The Interplay of Job Demands–Resources: Experiences of Public Health Inspectors of Sri Lanka During the First and Second Waves of the COVID-19 Pandemic

Abstract

The COVID-19 pandemic posed unprecedented challenges to healthcare employees worldwide. As part of combatting the disease, they were often confronted with numerous physical and psychological job demands. Studies have explored the experiences of and responses to a COVID-19-related job demand–resource (JD-R) interplay of Western hospital-based healthcare staff. However, whether community-based, non-clinical healthcare workers experienced and responded to the COVID-19-related JD-R interplay similarly to hospital-based clinical healthcare employees is severely under-researched. This article explores how Sri Lanka’s public health inspectors (PHIs), a group of community-based, non-clinical healthcare workers experienced and responded to the COVID-19-related JD-R interplay. Using 18 in-depth interviews, this study found that PHIs were confronted with COVID-19-specific physical and psychological job demands including work pressure, workload, ambiguities in authority and job responsibilities, fear of contracting and passing on the disease to family members and social rejection which they managed with limited training, minimal rewards and less recognition. This JD-R incompatibility led to stress, exhaustion and coping inflexibility to which PHIs responded through approach and avoidance coping. While most coping strategies enabled PHIs to ease their stress and exhaustion, there were others that exacerbated the feelings of burnout.