Research Article
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Effect Of Emotional Labor Levels of Nurses on Their Attitudes of Elderly Care

Year 2024, Volume: 13 Issue: 1, 128 - 136, 20.03.2024
https://doi.org/10.53424/balikesirsbd.1347404

Abstract

Objective: The study aims to investigate the impact of emotional labor levels on nurses' attitudes towards elderly care. Material and Methods: The research was planned in analytical-sectional type. The population of the research was composed of 309 nurses, 204 female (66%) and 105 male (34%) who work in a training and research hospital of Turkey. The data of the research was collected by utilizing Sociodemographic Form, Emotional Labor Behaviors Scale for Nurses (ELS) and Kogan Aged Attitudes Scale (ATE). Results: In this study, the mean scores of ELS and ATE are 3.77±0.62 and 97.20±12.48 respectively. In the correlation analysis between total scores of ELS and ATE, a statistically significant positive relation was found (r=0.320, p<0.001). It was established that attitudes towards the ATE has a positive effect on ELS. The effect of the characteristics depending on the qualitative data on the ATE was determined, and R=0.405 was found as Adj.R2= 0.118, and it was found out that ELS has a positive effect on ATE. Conclusion: In the study, it was determined that socio-demographic factors and emotional labor behavior levels of nurses affected their attitudes of elderly care by 11.8%.
Keywords: Elderly Care, Emotional Labor, Nursing.

