Workload is the number of activities an employee or organizational structure must complete using its skills and potential. Job stress is a harmful physical and emotional reaction that can occur when an employee faces job demands and pressures unrelated to knowledge, skills, and abilities, making it difficult to cope. Trust in managers is based on the idea that employees believe that their managers will keep their word and have a consistent, fair, and egalitarian managerial approach without any discrimination among employees. This study aims to determine the mediating role of trust in managers in the effect of workload on job stress in emergency health services (EHS). There is no study in the literature examining the relationship between workload, job stress, and trust in managers in EHS. The use of trust in managers as a mediating variable in the study contributes to the originality of the study. A cross-sectional research design was used in the study. A questionnaire was applied to 372 people working in EHS in a province in Turkey. Descriptive statistical methods, Pearson correlation analysis, and PROCESS macro Model 4 were used in regression analysis. Workload has a negative effect on job stress. However, this negative effect does not increase when trust in managers is used as a mediating variable. In other words, there is no mediating effect of trust in managers on the effect of workload on job stress. The workload of EHS employees’ leads to job stress. However, trust in the manager does not affect job stress. EHS managers should consider that workload can lead to job stress. The negative relationship between employees' trust in management and workload and job stress should be considered. Determining the optimal workload for healthcare workers and ensuring fairness in the distribution of tasks can reduce job stress and insecurity.
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