TY - CHAP AB - Purpose We explore: (1) the effects of work unit pressure on employees’ satisfaction with work–family balance (S-WFB); (2) the effects of individual-level job and family pressures on S-WFB; and (3) the extent to which schedule control moderates the negative influences of work unit pressure and other demands on employee S-WFB – among employees in a large healthcare system.Methodology The data come from employee responses to the baseline survey (n = 3,950) administered in September 2012, and from administrative unit-level data (445 units) showing the extent to which units were “on-budget” (within 5 percent), “over-budget,” or “under-budget.”Findings Practices associated with cost containment in a healthcare system of 10,000 employees in the United States appear to have a negative impact on employee S-WFB. Working in a unit that is “under-budget” is negatively associated with individual S-WFB. Employees with high job demands, longer hours, responsibilities for children and/or adults, also reported lower S-WFB than employees without these characteristics.Research limitations/implications Research is limited by lack of measures specific to healthcare workers, the use of baseline data only, and sample size for some of the analyses.Social implications Schedule control makes a difference even under high work pressure. The lack of interactions among variables that typically moderate relationships between work pressures and S-WFB suggests the need for more support for healthcare workers under the strain of cost containment.Originality/value of the chapter We include an objective indicator of unit-level job pressures on individual employees, thus identifying specific ways that work stress affects S-WFB. VL - 26 SN - 978-1-78441-630-0, 978-1-78441-629-4/0277-2833 DO - 10.1108/S0277-283320150000026015 UR - https://doi.org/10.1108/S0277-283320150000026015 AU - James Jacquelyn Boone AU - Pitt-Catsouphes Marcie AU - McNamara Tay K. AU - Snow David L. AU - Johnson Patricia L. PY - 2015 Y1 - 2015/01/01 TI - The Relationship of Work Unit Pressure to Satisfaction with Work–Family Balance: A New Twist on Negative Spillover? T2 - Work and Family in the New Economy T3 - Research in the Sociology of Work PB - Emerald Group Publishing Limited SP - 219 EP - 247 Y2 - 2024/04/24 ER -