References

  • Ali, A., Khan, M. I., Ali, S., Muhammad, D., Naeema. (2020). Knowledge and attitudes regarding care of geriatric patients among nurses in Peshawar, Khyber Pakhtunkhwa. Journal of Medical Sciences (Peshawar), 28(3), 205–209.
  • Andela, M., Truchot, D., & Van der Doef, M. (2016). Job stressors and burnout in hospitals: The mediating role of emotional dissonance. International Journal of Stress Management, 23(3), 298–317. https://doi.org/10.1037/STR0000013
  • Attafuah, P. Y. A., Amertil, N. P., Abuosi, A. A., & Nyonator, D. (2022). Nurses knowledge and attitude towards care of older patients: A cross-sectional study. International Journal of Africa Nursing Sciences, 16(March), 100413. https://doi.org/10.1016/j.ijans.2022.100413
  • Brighton, L. J., Selman, L. E., Bristowe, K., Edwards, B., Koffman, J., & Evans, C. J. (2019). Emotional labour in palliative and end-of-life care communication: A qualitative study with generalist palliative care providers. Patient Education and Counseling, 102(3), 494–502. https://doi.org/10.1016/j.pec.2018.10.013
  • Byrne, A.L., Baldwin, A., Harvey, C. (2020). Whose centre is it anyway? Defining person-centred care in nursing: An integrative review. PLoS One, 10;15(3):e0229923. doi:10.1371/journal.pone.0229923.
  • Değirmenci Öz, S., & Baykal, Ü. (2018). Developing in the scale of emotional labor behavior for nurses. International Refereed Journal of Nursing Researches, (12), 119-139. https://doi.org/10.17371/uhd.2018.1.3
  • Demir, Y., Oruç, P., Baştürk, Y.A. & Özpınar, S. (2021). Hemşirelerde duygusal emek davranışı ve etkileyen faktörler: Kamu hastaneleri örneği. Samsun Sağlık Bilimleri Dergisi, 6(1),76–84. https://doi.org/10.47115/jshs.790178
  • Demirtürk Selçuk, E., Demirbağ, B. C. (2020). Hemşirelerin yaşlılık ve yaşlı bakımına ilişkin görüşleri ve tutumları. Kastamonu Sağlık Akademisi, 5(1), 37–51.
  • de Oliveira, L. D. S. S. C. B., Souza, E. C., Rodrigues, R. A. S., Fett, C. A., & Piva, A. B. (2019). The effects of physical activity on anxiety, depression, and quality of life in elderly people living in the community. Trends in Psychiatry and Psychotherapy, 41(1), 36–42. https://doi.org/10.1590/2237-6089-2017-0129
  • Donelan, K., Chang, Y., Abebe, J. B., Spetz, J., Auerbach, D. I., Norman, L., & Buerhaus, P. I. (2019). Care management for older adults: The roles of nurses, social workers, and physicians. Health Affairs, 38(6), 941–949. https://doi.org/10.1377/hlthaff.2019.00030
  • Eser, B. & Küçük, S. (2021). Yaşlanan nüfus, sorunlar ve politikalar: Türkiye için bir değerlendirme. Gümüşhane Üniversitesi Sosyal Bilimler Dergisi, 12 (2), 541-556.
  • Golfenshtein, N., & Drach-Zahavy, A. (2015). An attribution theory perspective on emotional labour in nurse-patient encounters: A nested cross-sectional study in paediatric settings. Journal of Advanced Nursing, 71(5), 1123–1134. https://doi.org/10.1111/jan.12612
  • Günday, F., Taş, A., Abacıgil, F., & Arslantaş, H. (2021). Hemşirelerde iş doyumu ve iş yaşamı kalitesini etkileyen faktörler: kesitsel bir çalışma. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 6(2), 216–232. https://doi.org/10.46237/amusbfd.918747
  • Ha, D. J., Park, J. H., Jung, S. E., Lee, B., Kim, M. S., Sim, K. L., Choi, Y. H., & Kwon, C. Y. (2021). The experience of emotional labor and its related factors among nurses in general hospital settings in republic of korea: A systematic review and meta‐analysis. Sustainability (Switzerland), 13(21), 11634. https://doi.org/10.3390/su132111634
  • Han, S. S., Han, J. W., & Kim, Y. H. (2018). Effect of nurses’ emotional labor on customer orientation and service delivery: the mediating effects of work engagement and burnout. Safety and Health at Work, 9(4), 441–446. https://doi.org/10.1016/j.shaw.2017.12.001
  • Hassmiller, S. B., & Wakefield, M. K. (2022). The future of nursing 2020–2030: Charting a path to achieve health equity. Nursing Outlook, 70(6), 1-9.
  • Heydari A, Sharifi M, Moghaddam AB. Challenges and Barriers to Providing Care to Older Adult Patients in the Intensive Care Unit: A Qualitative Research. Open Access Maced J Med Sci. 2019 Oct 13;7(21):3682-3690. doi: 10.3889/oamjms.2019
  • Jeffrey, D. (2016). Empathy, sympathy and compassion in healthcare: Is there a problem? Is there a difference? Does it matter? Journal of the Royal Society of Medicine, 109(12), 446–452. https://doi.org/10.1177/0141076816680120
  • Jeung, D. Y., Kim, C., & Chang, S. J. (2018). Emotional labor and burnout: A review of the literature. Yonsei Medical Journal, 59(2), 187–193. https://doi.org/10.3349/ymj.2018.59.2.187
  • Kiliç, D., & Adibelli, D. (2011). The validity and reliability of Kogan’s attitude towards old people scale in the Turkish society. Health, 3(09), 602–608. https://doi.org/10.4236/health.2011.39101
  • Koç, A., Öztaş, D., Uysal, N., Demircan, Z., Erdem, Ö., Sarı, E. (2018). Klinik hemşirelerin yaşlılara ilişkin düşünce ve tutumları. Ankara Medical Journal, 18(4). https://doi.org/10.17098/amj.498024
  • Kogan, N. (1961). Attitudes toward old people: The development of a scale and an examination of correlates. Journal of Abnormal and Social Psychology, 62(1), 44–54. https://doi.org/10.1037/h0048053
  • Lee, E. K., & Ji, E. J. (2018). The moderating role of leader–member exchange in the relationships between emotional labor and burnout in clinical nurses. Asian Nursing Research, 12(1), 56–61. https://doi.org/10.1016/j.anr.2018.02.002
  • Mansouri Arani, M., Aazami, S., Azami, M., & Borji, M. (2017). Assessing attitudes toward elderly among nurses working in the city of Ilam. International Journal of Nursing Sciences, 4(3), 311–313. https://doi.org/10.1016/j.ijnss.2017.06.009
  • Moudatsou, M., Stavropoulou, A., Philalithis, A., & Koukouli, S. (2020). The role of empathy in health and social. Healthcare, 8(36), 7–9.
  • Pehlivan, S., Vatansever, N. (2019). Hemşirelerin yaşlıya tutumları ve etkileyen faktörler. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 45(1), 47–53. https://doi.org/10.32708/uutfd.468622
  • Ris I, Schnepp W, Mahrer Imhof R. An integrative review on family caregivers' involvement in care of home-dwelling elderly. Health Soc Care Community. 2019 May; 27(3):e95-e111. doi: 10.1111/hsc.12663.
  • Rosen, M. A., DiazGranados, D., Dietz, A. S., Benishek, L. E., Thompson, D., Pronovost, P. J., & Weaver, S. J. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. American Psychologist, 73(4), 433–450. https://doi.org/10.1037/amp0000298
  • Rush, K. L., Hickey, S., Epp, S., & Janke, R. (2016). Nurses’ attitudes towards older people care: An integrative review. In International Journal of Laboratory Hematology, 38(1), 42-49. https://doi.org/10.1111/ijlh.12426
  • Salia, S. M., Adatara, P., Afaya, A., Jawula, W. S., Japiong, M., Wuni, A., Ayanore, M. A., Bangnidong, J. E., Hagan, F., Sam-Mensah, D., & Alhassan, R. K. (2022). Factors affecting care of elderly patients among nursing staff at the Ho teaching hospital in Ghana: Implications for geriatric care policy in Ghana. PLoS ONE, 17(6 June), 1–16. https://doi.org/10.1371/journal.pone.0268941
  • Thakre, S. B., Thakre, S. S., & Thakre, S. N. (2017). Quality of work life of nurses working at tertiary health care institution: a cross sectional study. International Journal Of Community Medicine And Public Health, 4(5), 1627.https://doi.org/10.18203/2394-6040.ijcmph20171775
  • Theodosius, C., Koulouglioti, C., Kersten, P., Rosten, C. (2020). Collegial surface acting emotional labour, burnout and intention to leave in novice and pre-retirement nurses in the United Kingdom: A cross-sectional study. Nurs Open, 15;8(1):463-472. doi:10.1002/nop2.649
  • Thi Thanh Vu, H., Hoang Nguyen, L., Xuan Nguyen, T., Thi Hoai Nguyen, T., Ngoc Nguyen, T., Thi Thu Nguyen, H., Trung Nguyen, A., Pham, T., Tat Nguyen, C., Xuan Tran, B., A Latkin, C., S H Ho, C., & C M Ho, R. (2019). Knowledge and attitude toward geriatric palliative care among health professionals in Vietnam. International Journal of Environmental Research and Public Health, 16(15), 1–11. https://doi.org/10.3390/ijerph16152656
  • Uysal, N., Ünal Toprak, F., Koç, A. (2020). Hemşirelik öğrencı̇lerı̇ ve klı̇nik hemşı̇relerı̇nı̇n yaşlılığa ilı̇şkı̇n tutumlarının karşılaştırılması. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 8(2),461–471. https://doi.org/10.33715/inonusaglik.729543
  • Yazıcıoğlu, Y., Erdoğan, S. (2004). SPSS uygulamalı bilimsel araştırma yöntemleri Retrieved April 14, 2022, from https://www.nadirkitap.com/spss-uygulamali-bilimsel-arastirma-yontemleri-yahsi-yazicioglu-samiye-erdogan-kitap5881998.html
  • Waterworth, S., Gott, M., Raphael, D., Parsons, J., & Arroll, B. (2015). Working with older people with multiple long-term conditions: a qualitative exploration of nurses’ experiences. Journal of Advanced Nursing, 71(1), 90–99. https://doi.org/10.1111/jan.12474
  • Wyman, M. F., Shiovitz-Ezra, S., & Bengel, J. (2018). Ageism in the health care system: Providers, patients, and systems. Contemporary perspectives on ageism, 193-212. https://doi.org/10.1093/geroni/igx004.044.
  • Zamanzadeh, V., Jasemi, M., Valizadeh, L., Keogh, B., Taleghani, F. (2015).Effective factors in providing holistic care: a qualitative study. Indian J Palliat Care, 21(2):214-24. https://doi.org/10.4103/0973-1075.156506.
Year 2024, Volume: 13 Issue: 1, 128 - 136, 20.03.2024
https://doi.org/10.53424/balikesirsbd.1347404

