The Association Between Emotional Labour and Emotional Exhaustion Among Undergraduate Nursing Students During Clinical Posting

Authors

  • Salizar Mohamed Ludin Department of Critical Care Nursing, Kulliyyah of Nursing, International Islamic University Malaysia, Pahang, Malaysia
  • Nurul Assyikin Asri Medical & Surgical Department, Thompson Hospital, Selangor, Malaysia

DOI:

https://doi.org/10.31436/ijcs.v5i2.247

Abstract

Introduction: Nursing students with lesser experience and training are likely to react negatively to emotional labour and are at higher risk for deterioration of psychological well-being and increase emotional exhaustion due to accumulated stress. This study aims to determine the level and association between emotional labour and emotional exhaustion among undergraduate nursing students during clinical posting.
Methods: A cross-sectional study was conducted among undergraduate nursing students in a public University in Malaysia using online surveys. The Nurse Emotional Labour Scale (NELS) consist of 15 items and scored the response using the 5-point Likert scale was used to measure the level of emotional labour. Meanwhile, emotional exhaustion was measured using 9 items Emotional Exhaustion subscale of Maslach Burnout Inventory.
Results: A total of 155 students (81.3% female and 18.7 % male) responded to the study. The level of emotional labour among nursing students were found to be moderate with a mean score of 20.26 and most students used genuine acting. More students engaged in deep acting (Mean = 11.30) compared to surface acting (Mean = 8.97). A high level of emotional exhaustion was identified in 14.2% of the students. Clinical posting experience and emotional exhaustion were found to be associated. Posting in the operation theatre and labour room leads to emotional exhaustion. There was positive significant association between emotional labour and emotional exhaustion of the students.
Conclusion: Overall, it can be concluded that emotional exhaustion during clinical posting is related to emotional labour. Thus, measures in dealing with emotional labour such as effective coping strategies and stress prevention can be encouraged. Close monitoring and support from the clinical teachers should be strengthened so that early assistance can be delivered to the needy students. Also, steps in the arrangement of the clinical posting should be employed to make it student friendly and interesting clinical learning. Further research from the clinical teachers’ perspective should be done so that early assessment of students’ performance or any emotional issues that arise can be monitored and detected early.

References

Mann, S., & Cowburn, J. Emotional labour and stress within mental health nursing. Journal of Psychiatric and Mental Health Nursing. 2005; 12(2):154–162. https://doi.org/10.1111/j.1365-2850.2004.00807.x

Lee, M., & Jang, KS. Nurses’ Emotions, Emotion Regulation and Emotional Exhaustion. International Journal of Organizational Analysis. 2019; 27:1409-1421. https://doi.org/10.1108/IJOA-06-2018-1452

Leonard, & Jayne. (2018). Emotional exhaustion: Causes, symptoms, risk factors, and prevention. https://www.medicalnewstoday.com/articles/323441

Wharton, AS. The sociology of emotional labour. Annual review of sociology. 2009; 35: 147-165.

Hochschild, AR. The Managed Heart: The Commercialization Human of Feeling Twentieth Anniversary Edition with a New Afterword. 2003

Maniago, J. D. (2019). Validity, Reliability and Readability of Nurse Emotional Labor Scale. 24 October. https://doi.org/10.29011/ IJNHR-149.100049

Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Organizational Behavior, 2(2), 99–113. https://doi.org/10.1002/job.4030020205

Curtis, K. Student Nurse Socialisation in Compassionate Practice. 2012

Smolen-hetzel, AC. VCU Scholars Compass Emotional Labour and Nursing Students: An Investigation of Nursing Students’ Emotion Work. 2016

Galdino, MJQ., de Almeida, LPB. M., da Silva, LFR., Cremer, E., Scholze, AR., Martins, JT., & do Carmo Fernandez Lourenço Haddad, M Burnout among nursing students: A mixed method study. Investigacion by Educacion En Enfermeria. 2020; 38(1). https://doi.org/10.17533/UDEA.IEE.V38N1E07

Marques da Silva, R., Tonini Goulart, C., Felipe Dias Lopes, L., Maria Serrano, P., Lucia Siqueira Costa, A., & de Azevedo Guido, L. Hardy personality and burnout syndrome among nursing students in three Brazilian universities-an analytic study. 2014, https://doi.org/10.1186/1472-6955-13-9

