ArticleFrontiers in public health2025
Network analysis of interpersonal conflict, emotional exhaustion and psychological distress among mental health nurses in the workplace: a cross-sectional survey.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- The relationships between clinical nurse leadership and emotional labor, psychological detachment, and perceived organizational support: a cross-sectional study.BMC nursing · 2026Article
- Identifying Latent Profiles of Interpersonal Conflict Among Psychiatric Nurses and Exploring Their Associations With Psychological Capital, Sleep Quality, and Coping Styles: A Person-Centered Study.Journal of nursing management · 2026Article
- Workplace violence, occupational burnout, and post-traumatic stress among healthcare workers in Armenia.Frontiers in public health · 2026Article
- Article
- Network analysis of burnout, depression, and anxiety with occupational and personal outcomes among clinical nurses in China.Scientific reports · 2025Article
- The relationship between emotional exhaustion and job embeddedness in nurses: the mediating role of decent work perception and the moderating role of job crafting.Frontiers in psychology · 2025Article
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Authors and funding
6 authors.
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Abstract
Background: Mental health nurses (MHNs) frequently engage in intense interpersonal interactions and encounter various forms of conflict with patients, colleagues, and their families. These conflicts can disrupt workplace harmony and significantly affect nurses' mental wellbeing. This study aims to analyze how workplace interpersonal conflicts affect nurses' emotional exhaustion and psychological distress through structural network analysis. Methods: A cross-sectional descriptive correlational survey was conducted using the Customer Interpersonal Injustice Scale, Interpersonal Conflict at Work Scale, Bi-directional Work-Family Conflict Scale, Maslach Burnout Inventory (emotional exhaustion sub-scale), and the 6-item Kessler Psychological Distress Scale. The survey was completed by 858 MHNs and 643 non-MHNs across six comprehensive hospitals and nine psychiatric hospitals from western China. Results: 5.1% of all participants reported severe distress. Emotional exhaustion and psychological distress were associated with lower subjective social status, more severe conflicts with patients and supervisors, and bidirectional work-family conflict. Key risk factors for severe psychological distress included being an MHN, patient mistreatment, and bidirectional work-family conflict, while higher subjective social status was a protective factor. Network analysis showed no significant differences in conflict structures between MHNs and non-MHNs. Within the network, the work-to-family conflict most significantly impacted emotional exhaustion, while emotional exhaustion had the greatest influence on psychological distress. Conclusion: This study revealed that MHNs experienced a higher rate of severe psychological distress than non-MHNs, with emotional exhaustion and psychological distress closely associated with subjective social status and interpersonal conflict. Given that work-to-family conflict and emotional exhaustion were key nodes in the network, targeted interventions are urgently needed to alleviate psychological distress.
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