Abstract

References

  • Ali, A., Khan, M. I., Ali, S., Muhammad, D., Naeema. (2020). Knowledge and attitudes regarding care of geriatric patients among nurses in Peshawar, Khyber Pakhtunkhwa. Journal of Medical Sciences (Peshawar), 28(3), 205–209.
  • Andela, M., Truchot, D., & Van der Doef, M. (2016). Job stressors and burnout in hospitals: The mediating role of emotional dissonance. International Journal of Stress Management, 23(3), 298–317. https://doi.org/10.1037/STR0000013
  • Attafuah, P. Y. A., Amertil, N. P., Abuosi, A. A., & Nyonator, D. (2022). Nurses knowledge and attitude towards care of older patients: A cross-sectional study. International Journal of Africa Nursing Sciences, 16(March), 100413. https://doi.org/10.1016/j.ijans.2022.100413
  • Brighton, L. J., Selman, L. E., Bristowe, K., Edwards, B., Koffman, J., & Evans, C. J. (2019). Emotional labour in palliative and end-of-life care communication: A qualitative study with generalist palliative care providers. Patient Education and Counseling, 102(3), 494–502. https://doi.org/10.1016/j.pec.2018.10.013
  • Byrne, A.L., Baldwin, A., Harvey, C. (2020). Whose centre is it anyway? Defining person-centred care in nursing: An integrative review. PLoS One, 10;15(3):e0229923. doi:10.1371/journal.pone.0229923.
  • Değirmenci Öz, S., & Baykal, Ü. (2018). Developing in the scale of emotional labor behavior for nurses. International Refereed Journal of Nursing Researches, (12), 119-139. https://doi.org/10.17371/uhd.2018.1.3
  • Demir, Y., Oruç, P., Baştürk, Y.A. & Özpınar, S. (2021). Hemşirelerde duygusal emek davranışı ve etkileyen faktörler: Kamu hastaneleri örneği. Samsun Sağlık Bilimleri Dergisi, 6(1),76–84. https://doi.org/10.47115/jshs.790178
  • Demirtürk Selçuk, E., Demirbağ, B. C. (2020). Hemşirelerin yaşlılık ve yaşlı bakımına ilişkin görüşleri ve tutumları. Kastamonu Sağlık Akademisi, 5(1), 37–51.
  • de Oliveira, L. D. S. S. C. B., Souza, E. C., Rodrigues, R. A. S., Fett, C. A., & Piva, A. B. (2019). The effects of physical activity on anxiety, depression, and quality of life in elderly people living in the community. Trends in Psychiatry and Psychotherapy, 41(1), 36–42. https://doi.org/10.1590/2237-6089-2017-0129
  • Donelan, K., Chang, Y., Abebe, J. B., Spetz, J., Auerbach, D. I., Norman, L., & Buerhaus, P. I. (2019). Care management for older adults: The roles of nurses, social workers, and physicians. Health Affairs, 38(6), 941–949. https://doi.org/10.1377/hlthaff.2019.00030
  • Eser, B. & Küçük, S. (2021). Yaşlanan nüfus, sorunlar ve politikalar: Türkiye için bir değerlendirme. Gümüşhane Üniversitesi Sosyal Bilimler Dergisi, 12 (2), 541-556.
  • Golfenshtein, N., & Drach-Zahavy, A. (2015). An attribution theory perspective on emotional labour in nurse-patient encounters: A nested cross-sectional study in paediatric settings. Journal of Advanced Nursing, 71(5), 1123–1134. https://doi.org/10.1111/jan.12612
  • Günday, F., Taş, A., Abacıgil, F., & Arslantaş, H. (2021). Hemşirelerde iş doyumu ve iş yaşamı kalitesini etkileyen faktörler: kesitsel bir çalışma. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 6(2), 216–232. https://doi.org/10.46237/amusbfd.918747
