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Different effort constructs and effort–reward imbalance: effects on employee well‐being in ancillary health care workers
Author(s) -
Van Vegchel Natasja,
De Jonge Jan,
Meijer Titia,
Hamers Jan P. H.
Publication year - 2001
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1046/j.1365-2648.2001.3411726.x
Subject(s) - logistic regression , emotional exhaustion , psychology , job security , odds , job satisfaction , health care , odds ratio , well being , work (physics) , applied psychology , social psychology , burnout , clinical psychology , medicine , mechanical engineering , pathology , engineering , economics , psychotherapist , economic growth
Different effort constructs and effort–reward imbalance: effects on employee well‐being in ancillary health care workersAims of the study. The present study investigates the relationship between Effort–Reward Imbalance (ERI) and employee well‐being, using three different concepts of efforts (i.e. psychological demands, physical demands and emotional demands). Background. The ERI model had been used as a theoretical framework, indicating that work stress is related to high efforts (i.e. job demands) and low occupational rewards (e.g. money, esteem and security/career opportunities). The ERI model also predicts that, in overcommitted workers, effects of ERI on employee well‐being are stronger compared with their less committed counterparts. Methods. A cross‐sectional survey among 167 ancillary health care workers of two nursing homes was conducted. Multiple univariate logistic regression analyses were used to test the relationship between ERI and employee well‐being. Results. Results of the logistic regression analyses showed that employees with both high (psychological, physical and emotional) efforts and low rewards had higher risks of psychosomatic health complaints, physical health symptoms and job dissatisfaction (odds ratios (ORs) ranged from 5·09 to 18·55). Moreover, employees who reported both high efforts and high rewards had elevated risks of physical symptoms and exhaustion (ORs ranged from 6·17 to 9·39). No support was found for the hypothesis on the moderating effect of overcommitment. Conclusion. Results show some support for the ERI model; ancillary health care workers with high effort/low reward imbalance had elevated risks of poor employee well‐being. In addition, results show that the combination of high efforts and high rewards is important for employee well‐being. Finally, some practical implications are discussed to combat work stress in health care work.