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Emotional labour and turnover intention among nurses in China: Mediating effects of nurse-patient relationship and self-rated health.
Liu, Zhixin; Zhang, Huanyu; Liu, Junping; Zhao, Juan; Feng, Yajie; Liu, Jie; Tao, Siyi; Liu, Wei; Zou, Dandan; Wang, Chen; Wang, Nan; Liu, Zhaoyue; Liu, Xinru; Wu, Lin; Liang, Libo; Xu, Weilan; Wu, Qunhong; Liu, Chaojie.
Afiliación
  • Liu Z; Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China.
  • Zhang H; Department of Health Policy and Management, School of Public Health, Peking University, Beijing, China.
  • Liu J; Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China.
  • Zhao J; Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China.
  • Feng Y; Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
  • Liu J; Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China.
  • Tao S; The 2nd Affiliated Hospital of Harbin Medical University, Harbin, China.
  • Liu W; Clinical College, Anhui Medical University, Hefei, China.
  • Zou D; Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China.
  • Wang C; Jin Shan Hospital of Fudan University, Shanghai, China.
  • Wang N; Chongqing Health Center for Women and Children, Chongqing, China.
  • Liu Z; Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China.
  • Liu X; Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China.
  • Wu L; Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China.
  • Liang L; Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China.
  • Xu W; Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China.
  • Wu Q; College of Nursing, Qiqihar Medical University, Qiqihar, China.
  • Liu C; Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, China.
Int Nurs Rev ; 2024 Jan 08.
Article en En | MEDLINE | ID: mdl-38191960
ABSTRACT

AIM:

This study tested the mediating role of the nurse-patient relationship and self-rated health in the effect of emotional labour on turnover intention among nurses in China.

BACKGROUND:

The underlying mechanism behind the effect of emotional labour on turnover intention remains inadequately understood.

INTRODUCTION:

Nurses with a high level of emotional labour are predisposed to experiencing poor health and tension in their relationships with patients, which may increase turnover intention.

METHODS:

A cross-sectional survey of 527 nurses in a public tertiary hospital in Qiqihar, located in China's Heilongjiang province, was conducted. Emotional labour and turnover intention were assessed using existing validated scales containing multiple items, while the nurse-patient relationship and self-rated health were assessed using single items, respectively. Baron and Kenny's causal steps and the Karlson/Holm/Breen method were adopted to test the mediating effects of the nurse-patient relationship and self-rated health in the association between emotional labour and turnover intention after adjusting for variations in sociodemographic and job characteristics.

RESULTS:

Emotional labour was positively associated with turnover intention. Self-rated poor health and a disharmonious nurse-patient relationship partially mediated the positive effect of emotional labour on turnover intention.

CONCLUSIONS:

Emotional labour significantly affects the turnover intention of nurses working in public tertiary hospitals in China, and this effect is partially mediated by self-rated health and the nurse-patient relationship. IMPLICATIONS FOR NURSING PRACTICE AND NURSING POLICY Giving more attention to nurses' negative emotions and work attitudes is crucial. Developing comprehensive strategies for enhancing nurses' emotional management ability, promoting their physical and psychological well-being, and improving nurse-patient relationship to reduce nurses' turnover.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: Int Nurs Rev Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: Int Nurs Rev Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido