ArticleBMJ open2022
Mediating role of emotional labour strategy in the association between patient/visitor incivility and nurses' fatigue: a cross-sectional study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Article
- Organizational Support and Work Engagement in General Intensive Care Unit Nurses: The Double-Edged Sword Effect of Emotional Labor.Journal of nursing management · 2026Article
- Workplace violence and sleep disorders in emergency nurses: a multicenter cross-sectional study.Frontiers in public health · 2026Article
- Exploring psychological pathways between workplace violence and burnout among nurses in Chinese Tertiary Hospitals.Scientific reports · 2025Article
- Article
- Article
- Emotional labor, fatigue, and presenteeism in Chinese nurses: the role of organizational identification.BMC nursing · 2024Article
- Review
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8 authors.
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Abstract
objectiveFatigue 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.
designA cross-sectional study.
methodsIn 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.
resultsPatient/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).
conclusionPatient/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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