title: Employer perceptions of stress and resilience intervention.
abstract: OBJECTIVE
  To understand employers' perceived organizational strengths in addressing stress and resilience-building to help expand theoretical knowledge and guide interventions.
  
  
  METHODS
  Interviews and discussion groups with 46 employer representatives using grounded theory methodology for sampling and analysis of narrative data.
  
  
  RESULTS
  Participants detailed three levels of approaches: (1) preventing stress/building resilience; (2) providing information, resources, and benefits to employees; and (3) intervening actively with troubled employees. Preventing stress through trusting work relationships and trust in stability of organizational structures emerged as a core concept explaining effectiveness of these approaches. Results are discussed using positive organizational scholarship, systems, and well-being frameworks.
  
  
  CONCLUSIONS
  Psychosocial distress has unfavorable effects on human health and work performance. Greater attention to the systemic development and maintenance of trust in workplace relationships and systems is suggested.
authors.affiliation: Department of Occupational Therapy, The University of Kansas Medical Center, Kansas City, KS, USA. nspangler@kc.rr.com
authors.forename: Nancy W
authors.initials: NW
authors.lastname: Spangler
authors.forename: Joy
authors.initials: J
authors.lastname: Koesten
authors.forename: Michael H
authors.initials: MH
authors.lastname: Fox
authors.forename: Jeff
authors.initials: J
authors.lastname: Radel
mesh_terms: D000328:Adult; D003142:Communication; D005260:Female; D017144:Focus Groups; D006264:Health Benefit Plans, Employee; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000517:prevention & control* / Q000628:therapy; D016272:Occupational Health; D015279:Organizational Culture; D016134:Organizational Policy; D055500:Resilience, Psychological; D012945:Social Values; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000517:prevention & control* / Q000628:therapy; D035502:Trust / Q000523:psychology; D017132:Workplace / Q000523:psychology