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Original Articles
The Influence of Role Conflict, Emotional Labor, and Resilience on Burnout in Nurses: A Descriptive Correlational Study
Ahsil Lee, Kuem Sun Han, Soo Kyung Park, Sung Reul Kim, Soo Yeon Lee, Nari Lee, Siyoung Koak
STRESS. 2026;34(1):25-33.   Published online March 30, 2026
DOI: https://doi.org/10.17547/kjsr.2026.34.1.25
  • 226 View
  • 18 Download
Abstract PDF
Background
Nurses frequently experience physical and psychological burnout due to continuous interactions not only with patients and their families but also with various healthcare professionals. Burnout can negatively impact patient care and lead to turnover, making it crucial to identify factors contributing to nurse burnout.
Methods
This study is a descriptive correlational study aimed at examining the effects of nurses’ role conflict, emotional labor, and resilience on burnout. Data collection occurred between July 8 and July 21, 2024, from 134 nurses with at least six months of clinical experience. A structured questionnaire measured role conflict, emotional labor, resilience, and burnout. Statistical analyses included descriptive statistics, independent t-tests, ANOVA, Pearson correlation, and stepwise multiple regression using SPSS 25.0.
Results
Burnout significantly differed by age, work department, and job satisfaction. Nurses in their 30s, those working in general wards or special units, and those with lower job satisfaction showed higher burnout levels. Job satisfaction, resilience, role conflict, emotional labor, and work department were identified as significant factors associated with burnout.
Conclusions
Burnout among nurses is influenced by personal and work-related factors. Strategies to enhance resilience and job satisfaction, along with efforts to reduce emotional labor and role conflict, are essential to prevent and manage burnout and support nurses’ well-being.
Emotional Dissonance and Coping Strategies According to the Emotional Processing Type of Call Center Counselors
SoonJin Choi, HaeYoun Choi
STRESS. 2024;32(3):153-160.   Published online September 30, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.3.153
  • 2,531 View
  • 36 Download
Abstract PDF
Background
This study explored the emotional processing types of call center counselors and examined the differences in emotional dissonance and related adaptation indicates of coping strategies, emotional exhaustion and work performance orientation according to the types.
Methods
A total of 271 call center agents (204 females, 67 males; mean age 36.5) participated in the study. Latent class analysis of emotional awareness, emotional expression, ambivalence over emotional expression were conducted. Analysis of variance(ANOVA) was used to examine differences in adaptation indicators according to emotion processing type.
Results
Emotional processing types were categorized into Clear(CG), Passive(PG) Repressive(RG) groups. The CG showed low emotional dissonance, good adaptation indicates and functional coping strategies whereas results for the RG type revealed the opposite.
Conclusions
By distinguishing between emotional processing types, this study found that emotional processing type is more closely correlated with burnout and work performance orientation than emotional dissonance itself.
Identification and Characterization of Alexithymia Subgroups by Latent Profile Analysis of TAS-20K
Jaeeun Shin, Sojin Yun, Taehun Lee
STRESS. 2022;30(1):22-29.   Published online March 31, 2022
DOI: https://doi.org/10.17547/kjsr.2022.30.1.22
  • 5,201 View
  • 128 Download
Abstract PDF
Background
The present study aimed to investigate the number of latent groups that can be identified on the basis on the level of difficulties identifying feelings (DIF), difficulties in describing feelings (DDF), and externally oriented thinking (EOT).
Methods
DIF, DDF, and EOT are the sub-factors of the 20-item Toronto Alexithymia Scale. Latent profile analysis was performed to identify the subgroups and investigate their properties. A total of 237 Korean university and graduate students were included in the study, and alexithymia subtypes were classified into 5 latent groups.
Results
The groups were classified according to the DIF and DDF scores. Furthermore, it was observed that the EOT did not play a role in classifying the groups. The higher the DIF and DDF scores, the higher were the levels of depression and anxiety. The type 2 latent group, which had a unique profile with the highest DIF level and an average DDF level, showed high levels of depression and anxiety.
Conclusions
These results suggest that the DIF significantly affects psychological adaptation, thus warranting the consideration of this parameter in counseling and psychotherapy.
The Influence of the Emotional Labor, Professional Self-Concept, Self-Efficacy & Social Support of Emergency Room Nurse’s Burnout
Miro Kim, Eunju Seo, Sung Hee Shin
STRESS. 2019;27(4):404-411.   Published online December 31, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.4.404
  • 7,238 View
  • 408 Download
  • 8 Citations
Abstract PDF
Background:

