NSG 410 Stratford Patient Advocacy Barriers & Facilitators Article Discussion - Science
Discussion RubricThe student will be asked to critically analyze a topic or concept discussed in class and submits your comments on a threaded discussion board. The student will be responsible for submitting a weekly, two-part assignment:Part 1: The first part will be a summary of the topic in the student’s own words (200- 250 words) to demonstrate their understanding of the topic. The student is required to cite the book using APA format. For some forum discussions there will also be supplemental material that the student may use to develop the summary; if supplemental content is provided, the student will need to cite at least one of those sources in the summary to demonstrate their application of the knowledge that the student have gained from the lecture and the text. Within the summary the student is also allowed to convey real life experiences, when appropriate, to further develop their point. Choose 1 of the 4 articles as the focus of Week 2 Forum Discussion.( please pick one article from the attachments)ActivitiesDiscussion Forum 2Assuming a role of a consumer of research, you will need to be savvy at conducting an electronic database search of your identified clinical problem. You will then appraise the studies identified to answer a clinical question. For this weeks discussion, based on the article you chose for this weeks attendance assignment on identifying the theoretical framework of your chosen article, 1. Identify at least one primary source and one secondary source in the reference section which pertains to the theoretical framework. 2. Conduct an electronic database search to locate those articles using Gale-Infotract on LIRN, CINAHL, or ProQuest. Briefly review the abstracts of the primary source and secondary source in the article you chose.
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Psychol Bull. Author manuscript; available in PMC 2019 March 01.
Published in final edited form as:
Psychol Bull. 2018 March ; 144(3): 284–314. doi:10.1037/bul0000120.
A Meta-Analysis of Work-Family Conflict and Social Support
Kimberly A. French, MS,
Department of Psychology, University of South Florida, 4202 E. Fowler Ave., PCD 4118G, Tampa,
FL 33620, 847-989-9564
Soner Dumani, PhD,
American Institutes for Research, 1000 Thomas Jefferson St NW, Washington, D.C., 20007
Author Manuscript
Tammy D. Allen, PhD, and
Department of Psychology, University of South Florida, 4202 E. Fowler Ave., PCD 4118G, Tampa,
FL 33620
Kristen M. Shockley, PhD
Department of Psychology, University of Georgia, 125 Baldwin St. Athens, GA 30602
Abstract
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The relationship between social support and work-family conflict is well-established, but the
notion that different forms, sources, and types of social support as well as contextual factors can
alter this relationship has been relatively neglected. To address this limitation, the current study
provides the most comprehensive and in-depth examination of the relationship between social
support and work-family conflict to date. We conduct a meta-analysis based on 1021 effect sizes
and 46 countries to dissect the social support and work-family conflict relationship. Using social
support theory as a theoretical framework, we challenge the assumption that social support
measures are interchangeable by comparing work/family support relationships with work-family
conflict across different support forms (behavior, perceptions), sources (e.g., supervisor, coworker,
spouse), types (instrumental, emotional), and national contexts (cultural values, economic factors).
National context hypotheses use a strong inferences paradigm in which utility and value
congruence theoretical perspectives are pitted against one another. Significant results concerning
support source are in line with social support theory, indicating that broad sources of support are
more strongly related to work-family conflict than are specific sources of support. In line with
utility perspective from social support theory, culture and economic national context significantly
moderate some of the relationships between work/family support and work interference with
family, indicating that social support is most beneficial in contexts in which it is needed or
perceived as useful. The results suggest that organizational support may be the most important
source of support overall.
Social support is one of the most popular constructs in psychological scholarship. In 2016
alone, over 2,500 articles in PsychINFO list “social support” as a key subject. Social
support’s popularity stems from its integral theoretical role as a means for reducing strain
and improving health and well-being (Cohen & Wills, 1985; House, Umberson, & Landis,
French et al.
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1988). One such strain is work-family conflict, which occurs when the demands of work or
family make it difficult to fulfill demands in the alternative role (Greenhaus & Beutell,
1985). Given recent societal trends such as increased use of technology, cross-national work,
and dual-earner couple households, work-family conflict is recognized as a prominent
societal concern and is studied by researchers around the world who span multiple
disciplines (Aycan & Eskin, 2005; Duxbury, Higgins, & Lee, 1994; French & Johnson,
2016; Mortazavi, Pedhiwala, Shafiro, & Hammer, 2009; Shockley, Douek, Yu, Dumani, &
French, 2017).
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In recent years, hundreds of studies focusing on social support within the work-family
interface have been published in academic journals and presented at professional
conferences. Overall, this research shows informal social support at home or at work
negatively relates to work-family conflict (Kossek, Pichler, Bodner, & Hammer, 2011) and
positively relates to beneficial well-being outcomes such as work and family satisfaction
(Ford, Heinen, & Langkamer, 2007), mental health (Lee, Sudom, & Zamorski, 2013),
cardiovascular health (Uchino, Cacioppo, & Kiecolt-Glaser, 1996), and sleep quality and
quantity (Crain, Hammer, Bodner, Kossek, Moen, Lilienthal, & Buxton, 2014).
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Although the importance and overall benefits of social support are clear, social support is a
complex construct. For example, social support has been defined in diverse ways (Cohen &
Wills, 1985; House et al., 1988) and as such it can be categorized into different forms (e.g.,
behaviors, perceptions; Barrera, 1986) and types (e.g., instrumental, appraisal, emotional
support; Cohen & McKay, 1984). Social support also can come from a variety of sources
(e.g., co-worker, supervisor, organization, family, spouse) (Ford et al., 2007). In addition,
research suggests that the use and effectiveness of social support depends on culturally
shared norms and expectations (Taylor, Sherman, Kim, Jarcho, Takagi, & Dunagan, 2004;
Taylor, Welch, Kim, & Sherman, 2007).
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As research on social support and work-family conflict has evolved, the complexity of social
support has taken on greater relevance, setting the stage for our comprehensive and
integrative review of how variations in social support alter the strength of the relationships
between social support and work-family conflict. Moreover, the time is now ripe to examine
how the broader societal context in which these relationships occur impacts the strengths of
associations. With this in mind, the current study represents the most comprehensive and
indepth examination of the relationship between social support and work-family conflict to
date. Using meta-analysis, we investigate the relationship between work-family conflict and
social support emanating from both the work and the family domains. We further
differentiate support by specific form (i.e., behaviors and perceptions), source (e.g., spouse,
organization, coworker), and type (i.e., emotional and instrumental). Moreover, we examine
national-level cultural and economic context as moderators of these relationships. Figure 1
displays the relationships examined in the current study.
Our synthesis of the work-family conflict and social support literature makes several key
contributions. First, we provide a comprehensive and integrative quantitative review of the
vast literature that connects social support from both the work and the family domains with
work-family conflict. Previous meta-analyses have helped to paint parts of the overall
Psychol Bull. Author manuscript; available in PMC 2019 March 01.
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picture that depicts social support and work-family conflict (see Table 1). Early metaanalyses focused on aggregated measures of general work and/or family support (Byron,
2005; Mesmer-Magnus & Viswesvaran, 2005; Michel, Mitchelson, Kotrba, LeBreton, &
Baltes, 2009). More recent meta-analyses examined different sources of support within the
work domain (Mesmer-Magnus & Viswesvaran, 2006; Ford et al., 2007; Kossek et al., 2011)
and within the family domain (Michel, Kotrba, Mitchelson, Clark, & Baltes, 2011). With
empirical expansion of the primary study database, meta-analyses have begun to invoke
theoretical rationale for why examining different aspects of social support matters. For
example, two previous meta-analyses provide an empirical test of the domain specificity
hypothesis, which contends that support from a given domain should most closely relate to
directional conflict that also originates in that domain (e.g., work support versus family
support more closely relates to conflict in the work-to-family direction) (Byron, 2005;
Mesmer-Magnus & Viswesvaran, 2006). Most recently, Kossek and colleagues (2011) were
the first to theorize how the relationship between social support and work-family conflict
may vary in strength according to support source (organizational perceptions vs. supervisor
support). Despite these advancements, many theoretical complexities associated with work
and family social support remain under-recognized and empirically under-explored.
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Our quantitative review updates and expands our understanding of the relationship between
social support and work-family conflict both empirically and theoretically. We challenge the
notion that social support measures are interchangeable by examining three theoretically
distinct aspects of social support: form, source, and type. In doing so, we test foundational
theory in the social support literature regarding the distinction and relative contribution of
support forms (behaviors vs. perceptions), sources (broad vs. specific), and types
(instrumental vs. emotional). For each distinction, social support is purported to function in
unique theoretical ways (e.g., Cohen & Wills, 1985; Cohen & McKay, 1984; House et al.,
1988). Yet, to our knowledge, there has not been a large-scale, parsimonious test of these
distinctions. Our analysis is conducted with an updated and considerably larger number of
studies compared to previous meta-analyses, which allows for more current and precise
effect size estimates.
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To create this holistic picture and expand existing meta-analytic work, we investigate the
distinction between measures of support behavior and support perceptions. Scholars have
long debated how and why supportive perceptions and behaviors differ in their relationships
with strain outcomes (Barrera, 1986; Lakey & Cohen, 2000). Our review brings this
important consideration to the fore and contributes to a long-standing discussion in the
social support literature. As such, we are the first to empirically test whether supportive
perceptions and behaviors are similarly related to work-family conflict (Table 1). This
question has implications for both the theoretical rationale that connects social support and
work-family conflict, as well as the evaluation and implementation of social support
initiatives designed to reduce work-family conflict.
Similarly, we distinguish between emotional and instrumental support. Previous metaanalyses have yet to tease apart emotional and instrumental support (Table 1). This effort is
critical given the long history of theoretical distinction (e.g., Cohen & McKay, 1984; House
et al., 1988). Further, empirical evidence suggests emotional and instrumental support
Psychol Bull. Author manuscript; available in PMC 2019 March 01.
French et al.
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differentially relate to work-family conflict (Lapierre & Allen, 2006; Shockley & Allen,
2015). Understanding the distinction is important for advancing our theoretical
understanding of factors that influence the magnitude of the support-work-family conflict
relationship and for developing support interventions that can be used by organizations and
family therapists to alleviate work-family conflict.
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We also reconcile previously mixed findings regarding the domain specificity hypothesis.
The domain specificity hypothesis has been primarily applied to work-family conflict but
has implications for cross-domain interactions beyond conflict (e.g., spillover, enrichment)
and beyond the work and family domains (e.g., leisure, friend relationships). Previous
research has often assumed the domain specificity hypothesis holds, although strong support
has yet to be found. Our meta-analysis is equipped with sufficient power to detect
differences that may have been previously masked, and examines nuances in social support
which may explain discrepant findings.
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We further make a unique contribution to the literature by examining the context within
which work and family support occurs. National context is difficult to meaningfully take into
account in primary work-family studies, despite theoretical significance (Ollier-Malaterre &
Foucrealt, 2016; Ollier-Malaterre, Valcour, Den Dulk, & Kossek, 2013; Powell, Francesco,
& Ling, 2009). However, context is important as recent meta-analytic findings shed light on
systematic differences in levels of work-family conflict across cultures (Allen, French,
Dumani, & Shockley, 2015). We make a novel contribution to this literature by
systematically investigating how national context shapes relationships between work-family
conflict and correlates. National context is especially critical for social support, given that
support is a relational, socially enacted construct shaped by societal norms (Kim, Sherman,
& Taylor, 2008). Our meta-analysis examines two distinct mechanisms of contextual
influence, cultural values and economic context, providing empirical evidence where littleto-none exists (Ollier-Malaterre, 2016). Further, we examine context moderation by testing
alternative competing hypotheses derived from two plausible theoretical perspectives: the
utility perspective (Cohen & Wills, 1985) and the values perspective (Oishi, Diener, Lucas,
& Suh, 1999; Oishi, Diener, Suh, & Lucas, 1999b). By employing this strong inferences
paradigm (Platt, 1964), we provide systematic, overarching theoretical insight and guidance
to the cross-national literature.
Work-Family Conflict and Social Support
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Work-family conflict occurs when demands from work and family domains are
incompatible, impeding domain performance (Greenhaus & Beutell, 1985). Conflict can
occur in two directions: work can interfere with the ability to meet family demands (WIF) or
family can interfere with the ability to meet work demands (FIW; Frone et al., 1997b).
Previous meta-analytic research confirms WIF and FIW are moderately correlated, but
distinct (e.g., Michel et al., 2009; Shockley & Singla, 2011). Throughout the paper, we use
the umbrella term work-family conflict when we refer to conflict in general and we employ
WIF/FIW when we refer to specific directional conflict.
Psychol Bull. Author manuscript; available in PMC 2019 March 01.
French et al.
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Social support is one of the most widely studied contextual antecedents of work-family
conflict. Although the definition and operationalization of social support has historically
suffered from a lack of clarity and consensus (e,g., Cohen & Wills, 1985), two
commonalities exist among definitions. First, social support is derived from social
relationships. Second, social support protects an individual’s well-being under adverse
circumstances (Cobb, 1976; House et al., 1988). We define social support in the current
study as psychological or material resources provided through social relationships that can
mitigate strains. Furthermore, support can come from either the work or the family domain.
