EMOTIONAL LABOR IN HEALTHCARE PROFESSIONALS: DOES DISPLAYING TOWARDS DOCTORS OR PATIENTS CHANGE THE RESULT?

Yıl 2022, Cilt: 25 Sayı: 4, 797 - 812, 27.12.2022

Senay Yürür , Nihal Yazıcı , Çağrı Kırtay , Sevcan Ağırbaş

Öz

The importance of emotional labor in the service sector is obvious and it can also be exhibited to other actors within the organization (coworkers and supervisors) apart from the service users (e.g., customers, patients, or citizens). Then, does it matter to whom it is exhibited in terms of the process or results of emotional labor? In other words, does displaying emotional labor towards co-workers or customers change anything in this process? Based on these questions the present study is aimed to investigate whether the effect of health professionals’ emotional labor on their job satisfaction differs towards the doctor or patient. In this direction, a face-to-face survey was applied to 114 healthcare professionals working at public and private hospitals. According to the findings of the study, while deep acting towards doctors has affected the health professionals’ job satisfaction levels positively, the emotional labor towards patients has not had any effect on the job satisfaction. These findings have indicated that it is important to whom emotional labor is exhibited, and the results differ when the focus is changed.

Anahtar Kelimeler

Emotional labor, surface acting, deep acting, job satisfaction, healthcare professionals

SAĞLIK ÇALIŞANLARINDA DUYGUSAL EMEK: DOKTOR YA DA HASTALARA KARŞI SERGİLENMESİ SONUCU DEĞİŞTİRİR Mİ?

Öz

Hizmet örgütlerinde önemi tartışılmaz olan duygusal emeğin hizmet alıcısına (örneğin müşteri, hasta ya da vatandaş) yönelik olması dışında örgüt içi aktörlere de (iş arkadaşları ya da yöneticiler) sergilendiği bilinmektedir. Peki, acaba kime sergilendiğinin, duygusal emeğin süreç ya da sonuçları açısından bir önemi var mıdır? Yani duygusal emeğin iş arkadaşlarına ya da müşterilere yönelik sergilenmesi bir şeyleri değiştirir mi? Bu sorudan yola çıkarak bu araştırmada sağlık çalışanlarının harcadıkları duygusal emeğin bir sonucu olarak iş tatmini üzerindeki etkisinin, duygusal emeğin doktora veya hastaya karşı sergilenmesi durumlarında farklılaşıp farklılaşmadığının araştırılması amaçlanmıştır. Bu doğrultuda, kamu hastanelerinde ve özel hastanelerde çalışan 114 sağlık çalışanına yüz yüze anket uygulanmıştır. Çalışmanın bulgularına göre; doktora sergilenen derinlemesine davranış sağlık çalışanlarının iş tatminlerini olumlu etkilerken, hastalara sergilenen duygusal emeğin iş tatmini üzerinde herhangi bir etkisinin olmadığı sonucuna varılmıştır. Elde edilen bu bulguyla, duygusal emeğin kime yönelik sergilendiğinin önemli olduğu, odağı değiştiğinde sonuçlarının farklılık gösterdiği sonucuna varılmıştır.

Anahtar Kelimeler

Duygusal emek, yüzeysel davranış, derinlemesine davranış, iş tatmini, sağlık çalışanları

Kaynakça

• Altaş, S. S., & Özişli, Ö. (2021). Duygusal emek ile iş tatmini ve bireysel performans arasındaki ilişki. Journal of International Social Research, 14(76), 862-873.
• Ashforth, B. E., & Humphrey, R. H. (1993). Emotional labor in service roles: The influence of identity. Academy of Management Review, 18(1), 88-115.
• Ashforth, B. E., & Humphrey, R. H. (1995). Emotion in the workplace: A reappraisal. Human Relations, 48(2), 97-125.
• Bakker, A., Demerouti, E., & Schaufeli, W. (2003). Dual processes at work in a call centre: An application of the job demands-resources model. European Journal of Work and Organizational Psychology, 12(4), 393-417.
• Bakker, A. B., & Demerotuti, E. (2007). The job demands-resources model: State of the art. Journal of Managerial Psychology, 22(3), 309-328.
• Bakotic, D., & Babic, T. (2013). Relationship between working conditions and job satisfaction: The case of Croatian shipbuilding company. International Journal of Business and Social Science, 4(2), 206-213.
• Bartel, A. P. (1981). Race differences in job satisfaction: A reappraisal. Journal of Human Resources, 16(2), 294-303.
• Basım, N., & Şeşen, H. (2009). Örgütsel adalet algısı-örgütsel vatandaşlık davranışı ı̇lişkisinde ı̇ş tatmininin aracılık rolü. Osman Gazi Üniversitesi, 17. Yönetim ve Organizasyon Kongresi Bildiriler Kitabı (s. 806-812). Eskişehir Osmangazi Üniversitesi Yayınları.
• Baumeister, R. F., Bratslavsky, E., Muraven, M., & Tice, D.M. (1998). Ego depletion: Is the active self a limited resource?. Journal of Personality and Social Psychology, 74(5), 1252-1265.
• Bono, J. E., & Vey, M. A. (2005). Toward understanding emotion management at work: A quantitative review of emotional labor research. In Hartel C., Ashkanasy N. M., Zerbe W. (Eds.), Emotions in organizational behavior (pp. 213-233). Erlbaum.
• Brotheridge, C. M., & Grandey, A. A. (2002). Emotional labor and burnout: Comparing two perspectives of “people work”. Journal of Vocational Behavior, 60(1), 17-39.
• Brotheridge, C. M., & Lee, R. T. (2002). Testing a conservation of resources model of the dynamics of emotional labor. Journal of Occupational Health Psychology, 7(1), 57-67.
• Chen, Z., Sun, H., Lam, W., Hu, Q., Huo, Y., & Zhong, J. A. (2012). Chinese hotel employees in the smiling masks: Roles of job satisfaction, burnout, and supervisory support in relationships between emotional labor and performance. The International Journal of Human Resource Management, 23(4), 826-845.
• Cheung, F. Y. L., & Tang, C. S. K. (2009). The influence of emotional intelligence and affectivity on emotional labor strategies at work. Journal of Individual Differences, 30(2), 75-86.
• Clark, A. E., Oswald, A. J. & Warr, P. B. (1996). Is job satisfaction u-shaped in age?. Journal of Occupational and Organizational Psychology, 69(1), 57-81.
• Costakis, H. R., Gruhlke, H., & Su, Y. (2021). Implications of emotional labor on work outcomes of service workers in not-for-profit human service organizations. Human Service Organizations: Management, Leadership & Governance, 45(1), 29-48.
• Çelik, P., & Topsakal, Y. (2016). Duygusal emeğin iş tatmini ve duygusal tükenme ile ilişkisi: Antalya destinasyonu otel çalışanları örneği. İşletme Araştırmaları Dergisi, 8(4), 202-218.
• Demerouti, E., Bakker, A. B., Nachreiner, F., & Schaufeli, W. B. (2001). The job demands-resources model of burnout. Journal of Applied Psychology, 86(3), 499-512.
• Demir, M. (2019). Duygusal emeğin banka çalışanlarının iş tatmini üzerindeki rolü [Yayımlanmamış yüksek lisans tezi]. Karabük Üniversitesi, Karabük.
• Deng, H., Walter, F., & Guan, Y. (2020). Supervisor‐directed emotional labor as upward influence: An emotions‐as‐social‐information perspective. Journal of Organizational Behavior, 41(4), 384-402.
• Dent, M., Burke, W. & Green, R. (1991). Emotional labor and renal dialysis: Nursing and the labor process [Oral presentation]. The Ninth Annual International Labour Process Confrence, Manchester, England.
• Diefendorff, J. M., Croyle M. H., & Gosserand, R. H. (2005). The dimensionality and antecedents of emotional labor strategies. Journal of Vocational Behavior, 66(2), 339-257.