The purpose of this study was to investigate the effects of emotional labor, professional self-concept, self-efficiency and social support on burnout of emergency room nurses by verifying the level of burnout of them. Through this, we will reduce the turnover and secure professional manpower and they will provide basic data on efficient manpower management.

Methods:

The subjects of this study were 130 emergency room nurses of eight hospitals in Seoul. The collected datas were analyzed by the SPSS Version 24.0 program using the percentage, mean and standard deviation, t-test, ANOVA, Scheffe test, Pearson’s correlation coefficient and multiple regression analysis.

Results:

The level of emotional labor of emergency room nurses was higher than that of other nurses. Professional self-concept, self-efficiency and social support have a negative correlation with burnout and there is a positive correlation between professional self-concept, self-efficiency and social support. The major factors influencing burnout were professional self-concept, which was a significant negative influence factor, emotional labor was a significant positive influence and self-efficiency showed a significant negative influence factor.

Conclusions:

To reduce the burnout of emergency room nurses, an emotional management program, positive self-concept formation for emergency room nurses are needed. In addition, it is necessary to develop and apply a variety of intervention programs to build policy for long- term working nurse and social support systems.

Citations

Citations to this article as recorded by  
  • Professional Self-Concept, Job Stress, and Triage Competency Among Emergency Nurses: Secondary Data Analysis of a Cross-Sectional Survey
    You-Jin Cho, Young-Ran Han, Yeo-Won Jeong
    Journal of Emergency Nursing.2022; 48(3): 288.     CrossRef
  • Relationships between Violence Experience, Resilience, and the Nursing Performance of Emergency Room Nurses in South Korea
    Sarang Kim, Minkyung Gu, Sohyune Sok
    International Journal of Environmental Research and Public Health.2022; 19(5): 2617.     CrossRef
  • Psychometric Properties of the Korean Version of the Nursing Profession Self-Efficacy Scale
    Seon Mi KIM, Ju Hee KIM, Jung Min KWAK
    Journal of Nursing Research.2022; 30(2): e197.     CrossRef
  • Effects on Triage Competency Based on Nursing Task Performance and Self-Efficacy of Nurses in Regional Emergency Medical Institutions
    Su Jin Kim, Su Ol Kim
    Korean Journal of Adult Nursing.2022; 34(3): 304.     CrossRef
  • Perception of Clinical Ladder System, Professional Self-Concept, Self-Efficacy, and Organizational Commitment by the Level of Clinical ladder among Intensive Care Unit Nurses
    Ji Hyun Lee, Su Jung Choi
    Journal of Korean Critical Care Nursing.2022; 15(3): 51.     CrossRef
  • Examining Emotional Labor in COVID-19 through the Lens of Self-Efficacy
    Lixia Yao, Jie Gao
    Sustainability.2021; 13(24): 13674.     CrossRef
  • 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
    Da-Jung Ha, Jung-Hyun Park, Su-Eun Jung, Boram Lee, Myo-Sung Kim, Kyo-Lin Sim, Yung-Hyun Choi, Chan-Young Kwon
    Sustainability.2021; 13(21): 11634.     CrossRef
  • Effects of exposure to endocrine disruptors, burnout, and social support from peers on premenstrual syndrome in nurses
    Hye Young Chang, SoMi Park
    Korean Journal of Women Health Nursing.2020; 26(2): 171.     CrossRef
A Study of Factor Structure of the Korean Version of the 20-Item Toronto Alexithymia Scale
Sojin Yun, Jaeeun Shin, Taehun Lee
STRESS. 2019;27(4):380-388.   Published online December 31, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.4.380
  • 6,047 View
  • 183 Download
  • 4 Citations
Abstract PDF
Background:

