The role of social support and individual coping strategies (problem-focused, emotion-focused) in the moderation of the relationship between health care-related occupational stress and health was examined in a survey of 212 midwives and nurses. Results indicate that neither of the coping strategies was influential, whereas social support levels were either detrimental or beneficial based on the reported level of job stress. High support in conjunction with high job stress was associated with poorer health. Conversely, when support was low, high stress was associated with better health. This implied that it was the level of overall social support in conjunction with the level of job stress that was associated with psychological and physical health levels. Subsequent to the findings of this research, a call to examine specific factors that may influence the personal formation of support networks (i.e., gender, causality), as well as causality, was emphasised.
Aiken, L., West, S. (1991) Multiple regression: testing and interpreting interactions . London: Sage Publications.
2.
Ball, J., Pike, G. (2005) Nurses in Wales 2005: Results for Wales from the RCN Employment Survey 2005. London: Royal College of Nursing.
3.
Bartezzaghi, E. (1999) The evolution of production models: is a new paradigm emerging. Int J Oper Prod Manag19: 229-250.
4.
Barton, J., Spelton, E., Totterdell, P., Smith, P., Folkard, S., Costa, G. (1995) The standard shiftwork index: a battery of questionnaires for assessing shiftwork-related problems. Work Stress9: 4-30.
5.
Bentall, R., Wood, G., Marrinan, T., Deans, C., Edwards, R. (1993) A brief mental fatigue questionnaire. British Journal of Clinical Psychology32: 375-379.
6.
Benton, D. (1987) Adrenal hormone production as indices of occupational stress. In: Gale, G, Christie, B (eds), Psychophysiology and the Electronic Workplace, pp. 275-291. New York: John Wiley & Sons.
7.
Bradley, J., Cartwright, S. (2002) Social support, job stress, health, and job satisfaction among nurses in the United Kingdom. Int J Stress Manag9: 163-182.
8.
Cobb, S. (1976) Support as a mediator of life stress. Psychosom Med38: 300-314.
9.
Costello, J. (2006) Dying well: nurses' experience of `good and bad' deaths in hospital. J Adv Nurs54: 594-601.
10.
Dirkzwager, A., Bramsen, I., van der Ploeg, H. (2003) Social support, coping, life events, and posttraumatic stress symptoms among former peace keepers: a prospective study. Pers Individ Dif34: 1545-1559.
11.
Goldberg, D. (1972) The Detection of Psychiatric Illness by Questionnaire . Oxford: Oxford University Press .
12.
Healy, C., McKay, M. (2000) Nursing stress: the effects of coping strategies and job satisfaction in a sample ofAustralian nurses. J Adv Nurs31: 681-688.
13.
Heslop, P., Smith, G., Metcalfe, C., Macleod, J., Hart, C. (2002) Change in job satisfaction, and its association with self-reported stress, cardiovascular risk factors and mortality. Soc Sci Med54: 1589-1599.
14.
Hillhouse, J., Adler, C. (1997) Investigating stress effect patterns in hospital staff nurses: results of a cluster analysis. Soc Sci Med45: 1781-1788.
15.
Hingley, P. (1984) The human face of nursing. Nurs Mirror159: 19-22.
16.
Hopkinson, J., Hallett, C., Luker, K. (2005) Everyday death: how do nurses cope with caring for dying people in hospital. Int J Nurs Stud42: 125-133.
17.
Hsu, M., Kernohan, G. (2006) Dimensions of hospital nurses' quality of working life. J Adv Nurs54: 120-131.
18.
Jenkins, R., Elliott, P. (2004) Stressors, burnout and social support: nurses in acute mental health settings. J Adv Nurs48: 62-631.
19.
Karasek, R. (1985) Job Content Questionnaire and User's Guide. Revision 1.1. MAUniversity of Massachusetts.
20.
Laschinger, H., Spence, K., Finegan, J., Shamian, J., Wilk, P. (2001) Impact of structural and psychological empowerment on job strain in nursing work settings. J Nurs Adm31: 260-272.
21.
Lazarus, R. (1966) Psychological Stress and the Coping Process. New York: McGraw Hill.
22.
