University of Zadar Department of Psychology, Zadar, Croatia.
Arh Hig Rada Toksikol. 2021 Sep 28;72(3):225-231. doi: 10.2478/aiht-2021-72-3556.
The Job Demands-Control-Support (JDCS) model has seldom been tested in palliative care settings, and occupational well-being of palliative care professionals has never before been investigated in Croatia. Our aim was therefore to fill that gap by testing the JDCS model among Croatian nurses providing palliative care. More specifically, we wanted to see how job demands, job control, and social support at work affect occupational well-being outcomes (i.e. job satisfaction and burnout dimensions of exhaustion and disengagement from work) in terms of the model's iso-strain and buffer hypotheses. This cross-sectional study included 68 nurses working in various palliative care institutions across Croatia, who answered our online questionnaire. Overall, the nurses did not report high levels of burnout or low job satisfaction. The only significant effect was that of job control on job satisfaction (β=0.38; P<0.01) and disengagement (β=-0.45; P<0.01), while job demands and social support at work had a significant interaction effect on the burnout dimension of exhaustion (β=0.39; P<0.01) in the sense that high social support at work buffered the increase in exhaustion associated with high job demands. These findings suggest that interventions aimed at increasing perceived job control and social support at the workplace could improve occupational well-being of nurses working in palliative care.
工作要求-控制-支持（JDCS）模型在姑息治疗环境中很少得到检验，克罗地亚也从未调查过姑息治疗专业人员的职业幸福感。因此，我们的目的是通过在克罗地亚提供姑息治疗的护士中检验 JDCS 模型来填补这一空白。更具体地说，我们希望根据该模型的同型应变和缓冲假设，了解工作中的工作要求、工作控制和社会支持如何影响职业幸福感结果（即工作满意度和倦怠维度的疲惫和工作脱离）。这项横断面研究包括在克罗地亚各地的各种姑息治疗机构工作的 68 名护士，他们回答了我们的在线问卷。总体而言，护士报告的倦怠程度或工作满意度不高。唯一显著的影响是工作控制对工作满意度（β=0.38；P<0.01）和脱离（β=-0.45；P<0.01）的影响，而工作需求和工作中的社会支持对倦怠维度的疲惫（β=0.39；P<0.01）具有显著的交互作用，这意味着工作中的高社会支持缓冲了与高工作需求相关的疲惫增加。这些发现表明，旨在增加工作场所感知到的工作控制和社会支持的干预措施可以改善姑息治疗护士的职业幸福感。
