The role of exhaustion and workarounds in predicting occupational injuries: a cross-lagged panel study of health care professionals.

Occupational injuries remain an important concern for employers, particularly in the health care industry where injury rates have increased despite decreases in other industries. Testing the notion of resource investment from conservation of resources theory, I predicted that exhaustion would be associated with a greater likelihood of safety workarounds (alternative work processes undertaken to "work around" a perceived block in work flow, such as a safety procedure). Furthermore, I hypothesized that safety workarounds would lead to a greater frequency and severity of occupational injuries. I found support for this mediation model with a 2-sample, 3-wave survey study of a variety of health care professionals (nurses, sonographers, and others). I discuss the implications of this research for future research in occupational safety and provide ideas for the reduction of injuries through action research strategies that reduce burnout and workarounds.