Effects of Emotional Labor and Occupational Stress on Somatization in Nurses

Mee-Kyung Shin; Hyun Lim Kang

doi:10.11111/jkana.2011.17.2.158

Articles

Page Path

Original Article

Effects of Emotional Labor and Occupational Stress on Somatization in Nurses

Mee-Kyung Shin¹, Hyun Lim Kang²

Journal of Korean Academy of Nursing Administration 2011;17(2):158-167.
Published online: June 30, 2011

DOI: https://doi.org/10.11111/jkana.2011.17.2.158

¹Assistant Professor, Department of Nursing Science, Korea Nazarene University, Korea.

²Head Nurse, Hallym University Sacred Heart Hospital, Chuncheon, Korea.

Correspondence: Shin, Mee-Kyung. Department of Nursing Science, Korea Nazarene University, 456, Ssangyong-Dong, Cheonan-Si, Chungnam 331-718, Korea. Tel: 82-41-570-4161, Fax: 82-41-570-4260, splash92@paran.com

• Received: January 11, 2011 • Revised: February 18, 2011 • Accepted: April 9, 2011

22 Views
0 Download
41 Crossref

prev next

Full Article

Download PDF

Abstract
REFERENCES

Abstract

Purpose
This study was done to identify the relationship of occupational stress, emotional labor, and general characteristics to somatization, and to identify factors affecting somatization in nurses.
Methods
A quantitative, descriptive research design was used to study 227 nurses. Nurses completed a 52-item self-questionnaire that included 3 concepts assessing somatization, occupational stress, emotional labor. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression.
Results
Mean scales for somatization, occupational stress, and emotional labor were 22.96±7.87, 78.73±12.29, 29.63±3.97 respectively. The explained variance for somatization was 35.5%. Among the variables, frequency of emotional display (β=.136, p=.042), one of the sub-domains of emotional labor, and role overload (β=.178, p=.023), one of the sub-domains of occupational stress and working in the ICU, OR, or ER (β=.296, p<.001) and education level of diploma graduation (β=.143, p=.028) significantly predicted degree of somatization.
Conclusion
Findings of this study provide a comprehensive understanding of somatization and related factors for nurses in Korea.
Key Words: Emotional labor; Occupational stress; Somatization

