilant less they lose sight of the meaning and significance of their work and tip the balance to the other side. For them burning out is just one small step away from staying. (p. 76) A second qualitative study by Rycraft (1994) included interviews with experienced child welfare workers from which ‘factors’ influencing employee 184 Child and Family Social Work 2007, 12, pp 182–191 retention were derived. They included ‘mission’ (a belief in the importance of child protection and a commitment to helping others) and ‘investment’ (a commitment to public child welfare). Rycraft notes, ‘even the most dedicated and committed employee experiences periods of decreased energy and drive. These caseworkers were no exception, and at times they questioned their sense of mission’ (Rycraft 1994, p. 77). In summary, findings from the limited number of studies of child welfare workers support the hypothesis that a sense of mission or strong commitment to working in child welfare is an important factor in JS, employee retention, lower EE and client outcome. More study is required to better understand how it is that some child welfare workers can be highly emotionally exhausted and still report high JS. STUDIES ASSESSING EE AND JS IN SOCIAL WORK SAMPLES Looking more broadly at studies of social workers in general, we found 15 studies that assessed both EE and JS. Many supported the expectation that high EE is associated with low JS, but several pointed to a moderating role for social and organizational support (Koeske & Kelly 1995; Martin & Schinke 1998; Um & Harrison 1998; Acker 1999). One study indicated that coping strategy buffers the relationship between work stress and EE and also the relationship between stress and JS (Koeske et al. 1993). Another reported that internal locus of control had both a direct and buffering effect on the relationship between EE and negative job attitudes, intention to quit and overall life satisfaction (Koeske & Kirk 1995). Four of these studies reported some unexpected relationships between EE and JS. Jayaratne & Chess (1983) reported that in full-time Master’s level social workers, the correlation between EE and JS was −0.40 (P-value not reported), but satisfaction with promotional process and decisions was the only significant predictor of low EE; other facets of JS did not predict EE. They concluded that social workers may report feeling burned out but still be relatively happy with their work. Koeske & Kelly (1995) found some support for the hypothesis that social support moderates the relationship between EE and JS. Specifically, workers with high EE who also reported high levels of social support were less likely to be dissatisfied with their jobs. Similarly, Um & Harrison (1998) reported that only those employees experiencing both high EE and low levels of social support from supervisor, © 2007 The Authors Journal compilation © 2007 Blackwell Publishing Ltd Burnout and job satisfaction in child welfare service C A Stalker et al. co-workers, and family or friends were dissatisfied with their jobs. Support from co-workers particularly moderated the relationship between EE and JS. Takeda et al. (2005), in a sample of social workers in Japan, found that JS had no primary effect on EE when other job variables were controlled, and that social support predicted burnout for a subgroup of their sample. STUDIES OUTSIDE OF SOCIAL WORK Because of the limited number of studies involving social work and child welfare workers, we examined literature from additional fields of study to expand our thinking about this phenomenon. Studies were selected that assessed EE and/or JS and reported findings that appeared to shed light on the question of how human service workers maintain high JS even as they experience high work stress or EE. Although we cannot claim to have reviewed all of the relevant literature in all pertinent fields, we did not exclude from our review the findings of any article meeting the above criteria. This section begins with research on the concept of emotional labour and how it may affect EE and JS. This is followed by a review of studies that have examined individual factors that may also affect these variables. Emotional labour Hochschild (1983) introduced the emotional labour concept. For employees of ‘service sector’ industries, Hochschild argued that specific ‘feeling rules’ had become directly connected to work expectations for many employees. When ‘the management of feeling to create a publicly observable facial and bodily display’ (p. 7) is directed by employers rather than by the individual, it becomes emotional labour. Jobs requiring emotional labour have three characteristics: ‘Voice or facial contact with the public; they require the worker to produce an emotional state in the client or customer; and they provide the employer an opportunity to exert some control over the emotional activities of workers’ (Wharton 1993, p. 208). Hochschild included social work among occupations involving significant emotional labour. She emphasized the negative effects on the individual but found that some employees were less negatively affected than others. Subsequent studies supported Hochschild’s findings about the negative effects of performing emotional labour, at least for some individuals. From these findings one might assume that the emotional-labour literature supports the idea that EE 185 Child and Family Social Work 2007, 12, pp 182–191 in social workers is related to the nature of social work – that burnout is inevitable because of the labour required to evoke positive emotional states in clients and to manage one’s own emotions. However, more recent studies suggest that how emotional labour affects employees depends on the context in