Back Chi-Yun, Hyun Dae-Sung, Jeung Da-Yee, Chang Sei-Jin
Department of Preventive Medicine, Wonju College of Medicine, Yonsei University, Wonju, South Korea.
Department of Biostatistics & Computing, Graduate School of Yonsei University, Seoul, South Korea.
Saf Health Work. 2020 Mar;11(1):88-96. doi: 10.1016/j.shaw.2020.01.002. Epub 2020 Jan 22.
The current lack of the number of nurses and high nurse turnover rate leads to major problems for the health-care system in terms of cost, patient care ability, and quality of care. Theoretically, burnout may help link emotional labor with turnover intention. The purpose of this study was to investigate the mediating effect of burnout in the association between emotional labor and turnover intention in Korean clinical nurses.
Using data collected from a sample of 606 nurses from six Korean hospitals, we conducted a multiple regression analysis to determine the relationships among clinical nurses' emotional labor, burnout, and turnover intention, looking at burnout as a mediator.
The results fully and partially support the mediating role of burnout in the relationship between the subfactors of emotional labor and turnover intention. In particular, burnout partially mediated the relationship between emotional disharmony and hurt, organizational surveillance and monitoring, and lack of a supportive and protective system in the organization. In addition, we found that burnout has a significant full mediation effect on the relationship between overload and conflicts in customer service and turnover intention. Although the mediating effect of burnout was significantly associated with the demands and regulation of emotions, no significant effects on turnover intention were found.
To reduce nurses' turnover, we recommend developing strategies that target both burnout and emotional labor, given that burnout fully and partially mediated the effects of emotional labor on turnover intention, and emotional labor was directly associated with turnover intention.
目前护士数量短缺以及护士高离职率给医疗保健系统带来了成本、患者护理能力和护理质量方面的重大问题。从理论上讲，职业倦怠可能有助于将情绪劳动与离职意愿联系起来。本研究的目的是调查职业倦怠在韩国临床护士情绪劳动与离职意愿之间的关联中所起的中介作用。
我们使用从韩国六家医院的606名护士样本中收集的数据，进行了多元回归分析，以确定临床护士的情绪劳动、职业倦怠和离职意愿之间的关系，将职业倦怠视为中介变量。
结果完全或部分支持职业倦怠在情绪劳动子因素与离职意愿之间关系中的中介作用。具体而言，职业倦怠部分中介了情绪失调与伤害、组织监督与监控以及组织中缺乏支持和保护系统之间的关系。此外，我们发现职业倦怠对客户服务中的超负荷与冲突和离职意愿之间的关系具有显著的完全中介作用。尽管职业倦怠的中介作用与情绪的要求和调节显著相关，但未发现对离职意愿有显著影响。
鉴于职业倦怠完全或部分中介了情绪劳动对离职意愿的影响，且情绪劳动与离职意愿直接相关，为降低护士离职率，我们建议制定针对职业倦怠和情绪劳动的策略。