REFERENCES

1. Abraham R. The impact of emotional dissonance on organizational commitment and intention to turnover. J Psychol. 1999;133(4):441-455.
2. Ahn MK. The effect of nurse's job stress on health practice behavior. 2003;Seoul, Yonsei University. Unpublished master's thesis.
3. Baines C, Evans P, Neysmith S. Women' caring: Feminist perspectives on social welfare. 1991;Toronto, McClelland & Stewart.
4. Bakker AB, Heuven E. Emotional dissonance, burnout, and in-role performance among nurses and police officers. Int J Stress Manag. 2006;13(4):423-440.
Article
5. Begat I, Ellefsen B, Severinsson E. Nurses' satisfaction with their work environment and the outcomes of clinical nursing supervision on nurses experiences of well-being. J Nurs Manag. 2005;13(3):221-230.
Article
6. Bolton S. Change faces: nurses as emotional jugglers. Sociol Health Illn. 2001;23(1):85-100.
7. Choi JS. The impact of the hotel internal marketing on emotional labor and service level of employees. Conv Res. 2004;7:165-188.
8. Erdfelder E, Faul F, Buchner A. GPOWER: A general power analysis program. Behav Res Methods Instrum Comput. 1996;28(1):1-11.
Article
PDF
9. Humpel N, Caputi P. Exploring the relationship between work stress, years of experience and emotional competency using a sample of Australian mental health nurses. J Psychiatr Ment Health Nurs. 2001;8(5):399-403.
Article
PDF
10. Joung MS, Kim KJ. A study on the effect of emotional Labor and Leader's emotional intelligence on job satisfaction and organizational commitment for nurses. Korean J Hosp Manage. 2006;11(4):1-18.
11. Jung YH, Yoo KH, Lee YS. Work characteristics and psychosomatic symptoms in industrial workers. Chungnam Med J. 1994;21(1):93-101.
12. Kang HA. Changes in nursing professional work - change of emotional labor. Econ Soc. 2002;55:142-168.
13. Koo MH. The employment structure and labor control of female contingent workers in Korea: A case study of females workers in the department store industry. 2002;Daejeon, Chungnam University. Unpublished doctoral dissertation.
14. Lee BL, Kim DJ, Shin MS, Choi BM. A preliminary study on the standardization of the Korean versions of Wahler physical symptom inventory. J Korean Neuropsychiatr Assoc. 2002;41(1):146-158.
15. Lee D, Kim JH. Effect of job stress on psychiatric symptoms-focused on gender difference of medication effect of self-esteem. J Korean Neuropsychiatr Assoc. 2001;40(2):217-229.
16. Lee JI, Min KH. The Effects of Emotional Labour upon Felt-emotions, Expressed-emotions, and Their Discrepancies. Korean J Soc Psychol. 1999;13(2):149-171.
17. Moracco JC, McFadden H. The Counselor's role in reducing teacher stress. Pers Guid J. 1997;60(9):549-552.
Article
18. Morris JA, Feldman DC. The dimension, antecedents and consequences of emotional labor. Acad Manage Rev. 1996;21(4):986-1010.
19. Oh HJ. The impact of job stress and alexithymia on somatization. 2008;Daegu, Daegu University. Unpublished master's thesis.
20. Olesen V, Bone D. Gillian , Simon J. "Emotions in rationalizing organizations: conceptual notes from professional nursing in the USA" in Bendelow. In: Emotions in Social life: Critical themes and contemporary issues. 1998;London, Routledge.
21. Park JW, Kim JH. The effect of occupational stress, self esteem and perfectionism on anxiety and somatization symptom. Korean J Clin Psychol. 2001;20(4):697-710.
22. Ring A, Dowrick CF, Humphris GM, Davies J, Salmon P. The somatizing effect of clinical consultation: what patients and doctors say and do not say when patients present medically unexplained physical symptoms. Soc Sci Med. 2005;61(7):1505-1515.
23. Sakong J, Chung JH, Kim HS. The effects of job on Psychosomatic strain and gastrointestinal symptom. Korean J Occup Environ Med. 1997;9(3):530-542.
Article
PDF
24. Shin HK. The effects of negative affectivity, alexithymia, somato-sensory amplification, and somatic attribution on somatization: test of a linear mediation model. Korean J Clin Psychol. 2000;19(1):17-32.
25. Stanley IM, Peters S, Salmon P. A primary care perspective on prevailing assumptions about persistent medically unexplained physical symptoms. Int J Psychiatry Med. 2002;32(2):125-140.
26. The Institute of Korean Nurses Association. Statistical Yearbook of Nursing 2007. 2007;Retrieved from http://www.koreannurse.or.kr
27. The National Swedish Board of Health and Welfare. The Swedish Public Health Report. 2001;Stockholm, Sweden, Modin-Tryck.
28. Vitello-Cicciu JM. Emotional intelligence. Nurs Manage. 2003;10;34:28-32.
29. van der Weijden T, van Velsen M, Dinant GJ, van Hasselt CM, Grol R. Unexplained complaints in general practice: prevalence, patients' 'expectations, and professionals' test-ordering behavior. Med Decis Making. 2003;23(3):226-231.
Article
PDF
30. Yoon SH. The effects of organizational managerial characteristics and job characteristics on job stress and job effectiveness: A survey on clinical nurses. Korean J Ind Organ Psychol. 2004;17(3):451-466.

Table 1

General characteristics of study participants (N=227)

^*ICU=Intensive care unit, ^†OR=Operation room, ^‡ER=Emergency room, ^εOPD=Outpatient department

^∥HR=Hemodialysis room, ^¶DR=Delivery room, ^#RR=Recovery room

Table 2

Mean scores for emotional labor, occupational stress, somatization (N=227)

Table 3

Analysis of differences in emotional labor, occupational stress, somatization according to general characteristics (N=227)

Table 4

Correlations between somatization and related variables (N=227)

^*p<.05, ^**p<.01

Table 5

Regression analysis for Somatization (N=227)

^*Dummy variable: Working unit(0=Others, 1=ICU, OR, ER), Pattern of work(0=Fixed worker, 2 shift worker, 1=3 shift worker), Education level(0=Baccalaureate, master, 1=Diploma), Marital status(0=Unmarried, 1=Married)