which it is performed and the characteristics of the individual performing it. Wharton’s (1993) study of bank and teaching hospital employees indicated that those individuals who performed emotional labour were no more likely than other workers to suffer from EE but were somewhat more likely to be satisfied with their jobs. ‘[E]motional exhaustion is better explained by more conventional job and individual characteristics, such as job tenure, hours worked, and job autonomy. By contrast, the results for job satisfaction show that emotional labour has a positive effect on this outcome’ (Wharton 1993, p. 218). Women were more likely than men to be employed in jobs requiring emotional labour and women who performed emotional labour were more satisfied than men who did the same jobs (Wharton 1993). These findings support arguments about the gendered structure of the labour market and the socialization of men and women that supports it. Similarly, Bulan et al. (1997) investigated differences between men and women in terms of ‘positive feelings about work’ akin to personal accomplishment or JS. They found that the more women perceived themselves as being effective in working with people, the more they felt positive about their work. The same relationship was not found for men. Another study (Wharton & Erickson 1995) found that among married women working in a hospital, those who performed greater amounts of ‘family emotion work’ (emotional support to partner and family members) were more likely to report EE on the job. EE at work was less likely when women reported that their partners perform more emotional work at home. The researchers concluded, ‘Women’s family emotion work has more negative consequence for their jobrelated well-being than the emotional labour women perform on the job’ (p. 290), especially when these efforts are not assisted by partners. Erickson & Ritter (2001) studied the degree to which EE is associated with gender and the management of specific emotions (a kind of emotional labour) among married employees in a variety of occupations; all participants tried to hide their negative emotional experiences (feelings of helplessness, sadness, guilt, fear and shame) from others at least two-thirds of the time. This form of emotional labour © 2007 The Authors Journal compilation © 2007 Blackwell Publishing Ltd Burnout and job satisfaction in child welfare service C A Stalker et al. (managing one’s emotions) was deemed ‘a general feature of contemporary work life’ (p. 159). Agitation emotions (anger, irritation and nervousness) were hidden significantly more often by both men and women than either positive or negative emotions. Men experienced more agitation at work than did women, but women hid these feelings more. The experience of agitation (not its management) had the strongest effect on EE levels. Norvell et al. (1993) tested a similar hypothesis in a sample of primarily male child welfare supervisors and also found that a tendency to suppress angry feelings was associated with higher levels of perceived stress and higher numbers of physical symptoms. This body of research suggests that it is not emotional labour on the job that results in EE. In fact, emotional labour can increase JS, especially for women who perceive themselves as working with people effectively. Rather, it is work or work settings that evoke feelings of anger, irritation and nervousness; work that the employee believes cannot be done in the time allotted; and work requiring long hours that are more likely to contribute to EE than emotional labour per se. Women who perform large amounts of emotion work at home are at higher risk of experiencing EE, but this can be reduced when their partners at home also perform family emotion work. Individual factors that may influence JS and work exhaustion Burnout and EE have commonly been seen as primarily determined by organizational and job factors. However, some studies suggest individual characteristics may play a role. In this section, we review research that reports individual characteristics including causal attribution, coping strategies, goal orientation, the ability to derive satisfaction from helping others and gender-related job values, all of which may be associated with the degree to which individuals experience JS and/or EE (or a similar measure of work-related stress). Causal attribution In addition to the EE and personal accomplishment (PA) scales to which we have previously referred, the MBI includes a depersonalization scale. Depersonalization is defined as an ‘unfeeling and impersonal response to recipients of one’s service’ (Maslach et al. 1996, p. 4). According to Maslach et al., high scores on both EE and depersonalization and low scores on 186 Child and Family Social Work 2007, 12, pp 182–191 personal accomplishment define a high degree of burnout. Moore (2000) points out that not all employees respond to work exhaustion with depersonalization, a diminished sense of personal accomplishment or voluntary turnover. Although these responses do occur, she argues that some employees respond with attempts to change the work situation or themselves. Whether or not they respond in these ways may depend on whether they cognitively attribute their exhaustion to internal or external causes, to whether the cause is controllable versus uncontrollable and to whether the cause is seen as stable and unchanging versus likely to change. To our knowledge, this model has not yet been tested, but it gives useful direction for researchers looking for new ways of understanding burnout. Interestingly, although she sees causal attributions as determining the development of depersonalization, Moore (2000) does not hypothesize that JS would be influenced by