Work-home interference among nurses: reciprocal relationships with job demands and health


Heijden, Beatrice I.J.M. van der and Demerouti, Evangelia and Bakker, Arnold B. and Hasselhorn, Hans-Martin (2008) Work-home interference among nurses: reciprocal relationships with job demands and health. Journal of Advanced Nursing, 62 (5). pp. 572-584. ISSN 0309-2402

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Abstract:Aims: This paper is a report of a study with three aims: (i) to investigate whether emotional, quantitative and physical demands have a causal, negative impact on nurses' health; (ii) to examine whether work-home interference can explain this effect, by playing a mediating role; and (iii) to test the so-called loss spiral hypothesis claiming that nurses' health problems lead to even higher job demands and more work-home interference over time. -
Background: While many scholars have thought in terms of the stressor→work-home interference→strain model, the validity of a model that includes opposite pathways needs to be tested. -
Method: A questionnaire was completed twice, with a 1-year time interval by 753 (63·4%) Registered Nurses working in hospitals, 183 (15·4%) working in nursing homes, and 251 (21·1%) working in home care institutions. The first measurement took place between October 2002 and June 2003. -
Findings: Our findings strongly support the idea of cross-lagged, reciprocal relationships between job demands and general health over time. The reciprocal model with work-home interference as an intervening variable (including reciprocal relationships between job demands, work-home interference and general health) showed a good fit to the data, and proved to be superior to both the causality and reversed causation models. -
Conclusion: The higher nurses' job demands, the higher is their level of work-home interference and the more likely is a general health deterioration over time, in turn giving rise to higher job demands and work-home interference, which may even aggravate the nurses' general health, and so on.
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Copyright:© 2008 Wiley InterScience
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