Figure & Data

References

Citations

Citations to this article as recorded by

The Association Between Clinical Nurses’ Work Environment, Job Stress, and Health Locus of Control and Presenteeism in South Korea
Jin-Young Park, Yong-Sook Eo
Healthcare.2024; 12(22): 2293. CrossRef
Exploring the Relationship between Surface Acting, Job Stress, and Emotional Exhaustion in Health Professionals: The Moderating Role of LMX
Ibrahim Yikilmaz, Lutfi Surucu, Ahmet Maslakci, Alper Bahadir Dalmis, Emete Toros
Behavioral Sciences.2024; 14(8): 637. CrossRef
The Effects of Emotional Labor and Workplace Violence on the Somatic Symptoms of Customer Service Employees in Department Stores
Bongsoon Ryu, Bo Hyun Park
Research in Community and Public Health Nursing.2023; 34: 61. CrossRef
Fatigue and somatization in shift-workers: Effects of depression and sleep
Jin Won Seo, Jooyoung Lee, Sehyun Jeon, Yunjee Hwang, Jichul Kim, Somi Lee, Seog Ju Kim
Journal of Psychosomatic Research.2023; 173: 111467. CrossRef
Factors Associated with Job Stress among Hospital Nurses: A Meta-Correlation Analysis
Ji-Young Lim, Geun-Myun Kim, Eun-Joo Kim
International Journal of Environmental Research and Public Health.2022; 19(10): 5792. CrossRef
The Effects of Work Characteristics Related to Work–Life Imbalance on Presenteeism among Female Workers in the Health and Social Work Sectors: Mediation Analysis of Psychological and Physical Health Problems
Jee-Hyun Hwang, Hye-Sun Jung
International Journal of Environmental Research and Public Health.2021; 18(12): 6218. CrossRef
Influences of Workplace Bullying and Job Satisfaction on Happiness among Perioperative Nurses
Song I Park, Key Ha Kim
Journal of Korean Academy of Nursing Administration.2021; 27(1): 54. CrossRef
Influences of Physical Symptoms, Sleep Quality, Fatigue and Health Promoting Behaviors on Job Satisfaction of Shift Nurses
Young Eun Ahn
Korean Journal of Stress Research.2021; 29(4): 262. CrossRef
The Effect of Hospital Nurses’ Emotional Labor on Job Engagement and Turnover Intention
Ju Youn Kwon, Jae Hoon Ji, Won Joong Kim
Journal of Health Informatics and Statistics.2019; 44(4): 366. CrossRef
The Role of Occupational Stress in the Association between Emotional Labor and Mental Health: A Moderated Mediation Model
Heyeon Park, Hyunjin Oh, Sunjoo Boo
Sustainability.2019; 11(7): 1886. CrossRef
Emotional labor and job types of male firefighters in Daegu Metropolitan City
Sung Kyu Park, Han Cheol Heo, Joon Sakong, Man Joong Jeon
Annals of Occupational and Environmental Medicine.2019;[Epub] CrossRef
Emotional Labor Factors Affecting Depressive Mood in Occupational Therapists
Seo-Yeon Oh, Jung-Wan Koo
Journal of Korean Society of Occupational Therapy.2018; 26(4): 1. CrossRef
Influence of Emotional Labor on the Job Stress of the Contact Department in a General Hospital Moderation Analysis of Foundation and Occupation
Kyoung-Il Hwang, Hyun-Jin Shim, Hyun-Sill Rhee
The Korean Journal of Health Service Management.2017; 11(2): 17. CrossRef
Association of Emotional Labor and Occupational Stressors with Depressive Symptoms among Women Sales Workers at a Clothing Shopping Mall in the Republic of Korea: A Cross-Sectional Study
Yuh-Jin Chung, Woo-Chul Jung, Hyunjoo Kim, Seong-Sik Cho
International Journal of Environmental Research and Public Health.2017; 14(12): 1440. CrossRef
Influence of Emotional Labor, Nursing Work Environment, and Self-efficacy on Happiness Index among National Psychiatric Hospital Nurses in Korea
Eun A Song, Myung Sun Heo, Hyo Ja An, Jeong Suk Choi
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(1): 46. CrossRef
A Study on the Mediating and Moderating Effect of Work-Family Conflict in the Relationship Among Emotional Labor, Occupational Stress, and Turnover Intention
Byeung Jin Na, Eun Jung Kim
Journal of Korean Academy of Nursing Administration.2016; 22(3): 260. CrossRef
Effects of Work Environment, Organizational Culture and Demands at Work on Emotional Labor in Nurses
Ji Yun Lee, Hye Ri Nam
Journal of Korean Academy of Nursing Administration.2016; 22(2): 119. CrossRef
Perceived Emotional Labor of Clinical Nurse from the Persons Concerned
Ji-hyun Back, Myung Hee Kim, Sungmin Kim
Korean Journal of Occupational Health Nursing.2016; 25(3): 148. CrossRef
Research Trends on Mibyeong Symptoms and Related Factors of Korean Nurses
Jiyoung Kim, Hee-Jeong Jin, Younghwa Baek, Jonghyang Yoo, Siwoo Lee
Journal of East-West Nursing Research.2016; 22(1): 17. CrossRef
