Abstract
The purpose of this study was to identify the mediating effects of perceived health status (PHS) and perceived organizational support (POS) in the association between emotional labor and burnout in public health nurses (PHNs). The participants were 207 PHNs convenience sampled from 30 public health centers and offices in Jeju, Korea. Data regarding emotional labor, PHS, POS, and burnout were collected between February and March 2021 using a structured questionnaire. Collected data were analyzed by Pearson’s correlation coefficient and multiple regression analysis. Burnout of PHNs was positively correlated with emotional labor (r = 0.64, p < 0.001) and negatively correlated with PHS (r = −0.51, p < 0.001) and POS (r = −0.51, p < 0.001). In the association between emotional labor and burnout, PHS (B = −1.36, p < 0.001) and POS (B = −0.42, p = 0.001) had a partial mediating effect. Reduction of burnout among PHNs requires not only effective management of emotional labor but also personal and organizational efforts to improve PHS and POS.
Highlights
To increase burnout (Table and the results were significant since 95% bootstrap confidence interval (CI) did not include 0 (0.29–0.68). These results indicated that higher emotional labor perceived by public health nurses (PHNs) could reduce perceived health status (PHS) and Effects ofburnout public health emotional labor and burnout: The mediating effects of perceived organizational support (POS) to
While the direct comparison is difficult due to the lack of previous studies on PHNs, the findings were consistent with a Q-methodology study on public hospital nurses in Korea [33], which reported that nurses experienced psychological stress due to restrictions on the private life of themselves and their family, fear of social stigma when exposed to infection, and excessive workload
The results in this study showed that higher emotional labor in PHNs is associated with a decrease in PHS, which leads to an increase in burnout
Summary
The entire world is facing an unprecedented event due to the sudden COVID-19 pandemic. As the pandemic has lingered on and expanded to communities, the public health policies of the government and health authorities are changing constantly. During the global pandemic crisis, PHNs have faced a sharp increase in their workload for infection control and dealing with complaints [2], screening [3], as well as added work for cohort isolation, contact tracing, and self-isolation training; vaccination; and follow-up actions for adverse symptoms after vaccination [4]. PHNs are suffering from physical and mental fatigue and burnout due to increased workload, emergency shifts, task shifting, and role changes caused by the pandemic [5]. The number of Korean PHNs switching jobs during the calendar year 2020 increased by approximately
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