ArticleBMC psychiatry2023
The relationship between role ambiguity, emotional exhaustion and work alienation among chinese nurses two years after COVID-19 pandemic: a cross-sectional study.
Article in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed, 38 citations in OpenAlex.
- Impact of role conflict and job stress on turnover intention among Korean physician assistant nurses: A cross-sectional study.International journal of nursing sciences · 2026Article
- Latent profiles of compassion fatigue among clinical nurse preceptors and their associations with work alienation.Scientific reports · 2026Article
- Actual Scope of Nursing Practice and the Influencing Factors: A Single-Center Cross-Sectional Study in China.Journal of nursing management · 2026Article
- The impact of transformational leadership on nurses' work alienation: the chain mediation of organizational climate and psychological empowerment.Frontiers in psychology · 2026Article
- Article
- Role ambiguity and nursing interns' achievement of clinical rotation goals: a correlational study.BMC nursing · 2025Article
- Emotional intelligence as a mediator of anxiety and role ambiguity among nurses caring for critically ill geriatric patients.BMC nursing · 2025Article
- Navigating workplace uncertainty: a path analysis of perceived overqualification, covert narcissism, workplace alienation, and role ambiguity among nurses.BMC nursing · 2025Article
- Unwilling or Unable? The Impact of Role Clarity and Job Competence on Frontline Employees' Taking Charge Behaviors in Hospitality Industry.Behavioral sciences (Basel, Switzerland) · 2025Article
- The relationship between transformational leadership and work engagement among intensive care unit nurses: the mediating function of organizational climate.BMC nursing · 2025Article
- Determinants of professional identity among practitioners in China's hot spring-integrated care model.Frontiers in medicine · 2025Article
- The cost of smile: how individual and organizational factors moderate the impact of emotional labor on work alienation via burnout.Frontiers in psychology · 2025Article
- Work alienation and quality of work life among nurses: A descriptive cross-sectional study.International nursing review · 2024Article
- Psychological resilience mediates sense of professional mission and career success in Chinese intensive care unit nurses: a cross-sectional study.BMC nursing · 2024Article
- Article
- Heterogeneity of work alienation and its relationship with job embeddedness among Chinese nurses: a cross-sectional study using latent profile analysis.BMC nursing · 2024Article
- Nurses' Challenges When Managing Patients with Hypertension in Primary Care: A Qualitative Study.Journal of primary care & community healthArticle
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundwork alienation is receiving increasing attention as a psychological risk at work, and little is known about the mechanisms of role ambiguity and work alienation in nurses in the context of the COVID-19 pandemic. This article aims to examine how role ambiguity affects work alienation among Chinese nurses during the two years after COVID-19 pandemic and verify emotional exhaustion as mediators.
methodsA cross-sectional study design was used to recruit 281 Chinese nurses. Nurses completed online questionnaires containing demographic characteristics, role ambiguity, emotional exhaustion, and work alienation, and SPSS 26.0 and AMOS 24.0 were used for data analysis and structural equation modelling.
resultswork alienation scores were (34.64 ± 10.09), work alienation was correlated with role ambiguity and emotional exhaustion (r1 = 0.521, r2 = 0.755; p < .01), and role ambiguity was positively correlated with emotional exhaustion (r = 0.512; p < .01). A mediating effect of emotional exhaustion between role ambiguity and work alienation held (mediating effect of 0.288, 95% CI: 0.221-0.369, accounting for 74.8% of the total effect).
conclusionRole ambiguity has a significant direct effect on nurses' feelings of alienation and exacerbates alienation through emotional exhaustion. Clarifying roles at work and being less emotionally drained are effective ways to reduce nurses' feelings of alienation.
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