ArticleBMC psychiatry2025
The mediating role of thriving at work between emotional labor and presenteeism: a comparison between psychiatric nurses with and without sleep disturbances.
Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Artificial intelligence literacy and associations with thriving at work among nurses in Anhui Province, China: a latent profile analysis.BMC nursing · 2026Article
- Associations between sleep quality and well-being among nurses: the serial mediating roles of psychological resilience and adversity coping.Frontiers in psychology · 2026Article
- Prevalence of poor sleep quality and its associated factors in nurses: a multicenter cross-sectional study.Frontiers in public health · 2026Article
- Development and External Validation of a Machine Learning Model for Risk Stratification of Presenteeism in Clinical Nurses: A Multicenter Cross-Sectional Study.Journal of nursing management · 2026Article
- The impact of emotional labor on sleep-related worry among pediatric nurses in Chinese public hospitals: the mediating role of self-regulatory fatigue.Frontiers in public health · 2026Article
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Abstract
backgroundEmotional labor is a significant component of healthcare work, yet the mechanisms linking it to presenteeism are not fully understood. Existing research has centered on negative mediating pathways, leaving the potential role of the positive psychological state of thriving at work underexplored. This study aimed to examine the mediating role of thriving at work in the relationship between emotional labor and presenteeism, and to compare this pathway between psychiatric nurses with and without sleep disturbances.
methodsA multicenter, cross-sectional study was conducted using convenience sampling among 1,311 psychiatric shift-work nurses from 19 specialized hospitals in Fujian Province, China, between January and March 2025. Participants completed the Emotional Labor Scale, Stanford Presenteeism Scale, Thriving at Work Scale, and Pittsburgh Sleep Quality Index. Mediation analysis was performed using structural equation modeling with bootstrap estimation.
resultsIn the overall sample, thriving at work partially mediated the positive associations of surface acting (β = 0.122, p < 0.001) and emotional display rules (β = 0.063, p < 0.001) with presenteeism, accounting for 36.5% and 28.0% of the total effects, respectively. By contrast, deep acting exerted a significant negative indirect effect on presenteeism through thriving at work (β = -0.118, p < 0.001). When stratified by sleep quality, the indirect effect of surface acting accounted for 45.7% of the total effect in the sleep disturbance group (vs. 19.9% in the no sleep disturbance group), while the mediated proportion of emotional display rules reached 34.1% (vs. 16.1% in the no sleep disturbance group).
conclusionThriving at work mediates the relationship between emotional labor (particularly surface acting and emotional display rules) and presenteeism among psychiatric nurses. Sleep disturbances significantly amplify this mediating pathway, indicating that sleep quality is a crucial boundary condition for this psychological mechanism. Interventions aimed at enhancing thriving at work and improving sleep quality may help mitigate the negative consequences of emotional labor. CLINICAL TRIAL NUMBER: Not applicable.
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