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Mediating role of emotional labour strategy in the association between patient/visitor incivility and nurses’ fatigue: a cross-sectional study

OBJECTIVE: Fatigue is a common problem among nurses, and patient/visitor incivility is thought to lead to nurses’ fatigue. However, the mechanism by which patient/visitor incivility leads to nurses’ fatigue has not been well studied. The aim of this study is to examine whether the association betwee...

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Autores principales: Bai, Ru, Zhang, Di, Zhang, Qiuling, Sun, Yu, Luo, Nansheng, Li, Mengyao, Wu, Hui, Liu, Li
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639065/
https://www.ncbi.nlm.nih.gov/pubmed/36323478
http://dx.doi.org/10.1136/bmjopen-2021-059146
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author Bai, Ru
Zhang, Di
Zhang, Qiuling
Sun, Yu
Luo, Nansheng
Li, Mengyao
Wu, Hui
Liu, Li
author_facet Bai, Ru
Zhang, Di
Zhang, Qiuling
Sun, Yu
Luo, Nansheng
Li, Mengyao
Wu, Hui
Liu, Li
author_sort Bai, Ru
collection PubMed
description OBJECTIVE: Fatigue is a common problem among nurses, and patient/visitor incivility is thought to lead to nurses’ fatigue. However, the mechanism by which patient/visitor incivility leads to nurses’ fatigue has not been well studied. The aim of this study is to examine whether the association between patient/visitor incivility and fatigue among Chinese nurses is mediated by emotional labour strategy. DESIGN: A cross-sectional study. METHODS: In November 2019, a stratified cluster sample of 1207 nurses from two hospitals in China was used to collect data on fatigue, patient/visitor incivility and emotional labour strategy through online questionnaires. Emotional labour strategy has three dimensions: surface acting (SA), deep acting and natural acting. Complete responses were provided by 1036 (85.8%) participants. Student’s t-test, one-way analysis of variance, Pearson correlation analysis and the PROCESS procedure (A modeling macro installed in SPSS to analyse mediation.) were adopted to analyse the data. RESULTS: Patient/visitor incivility and SA were positively related to fatigue (p<0.01), while natural acting was negatively related to fatigue (p<0.01). SA played as a mediator in the association between patient/visitor incivility and nurses’ fatigue (95% CI 0.047 to 0.113, p<0.05). CONCLUSION: Patient/visitor incivility could contribute to Chinese nurses' fatigue. When nurses were exposed to patient/visitor incivility, they were more likely to use the SA emotional labour strategy, which would lead to fatigue. Nursing administrators should be aware of the seriousness of nurses’ fatigue.
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spelling pubmed-96390652022-11-08 Mediating role of emotional labour strategy in the association between patient/visitor incivility and nurses’ fatigue: a cross-sectional study Bai, Ru Zhang, Di Zhang, Qiuling Sun, Yu Luo, Nansheng Li, Mengyao Wu, Hui Liu, Li BMJ Open Public Health OBJECTIVE: Fatigue is a common problem among nurses, and patient/visitor incivility is thought to lead to nurses’ fatigue. However, the mechanism by which patient/visitor incivility leads to nurses’ fatigue has not been well studied. The aim of this study is to examine whether the association between patient/visitor incivility and fatigue among Chinese nurses is mediated by emotional labour strategy. DESIGN: A cross-sectional study. METHODS: In November 2019, a stratified cluster sample of 1207 nurses from two hospitals in China was used to collect data on fatigue, patient/visitor incivility and emotional labour strategy through online questionnaires. Emotional labour strategy has three dimensions: surface acting (SA), deep acting and natural acting. Complete responses were provided by 1036 (85.8%) participants. Student’s t-test, one-way analysis of variance, Pearson correlation analysis and the PROCESS procedure (A modeling macro installed in SPSS to analyse mediation.) were adopted to analyse the data. RESULTS: Patient/visitor incivility and SA were positively related to fatigue (p<0.01), while natural acting was negatively related to fatigue (p<0.01). SA played as a mediator in the association between patient/visitor incivility and nurses’ fatigue (95% CI 0.047 to 0.113, p<0.05). CONCLUSION: Patient/visitor incivility could contribute to Chinese nurses' fatigue. When nurses were exposed to patient/visitor incivility, they were more likely to use the SA emotional labour strategy, which would lead to fatigue. Nursing administrators should be aware of the seriousness of nurses’ fatigue. BMJ Publishing Group 2022-11-02 /pmc/articles/PMC9639065/ /pubmed/36323478 http://dx.doi.org/10.1136/bmjopen-2021-059146 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Public Health
Bai, Ru
Zhang, Di
Zhang, Qiuling
Sun, Yu
Luo, Nansheng
Li, Mengyao
Wu, Hui
Liu, Li
Mediating role of emotional labour strategy in the association between patient/visitor incivility and nurses’ fatigue: a cross-sectional study
title Mediating role of emotional labour strategy in the association between patient/visitor incivility and nurses’ fatigue: a cross-sectional study
title_full Mediating role of emotional labour strategy in the association between patient/visitor incivility and nurses’ fatigue: a cross-sectional study
title_fullStr Mediating role of emotional labour strategy in the association between patient/visitor incivility and nurses’ fatigue: a cross-sectional study
title_full_unstemmed Mediating role of emotional labour strategy in the association between patient/visitor incivility and nurses’ fatigue: a cross-sectional study
title_short Mediating role of emotional labour strategy in the association between patient/visitor incivility and nurses’ fatigue: a cross-sectional study
title_sort mediating role of emotional labour strategy in the association between patient/visitor incivility and nurses’ fatigue: a cross-sectional study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639065/
https://www.ncbi.nlm.nih.gov/pubmed/36323478
http://dx.doi.org/10.1136/bmjopen-2021-059146
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