Research Article
The Influence of Recognition and Social
Support on European Health Professionals’ Occupational Stress:
A Demands-Control-Social Support-Recognition Bayesian
Network Model
Susana García-Herrero,
1
Jose R. Lopez-Garcia,
1
Sixto Herrera,
2
Ignacio Fontaneda,
1
Sonia Muñoz Báscones,
1
and Miguel A. Mariscal
1
1
Escuela Polit´ ecnica Superior, University of Burgos, Avda. Cantabria s/n, 09006 Burgos, Spain
2
Department of Applied Mathematics and Computer Sciences, University of Cantabria, Santander, Spain
Correspondence should be addressed to Susana Garc´ ıa-Herrero; susanagh@ubu.es
Received 2 June 2017; Revised 11 September 2017; Accepted 3 October 2017; Published 9 November 2017
Academic Editor: Giorgi Gabriele
Copyright © 2017 Susana Garc´ ıa-Herrero et al. Tis is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Healthcare professionals undergo high levels of occupational stress as a result of their working conditions. Tus, the aim of this
study is to develop a model that focuses on healthcare professionals so as to analyze the infuence that job demands, control,
social support, and recognition have on the likelihood that a worker will experience stress. Te data collected correspond to 2,211
healthcare workers from 35 countries, as reported in the sixth European Working Condition Survey (EWCS). Te results obtained
from this study allow us to infer stress under several working condition scenarios and to identify the more relevant variables in order
to reduce this stress in healthcare professionals, which is of paramount importance to managing the stress of workers in this sector.
Te Bayesian network proposed indicates that emotional demands have a greater infuence on raising the likelihood of stress due
to workload than do family demands. Te results show that the support of colleagues, in general, has less efect on reducing stress
than social support from superiors. Furthermore, the sensitivity analysis shows that, in high-demand and low-control situations,
recognition clearly impacts stress, drastically reducing it.
1. Introduction
Currently, according to the latest studies surveyed, it has been
discovered that healthcare professionals undergo high levels
of occupational stress as a result of diferent factors related
to the working conditions attributed to their trade [1]. In
particular, nurses experience the highest level of stress when
compared to other healthcare professionals [2–4].
Stress has been defned in diferent ways throughout
history. Selye [5], one of the pioneers in developing the
concept, defned stress as “Te non-specifc response of the
body to any demand, whether it is caused by, or results in,
pleasant or unpleasant conditions” [5, 6].
Te human body’s response to stress is exhibited through
the appearance of health problems, symptoms, and advanced
stages of disease. Many studies analyze the interrelationship
between occupational stress and high blood pressure and
coronary heart disease [7–13]. Other studies reveal the rela-
tionship between stress and musculoskeletal problems [2, 14–
16]. At the same time, occupational stress might be the cause
of severe depression [17, 18] and insomnia [19–22], which
itself conditions and promotes the labor absenteeism of those
workers who sufer from it [23, 24].
Various theoretical models have been developed to
explain diferent situations pertaining to the relationship
between work and its efect on workers’ mental health. Firstly,
the most commonly used models are those by Karasek [25],
the Job Demand-Control (JDC) model, and the expanded
model, Demand-Control-Support (DCS) [26, 27]. Te classic
model (JDC) by Karasek [25] explains the negative health
efects on workers if they do not have sufcient control
over their work in relation to labor demands. In Karasek
Hindawi
BioMed Research International
Volume 2017, Article ID 4673047, 14 pages
https://doi.org/10.1155/2017/4673047