The purpose of this study is to examine the factor structure of the Korean version of the 20-Item Toronto Alexithymia Scale. The TAS-20 (source of the TAS-20K) has been supported the three-factor correlated model. However, some factor structure studies of the TAS-20 rejected the three-factor correlated model and adopted alternative models.

Methods:

In study 1, we conducted a comparison study of the alternative measurement models by using CFA. In study 2, we examined scale reliability and gender measurement invariance of the factor structure. To examine the alternative models and scale reliability, we using the bifactor model reliability indices.

Results:

As a result, the DIF and DDF factors have a close relationship but the EOT factor has some differences with DIF and DDF. So we adopted a two-factor correlated model with group factor. And the adopted factor structure has partial measurement invariance. Therefore we can compare gender differences of the TAS-20K.

Conclusions:

This study has significance that examining TAS-20K’s factor structure and examining measurement invariance in gender.

Citations

Citations to this article as recorded by  
  • Identification and Characterization of Alexithymia Subgroups by Latent Profile Analysis of TAS-20K
    Jaeeun Shin, Sojin Yun, Taehun Lee
    STRESS.2022; 30(1): 22.     CrossRef
  • Assessing Alexithymia across Asian and Western Cultures: Psychometric Properties of the Perth Alexithymia Questionnaire and Toronto Alexithymia Scale-20 in Singaporean and Australian Samples
    Joan Chan, Rodrigo Becerra, Michael Weinborn, David Preece
    Journal of Personality Assessment.2022; : 1.     CrossRef
  • The Structure of the Toronto Alexithymia Scale (TAS-20): A Meta-Analytic Confirmatory Factor Analysis
    Ulrich Schroeders, Fiona Kubera, Timo Gnambs
    Assessment.2022; 29(8): 1806.     CrossRef
  • Meta-Analysis of Correlations among the Subfactors of the 20-Item Toronto Alexithymia Scale
    Minseong Jeon, Jaeeun Shin, Taehun Lee
    Korean Journal of Stress Research.2021; 29(3): 187.     CrossRef
Development and Evaluation of a Self-Empowerment Intervention Program for Inpatient at High Risk of Suicide
Hee-Yeon Kim, Kuem-Sun Han
STRESS. 2019;27(3):240-250.   Published online September 30, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.3.240
  • 6,815 View
  • 250 Download
  • 1 Citations
Abstract PDF
Background:

The purpose of this study, which uses an nonequivalent control group non-synchronized design, was to develop of a self-empowerment intervention program for for inpatient at high risk of suicide, and to assess its effects on positive emotions (subjective well–being, psychological well–being, gratitude, optimism, Self-esteem), empowerment and suicide ideation.

Methods:

Data were collected from January to December, 2016. The experimental group participated in 8 sessions of self-empowerment intervention program. The control group was granted general intervention program to the psychiatric ward. The collected data were analyzed in SPSS Win 20.0.

Results:

The results of this study showed the proposed self-empowerment intervention program for inpatient at high risk of suicide had the effect of improving positive emotions (subjective well–being, psychological well–being, gratitude, and optimism, self-esteem), empowerment and reducing the suicide ideation.

Conclusions:

The program, developed in accordance with King’s theory of goal attainment, will serve as a useful reference in developing standard guidelines for nursing intervention program suicide prevention in psychiatric department. The results are expected to contribute to the practice of intensive nursing care for inpatient at high risk of suicide.

