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The incorporation of different demand concepts in the job demand-control model: effects on health care professionals

Author

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  • de Jonge, Jan
  • Mulder, Marike J. G. P.
  • Nijhuis, Frans J. N.

Abstract

This paper reports a study of 212 health care professionals that focuses on job characteristics as predictors of employee health. By means of covariance structure modelling (LISREL 8) we tested the interactive assumptions of the Karasek (1979) Job Demand-Control (JD-C) Model [Karasek, R.A., Jr., 1979. Job demands, job decision latitude, and mental strain: implications for job redesign. Administrative Science Quarterly, 24, 285-307.] using three different concepts of job demands (i.e. psychological job demands, physical demands and emotional demands) in combination with a more focused measure of decision latitude (i.e. job autonomy) to predict employee health (i.e. job satisfaction, job involvement, emotional exhaustion and psychosomatic health complaints). Controlling for gender and age, the results partly support the JD-C hypotheses by finding three out of twelve assumed interaction effects. More specifically, different outcome variables are predicted by different combinations of job autonomy with the three kinds of job demands, respectively. In conclusion, although we refute the central hypotheses of the JD-C model to a large extent, the current (interactive) findings are quite illuminating and will be discussed in the context of their theoretical and practical implications. Researchers as well as practitioners have to broaden their perspective on 'job demands' in health care work and need to focus on different kinds of job demands to capture the complexity of this work setting.

Suggested Citation

  • de Jonge, Jan & Mulder, Marike J. G. P. & Nijhuis, Frans J. N., 1999. "The incorporation of different demand concepts in the job demand-control model: effects on health care professionals," Social Science & Medicine, Elsevier, vol. 48(9), pages 1149-1160, May.
    • Handle: RePEc:eee:socmed:v:48:y:1999:i:9:p:1149-1160
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    Cited by:

    1. Li, Jian & Yang, Wenjie & Cho, Sung-il, 2006. "Gender differences in job strain, effort-reward imbalance, and health functioning among Chinese physicians," Social Science & Medicine, Elsevier, vol. 62(5), pages 1066-1077, March.
    2. Meyerding, Stephan G.H., 2017. "Analyzing job satisfaction and preferences of employees: the case of horticultural companies in Germany," International Food and Agribusiness Management Review, International Food and Agribusiness Management Association, vol. 20(5).
    3. Karin Anne Peter & Sabine Hahn & Jos M. G. A. Schols & Ruud J. G. Halfens, 2020. "Work‐related stress among health professionals in Swiss acute care and rehabilitation hospitals—A cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(15-16), pages 3064-3081, August.
    4. Marchand, Alain & Demers, Andrée & Durand, Pierre, 2005. "Does work really cause distress? The contribution of occupational structure and work organization to the experience of psychological distress," Social Science & Medicine, Elsevier, vol. 61(1), pages 1-14, July.
    5. Huizing, Anna R. & Hamers, Jan P.H. & de Jonge, Jan & Candel, Math & Berger, Martijn P.F., 2007. "Organisational determinants of the use of physical restraints: A multilevel approach," Social Science & Medicine, Elsevier, vol. 65(5), pages 924-933, September.
    6. Grace, Matthew K. & VanHeuvelen, Jane S., 2019. "Occupational variation in burnout among medical staff: Evidence for the stress of higher status," Social Science & Medicine, Elsevier, vol. 232(C), pages 199-208.
    7. Hessels, Jolanda & Rietveld, Cornelius A. & van der Zwan, Peter, 2017. "Self-employment and work-related stress: The mediating role of job control and job demand," Journal of Business Venturing, Elsevier, vol. 32(2), pages 178-196.
    8. Virginia Navajas-Romero & Antonio Ariza-Montes & Felipe Hernández-Perlines, 2020. "Analyzing the Job Demands-Control-Support Model in Work-Life Balance: A Study among Nurses in the European Context," IJERPH, MDPI, vol. 17(8), pages 1-17, April.
    9. Rugulies, Reiner & Krause, Niklas, 2005. "Job strain, iso-strain, and the incidence of low back and neck injuries. A 7.5-year prospective study of San Francisco transit operators," Social Science & Medicine, Elsevier, vol. 61(1), pages 27-39, July.
    10. Vanroelen, Christophe & Levecque, Katia & Moors, Guy & Gadeyne, Sylvie & Louckx, Fred, 2009. "The structuring of occupational stressors in a Post-Fordist work environment. Moving beyond traditional accounts of demand, control and support," Social Science & Medicine, Elsevier, vol. 68(6), pages 1082-1090, March.
    11. Kornélia R. Lazányi, 2011. "Health Care Workers at Risk," Proceedings- 9th International Conference on Mangement, Enterprise and Benchmarking (MEB 2011),, Óbuda University, Keleti Faculty of Business and Management.
    12. Beatrice Van der Heijden & Christine Brown Mahoney & Yingzi Xu, 2019. "Impact of Job Demands and Resources on Nurses’ Burnout and Occupational Turnover Intention Towards an Age-Moderated Mediation Model for the Nursing Profession," IJERPH, MDPI, vol. 16(11), pages 1-22, June.

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