causal attribution. Rather, she reiterates that the hypothesis that EE leads to reduced JS has received ‘consistent empirical support’ (p. 337). Coping strategies Anderson’s (2000) previously mentioned study of experienced child protection workers, of whom twothirds intended to stay in their jobs, and 62% were in the high range on EE, reported that the workers were more likely to use active ‘engaged’ coping strategies and less likely to use ‘disengaged’ coping strategies than a comparison group of undergraduates. Workers who used active engaged coping strategies, including problem solving, cognitive restructuring, seeking social support and expression of emotions, were less likely to depersonalize their clients and more likely to experience a sense of personal accomplishment. However, the relationship between engaged coping and EE was not significant. Workers who used disengaged coping strategies, including problem avoidance, wishful thinking, social withdrawal and self-criticism, were more likely to have high scores on EE and depersonalization and lower scores on the personal accomplishment scale. Anderson (2000) points out that although engaged coping strategies may moderate tendencies towards depersonalization and increase personal accomplishment, they did not protect these workers from relatively high scores on EE. She concludes that greater use of social support and expression of emotions by child protection workers should be encouraged; at the same time, in view of the high levels of EE and depersonalization, she expressed © 2007 The Authors Journal compilation © 2007 Blackwell Publishing Ltd Burnout and job satisfaction in child welfare service C A Stalker et al. concern about potential harmful effects of highly emotionally exhausted workers on the quality of service provided to clients and recommended more research on job performance among long-term child protection workers. Koeske et al. (1993) did a comparable study in which active control coping strategies (similar to engaged strategies) were found to buffer the relationship between work stress and EE and between EE and JS. These authors recommended that case managers working with mentally ill clients be taught active control coping strategies, which could benefit both workers and clients. experienced heavy job demands in combination with either low decision authority or low intellectual stimulation were more likely to report distress. However, when ‘rewards’ experienced from their work were included in regression models, ‘the rewards of helping others buffer[ed] the negative impact of [work] overload on psychological distress and physical health’ (Marshall et al. 1991, p. 77). Dispositional goal orientation This statement resonates with the findings that precipitated this paper: substantial numbers of people who work in caregiving occupations seem willing to accept the fatigue and exhaustion that often accompany this work as long as they believe they are helping others, or that their labour makes a positive difference in their clients’ lives. A limitation of Marshall et al.’s (1991) study is that it involved only women; thus, we cannot know whether the buffering effect of ‘finding reward in helping others’ applies in the same way to men in caregiving occupations or whether feeling good about helping others may also play a role in protecting employees from distress and illness in other occupations. This brings us to the question: How much is the gender of the majority of workers in child welfare work associated with the phenomenon of being able and/or willing to experience high JS at the same time as they experience high EE? From the perspective of management research, Van Yperen & Janssen (2002) studied whether dispositional goal orientation (performance versus mastery orientation) affects the relationships between job demands, fatigue and JS in a sample of university employees. Performance orientation ‘reflects an individual’s having the goal of establishing his or her superiority over others, whereas a mastery orientation involves the purposes of developing competence, gaining skill, and doing one’s best’ (Van Yperen & Janssen 2002, p. 1161). Their findings suggest that job demands (work overload, which is associated with fatigue) are negatively related to JS only for employees with a strong performance orientation and a weak mastery orientation. They conclude that although people with either goal orientation work hard when dealing with heavy workloads, only those with a strong mastery orientation experience satisfaction from the effort that is required to meet their own standards. Mastery-orientated individuals focus on what they can control, such as improving their skills and doing their best, and are more able to persist in the face of difficulties than are performance-orientated individuals who tend to focus more on outcomes. Finding reward in caregiving occupations A study of female social workers and practical (nonregistered) nurses found evidence to support the conclusion that for women in caregiving occupations, finding reward in helping others is a moderator of the negative effects of job overload (Marshall et al. 1991). These researchers examined predictors of psychological distress, psychological well-being and physical health. Like other studies (e.g. Van Yperen & Hagedoorn 2003), Marshall et al. found that women who 187 Child and Family Social Work 2007, 12, pp 182–191 It is as if the heavy demands of caregiving occupations are tolerable as long as the worker finds the demands of the job challenging, has the decision authority she needs to do the best she can, feels her supervisor is doing all that can be done to make the job a better job, and finds reward in helping others. (p. 79) Gender