J Korean Acad Nurs Adm.  2011 Jun;17(2):158-167.

Effects of Emotional Labor and Occupational Stress on Somatization in Nurses

Affiliations
  • 1Department of Nursing Science, Korea Nazarene University, Korea. splash92@paran.com
  • 2Hallym University Sacred Heart Hospital, Chuncheon, Korea.

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 (beta=.136, p=.042), one of the sub-domains of emotional labor, and role overload (beta=.178, p=.023), one of the sub-domains of occupational stress and working in the ICU, OR, or ER (beta=.296, p<.001) and education level of diploma graduation (beta=.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.

Keyword

Emotional labor; Occupational stress; Somatization

MeSH Terms

Korea
Research Design
Stress, Psychological
Weights and Measures

Reference

1. Abraham R. The impact of emotional dissonance on organizational commitment and intention to turnover. J Psychol. 1999. 133(4):441–455.
Article
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 Seoul: Yonsei University;Unpublished master's thesis.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
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
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, editors. "Emotions in rationalizing organizations: conceptual notes from professional nursing in the USA" in Bendelow. 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.
Article
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
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.
Article
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
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.
Full Text Links
  • JKANA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr