The Hidden Costs of On-Call Work: How It Hinders Employee Self-Care
- Alma Fourie

- Sep 21
- 3 min read

In today's fast-paced world, many workers face the reality of being "on call." While it might seem essential for some professions, this arrangement can greatly limit employees' ability to take care of themselves. This blog post examines the hidden costs of on-call work and its effects on employee well-being.
Understanding On-Call Work
On-call work means employees must be available for work-related issues beyond standard hours. This could involve responding to emergencies, handling urgent client requests, or providing technical support. While it may help organizations function smoothly, it often comes at a high cost to the employees involved.
Being on call can create constant alertness, making it tough for individuals to disengage from work. This inability to separate work from personal life can lead to rising stress levels and hinder personal well-being.
The Impact on Mental Health
The most significant issue related to on-call work is its toll on mental health. For instance, a survey by the American Psychological Association found that 70% of employees who are on call report feeling increased anxiety and stress due to the pressures of constant availability. This can lead to burnout, characterized by emotional, physical, and mental exhaustion, severely impacting one's quality of life.
The unpredictability of on-call shifts makes it difficult for employees to schedule personal activities. For example, if someone is on call every weekend, they may miss out on family events or friendships, increasing feelings of anxiety and creating a negative cycle in mental health.
Physical Health Consequences
Being on call also affects physical health. Stress from always being available can result in various health issues like sleep disturbances and increased headaches. According to a study published in the Journal of Occupational Health Psychology, employees who are regularly on call are 1.5 times more likely to develop chronic conditions due to neglecting essential self-care like exercise and good nutrition.
The lack of downtime can also slow recovery from illnesses. For instance, employees might ignore the need for rest, thinking their work obligations are more important. This mentality can lead to prolonged illnesses and increased risks of chronic health issues—ultimately impacting their productivity.
The Strain on Work-Life Balance
Maintaining a healthy work-life balance is vital for well-being. However, being on call can significantly disrupt this balance. Many employees find themselves choosing work over personal commitments, which can strain relationships with family and friends. A report from Deloitte reveals that 60% of employees in on-call positions feel isolated from their personal lives, causing resentment and frustration.
When employees can’t engage in hobbies or social activities, they often experience a sense of loss. This can decrease job satisfaction and motivation, ultimately harming their performance at work.
The Importance of Boundaries
To maintain effective self-care, establishing boundaries is essential for those in on-call roles. Employers should encourage employees to define clear limits on their availability. This promotes a workplace culture that values mental and physical well-being.
Employees should actively prioritize their health by scheduling regular breaks. Activities that promote relaxation, such as yoga, walking, or spending time with loved ones, can help ease the burdens of being on call.
Strategies for Employers
Employers play a vital role in promoting self-care for on-call employees. Here are some practical strategies:
Implement Flexible Scheduling: Allow employees to have a say in their on-call schedules. This can help them plan personal activities around work commitments.
Encourage Time Off: Remind employees of the importance of taking breaks to recharge, especially for those frequently on call. This proactive measure can prevent burnout and boost overall job satisfaction.
Regular attention to these strategies can create a healthier work environment and enhance employees’ overall well-being.
Moving Forward
The hidden costs of on-call work extend well beyond immediate job demands, affecting mental health, physical wellness, and work-life balance. It is crucial for both employees and employers to recognize these challenges and take steps to ease their effect.
By creating a culture that prioritizes self-care, organizations can develop a more sustainable work environment that benefits both employees and employers. Investing in the health of workers is not only a moral responsibility; it also leads to higher productivity, greater job satisfaction, and lasting success in the workplace.



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