Abstract
The aim of the current study was to examine relationships between organizational characteristics, work characteristics, and psychological work reactions in nursing work. We used several theoretical frameworks to select our research variables. In line with the contingency and sociotechnical system approaches, we selected complexity, uncertainty, and decision authority to represent the organizational characteristics. As to the work characteristics, we selected the variables of the Demand–Control–Support model (autonomy, social support, workload), role conflict, and role ambiguity. In order to measure the psychological work reactions, burnout, psychosomatic health complaints, job satisfaction, and intrinsic work motivation were assessed in questionnaires distributed to 1,855 nurses working in general hospitals in the Netherlands. Using correlation and hierarchical multiple regression analysis, the main results showed that high decision authority predicted high social support andhigh autonomy. High decision authority predicted high job satisfaction and high intrinsic work motivation. Finally, high complexity was indirectly predictive for high burnout. Workload operated as a mediator variable in this relationship.
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