title: Organizational climate, occupational stress, and employee mental health: mediating effects of organizational efficiency.
abstract: OBJECTIVE
  To determine whether the relationship between organizational climate and employee mental health is consistent (ie, invariant) or differs across four large hospitals, and whether organizational efficiency mediates this relationship.
  
  
  METHODS
  Participants (total N = 5316) completed validated measures of organizational climate variables (social climate, participatory management, goal clarity, and performance feedback), organizational efficiency, occupational stress, and mental health.
  
  
  RESULTS
  Path analysis best supported a model in which organizational efficiency partially mediated relationships between organizational climate, occupational stress, and mental health.
  
  
  CONCLUSIONS
  Focusing on improving both the psychosocial work environment and organizational efficiency might contribute to decreased employee stress, improved mental well-being, and organizational performance.
authors.affiliation: Division of Occupational and Environmental Health, Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, MI, USA. barnetz@med.wayne.edu
authors.forename: Bengt B
authors.initials: BB
authors.lastname: Arnetz
authors.forename: Todd
authors.initials: T
authors.lastname: Lucas
authors.forename: Judith E
authors.initials: JE
authors.lastname: Arnetz
mesh_terms: D000328:Adult; D017598:Efficiency, Organizational; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D016272:Occupational Health; D015279:Organizational Culture; D012931:Social Environment; D013315:Stress, Psychological; D013548:Sweden