and job values Numerous studies have demonstrated that men and women tend to value different types of work-related rewards, and that these differences are influenced by the dissimilar values internalized by men and women in response to societal norms about gender roles (Marini et al. 1996). In spite of increased female participation in the labour market over the last three decades, the gender-related differences in occupational values apparently persist. A longitudinal study of high-school students in the USA between 1976 and 1991 (Marini et al. 1996) found no differences between males and females on the importance of extrinsic rewards (e.g. income, prestige and security) and the valuing of participation in decisions and challenging work. However, females continued to assign more value to intrinsic [e.g. ‘interest in the work itself, © 2007 The Authors Journal compilation © 2007 Blackwell Publishing Ltd Burnout and job satisfaction in child welfare service C A Stalker et al. using one’s abilities, and the opportunity to be creative’ (p. 50)], altruistic (‘opportunity to help others and contribute to society’) and social rewards (‘opportunity to work with people and make friends’). Gender alone explained more of the variance in many types of rewards than any other variable examined, the largest gender difference being the importance assigned to altruistic rewards. Economics scholars Badgett & Folbre (2001) noted that people who choose occupations involving caregiving ‘almost by definition are motivated by intrinsic concerns that make it difficult for them to withhold their care’ (p. 334). They identify a ‘gender-biased system of coercive socialization’ (Folbre and Weisskopf 1998, cited in Badgett & Folbre 2001) that pressures women to choose occupations involving caring labour often entailing personal, face-to-face services to vulnerable people. The concept includes ‘an intrinsic motive for performing that work – a sense of emotional attachment and connection to the persons being cared for’ (p. 328). Although Badgett & Folbre report that no differences in overall levels of altruism have been found between the genders, they identify differences in the means of its expression. Women are more likely to express altruism through work intended to benefit family and community, while men are more likely to go to war or risk injury for the sake of others. These differences are, of course, associated with the induction of males and females into gendered social and economic structures. Himle et al. (1987) examined gender differences in Master’s level social workers and reported that men and women were not different on EE, depersonalization or personal accomplishment. However, for men, increased contact with clients was the most important predictor of high EE, whereas for women the salient predictors were dissatisfaction with supervisor support, co-worker support and job comfort (including work-related travel conditions, working hours and physical surroundings). We might view today’s child welfare workers as epitomizing the commitment to an ‘ethic of care’ that Baines (1998) identifies as a major influence on the evolution of social work and other women’s professions during the 20th century. She argues ‘maternal feminism’ was ‘the underlying ideology that spurred the movement of women into the public sphere’ (p. 23). This ideology rested on the belief that women had inherent nurturing qualities that required them to extend their caring role into the public sphere. Baines (1998) and others have argued that efforts by many women to uphold an ethic of care at the same 188 Child and Family Social Work 2007, 12, pp 182–191 time as they strive for more autonomy and equality are inherently contradictory. Perhaps today’s child welfare worker is the embodiment of that contradiction. On the one hand, in her role as a paid professional she represents increased autonomy and equality for women; on the other hand, she works long hours, interacts with people who frequently devalue her and reject her offers of help, while enduring physical exhaustion and EE. Despite that her income is lower than most other professionals, and she has lower status, she maintains that she is very satisfied, even ‘loves’ her work. That work, for many child welfare workers, represents caring for and making a difference in the lives of children, which appears to make the depletion of personal resources acceptable or at least tolerable. CONCLUSION For us, this review confirms that child welfare workers can be, and often are, emotionally exhausted and yet are still satisfied with their jobs. The unexpected findings we found in our data are not unique to our sample. The answer to the question about how child welfare workers accomplish this juxtaposition is more complex. Studies from diverse fields suggest that one variable that contributes to the ability of some child welfare workers to sustain the tension between high EE and high JS has to do with their ability to find reward in helping others. This ability may be more prevalent among women because of their induction into gendered social and economic roles. Clearly, many men also find great reward in helping others, and it is likely that some of these men are attracted to child welfare work and may also experience both high exhaustion and high JS. To find satisfaction in child welfare, one must believe that one is truly helping vulnerable children and making a positive difference in their lives. Other factors may also contribute to an individual’s ability and willingness to continue in a job that takes a significant toll on personal resources. The research suggests that access to social support (both co-worker and supervisor support) may be especially important. Other