Occupational stress among health care workers: A test of the job demands-control model
Article first published online: 20 NOV 2006
Copyright © 1988 John Wiley & Sons, Ltd.
Journal of Organizational Behavior
Volume 9, Issue 3, pages 217–239, July 1988
How to Cite
Landsbergis, P. A. (1988), Occupational stress among health care workers: A test of the job demands-control model. J. Organiz. Behav., 9: 217–239. doi: 10.1002/job.4030090303
- Issue published online: 20 NOV 2006
- Article first published online: 20 NOV 2006
- Manuscript Revised: 11 MAY 1987
- Manuscript Received: 9 SEP 1986
Models of occupational stress have often failed to make explicit the variable of control over the environment, as well as the role of job socialization in shaping personality characteristics and coping behaviours. This neglect has helped maintain the focus of stress reduction interventions on the individual. A new model of occupational stress developed by Robert Karasek incorporates control and socialization effects and has successfully predicted the development of heart disease and psychological strain.
A survey instrument derived from the model was distributed to 771 hospital and nursing home employees in New Jersey, and 289 (37.5 per cent) were returned. Respondents did not significantly differ from non-respondents by age, sex, job tenure, union membership status, job satisfaction, job perceptions and attitude towards employer and union.
The results support the hypothesis that reported job strain (job dissatisfaction, depression, psychosomatic symptoms) and burnout is significantly higher in jobs that combine high workload demands with low decision latitude. This association remained significant after controlling for age, sex, education, marital status, children, hours worked per week and shift worked. Other job characteristics (job insecurity, physical exertion, social support, hazard exposure) were also associated with strain and burnout.
The survey instrument also identified high strain jobtitles in the surveyed workplaces. The results are discussed in relation to directions for future research, research on stress in nursing, and approaches to stress reduction.