The moderating role of decision authority and coworker- and supervisor support on the impact of job demands in nursing homes: A cross-sectional study

摘要: Abstract Background Healthcare workers in nursing homes are faced with high job demands that can have a detrimental impact on job-related outcomes, such as satisfaction. Job resources may buffering role this relationship. The Demand-Control-Support (DCS) Model offers theoretical framework to study how specific buffer the adverse effects of demands, and even activate positive consequences demands. Objectives present tests moderating (i.e. activating) decision authority coworker- supervisor support assumed by hypotheses DCS Model. Design A national cross-sectional survey was conducted an anonymous questionnaire. Setting One hundred thirty six living arrangements provide home care for people dementia Netherlands. Participants Fifteen healthcare per arrangement. In total, 1147 filled out questionnaires (59% response rate). Methods Hierarchical multilevel regression analyses were test assumption effect dependent variables is buffered or activated most when both social high. This moderation statistically represented three-way interactions demands×authority×support), while lower-order taken into account two-way interactions). supported interaction found expected direction. studied satisfaction, emotional exhaustion, personal accomplishment. Results proposed activation not our study. Three-way exhaustion accomplishment, though addition, satisfaction exhaustion. Decision staff. Supervisor situations low authority. Finally, coworker accomplishment strain situations. Conclusions Findings reveal particular makes less vulnerable promotes work.