Abstract: Objective To investigate the status of psychological violence,emotional labor and job burnout among outpatient nurses in grade-A tertiary hospitals in Sichuan Province,analyze the mediating effect of emotional labor in psychological violence and job burnout. Methods Using convenience sampling method,268 outpatient nurses from 12 grade-A tertiary hospitals in Sichuan Province were investigated by the general information questionnaire,emotional labor scale,workplace psychological violence scale and job burnout scale from March to May in 2022. Results The scores of emotional labor,workplace psychological violence and job burnout of 268 outpatient nurses from 12 grade-A tertiary hospitals in Sichuan Province were （49.54±11.67）,（24.51±8.94） and （67.49±12.84）points,respectively. There was statistically significant differences in the scores of emotional labor,workplace psychological violence and job burnout among outpatient nurses at different age,gender,marital status,contract type,education level,professional title,income level,and weekly overtime（all P<0.05）. The correlation analysis showed that the total score of job burnout was positively correlated with the total score of emotional labor and workplace psychological violence（all P<0.05）,and the total score of emotional labor was positively correlated with the total score of workplace psychological violence（P<0.05）. The mediating effect analysis showed that emotional labor partially mediated the relationship between workplace psychological violence and job burnout,the mediating effect was 0.188,accounting for 26.67 % of the total effect. Conclusion The level of job burnout of outpatient nurses in grade-A tertiary hospitals is high,the workplace psychological violence and emotional labor have a direct impact on job burnout,and creating a good working environment to reduce workplace psychological violence and job burnout can effectively improve job burnout of outpatient nurses.

Key words: Outpatient, Nurses, Emotional labor, Workplace psychological violence, Job burnout, Influencing factors