Lee Eun Kyung, Ji Eun Joo
College of Nursing, The Research Institute of Nursing Science, Daegu Catholic University, Daegu, Republic of Korea.
Department of Nursing, College of Medicine, Catholic Kwandong University, Gangneung, Republic of Korea.
Asian Nurs Res (Korean Soc Nurs Sci). 2018 Mar;12(1):56-61. doi: 10.1016/j.anr.2018.02.002. Epub 2018 Feb 19.
This study aimed to identify the moderating effect of leader-member exchange in the relationship between emotional labor and burnout among clinical nurses.
A cross-sectional study design was used. Participants were 170 registered nurses working in the general wards of two tertiary hospitals in Seoul, South Korea. The data were collected through convenience sampling using self-report measures of emotional labor, leader-member exchange, and burnout. The data were analyzed using hierarchical multiple regression.
Data from 165 nurses (response rate 97.1%) were utilized. The mean age of the participants was 28.42 years (SD = 5.43), and their mean years of experience as a nurse was 5.80 years (SD = 5.51). First, emotional modulation efforts in their profession and patient-focused emotional suppression (both factors of emotional labor) showed significant negative and positive effects, respectively, on burnout. Second, leader-member exchange showed a significant negative effect on burnout. Finally, when controlling for marital status and work unit, leader-member exchange had a moderating effect on the relationship between burnout and the two aforementioned factors of emotional labor.
The results of this study suggest that as a way to reduce burnout, institutional support to enhance leader-member exchange should be established for nurses who are experiencing emotional labor.
本研究旨在确定领导成员交换在临床护士情绪劳动与倦怠关系中的调节作用。
采用横断面研究设计。研究对象为韩国首尔两家三级医院普通病房的170名注册护士。数据通过便利抽样收集，采用情绪劳动、领导成员交换和倦怠的自我报告量表。数据采用分层多元回归分析。
使用了165名护士的数据（回复率97.1%）。参与者的平均年龄为28.42岁（标准差=5.43），平均护士工作年限为5.80年（标准差=5.51）。首先，职业中的情绪调节努力和以患者为中心的情绪抑制（情绪劳动的两个因素）分别对倦怠有显著的负向和正向影响。其次，领导成员交换对倦怠有显著的负向影响。最后，在控制婚姻状况和工作单位后，领导成员交换对倦怠与上述两个情绪劳动因素之间的关系具有调节作用。
本研究结果表明，作为减少倦怠的一种方式，应针对经历情绪劳动的护士建立加强领导成员交换的制度支持。
