Havermans Bo M, Boot Cécile R L, Houtman Irene L D, Brouwers Evelien P M, Anema Johannes R, van der Beek Allard J
Department of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Center, PO box 7057, 1007 MB, Amsterdam, The Netherlands.
Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands.
BMC Public Health. 2017 Jun 8;17(1):558. doi: 10.1186/s12889-017-4484-4.
Health care workers are exposed to psychosocial work factors. Autonomy and social support are psychosocial work factors that are related to stress, and are argued to largely result from the psychosocial safety climate within organisations. This study aimed to assess to what extent the relation between psychosocial safety climate and stress in health care workers can be explained by autonomy and social support.
In a cross-sectional study, psychosocial safety climate, stress, autonomy, co-worker support, and supervisor support were assessed using questionnaires, in a sample of health care workers (N = 277). Linear mixed models analyses were performed to assess to what extent social support and autonomy explained the relation between psychosocial safety climate and stress.
A lower psychosocial safety climate score was associated with significantly higher stress (B = -0.21, 95% CI = -0.27 - -0.14). Neither co-worker support, supervisor support, nor autonomy explained the relation between psychosocial safety climate and stress. Taken together, autonomy and both social support measures diminished the relation between psychosocial safety climate and stress by 12% (full model: B = -0.18, 95% CI = -0.25 - -0.11).
Autonomy and social support together seemed to bring about a small decrease in the relation between psychosocial safety climate and stress in health care workers. Future research should discern whether other psychosocial work factors explain a larger portion of this relation.
This study was registered in the Netherlands National Trial Register, trial code: NTR5527 .
医护人员会接触到心理社会工作因素。自主性和社会支持是与压力相关的心理社会工作因素，并且有人认为它们很大程度上源于组织内部的心理社会安全氛围。本研究旨在评估心理社会安全氛围与医护人员压力之间的关系在多大程度上可以由自主性和社会支持来解释。
在一项横断面研究中，使用问卷对277名医护人员样本进行了心理社会安全氛围、压力、自主性、同事支持和上级支持的评估。进行线性混合模型分析以评估社会支持和自主性在多大程度上解释了心理社会安全氛围与压力之间的关系。
较低的心理社会安全氛围得分与显著更高的压力相关（B = -0.21，95%置信区间 = -0.27 - -0.14）。同事支持、上级支持和自主性均未解释心理社会安全氛围与压力之间的关系。总体而言，自主性和两种社会支持措施使心理社会安全氛围与压力之间的关系减少了12%（完整模型：B = -0.18，95%置信区间 = -0.25 - -0.11）。
自主性和社会支持共同作用似乎使医护人员心理社会安全氛围与压力之间的关系略有降低。未来的研究应确定其他心理社会工作因素是否能解释这一关系的更大比例。
本研究已在荷兰国家试验注册中心注册，试验代码：NTR5527 。
