ORIGINAL RESEARCH article

Front. Public Health

Sec. Occupational Health and Safety

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1580501

Effects of Effort-reward Imbalance on Emergency Nurses' Health: A Mediating and Moderating Role of Emotional Exhaustion and Workfamily Conflict

Provisionally accepted
Yuanyuan  TanYuanyuan Tan1Jing  ZhouJing Zhou2Hao  ZhangHao Zhang2Lin  LanLin Lan2Xiaoli  ChenXiaoli Chen2Xiaomin  YuXiaomin Yu2Luying  ZhongLuying Zhong2Zhu  LingZhu Ling2Yongli  GaoYongli Gao2*
  • 1Health Management Center, Sichuan Cancer Hospital & Affliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, China
  • 2West China Hospital, Sichuan University, Chengdu, Sichuan Province, China

The final, formatted version of the article will be published soon.

Background: Effort-reward imbalance (ERI) is a prevalent issue in the healthcare sector, particularly in the high-intensity, high-risk, and high-stress environment of the emergency department. This results in emergency department nurses bearing heavier workloads, responsibilities, and time commitments compared to their counterparts in other departments. ERI poses significant risks to their physical, psychological, and sleep quality. Therefore, it is essential to explore the mechanisms through which ERI influences the health of emergency department nurses.Objective: The aim of this investigation is to analyze if work-family conflict moderates the mediating influence emotional exhaustion has on the association between ERI and somatic symptoms and sleep disorders.Design: A cross-sectional study.Settings: The emergency nurses (N=1540) were included from 30 tertiary hospitals in 20 provinces or autonomous regions (Northeast, North, East, Central, South, Southwest,

Keywords: Effort-reward imbalance, Somatic symptoms, Sleep Disorders, Emergency department nurses, Mediation model

Received: 20 Feb 2025; Accepted: 13 May 2025.

Copyright: © 2025 Tan, Zhou, Zhang, Lan, Chen, Yu, Zhong, Ling and Gao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Yongli Gao, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China

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