  • Ha, D. J., Park, J. H., Jung, S. E., Lee, B., Kim, M. S., Sim, K. L., Choi, Y. H., & Kwon, C. Y. (2021). The experience of emotional labor and its related factors among nurses in general hospital settings in republic of korea: A systematic review and meta‐analysis. Sustainability (Switzerland), 13(21), 11634. https://doi.org/10.3390/su132111634
  • Han, S. S., Han, J. W., & Kim, Y. H. (2018). Effect of nurses’ emotional labor on customer orientation and service delivery: the mediating effects of work engagement and burnout. Safety and Health at Work, 9(4), 441–446. https://doi.org/10.1016/j.shaw.2017.12.001
  • Hassmiller, S. B., & Wakefield, M. K. (2022). The future of nursing 2020–2030: Charting a path to achieve health equity. Nursing Outlook, 70(6), 1-9.
  • Heydari A, Sharifi M, Moghaddam AB. Challenges and Barriers to Providing Care to Older Adult Patients in the Intensive Care Unit: A Qualitative Research. Open Access Maced J Med Sci. 2019 Oct 13;7(21):3682-3690. doi: 10.3889/oamjms.2019
  • Jeffrey, D. (2016). Empathy, sympathy and compassion in healthcare: Is there a problem? Is there a difference? Does it matter? Journal of the Royal Society of Medicine, 109(12), 446–452. https://doi.org/10.1177/0141076816680120
  • Jeung, D. Y., Kim, C., & Chang, S. J. (2018). Emotional labor and burnout: A review of the literature. Yonsei Medical Journal, 59(2), 187–193. https://doi.org/10.3349/ymj.2018.59.2.187
  • Kiliç, D., & Adibelli, D. (2011). The validity and reliability of Kogan’s attitude towards old people scale in the Turkish society. Health, 3(09), 602–608. https://doi.org/10.4236/health.2011.39101
  • Koç, A., Öztaş, D., Uysal, N., Demircan, Z., Erdem, Ö., Sarı, E. (2018). Klinik hemşirelerin yaşlılara ilişkin düşünce ve tutumları. Ankara Medical Journal, 18(4). https://doi.org/10.17098/amj.498024
  • Kogan, N. (1961). Attitudes toward old people: The development of a scale and an examination of correlates. Journal of Abnormal and Social Psychology, 62(1), 44–54. https://doi.org/10.1037/h0048053
  • Lee, E. K., & Ji, E. J. (2018). The moderating role of leader–member exchange in the relationships between emotional labor and burnout in clinical nurses. Asian Nursing Research, 12(1), 56–61. https://doi.org/10.1016/j.anr.2018.02.002
  • Mansouri Arani, M., Aazami, S., Azami, M., & Borji, M. (2017). Assessing attitudes toward elderly among nurses working in the city of Ilam. International Journal of Nursing Sciences, 4(3), 311–313. https://doi.org/10.1016/j.ijnss.2017.06.009
  • Moudatsou, M., Stavropoulou, A., Philalithis, A., & Koukouli, S. (2020). The role of empathy in health and social. Healthcare, 8(36), 7–9.
  • Pehlivan, S., Vatansever, N. (2019). Hemşirelerin yaşlıya tutumları ve etkileyen faktörler. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 45(1), 47–53. https://doi.org/10.32708/uutfd.468622
  • Ris I, Schnepp W, Mahrer Imhof R. An integrative review on family caregivers' involvement in care of home-dwelling elderly. Health Soc Care Community. 2019 May; 27(3):e95-e111. doi: 10.1111/hsc.12663.
  • Rosen, M. A., DiazGranados, D., Dietz, A. S., Benishek, L. E., Thompson, D., Pronovost, P. J., & Weaver, S. J. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. American Psychologist, 73(4), 433–450. https://doi.org/10.1037/amp0000298
  • Rush, K. L., Hickey, S., Epp, S., & Janke, R. (2016). Nurses’ attitudes towards older people care: An integrative review. In International Journal of Laboratory Hematology, 38(1), 42-49. https://doi.org/10.1111/ijlh.12426
