School of Nursing and Health, Zhengzhou University, Zhengzhou, China.
School of Nursing, Guangdong Medical University, Dongguan, China.
J Clin Nurs. 2021 Nov;30(21-22):3355-3365. doi: 10.1111/jocn.15848. Epub 2021 May 15.
To examine if there was a curvilinear relationship between emotional labour and work engagement in Chinese nurses.
Emotional labour has both positive and negative effects on work engagement, but the curve relationship between the two has not been tested.
Correlational design.
Multi-stage stratified random sampling was used to recruit samples, and 528 nurses from 5 tertiary first-class general hospitals were recruited in Henan Province. Data were collected by using Hong and Kim's Emotional Labor Scale for nurse and the Utrecht Work Engagement Scale-9. Curve estimation was used to explore the functional model between emotional labour and work engagement. Results were reported according to the STROBE Statement.
The three dimensions of emotional labour, 'emotional control effort in profession', 'patient-focused emotional suppression' and 'emotional pretense by norms', had a function relationship of quadratic (R = .57, p < .001), quadratic (R = .569, p < .001) and cubic (R = .238, p < .001), respectively, with work engagement.
There was a one-way increasing quadratic function relationship between 'emotional control effort in profession' and work engagement. However, 'patient-focused emotion suppression' and 'emotional pretense by norms' had an inverted U-shaped curve relationship with work engagement. Below the moderate level, 'patient-focused emotion suppression' and 'emotional pretense by norms' were positively related to work engagement. After a certain level, they were negatively related to work engagement.
Our results may provide evidences to manage nurses' emotional labour and improve their work engagement. It seems that encouraging or training nurses to learn and master more strategies of emotional control may improve work engagement. Moreover, nursing managers should fully recognise the positive and negative effects of different levels of emotional suppression and emotional pretense on work engagement, so as to develop targeted management strategies.
探讨中国护士的情绪劳动与工作投入之间是否存在曲线关系。
情绪劳动对工作投入既有积极影响，也有消极影响，但两者之间的曲线关系尚未得到检验。
相关设计。
采用多阶段分层随机抽样方法招募样本，在河南省招募了 5 家三级甲等综合医院的 528 名护士。使用 Hong 和 Kim 的护士情绪劳动量表和 Utrecht 工作投入量表-9 收集数据。采用曲线估计法探讨情绪劳动与工作投入之间的功能模型。结果按照 STROBE 声明报告。
情绪劳动的三个维度，“职业情绪控制努力”、“以患者为中心的情绪抑制”和“规范导向的情绪伪装”，与工作投入之间存在二次函数关系（R =.57，p ＜.001）、二次函数关系（R =.569，p ＜.001）和三次函数关系（R =.238，p ＜.001）。
“职业情绪控制努力”与工作投入之间存在单向递增的二次函数关系。然而，“以患者为中心的情绪抑制”和“规范导向的情绪伪装”与工作投入之间存在倒 U 型曲线关系。在中等水平以下，“以患者为中心的情绪抑制”和“规范导向的情绪伪装”与工作投入呈正相关。在一定水平之后，它们与工作投入呈负相关。
我们的研究结果可能为管理护士的情绪劳动和提高他们的工作投入提供证据。鼓励或培训护士学习和掌握更多的情绪控制策略可能会提高工作投入。此外，护理管理人员应充分认识到不同水平的情绪抑制和情绪伪装对工作投入的积极和消极影响，以便制定有针对性的管理策略。
