职业与健康 ›› 2025, Vol. 41 ›› Issue (22): 3063-3067.

• 论著 • 上一篇    下一篇

临床护士情绪劳动在情绪智力与职业倦怠间的中介作用

王倩, 陈春燕, 薛小燕, 张冬梅, 陈硕, 耿桂玲   

  1. 南京医科大学第四附属医院护理部,江苏 南京 210031
  • 收稿日期:2025-02-18 修回日期:2025-03-03 发布日期:2025-12-15
  • 通信作者: 陈春燕,副主任护师,E-mail:chcy204@163.com
  • 作者简介:王倩,女,护师,主要从事临床护理工作。
  • 基金资助:
    南京市卫生科技发展专项资金项目(YKK23211)

Mediating effect of emotional labor on emotional intelligence and job burnout in clinical nurses

WANG Qian, CHEN Chunyan, XUE Xiaoyan, ZHANG Dongmei, CHEN Shuo, GENG Guiling   

  1. Department of Nursing,The Fourth Affiliated Hospital of Nanjing Medical University,Nangjing,Jiangsu 210031,China
  • Received:2025-02-18 Revised:2025-03-03 Published:2025-12-15
  • Contact: CHEN Chunyan,Deputy chief nurse,E-mail:chcy204@163.com

摘要: 目的 探讨临床护士情绪劳动在情绪智力与职业倦怠间的中介作用,为精准制定护士心理健康干预策略提供参考。方法 于2024年6—7月采用便利抽样法,选取南京市某三级医院临床护士为研究对象,使用一般资料调查表、情绪智力量表、职业倦怠量表及护士情绪劳动量表进行问卷调查,并利用结构方程模型分析情绪劳动的中介效应。结果 共调查510名临床护士,情绪智力得分为(84.61±18.12)分,职业倦怠得分为(66.90±23.16)分,情绪劳动得分为(57.48±12.20)分。情绪智力与职业倦怠呈负相关(r=-0.675,P<0.01),职业倦怠总分及各维度与情绪劳动的表层扮演维度总分均呈正相关(r=0.092~0.140,均P<0.05),与深层扮演维度总分均呈负相关(r=-0.513~-0.375,均P<0.01),与情绪表达要求均呈正相关(r=0.042~0.127,均P<0.05)。中介效应模型拟合良好,情绪劳动在情绪智力与职业倦怠间起部分中介作用(β=0.034,P<0.05)。结论 临床护士职业倦怠水平中等,情绪劳动在情绪智力与职业倦怠间起部分中介作用。管理者应进一步关注护士职业倦怠,建议采取针对性干预措施提高护士情绪智力,通过调整工作强度、改善激励机制等措施降低情绪劳动的表层扮演与情绪表达要求,提高深层表演水平,从而降低职业倦怠感。

关键词: 护士, 情绪智力, 职业倦怠, 情绪劳动, 中介效应

Abstract: Objective To explore the mediating role of emotional labor between emotional intelligence and job burnout in clinical nurses,so as to provide reference for the accurate formulation of nurses' mental health intervention strategies. Methods Convenience sampling was used to select clinical nurses from a tertiary hospital in Nanjing City as the research subjects from June to July 2024. General information survey,emotional intelligence scale,job burnout scale,and emotional labor scale were used for questionnaire survey,and structural equation modeling was used to analyze the mediating effect of emotional labor. Results A total of 510 nurses were surveyed,with emotional intelligence scores of (84.61±18.12)points,job burnout scores of (66.90±23.16)points,and emotional labor scores of (57.48±12.20)points. Emotional intelligence was negatively correlated with burnout(r=-0.675, P<0.01). The total score and scores of each dimension of burnout were positively correlated with the total score of the surface acting dimension of emotional labor(r=0.092-0.140,all P<0.05),negatively correlated with the total score of the deep acting dimension(r=-0.513--0.375,all P<0.01),and positively correlated with emotional expression demands(r=0.042-0.127,all P<0.05). The mediating effect model fitted well,indicating that emotional labor partially mediated the relationship between emotional intelligence and burnout(β=0.034,P<0.05). Conclusion The level of burnout among clinical nurses is moderate,and emotional labor partially mediates the relationship between emotional intelligence and burnout. Nursing managers should further pay attention to nurse burnout and take targeted intervention measures to improve nurses' emotional intelligence. By adjusting work intensity,improving incentive mechanisms,and other measures,the surface acting and emotional expression demands of emotional labor can be reduced,and the level of deep acting can be improved,thereby reducing burnout.

Key words: Nurse, Emotional intelligence, Job burnout, Emotional labor, Mediating effect

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