Citations

Citations to this article as recorded by  
  • Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis
    Bom-Mi Park
    Healthcare.2021; 9(6): 699.     CrossRef
The Effect of Emotional Labor, Job Stress and Social Support on Nurses’ Job Satisfaction
Seung Young Lee, Duck Ho Kim
STRESS. 2019;27(3):215-223.   Published online September 30, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.3.215
  • 8,400 View
  • 801 Download
  • 9 Citations
Abstract PDF
Background:

This study was a descriptive survey research on nurse’s job satisfaction to identify the effects of emotional labor, job stress, social support.

Methods:

The participants were 177 shift nurses working at three general hospital. Data were analyzed using descriptive statistics, t-test, ANOVA, pearson correlation coefficients and multiple regression with SPSS 22.0.

Results:

Job satisfaction of nurses was positively correlated with deep acting of emotional labor and social support, while job satisfaction and job stress were negatively correlated. Social support was positively correlated with deep acting of emotional labor. And job stress had a positive correlation with the surface acting of emotional labor. The most important factor affecting nurse’s job satisfaction was deep acting of emotional labor (β=.446), social support (β=.326), job stress (β=−.198), and age (β=.161), which together explained there job satisfaction up to 42.5% (F=22.690, p<.001).

Conclusions:

Through this study result, we found the factors influencing nurse’s job satisfaction were such as deep acting of emotional labor, social support, job stress, and age, among which the deep acting was the most influential factor. The results of this study reveals that an operation of educational program relating to the deep acting is needed for improving the nurse’s job satisfaction. And social support is also required highly, such as the active communication programs for cooperation of nurses and the providing resources necessary for work. In addition, a special program coping the stress intensification should be operated to reduce job stress.

Citations

Citations to this article as recorded by  
  • Influences of Clinical Nurses’ Second Victim Experience after Patient Safety Incidents, Individual and Organizational Support, and Job Satisfaction on Turnover Intention
    Hyeran Kang, Jeong-Hee Kim
    Journal of Korean Academy of Nursing Administration.2026; 32(1): 58.     CrossRef
  • The Controlling Effect of Emotional Intelligence in the Relationship between Job Stress and Job Satisfaction of Skin Care Office Workers
    Tae-Hee Kim, Mi-Seon Lee, Mi-Young Yun
    Journal of the Korean Society of Cosmetology.2025; 31(3): 504.     CrossRef
  • Factors Influencing the Perception of Decent Work by Nurses
    Chung Hee Woo, Yu Jin Lee
    Journal of Korean Academy of Nursing Administration.2025; 31(3): 227.     CrossRef
  • Reconceptualizing Emotional Labor as Affective Governance: Gendered Institutionalization and Structural Inequality
    Go‐Eun Bae, Minjae Choi
    Sociology Compass.2025;[Epub]     CrossRef
  • Influence of Work Environment, Missed Nursing Care, and Non-Nursing Tasks of Hospital Nurses on Job Stress
    Ji Yeong Park, Kyoung Ja Kim
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 246.     CrossRef
  • Assessing the Impact of Job Demand, Surface Acting, and Workplace Social Support on Social workers’ Job Satisfaction
    Yoewon Yoon, Soomin Shin, Seonwoo Lee
    Human Service Organizations: Management, Leadership & Governance.2024; : 1.     CrossRef
  • The association between health status and job satisfaction among female workers: A nationwide cross‐sectional study
    Sung‐Heui Bae
    Nursing & Health Sciences.2021; 23(4): 908.     CrossRef
  • The Mediating Effect of Perceived Appraisal Support on the Relationship between Neuroticism and Occupational Stress in Firefighters
    Yoonjung Kim
    Journal of Korean Academy of Community Health Nursing.2021; 32(3): 396.     CrossRef
  • 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
    Da-Jung Ha, Jung-Hyun Park, Su-Eun Jung, Boram Lee, Myo-Sung Kim, Kyo-Lin Sim, Yung-Hyun Choi, Chan-Young Kwon
    Sustainability.2021; 13(21): 11634.     CrossRef
The Effect of Call Center Consultant ’s Emotional Labor on Burnout: The Moderating Effect of Resilience and Social Support
Hayoung Park, Jungkyu Kim
STRESS. 2018;26(4):340-349.   Published online December 31, 2018
DOI: https://doi.org/10.17547/kjsr.2018.26.4.340
  • 4,441 View
  • 71 Download
Abstract PDF
Background:

The purpose of this study was to examine the moderating effect of resilience and social support to analyze that call center consultants’ emotional labor impacts on the burnout.

