Resekiani Mas Bakar* and Irwan Widiyanto

Psychology, Universitas Negeri Makassar, Indonesia

*Corresponding Author: Resekiani Mas Bakar, Psychology, Universitas Negeri Makassar, Indonesia.

Received: July 21, 2022; Published: August 05, 2022

Abstract

Background: Inpatient nurses have responsibilities with high task complexity and emotional interaction with patients. The nurse feels high task demands and tends to experience burnout. Previous research used the JD-R Model, which stated that the imbalance between job demand and job resources could lead to burnout. Emotional labor strategies (surface versus deep acting) are commonly used as job demand and job resources.

Purpose: This study examines the effect of surface acting and deep acting on burnout, mediated by job demand.

Methods: The research design was a quantitative survey with 120 inpatient ward nurses. The instrument in this study used the emotional labor, job demand, and burnout scales. This study uses the mediation model technique by Hayes Process.

Results: The results showed that deep acting and surface acting have a positive effect on job demand and have an impact on increasing burnout. Surface acting has a direct effect on burnout. Nurses who use surface acting and deep acting indirectly affect the increase in burnout through job demand mediation. The exciting thing in this study is that, unlike previous studies, deep acting is not proven to reduce job demand, so the nurses still experience burnout.

Conclusion: Deep acting and surface acting both affect increasing burnout through job demand. This study differs from previous studies that used the JD-R model with deep acting as a job resource. Because the inpatient department has a high work complexity, it is possible that nurses may not consider deep acting a job resource because changing positive emotions is not enough to reduce burnout. This research implies strengthening job resources through external support from hospitals.

Keywords: Burnout; Deep Acting; Emotional Labor Strategy; Job Demand; Surface Acting

References

1. Zhan Yufang., et al. “The Current Situation and Influencing Factors of Job Stress Among Frontline Nurses Assisting in Wuhan in Fighting COVID-19”. Frontiers in Public Health 8 (2020): 1-6.
2. Tsolakidis Georgios., et al. “Nursing Staff Burnout: A Critical Review of the Risk Factors”. International Journal of Caring Sciences1 (2022): 668-680.
3. García-Izquierdo Mariano and María Isabel Ríos-Rísquez. “The Relationship between Psychosocial Job Stress and Burnout in Emergency Departments: An Exploratory Study”. Nursing Outlook5 (2012): 322-329.
4. Greenglass Esther R., et al. “Workload and Burnout in Nurses”. Journal of Community and Applied Social Psychology3 (2001): 211-215.
5. Fierce Health Care. “Third of Nurses Plan to Leave Their Jobs in 2022, Survey Finds”. Fierce Health Care (2022).
6. Galanis Petros., et al. “Nurses’ Burnout and Associated Risk Factors during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis”. Journal of Advanced Nursing8 (2021): 3286-3302.
7. World Health Organization. “Nursing and Midwifery”. Who Int. N. (2022).
8. Maslach Christina and Michael P Leiter. “Understanding the Burnout Experience: Recent Research and Its Implications for Psychiatry”. World Psychiatry2 (2016): 103-111.
9. Maslach Christina and Susan E Jackson. “The Measurement of Experienced Burnout”. Journal of Organizational Behavior2 (1981): 99-113.
10. Odor Hillary O., et al. “Emotional Labour And Burnout Syndrome Among Nigerian Politicians”. International Journal of Information, Business and Management1 (2022): 51-63.
11. Cho Julia., et al. “Workplace Empowerment, Work Engagement and Organizational Commitment of New Graduate Nurses”. Canadian journal of nursing leadership3 (2006): 43-60.
12. Zangaro George A and Karen L Soeken. “A Meta-Analysis of Studies of Nurses’ Job Satisfaction”. Research in Nursing and Health4 (2007): 445-458.
13. Beecroft Pauline C., et al. “Turnover Intention in New Graduate Nurses: A Multivariate Analysis”. Journal of Advanced Nursing1 (2008): 41-52.
14. Bogue Terri L and Robert L Bogue. “Extinguish Burnout in Critical Care Nursing”. Critical Care Nursing Clinics of North America3 (2020): 451-463.
15. Lee Kyung-Eun and Kang-Hyun Shin. “Engagement and Turnover Intention of Dietitians and Chefs”. Original Article Job Burnout2 (2005): 100-106.
16. Aiken Linda H., et al. “Patient Safety, Satisfaction, and Quality of Hospital Care: Cross Sectional Surveys of Nurses and Patients in 12 Countries in Europe and the United States”. BMJ7851 (2012): 1-12.
17. Laschinger Heather K., et al. “Authentic Leadership, Empowerment and Burnout: A Comparison in New Graduates and Experienced Nurses”. Journal of Nursing Management3 (2013): 541-552.
18. Swider Brian W and Ryan D Zimmerman. “Born to Burnout: A Meta-Analytic Path Model of Personality, Job Burnout, and Work Outcomes”. Journal of Vocational Behavior3 (2010): 487-506.
19. García-Izquierdo Mariano and María Isabel Ríos-Rísquez. “The Relationship between Psychosocial Job Stress and Burnout in Emergency Departments: An Exploratory Study”. Nursing Outlook5 (2012): 322-329.
20. Heijden Beatrice V D., et al. “Impact of Job Demands and Resources on Nurses’ Burnout and Occupational Turnover Intention towards an Age-Moderated Mediation Model for the Nursing Profession”. International Journal of Environmental Research and Public Health11 (2019): 1-22.
21. Delgado Cynthia., et al. “Nurses’ Resilience and the Emotional Labour of Nursing Work: An Integrative Review of Empirical Literature”. International Journal of Nursing Studies 70 (2017): 71-88.
22. Wu Xinjuan., et al. “The Effects of Emotional Labor and Competency on Job Satisfaction in Nurses of China: A Nationwide Cross-Sectional Survey”. International Journal of Nursing Sciences4 (2018): 383-389.
23. Kim Ji Soo. “Emotional Labor Strategies, Stress, and Burnout Among Hospital Nurses: A Path Analysis”. Journal of Nursing Scholarship1 (2020): 105-112.
24. “Service Workers’ Emotional Labor and Burnout: New Directions for Labor Policy at Local Government”. International Journal of Environmental Research and Public Health12 (2018): 1-31.
25. Morris J Andrew and Daniel C Feldman. “The Dimensions, Antecedents, and Consequences of Emotional Labor”. Academy of Management Review4 (1996): 986-1010.
26. Hochschild Arlie Russell. “The Managed Heart: Commercialization of Human Feeling”. Berkeley: University of California Press, (1983).
27. Lu Yongbiao., et al. “Surface Acting or Deep Acting, Who Need More Effortful? A Study on Emotional Labor Using Functional near-Infrared Spectroscopy”. Frontiers in Human Neuroscience151 (2019): 1-10.
28. Sciotto Giulia and Francesco Pace. “The Role of Surface Acting in the Relationship between Job Stressors, General Health and Need for Recovery Based on the Frequency of Interactions at Work”. International Journal of Environmental Research and Public Health8 (2022): 1-12.
29. Bakker Arnold B., et al. “Job Demand and Job Resources as Predictors of Absence Duration and Frequency”. Journal of Vocational Behavior2 (2003): 341-356.
30. Demerouti Evangelia., et al. “The Job Demands-Resources Model of Burnout”. Journal of Applied Psychology3 (2001): 499-512.
31. Lee Lindsey and Juan M Madera. “Faking It or Feeling It: The Emotional Displays of Surface and Deep Acting on Stress and Engagement”. International Journal of Contemporary Hospitality Management4 (2019): 1744-1762.
32. Näring Gérard., et al. “Beyond Demand-Control: Emotional Labour and Symptoms of Burnout in Teachers”. Work and Stress4 (2006): 303-315.
33. Zhan Yujie., et al. “Interpersonal Process of Emotional Labor: The Role of Negative and Positive Customer Treatment”. Personnel Psychology3 (2015): 525-557.
34. Gosserand Robin H and James M Diefendorff. “Emotional Display Rules and Emotional Labor: The Moderating Role of Commitment”. Journal of Applied Psychology6 (2005): 1256-1264.
35. Xanthopoulou Despoina., et al. “The Role of Personal Resources in the Job Demands-Resources Model”. International Journal of Stress Management2 (2007): 121-141.
36. Hayes Andrew F. “Introduction to Mediation, Moderation, and Conditional Process Analysis, Second Edition: A Regression-Based Approach”. New York: The Guildford Press, (2018).
37. Gursoy Dogan., et al. “Identifying the Complex Relationships among Emotional Labor and Its Correlates”. International Journal of Hospitality Management4 (2011): 783-794.
38. Hall Linda McGillis and Diane Doran. “Nurses’ Perceptions of Hospital Work Environments”. Journal of Nursing Management3 (2007): 264-273.
39. Van Gelderen Benjamin., et al. “Psychological Strain and Emotional Labor among Police-Officers: A Diary Study”. Journal of Vocational Behavior3 (2007): 446-459.
40. U R Hülsheger and A F Schewe. “On the costs and benefits of emotional labor: A meta-analysis of three decades of research”. Journal of Occupational Health Psychology 3 (2011): 361-389.
41. HS Jung and HH Yoon. “Antecedents and consequences of employees’ job stress in a foodservice industry: Focused on emotional labor and turnover intent”. International Journal of Hospitality Management 38 (2014): 84-88.
42. A A Grandey and A S Gabriel. “Emotional Labor at a Crossroads: Where Do We Go from Here?”. Annual Review of Organizational Psychology and Organizational Behavior 2 (2015): 323-349.
43. Hülsheger Ute R and Anna F Schewe. “On the Costs and Benefits of Emotional Labor: A Meta-Analysis of Three Decades of Research”. Journal of Occupational Health Psychology3 (2011): 361-389.
44. Haver Annie., et al. “Emotion Regulation and Its Implications for Leadership : An Integrative Review Emotion Regulation and Its Implications for Leadership : An Integrative Review and Future Research Agenda”. Journal of Leadership and Organizational Studies3 (2013): 287-303.

Citation

Citation: Resekiani Mas Bakar and Irwan Widiyanto. “Modify Expression or Emotion of Inpatient Ward Nurse: The Effect of Emotional Labor Strategy on Burnout Mediation by Job Demand". Acta Scientific Women's Health 4.9 (2022): 04-11.

Copyright

Copyright: © 2022 Resekiani Mas Bakar and Irwan Widiyanto. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.