ArticleThe journal of nursing research : JNR2025
Emotional Support, Emotional Exhaustion, Mental Health, and Turnover Intention Among China Nurses in Emergency Departments: A Cross-Sectional Survey.
Article in The journal of nursing research : JNR, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Unveiling the Multilevel Drivers of Presenteeism in Emergency Nursing: A Qualitative Inquiry Into Health, Work, and Organizational Dynamics.Journal of nursing management · 2026Article
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5 authors.
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Abstract
backgroundsIn China, emergency department (ED) nurses frequently face high turnover rates and emotional exhaustion, phenomena that are intensified by the demanding nature of their roles. While emotional exhaustion significantly influences nurses intention to leave, the potential mitigating effects of factors such as emotional support have not been thoroughly explored. PURPOSE: This study was designed to investigate the mediating role of emotional support between emotional exhaustion and turnover intention among ED nurses in China and to examine the factors of influence on turnover intention.
methodsA cross-sectional research design was used to collect data from 427 ED nurses from different hospitals across China using convenience sampling. The research instruments used included the Emotional Support Scale, Emotional Exhaustion Scale, Self-Rated Mental Health Status Scale, and Turnover Intention Scale.
resultsThe findings showed not proactively having chosen a career in nursing (β=0.096, p<.05), greater emotional exhaustion (β=0.318, p<.001), satisfactory economic status (β=-0.196, p<.001), better physical condition (β=-0.128, p<.05), and more emotional support (β=-0.092, p=.032) to correlate negatively with turnover intention and emotional support to mediate the relationship between emotional exhaustion and intention to leave (β=-0.095, Bootstrap 95% CI [-0.152, -0.046], p<.001), accounting, collectively, for 34.8% of the total effect (β=-0.273, Bootstrap 95% CI [-0.364, -0.175], p=.002).
conclusionsEnhancing emotional support reduces turnover intention by mitigating the effects of emotional exhaustion on ED nurses in China. Targeted interventions that bolster emotional support systems, together with strategies that address financial satisfaction and physical well-being, will be essential to enhancing both nursing staff retention and overall patient care quality in China's demanding health care environment.
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