Organizational display rules in nursing: Impacts on caring behaviors and emotional exhaustion through emotional labor

Abstract

AimTo examine the impact of display rules on nurses’ caring behaviors and emotional exhaustion and the mediating role of emotional labor (surface/deep acting).BackgroundHospitals often implement emotional display rules for nurses with the expectation of performance benefits. However, these rules may have an impact on nurses' caring behaviors and emotional exhaustion.MethodsThis cross‐sectional correlational study included a sample of 746 nurses from five hospitals and used the STROBE checklist. Relationships between display rules, emotional labor, caring behaviors, and emotional exhaustion were analyzed using structural equation modeling.ResultsDisplay rules did not directly affect caring behaviors or emotional exhaustion. Emotional labor mediated the relationships. Display rules were associated more with surface acting. Deep acting increased caring behaviors and reduced emotional exhaustion; surface acting had the opposite effect.ConclusionsFindings challenge the assumption that display rules effectively promote caring behaviors. Display rules lead to emotional labor and emotional exhaustion. Reducing display rules, emotional labor, and surface acting while supporting deep acting may alleviate emotional exhaustion.Implications for nursing and health policyNurse managers should review the nature and implementation of emotional display rules and explore ways to reduce emotional labor, encourage deep acting, mitigate the negative impact of surface acting, and ultimately improve nursing caring behaviors.

Strain and serenity: exploring the interplay of stress, burnout, and well-being among healthcare professionals

“…The prevalence rates, as indicated by the responses of healthcare workers, underscore the pervasive nature of burnout in this specific context. The reported rates of emotional exhaustion among healthcare professionals point to the taxing nature of their work, often involving intense emotional labor and exposure to distressing situations ( Gray, 2009 ; Qiu et al, 2023 ). The sense of depersonalization reflects a detachment from their roles, possibly as a coping mechanism in response to the challenging interpersonal aspects of healthcare work ( Wang et al, 2020 ).…”