Epidemiol Psychiatr Sci. 2011 Dec;20(4):287-93. doi: 10.1017/s2045796011000588.
Work stress is widely thought to be a significant problem in the health and community services sector. We reviewed evidence from a range of different data sources that confirms this belief. High levels of psychosocial risk factors, psychological health problems and workers compensation claims for stress are found in the sector. We propose a multilevel theoretical model of work stress to account for the results. Psychosocial safety climate (PSC) refers to a climate for psychological health and safety. It reflects the balance of concern by management about psychological health v. productivity. By extending the health erosion and motivational paths of the Job Demands-Resources model we propose that PSC within work organisations predicts work conditions and in turn psychological health and engagement. Over and above this, however, we expect that the external environment of the sector particularly government policies, driven by economic rationalist ideology, is increasing work pressure and exhaustion. These conditions are likely to lead to a reduced quality of service, errors and mistakes.
工作压力被广泛认为是健康和社区服务部门的一个重大问题。我们回顾了一系列不同数据源的证据，这些证据证实了这一观点。该领域存在高水平的心理社会风险因素、心理健康问题和因压力导致的工人赔偿要求。我们提出了一个多层次的工作压力理论模型来解释这些结果。心理社会安全氛围（PSC）是指心理健康和安全的氛围。它反映了管理层对心理健康与生产力的关注之间的平衡。通过扩展工作要求-资源模型的健康侵蚀和激励路径，我们提出工作组织内的 PSC 可以预测工作条件，进而预测心理健康和工作投入。然而，除此之外，我们预计该部门的外部环境，特别是受经济理性主义意识形态驱动的政府政策，正在增加工作压力和疲惫感。这些情况可能会导致服务质量下降、错误和失误。