• Erickson, R. J., & Ritter, C. (2001). Emotional labor, burnout and inauthenticity: Does gender matter?. Social Psychology Quarterly, 64(2), 146-163.
• Grandey, A. A. (1999). The effects of emotional labor: Employee attitudes, stress and performance [Unpublished doctoral dissertation]. Colorado State University. Grandey, A. (2000) Emotion regulation in the workplace: A New way to conceptualize emotional labor. Journal of Occupational Health Psychology, 5(1), 95-110.
• Grandey, A. A., & Brauburger, A. L. (2002). The emotion regulation behind the customer service smile. In R. G. Lord, R. J. Klimoski, & R. Kanfer (Eds.), Emotions in the workplace: Understanding the structure and role of emotions in organizational behavior (pp. 260-294). Jossey-Bass.
• Grandey, A. A. (2003). When “the show must go on”: Surface acting and deep acting as determinants of emotional exhaustion and peer-rated service delivery. Academy of Management Journal, 46(1), 86-96.
• Grandey, A. A., Fisk, G. M., & Steiner, D. D. (2005). Must service with a smile be stressful? The moderating role of personal control for American and French employees. Journal of Applied Psychology, 90(5), 893-904.
• Grandey, A. A., Kern, J. H., & Frone, M. R. (2007). Verbal abuse from outsiders versus insiders: Comparing frequency, impact on emotional exhaustion, and the role of emotional labor. Journal of Occupational Health Psychology, 12(1), 63-79.
• Grandey, A., Foo, S. C., Groth, M., & Goodwin, R. E. (2012). Free to be you and me: A climate of authenticity alleviates burnout from emotional labor. Journal of Occupational Health Psychology, 17(1), 1-14.
• Grandey, A. A., Diefendorff, J. M., & Rupp, D. E. (2013). Bringing emotional labor into focus: A review and integration of three research lenses. In A. A. Grandey, J. M. Diefendorff, & D. E. Rupp (Eds.), Emotional labor in the 21st century: Diverse perspectives on emotion regulation at work (pp. 3-27). Routledge/Taylor & Francis Group.
• Grandey, A. A., & Gabriel, A. S. (2015). Emotional labor at a crossroads: Where do we go from here? Annual Review of Organizational Psychology and Organizational Behavior, 2(1), 323-349.
• Hackman, J. R., & Oldham, G. R. (1975). Development of the job diagnostic survey. Journal of Applied Psychology, 60(2), 159-170.
• Hair J. F., Black W. C., Babin B. J., Anderson R. E., & Tatham R. L. (2006). Multivariate data analysis. Pearson Prentice Hall.
• Hagger, M. S., Wood, C., Stiff, C., & Chatzisarantis, N. L. D. (2010). Ego depletion and the strength model of self-control. Psychological Bulletin, 136(4), 495-525.
• Hobfoll, S. E. (1989). Conservation of resources a new attempt at conceptualizing stress. American Psychologist, 44(3), 513-524.
• Hobfoll, S. E. (2001). The influence of culture, community, and the nested- self in the stress process: Advancing conservation of resources theory. Applied Psychology: An International Review, 50(3), 337-421.
• Hochschild, A. R. (1983). The managed heart: The commercialization of feeling. University of California Press.
• Hochschild, A. R. (1990). Ideology and emotion management: A Perspective and path for future research. In T. D. Kemper (Ed.), Research agendas in the sociology of emotions (pp. 117-142). State University of New York Pres.
• Humphrey, R. H., Ashforth, B. E., & Diefendorff, J. M. (2015). The bright side of emotional labor. Journal of Organizational Behavior, 36(6), 749-769.
• Jang, O. J., Ryu, U. J., & Song, H. J. (2015). The effects of a group art therapy on job stress and burnout among clinical nurses in oncology units. Journal of Korean Clinical Nursing Research, 21(3), 366-376.
• Jex, S. M., & Britt, T. W. (2014). Organizational psychology: A scientist-practitioner approach (3rd ed.). John Wiley & Sons.
• Johnson, H. A. M., & Spector, P. E. (2007). Service with a smile: Do emotional intelligence, gender, and autonomy moderate the emotional labor process?. Journal of Occupational Health Psychology, 12(4), 319-333.
• Kammeyer‐Mueller, J. D., Rubenstein, A. L., Long, D. M., Odio, M. A., Buckman, B. R., Zhang, Y., & Halvorsen‐Ganepola, M. D. (2013). A meta-analytic structural model of dispositional affectivity and emotional labor. Personnel Psychology, 66(1), 47-90.
