Job satisfaction and emotional distress among nurses providing palliative care: Empirical evidence for an integrative occupational stress-model.

Lise Fillion, Isabelle Tremblay, Manon Truchon, and Denis Co ˆte´Laval UniversityC. Ward Struthers and Re ´jeanne DupuisYork UniversityThis study tested an integrative occupational stress-model with a sample of209 palliative-care nurses who responded to a survey. Using two hierarchi-cal regression models, including the Job Demand-Control-Support model,the Effort-Reward Imbalance model, and speciÞc palliative care stressorsand resources, results showed that best predictors of job satisfaction werejob demand, effort, reward, and people-oriented culture, whereas best pre-dictors of emotional distress were reward, professional and emotional de-mands, and self-efÞcacy. Finally, using structural equation modeling, atwo-factor occupational stress-model was developed, distinguishing job de-mands and job resources. Results emphasize the importance of using com-prehensive and situation-speciÞc models to study stress in speciÞc workerpopulations, studying positive outcomes in stress research, and increasingjob resources at work to prevent stress.