Effect of Emotional Labor and Stress on Premenstrual Syndrome among Hospital Nurses
Sun Hee Lee, Ji-Ah Song, Myung Haeng Hur
Korean Journal of Women Health Nursing.2016; 22(1): 61. CrossRef
The Effects of Nursing Work Environment and Job Stress on Health Problems of Hospital Nurses
Young Eun Bang, Bohyun Park
Korean Journal of Occupational Health Nursing.2016; 25(3): 227. CrossRef
Factors Influencing Depression of Nurses among Comprehensive Nursing Care Service Ward
Eliza Lee, Sung Sook Chang
Korean Journal of Occupational Health Nursing.2016; 25(4): 340. CrossRef
Influence of Emotional Labor and Nursing Professional Values on Job Satisfaction in Small and Medium-sized Hospital Nurses*
Yeong Ok Ryu, Eun Ko
Journal of Korean Academy of Fundamentals of Nursing.2015; 22(1): 7. CrossRef
Effects of emotional labor, job stress and burnout on somatization in nurses : In convergence era
Yun Jung Oh, Young Hee Choi
Journal of Digital Convergence.2015; 13(10): 415. CrossRef
The Effects of Work Environment, Emotional Labor on Turnover Intention by Hospital Nurses
Mun-Hee Nam
Journal of Korean Clinical Health Science.2015; 3(1): 256. CrossRef
The Influence of a General Hospital Nurse's Emotional Labor, Emotional Intelligence on Job Stress
Yun-Jeong Kim
Journal of Digital Convergence.2014; 12(9): 245. CrossRef
Effects of Emotional Labor, Nursing Organizational Culture on Self-efficacy in Clinical Nurses
Myoung-Jin Kwon, Keum-Sook Kim, Sung-Yun Ahn
Journal of the Korea Academia-Industrial cooperation Society.2014; 15(4): 2225. CrossRef
Effects of Emotional Labor and Communication Competence on Turnover Intention in Nurses
Se Hyang Kim, Mi-Aie Lee
Journal of Korean Academy of Nursing Administration.2014; 20(3): 332. CrossRef
Relationship between Emotional Labor, Job Stress and Eating Attitudes among Clinical Nurses
Sun-Im Im, Eun-A Cho
Journal of the Korea Academia-Industrial cooperation Society.2014; 15(7): 4318. CrossRef
Study of the Relationship between Compassion Fatigue, Somatization and Silencing Response among Hospital Nurses: Focusing on the Mediating Effects of Silencing Response
Sun Hwa Kim, Tae Wha Lee
Korean Journal of Adult Nursing.2014; 26(3): 362. CrossRef
The Relationship between Emotional Working Hour and Muscle Pain
Bokim Lee
Korean Journal of Occupational Health Nursing.2014; 23(4): 269. CrossRef
Influence of Emotional Labor on Job Involvement, Job Satisfaction, and Turnover Intention of Clinical Nurses
Myung-Sook Song
Journal of the Korea Academia-Industrial cooperation Society.2014; 15(6): 3741. CrossRef
Factors Affecting Nurse's Health Promoting Behavior: Focusing on Self-efficacy and Emotional Labor
Eunyoung Hong
Korean Journal of Occupational Health Nursing.2014; 23(3): 154. CrossRef
Fatigue and related factors among hotel workers: the effects of emotional labor and non-standard working hours
Ju Jong Lee, Hyun Jey Moon, Kyung-Jae Lee, Joo Ja Kim
Annals of Occupational and Environmental Medicine.2014;[Epub] CrossRef
Relations of Job Satisfaction with Emotional Labor, Job Stress, and Personal Resources in Home Healthcare Nurses
Mi Mi Park, Suk Jung Han
Journal of Korean Academy of Community Health Nursing.2013; 24(1): 51. CrossRef
Effect of Workplace Bullying and Job Stress on Turnover Intention in Hospital Nurses
Younju Lee, Mihyoung Lee, Kunsook Bernstein
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2013; 22(2): 77. CrossRef
Influence of Clinical Nurses' Emotional Labor on Happiness in Workplace
Jeong-Ok Ko
The Journal of the Korea Contents Association.2013; 13(4): 250. CrossRef
Mediating Effect of Challenging Work in the Relationship between Cognitive Style and Creative Action in Clinical Nurses
Myung Suk Koh, Kyeong Deok Jeon
Journal of Korean Academy of Nursing Administration.2013; 19(2): 273. CrossRef
Effects of Emotional Labor, Emotional Intelligence and Social Support on Job Stress in Clinical Nurses
Joo Hyun Kim, Yong-Mi Lee, Hye Young Joung, Hyun Sim Choo, Su Jin Won, Sue Young Kwon, Hye Jin Bae, Hye Kyung Ahn, Eun Mi Kim, Hyun Jung Jang
Journal of Korean Academy of Fundamentals of Nursing.2013; 20(2): 157. CrossRef
Self-efficacy, Nursing Organizational Culture and Emotional Labor in Clinical Nurses
Moonhee Kang, Myoungjin Kwon, Soonyoung Youn
Korean Journal of Occupational Health Nursing.2012; 21(3): 266. CrossRef
Influence of Job Stress and Empowerment on Clinical Nurses' Performance in Small and Medium Hospitals
Young-Mi Kim, Yeo-Jin Yi
Korean Journal of Occupational Health Nursing.2012; 21(3): 258. CrossRef

