EFFECTS OF STRESSFUL JOB DEMANDS AND CONTROL ON PHYSIOLOGICAL AND ATTITUDINAL OUTCOMES IN A HOSPITAL SETTING

• 成果类型: Article
• 署名作者: FOX, ML; DWYER, DJ; GANSTER, DC
• 署名单位: University System of Ohio; University of Toledo; University of Arkansas System; University of Arkansas Fayetteville
• 刊物名称: ACADEMY OF MANAGEMENT JOURNAL
• ISSN/ISSBN: 0001-4273
• DOI: 10.5465/256524
• 发表日期: 1993
• 页码: 289-318
• 关键词: DIASTOLIC BLOOD-PRESSURE; CORONARY HEART-DISEASE; cardiovascular-disease; OCCUPATIONAL STRESS; decision latitude; WORK STRESS; HEALTH; strain; satisfaction; performance

摘要

We tested the job demands-job control model of stress with a group of 136 registered nurses. Significant interactions between subjective and objective measures of work load and a measure of perceived control predicting physiological and attitudinal outcomes indicated support for the model. In addition, objectively assessed job demands were significantly associated with blood pressure and cortisol levels. The model also predicted elevations in physiological responses after individuals left work, suggesting that potentially health-impairing reactions to jobs that have high demands and low controllability might carry over to home settings and thus pose a high risk of long-term health impairment. The results have implications for the role of personal control in occupational stress generally and for nurse-management practices specifically.