ArticleBMC nursing2024
The mediating role of surface and deep acting and the moderating effect of occupational identity in workplace violence and sleep quality among psychiatric nurses: a cross-sectional study.
Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Association of Psychological Safety with PTSD Symptoms Among Regional Firefighters in South Korea: Moderating Roles of Occupational Identity and Peer Support.International journal of environmental research and public health · 2026Article
- Work pressure, communication skills, empathy, professional identity, and workplace violence in psychiatric nurses: a structural equation model analysis.BMC nursing · 2026Article
- Future work self-salience and perceived professional benefits among nursing interns in China: the indirect roles of clinical belongingness and deep acting in a cross-sectional structural equation modeling study.Frontiers in medicine · 2026Article
- The relationship between sleep quality and occupational identity among psychiatric night shift nurses.Frontiers in psychiatry · 2026Article
- The mediating role of thriving at work between emotional labor and presenteeism: a comparison between psychiatric nurses with and without sleep disturbances.BMC psychiatry · 2025Article
- Article
- The cost of smile: how individual and organizational factors moderate the impact of emotional labor on work alienation via burnout.Frontiers in psychology · 2025Article
- Analysis of the mediating effect of occupational burnout on the relationship between emotional labor and turnover intention among obstetric nurses.Frontiers in public health · 2025Article
- Identifying latent profiles of emotional labor and exploring their links to psychological resilience among tertiary hospital nurses.Frontiers in psychology · 2025Article
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6 authors.
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Abstract
backgroundPsychiatric nurses often encounter patients with mental health disorders and consequently experience prolonged periods of high stress, increased workload, and frequent incidents of workplace violence. These aspects can lead to a higher incidence of poor sleep quality. This study examined the interplay between workplace violence and emotional labour (surface and deep acting) to suggest measures for enhancing sleep quality among psychiatric nurses.
methodsA total of 300 completed and valid online questionnaires were collected. The Pittsburgh Sleep Quality Index was used to measure sleep quality, Workplace Violence Scale (WVS) to measure the occurrence of workplace violence, and Emotional Labour Scale to measure surface and deep acting. The data were analysed using Hayes' PROCESS macro with SPSS. Independent samples t-tests and one-way ANOVA were used to compare differences in sleep quality and emotional labour (surface and deep acting) between psychiatric nurses with different demographics.
resultsThe prevalence of poor sleep quality (PSQI > 5) was 55% among the nurses. Surface acting in emotional labour partially mediated the relationship between workplace violence and sleep quality(a1*b1=0.035,95%CI: 0.002, 0.079), whereas deep acting had a suppressive effect(a2*b2=-0.033,95%CI: -0.071, -0.003). Occupational identity had a positive moderating effect on the relationship between workplace violence and surface acting(Effect=0.091,95%CI: 0.004, 0.179).
conclusionsThe relationship between workplace violence and poor sleep quality was partially mediated by surface acting and suppressed by deep acting. Moreover, nurses with higher occupational identity engaged in more surface acting after workplace violence. Workplace violence, surface acting, and deep acting emerged as significant factors influencing sleep quality among psychiatric nurses. Deep acting can reduce the impact of workplace violence on sleep quality. The results provide a new and expanded view of the interplay between workplace violence and emotional labour concerning sleep quality. Interprofessional collaboration with clinicians, administrators, educators, and spiritual leaders can contribute to the development of related education and training.
trial registrationChinese Clinical Trial Registry ChiCTR2200062347. https://www.chictr.org.cn/showproj.html?proj=173264.
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