Memarian, R., Vanaki, Z., & Baraz, S. Learning challenges of nursing students in clinical environments: A qualitative study in Iran. Journal of Education and Health Promotion. 2015; 4(1), 52. https://doi.org/10.4103/2277-9531.162345

Ulenaers, D., Grosemans, J., Schrooten, W., & Bergs, J. Clinical placement experience of nursing students during the COVID-19 pandemic: A cross-sectional study. Nurse Education Today. 2021; 99, 104746. https://doi.org/10.1016/j.nedt.2021.104746

Browning, MHEM., Larson, LR., Sharaievska, I., Rigolon, A., McAnirlin, O., Mullenbach, L., Cloutier, S., Vu, TM., Thomsen, J., Reigner, N., Metcalf, EC., D’Antonio, A., Helbich, M., Bratman, GN., & Alvarez, HO. Psychological impacts from COVID-19 among university students: Risk factors across seven states in the United States. PloS One. 2021; 16(1), e0245327. https://doi.org/10.1371/journal.pone.0245327

Baksi, A., & Arda Sürücü, H. Is spirituality an important variable as the predictor of emotional labour for nursing students? Nurse Education Today. 2019; 79(February):135–141. https://doi.org/10.1016/j.nedt.2019.05.025.

Xie, W. Assotiation between emotional labor, emotional exhaustion and turnover intention-a study of nurses in china. 2017

Gulsen, M., & Ozmen, D. The relationship between emotional labour and job satisfaction in nursing. International Nursing Review. 2020; 67(1): 145–154. https://doi.org/10.1111/inr.12559

Zaghini, F., Biagioli, V., Proietti, M., Badolamenti, S., Fiorini, J., & Sili, A. The role of occupational stress in the association between emotional labour and burnout in nurses: A cross-sectional study. Applied Nursing Research. 2020; 54(March): 151277. https://doi.org/10.1016/j.apnr.2020.151277

Iorga, M., Muraru, D., & Ciuhodaru, T. Burnout Syndrome among Nursing students. International Journal of Communication Research. 2017) 7(2):88–94

Lopes, A. R., & Nihei, OK. Burnout among nursing students: predictors and association with empathy and self-efficacy. Revista Brasileira de Enfermagem. 2020; 73(1), e20180280. https://doi.org/10.1590/0034-7167-2018-0280

Kinman, G., & Leggetter, S. Emotional Labour and Wellbeing: What Protects Nurses? 2016. https://doi.org/10.3390/healthcare4040089

Santo, LD., Marognoli, O., Previati, V., Gonzalez, CIA., Melis, P., & Galletta, M.. Providing Personal Care to Patients: The Role of Nursing Students’ Emotional Labor. International Journal of Nursing Education Scholarship. 2019a: 1–12. https://doi.org/10.1515/ijnes-2018-0046

Liu, H., Zou, HY., Wang, HJ., Xu, X., & Liao, JQ. Do emotional labour strategies influence emotional exhaustion and professional identity or vice versa? Evidence from new nurses. Journal of Advanced Nursing. 2020; 76(2): 577–587. https://doi.org/10.1111/jan.14266

Bartels, L. Emotional Labor Training?: The Effect of Deep Level Acting Training on Nursing Anesthetist Students by Lindsay Schaefer , Bachelor of Science A Thesis Submitted in Partial Fulfillment of the Requirements for the Degree of Master of Arts in the field of In. 2019.

Hülsheger, UR., & Schewe, AF. On the costs and benefits of emotional labour: A meta-analysis of three decades of research. Journal of Occupational Health Psychology. 2011; 16(3): 361–389. https://doi.org/10.1037/a0022876

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Published

2022-07-31

How to Cite

Ludin, S. M., & Asri, N. A. . (2022). The Association Between Emotional Labour and Emotional Exhaustion Among Undergraduate Nursing Students During Clinical Posting. INTERNATIONAL JOURNAL OF CARE SCHOLARS, 5(2), 101–111. https://doi.org/10.31436/ijcs.v5i2.247

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