Methods:

A survey questionnaire was conducted to people who work at call center in Gwangju and Deagu. The data from 444 were analyzed.

Results:

The result from the hierarchical multiple regression is as follows. First, deep acting decreased burnout, but surface acting of emotional labor increased burnout. Also, frequency of emotion display, variety of emotion required to be expressed and attentiveness to required display rules increased burnout. Second, Resilience had moderating effect between deep acting and burnout. Third, the moderate effect of interaction of social support from leader with surface action was found at burnout. Also, moderating effect of social support from leader were shown in frequency of emotion display with burnout and attentiveness to required display rules with burnout. Fourth, social support from colleague did not have buffering effect on emotional labor and burnout.

Conclusions:

It is expected that the moderator variables identified in this study can be used for prevention and treatment of burnout caused by emotional labor.

The Effects of Emotional Labor on Job Satisfaction of Hotel Employees: Analyzing Moderating Effects of Emotional Intelligence
Kwang-Hi Park
STRESS. 2018;26(3):166-172.   Published online September 30, 2018
DOI: https://doi.org/10.17547/kjsr.2018.26.3.166
  • 3,627 View
  • 31 Download
  • 3 Citations
Abstract PDF
Background:

The aims of this paper is to investigate the moderating effect of emotional intelligence on the relationship between emotional labor and job satisfaction of hotel employees and to find a way to increase job satisfaction of them.

Methods:

This study is a cross-sectional empirical study conducted for hotel employees in Korea. A total of 314 completed responses were collected and analyzed. Hierarchical regression analysis was employed to test the hypotheses.

Results:

Emotional dissonance decrease job satisfaction, but emotional effort improves it. “Ability to understand emotion” and “ability to understand others’ emotion” are moderating factors that increase job satisfaction joining with emotional effort.

Conclusions:

In order for hotel employees to be satisfied with their jobs, it is necessary to develop and implement an emotional intelligence improvement education program that can improve job satisfaction by positively moderating emotional labor.

Citations

Citations to this article as recorded by  
  • Emotion-rule dissonance and job satisfaction: A moderated mediation model of work engagement and hotel segment
    Silvia Ortiz-Bonnin, María Esther García-Buades
    Zeitschrift für Tourismuswissenschaft.2023; 15(1): 53.     CrossRef
  • Understanding the relationships among emotional exhaustion, job satisfaction, and emotional intelligence of hotel front desk employees
    Kwang-Hi Park, Dae-Kwan Kim
    Asia Pacific Journal of Tourism Research.2021; 26(5): 504.     CrossRef
  • Research on How Emotional Expressions of Emotional Labor Workers and Perception of Customer Feedbacks Affect Turnover Intentions: Emphasis on Moderating Effects of Emotional Intelligence
    Young Hee Lee, Suk Hyung Bryan Lee, Jong Yong Chung
    Frontiers in Psychology.2019;[Epub]     CrossRef
The Effect of Emotional Labor, Social Support and Anger Expression on Nurses’ Organizational Commitment
Ji Eun Kim, Sung Hee Shin, Suk Jeong Ko
STRESS. 2018;26(1):1-6.   Published online March 31, 2018
DOI: https://doi.org/10.17547/kjsr.2018.26.1.1
  • 4,219 View
  • 101 Download
  • 14 Citations
Abstract PDF
Background:

This study was conducted to identify the effects of emotional labor, social support, anger expression on nurses’ organizational commitment.

Methods:

The participants were 175 nurses working at one university hospital. Data were collected from January 26th to February 2nd in 2015 and were analyzed with Multiple Regression Analysis.

