The influence of emotional labour and emotional work on the occupational
health and wellbeing of South Australian hospital nurses
Sandra L. Pisaniello ⁎, Helen R. Winefield, Paul H. Delfabbro
School of Psychology, University of Adelaide, North Terrace, Adelaide, SA 5005, Australia
article info abstract
Article history:
Received 22 October 2011
Available online 10 February 2012
Nursing is an emotionally complex occupation, requiring performance of both emotional la-
bour (for the benefit of the organisation and professional role) and emotional work (for the
benefit of the nurse-patient relationship). According to the Conservation of Resources Theory,
such processes can have a significant effect on psychological wellbeing and occupational stress,
although little is known about the factors that moderate their effects. This exploratory study
investigated the relationship between emotional labour and emotional work on psychological
wellbeing and occupational stress in 239 nurses sampled from a South Australian hospital. The
multi-component questionnaire study focused on the emotional labour elements of emotion
expression and suppression, as well as surface acting and deep acting, and examined the com-
panionship, help, and regulation elements of emotional work. In a multivariate model, emo-
tional work was found to be less strongly predictive of negative psychological outcomes
than was emotional labour, but was more strongly predictive of positive outcomes. Social sup-
port may moderate or be an antecedent to the performance of emotional labour and emotional
work. The findings support the Conservation of Resources Theory with emotional work, rather
than emotional labour, enabling the uptake of resources and leading to positive occupational
health and wellbeing.
© 2012 Elsevier Inc. All rights reserved.
Keywords:
Nurses
Emotional labour
Emotional work
Social support
Occupational stress
Job satisfaction
Introduction
An ageing nursing workforce in conjunction with an ageing population in developed countries have led to an increased nurs-
ing workload and irregular working hours (Aiken et al., 2001). ‘People work’ such as nursing is emotionally demanding
(Diefendorff, Erickson, Grandey, & Dahling, 2011; Hülsheger & Schewe, 2011) and may be more so under these conditions.
The concepts of emotional labour and emotional work are often used interchangeably (Bolton, 2003; Zapf, 2002). There is
some disagreement among researchers with respect to the definition of emotional labour, its theoretical underpinnings, and
the measurement of the construct (Diefendorff et al., 2011; Mann, 1999; McClure & Murphy, 2007). The formulation of hypoth-
eses and the interpretation of results remain a challenge (Grandey, 2000; Mann, 2005; Pugh, Groth, & Hennig-Thurau, 2011).
Emotional labour is defined here according to Morris and Feldman's (1996, p. 987) definition: ‘the effort, planning, and control
needed to express organizationally-desired emotion during interpersonal transactions’. This definition encompasses the notion
that service providers perform emotional labour as part of their professional role largely for the benefit of the organisation. Facets
of emotional labour include the emotional job requirements of expressing and hiding emotion, and the regulation strategies of
surface and deep acting (Diefendorff, Croyle, & Gosserand, 2005).
Journal of Vocational Behavior 80 (2012) 579–591
⁎ Corresponding author at: School of Psychology, Faculty of Health Sciences, North Terrace Campus, Level 4 Hughes Building, University of Adelaide, South
Australia 5005, Australia. Tel.: +61 8 8303 5693; fax: +61 8 303 3770.
E-mail address: sandra.pisaniello@gmail.com (S.L. Pisaniello).
0001-8791/$ – see front matter © 2012 Elsevier Inc. All rights reserved.
doi:10.1016/j.jvb.2012.01.015
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Journal of Vocational Behavior
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