• Kerse, G., & Özdemir, Ş. (2018). Sağlık sektörü çalışanlarının duygusal emek davranışları örgütsel bağlılık ile açıklanabilir mi?. Hacettepe Sağlık İdaresi Dergisi, 21(1), 151-163.
• Kıyat, G. B. D., Özgüleş, B., & Günaydın, S. C. (2018). Algılanan kurumsal itibar ve işe bağlılığın duygusal emek davranışı üzerine etkisi: Sağlık çalışanları örneği. Hacettepe Sağlık İdaresi Dergisi, 21(3), 473-494.
• Kirkcaldy, B. D., & Martin, T. (2000). Job stress and satisfaction among nurses: Individual differences. Stress Medicine, 16(2), 77-89.
• Kocakula, Ö. (2021). Duygusal emeğin iş tatmini üzerindeki etkisi: İzmir Balçova ve Narlıdere belediyeleri örneği. Kent Akademisi, 14(3), 824-841.
• Lam, W., & Chen, Z. (2012). When I put on my service mask: Determinants and outcomes of emotional labor among hotel service providers according to affective event theory. International Journal of Hospitality Management, 31(1), 3-11.
• Lee, J. J., & Ok, C. (2012). Reducing burnout and enhancing job satisfaction: Critical role of hotel employees’ emotional intelligence and emotional labor. International Journal of Hospitality Management, 31(4), 1101-1112.
• Lee, H. J. (2018). How emotional intelligence relates to job satisfaction and burnout in public service jobs. International Review of Administrative Sciences, 84(4), 729-745.
• Locke, E. A. (1976). The nature and causes of job satisfaction. In M. D. Dunnette (Ed.), Handbook of industrial and organizational psychology (pp. 1297-1349). Rand McNally.
• Mann, S. (2005). A health care model of emotional labour: An evaluation of the literature and development of a model. Journal of Health, Organization and Management, 19(4), 317-323.
• Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Organizational Behavior, 2(2), 99-113.
• Meyer, J. P., Becker, T. E., & Vandenberghe, C. (2004). Employee commitment and motivation: A conceptual analysis and ıntegrative model. Journal of Applied Psychology, 89(6), 991-1007.
• Morris, J. A., & Feldman D. C. (1996). The dimensions, antecedents, and consequences of emotional labor. Academy of Management Review, 21(4), 986-1010.
• Morris, J. A., & Feldman, D. C. (1997). Managing emotions in the workplace. Journal of Managerial Issues, 9(3), 257-274.
• Nunally, J. C. (1978). Psychometric theory. McGraw-Hill. Pala, T., & Tepeci, M. (2014). Otel işletmelerinde çalışanların duygusal emek boyutlarının belirlenmesi ve duygusal emek boyutlarının iş tatmini ve işte kalma niyeti üzerine etkisi. Seyahat ve Otel İşletmeciliği Dergisi, 11(1), 21-37.
• Pugh, S. D. (2001). Service with a smile: Emotional contagion in the service encounter. Academy of Management Journal, 44(5), 1018-1027.
• Pugliesi, P. (1999). The consequences of emotional labor: Effects on work stress, job satisfaction, and well-being. Motivation and Emotion, 23, 125-154.
• Rafaeli, A., & Sutton, R. I. (1987). Expression of emotion as part of the work role. Academy of Management Review, 12(1), 23-37.
• Rafaeli, A., & Sutton, R. I. (1987). Expression of emotion as part of the work role. Academy of Management Review, 12(1), 23-37.
• Rafaeli, A., & Sutton, R. I. (1991). Emotional contrast strategies as means of social influence: Lessons from criminal interrogators and bill collectors. Academy of Management Journal, 34(4), 749-775.
• Robbins, S. P. (2001). Organizational behavior. Prentice-Hall. Schaufeli, W. B., Bakker, A. B., & Van Rhenen, W. (2009). How changes in job demands and resources predict burnout, work engagement, and sickness absenteeism. Journal of Organizational Behavior, 30(7), 893-917.
• Schaufeli, W. B., & Greenglass, E. R. (2001). Introduction to special issue on burnout and health. Psychology and Health, 16(5), 501-510.
• Scott, B. A., Barnes, C. M., & Wagner, D. T. (2012). Chameleonic or consistent? A multilevel investigation of emotional labor variability and self-monitoring. Academy of Management Journal, 55(4), 905-926.
• Seery, B. L., & Corrigall, E. A. (2009). Emotional labor: Links to work attitudes and emotional exhaustion. Journal of Managerial Psychology, 24(8), 797-813.
• Sezgin, A. (2010). Üniversite hastanelerinde çalışan başmüdür ve müdürlerin iş doyumu ile tükenmişlik düzeylerinin incelenmesine yönelik bir araştırma [Yayımlanmamış yüksek lisans tezi]. İstanbul Üniversitesi, İstanbul.
