Job satisfaction and emotional distress among nurses providing palliative care: Empirical evidence for an integrative occupational stress-model.

This study tested an integrative occupational stress-model with a sample of 209 palliative-care nurses who responded to a survey. Using two hierarchical regression models, including the Job Demand-Control-Support model, the Effort-Reward Imbalance model, and specific palliative care stressors and resources, results showed that best predictors of job satisfaction were job demand, effort, reward, and people-oriented culture, whereas best predictors of emotional distress were reward, professional and emotional demands, and self-efficacy. Finally, using structural equation modeling, a two-factor occupational stress-model was developed, distinguishing job demands and job resources. Results emphasize the importance of using comprehensive and situation-specific models to study stress in specific worker populations, studying positive outcomes in stress research, and increasing job resources at work to prevent stress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)