Evidence map›Paper›PMID 42298575›Full record

ArticleBMC nursing2026

Between burnout and resilience: a qualitative exploration of emotional labor among emergency department nurses in Saudi Arabia.

Abdulaziz M Alodhailah, Bader M Almutairy, Faihan F Alshaibany, Waleed M Alshehri, Thurayya Eid

Abstract read
In one paragraph

Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Abdulaziz M Alodhailah *Department of Medical-Surgical Nursing, College of Nursing, King Saud University, Riyadh, 11451, Saudi Arabia.
Bader M Almutairy *Department of Community and Psychiatric Mental Health Nursing, College of Nursing, King Saud University, Riyadh, 11451, Saudi Arabia.
Faihan F AlshaibanyDepartment of Nursing Administration and Education, College of Nursing, King Saud University, Riyadh, 11451, Saudi Arabia.
Waleed M AlshehriDepartment of Medical-Surgical Nursing, College of Nursing, King Saud University, Riyadh, 11451, Saudi Arabia. walshehri1@ksu.edu.sa.
Thurayya EidDepartment of Medical-Surgical Nursing, College of Nursing, King Saud University, Riyadh, 11451, Saudi Arabia. teid@KSU.EDU.SA.

Funding

the Ongoing Research Funding Program 2026-1579
6 · The paper itself

Abstract

backgroundEmergency department (ED) nurses manage intense emotional labor that contributes to burnout while simultaneously shaping resilience. Although burnout is a recognized hazard, the dynamic interplay between burnout and resilience within the Saudi Arabian healthcare context remains poorly understood. This study explored how ED nurses experience emotional labor and the relationship between burnout and resilience.

methodsA qualitative descriptive study was conducted with 17 ED nurses purposively sampled from three healthcare facilities in Riyadh, Saudi Arabia. Semi-structured interviews, lasting 38-67 min, were conducted between December 2025 and February 2026. Data were analyzed using reflexive thematic analysis, informed by emotional labor and Conservation of Resources theories. Trustworthiness was ensured through member checking, peer debriefing, and an audit trail. Reporting followed COREQ guidelines.

resultsFive themes were generated: (1) demands of emotional labor, including high-acuity care and emotional suppression; (2) manifestations of burnout, such as exhaustion and depersonalization; (3) resilience mechanisms, comprising peer support and professional meaning-making; (4) organizational influences, involving leadership quality and resource adequacy; and (5) participant-generated recommendations for systemic reform. Burnout and resilience were experienced as concurrent, dynamic processes modulated by the organizational environment.

conclusionsBurnout and resilience coexist as concurrent dynamic processes in Saudi ED nurses, with organizational factors, staffing adequacy, leadership quality, and mental health support, acting as decisive determinants of occupational wellbeing. Strengthening organizational accountability, rather than individual adaptation alone, is essential for sustainable emergency nursing practice.

Indexed as

BurnoutEmergency nursingEmotional laborProfessionalPsychologicalResilienceSaudi Arabia

Identifiers

PMID42298575
PMCPMC13308207

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