  • Salia, S. M., Adatara, P., Afaya, A., Jawula, W. S., Japiong, M., Wuni, A., Ayanore, M. A., Bangnidong, J. E., Hagan, F., Sam-Mensah, D., & Alhassan, R. K. (2022). Factors affecting care of elderly patients among nursing staff at the Ho teaching hospital in Ghana: Implications for geriatric care policy in Ghana. PLoS ONE, 17(6 June), 1–16. https://doi.org/10.1371/journal.pone.0268941
  • Thakre, S. B., Thakre, S. S., & Thakre, S. N. (2017). Quality of work life of nurses working at tertiary health care institution: a cross sectional study. International Journal Of Community Medicine And Public Health, 4(5), 1627.https://doi.org/10.18203/2394-6040.ijcmph20171775
  • Theodosius, C., Koulouglioti, C., Kersten, P., Rosten, C. (2020). Collegial surface acting emotional labour, burnout and intention to leave in novice and pre-retirement nurses in the United Kingdom: A cross-sectional study. Nurs Open, 15;8(1):463-472. doi:10.1002/nop2.649
  • Thi Thanh Vu, H., Hoang Nguyen, L., Xuan Nguyen, T., Thi Hoai Nguyen, T., Ngoc Nguyen, T., Thi Thu Nguyen, H., Trung Nguyen, A., Pham, T., Tat Nguyen, C., Xuan Tran, B., A Latkin, C., S H Ho, C., & C M Ho, R. (2019). Knowledge and attitude toward geriatric palliative care among health professionals in Vietnam. International Journal of Environmental Research and Public Health, 16(15), 1–11. https://doi.org/10.3390/ijerph16152656
  • Uysal, N., Ünal Toprak, F., Koç, A. (2020). Hemşirelik öğrencı̇lerı̇ ve klı̇nik hemşı̇relerı̇nı̇n yaşlılığa ilı̇şkı̇n tutumlarının karşılaştırılması. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 8(2),461–471. https://doi.org/10.33715/inonusaglik.729543
  • Yazıcıoğlu, Y., Erdoğan, S. (2004). SPSS uygulamalı bilimsel araştırma yöntemleri Retrieved April 14, 2022, from https://www.nadirkitap.com/spss-uygulamali-bilimsel-arastirma-yontemleri-yahsi-yazicioglu-samiye-erdogan-kitap5881998.html
  • Waterworth, S., Gott, M., Raphael, D., Parsons, J., & Arroll, B. (2015). Working with older people with multiple long-term conditions: a qualitative exploration of nurses’ experiences. Journal of Advanced Nursing, 71(1), 90–99. https://doi.org/10.1111/jan.12474
  • Wyman, M. F., Shiovitz-Ezra, S., & Bengel, J. (2018). Ageism in the health care system: Providers, patients, and systems. Contemporary perspectives on ageism, 193-212. https://doi.org/10.1093/geroni/igx004.044.
  • Zamanzadeh, V., Jasemi, M., Valizadeh, L., Keogh, B., Taleghani, F. (2015).Effective factors in providing holistic care: a qualitative study. Indian J Palliat Care, 21(2):214-24. https://doi.org/10.4103/0973-1075.156506.
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Details

Primary Language English
Subjects Nursing Workforce
Journal Section Articles
Authors

Mehmet Emin Şanlı 0000-0002-5515-2752

Müjde Kerkez 0000-0002-6968-9454

Publication Date March 20, 2024
Submission Date August 21, 2023
Published in Issue Year 2024 Volume: 13 Issue: 1

Cite

APA Şanlı, M. E., & Kerkez, M. (2024). Effect Of Emotional Labor Levels of Nurses on Their Attitudes of Elderly Care. Balıkesir Sağlık Bilimleri Dergisi, 13(1), 128-136. https://doi.org/10.53424/balikesirsbd.1347404

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