Surface-acting emotional labor predicts depressive symptoms among health care workers over a 2-year prospective study

Suh, Chunhui; Punnett, Laura

doi:10.1007/s00420-020-01585-8

Cited by 18 publications

(15 citation statements)

References 31 publications

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“…(continued) (Suh & Punnett, 2020). Rogers and colleagues found positive associations among surface-acting emotional labor, work-related burnout, and depressive symptoms among Australian doctors, in contrast to a negative association between deep-acting emotional labor and burnout.…”

Section: Discussionmentioning

confidence: 99%

“…Surface-acting emotional labor was positively associated with depressive symptoms; this relationship has also been found previously (Rogers et al, 2014; Yoon & Kim, 2013). Suh and Punnett reported that surface-acting emotional labor strongly predicted depressive symptoms 2 years later among health care workers at nursing homes (Suh & Punnett, 2020). Rogers and colleagues found positive associations among surface-acting emotional labor, work-related burnout, and depressive symptoms among Australian doctors, in contrast to a negative association between deep-acting emotional labor and burnout.…”

Section: Discussionmentioning

confidence: 99%

“…In the health care settings, the link between emotional labor and depressive symptoms has been studied among nurses and doctors (Rogers et al, 2014; Yoon & Kim, 2013). Surfacing-acting emotional labor has been reported as a significant contributor to depressive symptoms among health care workers (Suh & Punnett, 2020; Yoon & Kim, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Emotional Labor and Depressive Symptoms Among Healthcare Workers: The Role of Sleep

Zhang

Ghaziri

Siddique

et al. 2021

Workplace Health Saf

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Background: Depression is the second leading cause of disability worldwide. Health care workers report a higher prevalence of depressive symptoms than the general population. Emotional labor has contributed to poor health and work outcomes. However, the mechanism for the potential association between emotional labor and depressive symptoms has not been well studied. This study examines the relationship between emotional labor and depressive symptoms and whether sleep plays a role in explaining this relationship. Methods: In 2018, health care workers ( n = 1,060) from five public sector facilities in the northeast United States participated in this cross-sectional survey. The survey included questions on participants’ surface-acting emotional labor (masking one’s feelings at work), depressive symptoms, sleep duration and disturbances, and socio-demographic characteristics. Multivariable linear and Poisson regression modeling were used to examine associations among variables. Findings: There was a significant association between emotional labor and depressive symptoms (β = 0.82, p < .001). Sleep disturbances, but not short sleep duration, partially mediated this association. Neither sleep variable moderated this association. Conclusions/Application to Practice: Depressive symptoms were prevalent among health care workers and were associated with emotional masking. Sleep disturbances play an important intermediate role in translating emotional labor to depressive symptoms in these workers. Effective workplace programs are needed to reduce health care workers’ emotional labor to improve their mental health. Sleep promotion should also be emphasized to mitigate the negative effect of emotional labor and promote mental wellbeing.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Emotional Labor and Depressive Symptoms Among Healthcare Workers: The Role of Sleep

Zhang

Ghaziri

Siddique

et al. 2021

Workplace Health Saf

Self Cite

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“…This aligns with an understanding of surface-acting in emotional labour research. Surface acting involves an inauthentic display of emotions without a change in the inner drive of the emotion and can lead to psychological strain in health care workers (Suh and Punnett, 2020). However, the participants simultaneously reflected a deliberate and intentional use of empathy to support residents' emotions, with empathy framed as a positive communication strategy.…”

Section: Contextual Factors Related To Carersmentioning

confidence: 99%

Contextual factors influencing talk in Australian residential aged care

Scerri

Presbury

2021

JHOM

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PurposeThis paper offers an exploration of contextual factors that influence carer-to-resident talk in Australian residential aged care.Design/methodology/approachA qualitative exploratory multiple case study methodology and a theoretical framework of service language were applied to explore the perspectives of 21 registered nurses, assistants in nursing, leisure and lifestyle officers, general managers and care managers at three residential aged care homes in Australia.FindingsThe findings demonstrate contextual factors related to the care home environment, the carer and the relationship between carers and residents that impede or enable carer-to-resident talk in residential aged care. Multiple factors related to the care home environment were found to impede carer-to-resident talk, including time pressures, staffing levels, team culture and the prioritisation of tasks. Factors related to carers had potential to either impede or enable talk, including carers' awareness of the importance of communication, level of experience and individual characteristics, values and attitudes. A strong relationship between a carer and resident built on knowledge of individuals was a key enabling factor.Originality/valueThe paper advances an understanding of factors that influence talk and interaction in residential aged care in Australia from carers' and care home leaders' perspectives. The findings can be used to support verbal communication management strategies aligned with a person-centred care approach, including training and development of staff, cultural change interventions and a review of care delivery procedures.

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“…Moreover, past literature has shown that surface acting behaviours are related to important outcomes for both health-care professionals and their patients. Increased surface acting has been linked to poor mental health outcomes for health-care professionals, including depressive symptoms (Suh and Punnett, 2021; Yoon and Kim, 2013), burnout (Kim, 2019) and general stress (Kim, 2019). Additionally, when nurses surface act, patients report lower quality of care (Cheng et al.…”

Section: Incivilitymentioning

confidence: 99%

Job experience as a buffer against incivility: a daily diary study

Park

Martinez

2022

JMP

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PurposeIncivility is pervasive in organisational settings, particularly in healthcare, and is associated with negative employee outcomes. The aim of this study was to analyse the relationships between experienced incivility, sleep quality and emotional outcomes, positioning sleep quality as a mediator. Additionally, the protective role of tenure and the unique effects of incivility from different sources were examined.Design/methodology/approachThis study used a daily diary longitudinal design using self-report questionnaires with 92 nurses of varying tenure.FindingsThis research demonstrates that experiencing incivility negatively impacts sleep quality, which, in turn, increases surface acting and emotional exhaustion. Furthermore, the negative relationship between incivility and sleep quality is attenuated among nurses who have longer tenure.Practical implicationsThese findings are helpful in developing targeted practical practices, such as incivility interventions and mentorship programs to reduce the incidence and impact of incivility.Originality/value This study draws upon theories of self-regulation and emotion regulation to examine how incivility diminishes self-control resources, leading to negative outcomes. This study also positions job tenure as a buffer against incivility and examines the differential impact of different sources of incivility.

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Surface-acting emotional labor predicts depressive symptoms among health care workers over a 2-year prospective study

Cited by 18 publications

References 31 publications

Emotional Labor and Depressive Symptoms Among Healthcare Workers: The Role of Sleep

Emotional Labor and Depressive Symptoms Among Healthcare Workers: The Role of Sleep

Contextual factors influencing talk in Australian residential aged care

Job experience as a buffer against incivility: a daily diary study

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