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 University C. Ward Struthers and Re ´jeanne Dupuis York University This study tested an integrative occupational stress-model with a sample of 209 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 specific palliative care stressors and resources, results showed that best predictors of job satisfaction were job demand, effort, reward, and people-oriented culture, whereas best pre- dictors of emotional distress were reward, professional and emotional de- mands, and self-efficacy. Finally, using structural equation modeling, a two-factor occupational stress-model was developed, distinguishing job de- mands and job resources. Results emphasize the importance of using com- prehensive and situation-specific models to study stress in specific worker populations, studying positive outcomes in stress research, and increasing job resources at work to prevent stress. Keywords: nurses, occupational stress, palliative care, job satisfaction, emotional distress Occupational stress occurs when the demands of the work environment exceed employees’ coping resources (Cox, Griffiths, & Rial-Gonzalez, Lise Fillion and Isabelle Tremblay, Faculty of Nursing, Laval University; Manon Truchon and Denis Co ˆte ´, Department of Industrial Relations, Laval University; C. Ward Struthers and Re ´jeanne Dupuis, Department of Psychology, York University. The authors thank Louise Saint-Laurent for her contribution as research coordinator in data collection and three anonymous reviewers for their valuable comments. This research was supported by a CHSRF grant and an investigator award (FRSQ-FRESIQ) to the first author. Correspondence concerning this article should be addressed to Lise Fillion, Faculte ´ des sciences infirmie `res, Pavillon Paul-Comtois, local 4108B, Universite ´ Laval, Que ´bec, Canada G1K 7P4. E-mail: lise.fillion@fsi.ulaval.ca International Journal of Stress Management Copyright 2007 by the American Psychological Association 2007, Vol. 14, No. 1, 1–25 1072-5245/07/$12.00 DOI: 10.1037/1072-5245.14.1.1 1