Lazarus, R. (1999) Stress and Emotion. New York : Springer.
23.
LeSergent, C., Haney, C. (2005) Rural hospital nurse's stressors and coping strategies: a survey. Int J Nurs Stud42: 315-325.
24.
Lowe, R., Bennett, P. (2003) Exploring coping reactions to work-stress: application of an appraisal theory. J Occup Organ Psychol76: 393-400.
25.
Lusa, S., Häkkänen, M., Luukkonen, R., Viikari-Juntura, E. (2002) Perceived physical work capacity, stress, sleep disturbance and occupational accidents among fire fighters working during a strike. Work Stress16: 264- 274.
26.
McNeely, E. (2005) The consequences of job stress for nurses' health: time for a check up. Nurs Outlook53: 291- 299.
27.
McVicar, A. (2003) Workplace stress in nursing: a literature review . J Adv Nurs44: 633-642.
28.
Michie, S., Cockcroft, A. (1996) Overwork can kill: especially if combined with high demand, low control, and poor social support. Br Med J312: 921-922.
29.
Michie, S., Williams, S. (2003) Reducing work related psychological ill health and sickness absence: a systematic literature review. Occup Environ Med60: 3-9.
30.
Patterson, G. (2003) Examining the effects of coping and social support on work and life stress among police officers. J Crim Justice31: 215-226.
31.
Piko, B. (2006) Burnout, role conflict, job satisfaction and psychosocial health among Hungarian health care staff: a questionnaire survey. Int J Nurs Stud43: 311-318.
32.
Sarason, I., Sarason, B., Shearin, E., Pierce, G. (1987) A brief measure of social support: practical and theoretical implications. J Soc Pers Relat4: 497-510.
33.
Schmieder, R., Smith, C. (1996) Moderating effects of social support in shiftworking and non-shiftworking nurses. Work Stress10: 128-140.
34.
Schwartz, G., Davidson, R., Goldman, D. (1978) Pattering of cognitive and somatic processes in the self-regulation of anxiety: effects of meditation versus exercise. Psychosom Med40: 321-328.
35.
Schwarzer, R., Gutiérrez-Doña, B. (2005) More spousal support for men than for women: a comparison of sources and types of support. Sex Roles52: 523-532.
36.
Shen, H., Cheng, Y., Tsai, P., Lee, S., Guo, Y. (2005) Occupational stress in nurses in psychiatric institutions in Taiwan. J Occup Health47: 218-225.
37.
Skinner, E. (1996) A guide to constructs of control. J Pers Soc Psychol71: 549-570.
38.
SPSS . SPSS Inc. Chicago, Illinois. U.S.A.
39.
Stansfeld, S., Bosma, H., Hemingway, H., Marmot, M. (1998) Psychosocial work characteristics and social support as predictors of SF-36 health functioning: the Whitehall II study. Psychosom Med60: 247-255.
40.
Stacciarini, J., Tróccoli, B. (2004) Occupational stress and constructive thinking: health and job satisfaction. J Adv Nurs46: 480-487.
41.
Suls, J., Fletcher, B. (1985) The relative efficacy of avoidant and non-avoidant coping strategies: a meta-analysis. Health Psychol4: 249-288.
42.
Tobin, D., Holroyd, K., Reynolds, R. (1984) User's Manual for the Coping Strategies Inventory . Ohio: Ohio University.
43.
Tyson, P., Pongruengphant, R., Aggarwal, B. (2002) Coping with organizational stress among hospital nurses in Southern Ontario. Int J Nurs Stud39: 453-459.
44.
Väänänen, A., Vahtera, J., Pentti, J., Kivimäki, M. (2005) Sources of support as determinants of psychiatric morbidity after severe life events: prospective cohort study of female employees . J Psychosom Res58: 459-467.
45.
Vedhara, K., Addy, L., Wharton, L. (2000) The role of social support as a moderator of the acute stress response: in situ versus empirically-derived associations. Health Psychol15: 297-307.
46.
Verhaeghe, R., Mak, R., Van Maele, G., Kornitzer, M., De Backer, G. (2003) Job stress among middle-aged health care workers and its relation to sickness absence. Stress Health19: 265-274.