The terms “work support” and “family support” are used throughout the paper to refer to
support that originates in the work and family domains, respectively.
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Cohen (1992a) delineated three core components of social support: social networks
(existence, quantity, and types of social relationships), perceived support (perception that
social relationships have provided resources), and supportive behaviors (the receipt of
behaviors that help individuals manage strains). These components can be sorted into two
measurement groups: structural (social networks) versus functional (perceived support and
support behaviors). Structural measures describe the existence of social relationships in an
individual’s social network (e.g., marital status). Functional measures describe the functions
provided by these relationships (e.g., provision of emotional resources). Functional support
measures directly assess social support as they capture the transfer of support resources
and/or quality of support (Cohen & Wills, 1985; House et al., 1988). In contrast, structural
support measures indirectly assess social support, as they capture availability of supportive
connections (Cohen & Wills, 1985; House et al., 1988). In the current study, we are
interested in the transfer and quality of social support resources. As such, we focus on
functional operationalizations of social support, including support perceptions and
supportive behaviors.
Researchers have identified three theoretical roles social support may play in the stress
process (LaRocco, House, & French, 1980). Social support may have a direct mitigating
effect on stressors, or social support may directly mitigate strains (main effect hypothesis;
Cohen & Wills, 1985; LaRocco et al., 1980). Social support may alternatively serve as a
buffer between stressors and strains (buffer hypothesis; LaRocco et al., 1980). This buffering
may occur either during the appraisal process, mitigating perceptions of stressors, or after
appraisal has taken place by providing solutions, facilitating healthy coping strategies, or
decreasing problem importance (Cohen & McKay, 1984; Cohen & Wills, 1985).
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Tests comparing the direct versus moderating roles of support find social support is most
appropriately modeled as an antecedent to strains, such as work-family conflict (Carlson &
Perrewe, 1999; Seiger & Wiese, 2009). This direct relationship is most consistent with the
main effect hypothesis (Cohen & Wills, 1985). The direct antecedent role is buttressed by
resource-based stress theories that conceptualize support as a resource that can be used to
meet demands (e.g., conservation of resources, Hobfoll, 1989; job-demands resources
model, Demerouti, Bakker, Nachreiner, & Schaufeli, 2001) and therefore avert work-family
conflict (van Daalen, Willemsen, & Sanders, 2006). Consistent with these theoretical
perspectives, meta-analyses confirm work and family support have direct, negative
Psychol Bull. Author manuscript; available in PMC 2019 March 01.
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relationships with WIF and with FIW (Ford et al., 2007; Kossek et al., 2011; MesmerMagnus & Viswesvaran, 2006; Michel et al., 2009).
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Although meta-analyses indicate WIF and FIW share common correlates, the strength of
these relationships differ (e.g., Amstad, Meier, Fasel, Elfering, & Semmer, 2011). Patterns
tend to follow the domain specificity hypothesis (Frone et al., 1992; Frone et al., 1997b).
The domain specificity hypothesis proposes that WIF most strongly relates to work domain
antecedents because WIF originates in the work domain, whereas FIW most strongly relates
to family domain antecedents because FIW originates in the family domain. Although
numerous primary studies and virtually all previous meta-analyses on social support and
work-family conflict have invoked this theory when developing hypotheses, meta-analytic
empirical support is surprisingly sparse. Four meta-analyses have empirically tested the
domain specificity hypothesis. Of these, two meta-analyses failed to find support for domain
specificity (Mesmer-Magnus & Viswesvaran, 2006; Michel et al., 2011). Two meta-analyses
found partial support for domain specificity, in that work support was more strongly
associated with WIF than family support (Byron, 2005; Mesmer-Magnus & Viswesvaran,
2005), but work and family support were similarly related to FIW (Byron, 2005). Given the
relatively small number of primary studies in these meta-analyses (ks ranged from 2 to 31),
it is unclear if lack of support reflects a true null finding or a lack of power (Byron, 2005;
Mesmer-Magnus & Visewesvaran, 2005; 2006). Despite the lack of statistical significance,
effect sizes appear to align with the domain specificity hypothesis (e.g., Mesmer-Magnus &
Viswesvaran, 2005; Michel et al., 2011).
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Based on theoretical and empirical evidence for a direct relationship between social support
and work-family conflict, we examine work and family social support as correlates of WIF
and FIW. Consistent with the domain specificity hypothesis, WI ...
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