Results:

The most influential factor on nurse’s organizational commitment was supervisor’s support (β= .40) followed by emotional labor (β=−.24) and peer’s support (β=.15), which together explained their organizational commitment up to 35.0% (F=16.36, p<.001).

Conclusions:

Through this study result, the factors influencing nurse’s organizational commitment were supervisor’s support, emotional labor, and peer support, among which supervisor’s support was the most influential factor. The results of the study improve nurse’s organizational commitment, supervisor’s support is needed for nurses to understand and solve problems that they encounter.

Citations

Citations to this article as recorded by  
  • Effects of social support on organizational commitment among experienced nurses experiencing department rotation: the mediating effect of organizational socialization
    Young Jun Jang, Jeong A Jeong, Yu Seung Ban, Seon Hwa Park, Eun Jee Lee
    Journal of Korean Academy of Nursing.2025; 55(3): 364.     CrossRef
  • Experience of violence, social support, nursing practice environment, and burnout on mental health among mental health nurses in South Korea: A structural equation modeling analysis
    Jung Suk Park, Hee Kyung Kim, Mihyoung Lee
    Applied Nursing Research.2024; 78: 151819.     CrossRef
  • Factors Influencing Job Embeddedness in Emergency Room Nurses: Focus on Positive Psychological Capital, Gratitude, and Anger Expression
    Sa Rang Joo, Mi-Jung Kang
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(4): 383.     CrossRef
  • Effects of Clinical Nurses’ Job Crafting on Organizational Effectiveness Based on Job Demands-Resource Model
    Eun Young Lee, Eungyung Kim
    Journal of Korean Academy of Nursing.2023; 53(1): 129.     CrossRef
  • A structural model of nursing students’ performing communication skills
    Cho Rong Gil, Kyung Mi Sung
    The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 148.     CrossRef
  • Effect of Clinical Practice Stress and Anger Expression on Assertive Behavior in Nursing Students
    Eun-Ju LEE, Gyu-Li BAEK
    JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2022; 34(1): 104.     CrossRef
  • The life history narrative of clinical nurses with more than 30 years of experience
    Bong Ja Shin, Eun Young Park
    BMC Nursing.2022;[Epub]     CrossRef
  • Work Performance, Anger Management Ability, Resiliece, and Self Compassion of Clinical Nurses
    Young Ae Kim, Kuem Sun Han
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(2): 110.     CrossRef
  • Influences of Workplace Violence on Depression among Nurses: The Mediating Effect of Social Support
    Eun-Mi Seol, Soohyun Nam
    STRESS.2021; 29(1): 37.     CrossRef
  • Factors Influencing Organizational Commitment of Nurses in Korean Red Cross Blood Center: Focusing on Positive Psychological Capital, Communication Ability, and Social Support
    Sun Young Park, Jae Soon Yoo
    Journal of Korean Academy of Community Health Nursing.2020; 31(2): 179.     CrossRef
  • Emotional Labor and its Related Factors in Nurses in the Outpatient Department
    Eun-Jeong Ma, Kuemsun Han
    Stress.2020; 28(3): 160.     CrossRef
  • Effects of Positive Psychological Capital, Social Support and Head Nurses' Authentic Leadership on Organizational Commitment of Nurses at the Advanced Beginner Stage
    Hye Sook Kwon, Yeongmi Ha
    Journal of Korean Academy of Nursing Administration.2020; 26(3): 284.     CrossRef
  • The Moderating Effect of Supervisor's Support in Relation to Violence Experience between Co-workers and Organizational Commitment of Nurses Working in Special Departments of a Hospital
    Kyung Min Kim, Eun Nam Lee, Moon Ja Kim
    Journal of Korean Academy of Nursing Administration.2020; 26(4): 400.     CrossRef
  • The Effect of Emotional Labor, Job Stress and Social Support on Nurses’ Job Satisfaction
    Seung Young Lee, Duck Ho Kim
    Stress.2019; 27(3): 215.     CrossRef

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