personal attributes, such as ability to find satisfaction in doing one’s best and in mastering skills, even in the face of less than ideal outcomes, may be helpful. Active coping strategies, such as problem solving, cognitive restructuring, seeking social support and expressing emotions, may help workers to avoid depersonalizing clients and may contribute to a stronger sense of accomplishment. For some, having control over decisions or other aspects of the work © 2007 The Authors Journal compilation © 2007 Blackwell Publishing Ltd Burnout and job satisfaction in child welfare service C A Stalker et al. (job autonomy) seems to contribute to JS in spite of high demands. Organizational variables, such as work overload, lack of promotional opportunities, perception of problematic changes in agency policy and procedures, an unsupportive supervisor and perceptions that the job is physically unsafe, have all been found to negatively affect EE and JS in child welfare samples. Should we be concerned about workers who are both emotionally exhausted and yet satisfied with their jobs? Studies report that EE is associated with job exit, turnover intentions, absenteeism and lowered job performance (Harvey & Stalker, in press). High scores on EE in a female sample of child welfare workers were significantly associated with higher scores on anxiety, depression, irritability and somatic complaints, and lower scores on marital satisfaction compared with workers with low EE (Jayaratne et al. 1986). High EE among police officers has been associated with difficulty sleeping (Maslach & Jackson 1979, cited in Maslach et al. 1996) and higher levels of drug, alcohol and tobacco use (Cordes & Dougherty 1993). No research has shown whether simultaneous high JS scores diminish the relationship between high EE and these negative outcomes over time. It seems likely that experiencing high levels of EE over long periods puts one’s health at risk, even if one is also experiencing high JS. Implications for research Clearly, more studies are needed that focus on the relationship between EE and JS in child welfare samples, and that do so with methodological rigour. Longitudinal studies examining these constructs over time would help illuminate whether some workers continuously score high on EE while maintaining high JS, or whether the high EE fluctuates. Longitudinal studies that include measures of the expected negative consequences of EE would also be useful. Future studies should compare scores on EE with measures of post-traumatic stress, vicarious traumatization (McCann & Pearlman 1989) and other measures of work-related strain to better enable analysis of the relationship between these constructs. 189 their clients. Although not all workers with high EE depersonalize their clients, many do, or are at risk to do so, yet child welfare workers scoring high on depersonalization may be no more likely to leave their jobs than those scoring low (Drake & Yadama 1996). It seems likely that workers who defend against EE by depersonalizing clients will do those clients serious disservice through distant or de-humanizing stances, and perhaps even by failing to put forth effort that could make a critical difference in families. Reducing high EE in child welfare workers is thus arguably an ethical imperative for workers, managers and policy-makers. Although much has been written about the prevention of burnout and turnover (Maslach & Goldberg 1998; Bednar 2003; Harvey & Stalker, in press), less attention has been focused on the systemic problems that lie at the heart of these issues in child welfare. Esposito & Fine (1985) suggested that burnout is an ideology that camouflages the paradoxes inherent in the child welfare system. They argued that child welfare workers are ‘employed to manage basic contradictions in our society’ (p. 738) involving perceptions that the state should not interfere in family matters, while simultaneously expecting the state to prevent the abuse and neglect of children. Child welfare organizations are currently expected to both police families and provide caring, compassionate and skilful interventions to alleviate very complex problems. In addition to continuing efforts to improve organizational climates and provide support to individual workers, the child welfare field and the social work profession need to renew efforts to increase public and political awareness of the relationship between inadequate social policies and the welfare of children. Policies that provide essential subsidized day care for children, improved minimum wage, adequate social assistance and adequate community mental-health services would go a long way to making the child welfare system one that has the capacity to truly help children and families, and at the same time provide a workplace that does not require so much personal sacrifice on the part of its employees. Implications for practice and child welfare policy ACKNOWLEDGEMENT Although some individuals appear to tolerate high levels of EE during long periods of work in the field of child welfare, they should be discouraged from doing so. 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Administration in Social Work, 26, 39–61. NOTES 1 In this paper, when we use the word burnout, we are referring to the construct operationally defined by the Emotional Exhaustion (EE) scale of the Maslach Burnout Inventory. Numerous researchers have suggested that the EE subscale is the central component of burnout (Cox et al. 1993; Koeske & Koeske 1993). 2 For a complete description of the study, please see Harvey et al. (2003). 3 Tables summarizing the studies reviewed are available from the authors. © 2007 The Authors Journal compilation © 2007 Blackwell Publishing Ltd