The Research On Nurses' Emotional Labor And Its Related Factors In Changsha

Objective:To investigate the level of nurses'emotional labor and the relationships among nurses' emotional labor and nursing working environment, job satisfaction, emotional burnout in Changsha,and to examine the variation in emotional labor among nurses by personal characteristics, and to explore the influential factors and relationships among emotional labor, nursing working environment, job satisfaction and emotional burnout.Methods:A stratified randomized was designed.858 registered nurses of 9 hospitals in Changsha were investigated by using questionnaires.The questionnaires included The Emotional Labor Scale, A translated version of Practice Enviroment Scale of the Nursing Work Index (PES-NWI), Job Satisfaction Measurement Scale and Emotional Burnout Subscale of the Maslach Burnout Inventory General Survey. Describing analysis, t-test, one-way ANOVA, Bonferroni test, Pearson correlation and multiple linear stepwise regression were performed by SPSS 13.0.Results:1.The scores of nurses'emotional labor among 3 dimensions were ranked at a descending order as follow:deep acting, emotional display requirements and surface acting.2.The variations in emotional labor among registered nurses were a significant difference (P<0.05)by personal characteristics, namely, age, years of work experience, marital status, educational level,appointment, position and hospital ownership.3.The scores of translated version of PES-NWI among 5 dimensions were ranked at a descending order as follow:collegial nurse-physician relations and nurse manager ability, leadership,and support of nurses, nursing foundations for quality of care, nurse participation in hospital affairs,staffing and resource adequacy.4.The overall job satisfaction of clinic nurses in Changsha was moderate, and the highest scores of job satisfaction were colleague relations and manager ability.5.The emotional burnout of clinic nurses in Changsha showed the high level by contrasting the norm of Maslach.6. There were negative relationships among surface acting, the 5 dimensions of PES-NWI and the 6 dimensions of job satisfaction, and positive relationships with emotional burnout (P<0.05). There was a positive relationship among deep acting, the 4 dimensions of PES-NWI and the 4 dimensions of job satisfaction, There was a negative relationship between emotional display requirements and the 2 dimensions of job satisfaction (P<0.01).7.The surface acting was explained by 4.1% with position, nurse manager ability, leadership, and support of nurses;the deep acting was explained by 17.4% with nursing foundations for quality of care, position, staffing and resource adequacy; the emotional display requirements were explained by 2.1% with hospital ownership, years of work experience.Conclusion:The average of emotional labor'3 dimensions were more than 3.5 points, in which deep acting showed the highest degree.Nurses whose age were 20～29 and years of work experience were less than 5 were the intervention focus of emotional labor. The better working environment, the less using surface acting, the more using deep acting.There was a negative relationship between surface acting and job satisfaction。There was a positive relationship between surface acting and emotional burnout. There was a positive relationship between deep acting and job satisfaction。...