Cite

CITE

export

Copy Download

Format
XML Download

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

Effects of Emotional Labor and Occupational Stress on Somatization in Nurses

J Korean Acad Nurs Adm. 2011;17(2):158-167. Published online June 30, 2011

DOI: https://doi.org/10.11111/jkana.2011.17.2.158

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

Effects of Emotional Labor and Occupational Stress on Somatization in Nurses

J Korean Acad Nurs Adm. 2011;17(2):158-167. Published online June 30, 2011

DOI: https://doi.org/10.11111/jkana.2011.17.2.158

Effects of Professional Self-concept and Nursing Organizational Culture on Intention of Retention of Middle-aged Nurses

Effects of Emotional Labor and Occupational Stress on Somatization in Nurses

Table 1

General characteristics of study participants (N=227)

^*ICU=Intensive care unit, ^†OR=Operation room, ^‡ER=Emergency room, ^εOPD=Outpatient department

^∥HR=Hemodialysis room, ^¶DR=Delivery room, ^#RR=Recovery room

Table 2

Mean scores for emotional labor, occupational stress, somatization (N=227)

Table 3

Analysis of differences in emotional labor, occupational stress, somatization according to general characteristics (N=227)

Table 4

Correlations between somatization and related variables (N=227)

^*p<.05, ^**p<.01

Table 5

Regression analysis for Somatization (N=227)

Table 1 General characteristics of study participants (N=227)

^*ICU=Intensive care unit, ^†OR=Operation room, ^‡ER=Emergency room, ^εOPD=Outpatient department

^∥HR=Hemodialysis room, ^¶DR=Delivery room, ^#RR=Recovery room

Table 2 Mean scores for emotional labor, occupational stress, somatization (N=227)

Table 3 Analysis of differences in emotional labor, occupational stress, somatization according to general characteristics (N=227)

Articles

Page Path

Effects of Emotional Labor and Occupational Stress on Somatization in Nurses

Full Article

Abstract

REFERENCES

Figure & Data

References

Citations

CITE

Download Citation

Format:

Include:

Related articles

Table 1

Table 2

Table 3

Table 4

Table 5

ABOUT

BROWSE ARTICLES

EDITORIAL POLICY

FOR CONTRIBUTORS