THE IMPACT OF CLIENT VARIABILITY ON NURSES' OCCUPATIONAL STRAIN AND INJURY: CROSS-LEVEL MODERATION BY SAFETY CLIMATE

• 成果类型: Article
• 署名作者: Chowdhury, Sanjib K.; Endres, Niegan Lee
• 署名单位: Eastern Michigan University
• 刊物名称: ACADEMY OF MANAGEMENT JOURNAL
• ISSN/ISSBN: 0001-4273
• DOI: 10.5465/AMJ.2010.48037720
• 发表日期: 2010
• 页码: 182-198
• 关键词: DEMANDS-RESOURCES MODEL; JOB DEMANDS; ROLE STRESS; INPUT UNCERTAINTY; health-care; work; performance; ORGANIZATIONS; BURNOUT; COORDINATION

摘要

Drawing on job demands and control theory, we propose a model demonstrating how client variability and safety climate influence occupational well-being in the nursing service environment. We surveyed 194 registered nurses regarding client variability, safety climate, and occupational strain in two large hospitals and obtained injury data for the six months after primary data collection. We found that unit-level safety climate moderated the partially mediated relationship between client variability and injury through occupational strain. Specifically, a stronger safety climate attenuated positive associations between client variability and occupational strain, occupational strain and injury, and client variability and injury.