• Sloan, M. M., (2014). The consequences of emotional labor for public sector workers and the mitigating role of self-efficacy. The American Review of Public Administration, 44(3), 274-290.
• Sloane, P. J., & Williams, H. (1996). Are “overpaid” workers really unhappy? A test of the theory of cognitive dissonance. Labour, 10(1), 3-16.
• Sutton, R. I., & Rafaeli, A. (1988). Untangling the relationships between displayed emotions and organizational sales: The case of convenience stores. Academy of Management Journal, 31(3), 461-487.
• Thoits, P. A. (1996). Managing the emotions of others. Symbolic Interaction, 19(2), 85-109. Torland, M. (2011). Emotional labour and job satisfaction of adventure tour leaders: Does gender matter?. Annals of Leisure Research, 14(4), 369-389.
• Totterdell, P. & Holman, D. (2003). Emotion regulation in customer service roles: Testing a model of emotional labor. Journal of Occupational Health Psychology, 8(1), 55-73.
• Tortop, N., İsbir E. G., & Aykaç, B., Yayman, H., & Özer, M. A. (2010). Yönetim bilimi (8. Bs.). Nobel Yayın Dağıtım.
• Tsang, M. C., Rumberger, R. W. & Levin, H. M. (1991). The impact of surplus schooling on work productivity. Industrial Relations, 30(2), 209-228. Ünlü, O. & Yürür, S. (2011). Duygusal emek, duygusal tükenme ve görev/bağlamsal performans ilişkisi: Yalova’da hizmet sektörü çalışanları ile bir araştırma. Erciyes Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 37, 183-207.
• Van Dijk, P. A., Smith, L. D. G., & Cooper, B. K. (2011). Are you for real? An evaluation of the relationship between emotional labour and visitor outcomes. Tourism Management, 32(1), 39-45.
• Waldron, V. R. (1991). Achieving communication goals in superior-subordinate relationships: The multi-functionality of upward maintenance tactics. Communication Monographs, 58(3), 289-306.
• Wang, I. A., Lin, S. Y., Chen, Y. S., & Wu, S. T. (2022). The influences of abusive supervision on job satisfaction and mental health: The path through emotional labor. Personnel Review, 51(2), 823-838.
• Watson, R., Storey, D., Wynarczyk, P., Keasey, K., & Short, H. (1996). The relationship between job satisfaction and managerial remuneration in small and medium-sized enterprises: An empirical test of “comparison income” and “equity theory” hypotheses. Applied Economics, 28(5), 567-576.
• Wharton, A. S. (1993). The affective consequences of service work. Work and Occupation, 20(2), 205-232.
• Wichroski, M. (1994). The secretary: Invisible labor in the workworld of women. Human Organization, 53(1), 33-41.
• Wong, J. Y., & Wang, C. H. (2009). Emotional labor of the tour leaders: An exploratory study. Tourism Management, 30(2), 249-259.
• Wu, T. Y., & Hu, C. (2013). Abusive supervision and subordinate emotional labor: The moderating role of openness personality. Journal of Applied Social Psychology, 43(5), 956-970.
• Wright, T. A., & Hobfoll, S. E. (2004). Commitment, psychological well-being and job performance: an examination of conservation of resources (cor) theory and job burnout. Journal of Business & Management, 9(4), 389-406.
• Yang, F. H., & Chang, C. C. (2008). Emotional labour, job satisfaction and organizational commitment amongst clinical nurses: A questionnaire survey. International Journal of Nursing Studies, 45(6), 879-887.
• Yang, S. B., & Guy, M. E. (2015). Gender effects on emotional labor in Seoul metropolitan area. Public Personnel Management, 44(1), 3-24.
• Yürür, S. (2008). Örgütsel adalet ile iş tatmini ve çalışanların bireysel özellikleri arasındaki ilişkilerin analizine yönelik bir araştırma. Süleyman Demirel Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 13(2), 295-312.
• Yürür, S., Gümüş, M., & Hamarat, B. (2011). Çalışan-müşteri ilişkilerinde algılanan adalet/adaletsizliğin duygusal emek davranışlarına etkisi. Journal of Yasar University, 6(23), 3826-3839.
• Yürür, S., & Ünlü, O. (2011). Duygusal emek, duygusal tükenme ve işten ayrılma niyeti ilişkisi. “İŞ, GÜÇ” Endüstri İlişkileri ve İnsan Kaynakları Dergisi, 13(2), 81-104.
• Zapf, D., Seifert, C., Schmutte, B., Mertini, H., & Holz, M. (2001). Emotion work and job stressors and their effects on burnout. Psychology and Health, 16(5), 527-545.