Results. One thousand five hundred and ninety staff completed questionnaires (77%
staff-level response rate; complete responses by ≥80% of all workers in 68 work
environments). There was evidence of environmental variation between practices in
intention to leave, absenteeism, job demand, and control, but not distress. Job demand
and control both significantly predicted distress, and control moderated the relationship
between demand and distress with the effects of demand being reduced at low levels by
high control.Asmall indirect effect via distress was observed for the relationship