The relationships between clinical nurse leadership and emotional labor, psychological detachment, and perceived organizational support: a cross-sectional study

作者：Ronglei Wei, Qiaomei Zhang, Xinjie Li, Zhuolin Liang, Jingying Liu, Hongwen Ma · 发表于：BMC Nursing · 年份：2026 · DOI：10.1186/s12912-026-04334-3 · 被引用次数：2 · 研究领域：Emotional Labor in Professions、Healthcare Education and Workforce Issues、Job Satisfaction and Organizational Behavior

BACKGROUND: Clinical leadership is crucial for healthcare quality, but its predictors among nurses in China are not well understood. This study investigated the independent predictive power of emotional labor, psychological detachment, and perceived organizational support on clinical nurse leadership, guided by Conservation of Resources theory. METHOD: Using a convenience sampling method, 212 registered nurses from three tertiary hospitals in Tianjin were recruited for a cross-sectional survey. Data were collected using a set of standardized questionnaires, which assessed demographic characteristics, emotional labor, psychological detachment, perceived organizational support, and clinical leadership. Descriptive statistics and linear regression analysis were employed to analyze the data. RESULTS: The average leadership score of the clinical nurses was 4.53 ± 0.54 points. Clinical leadership was positively correlated with emotional labor (r = 0.432, p < 0.01) and perceived organizational support (r = 0.538, p < 0.01). Clinical leadership is negatively correlated with psychological detachment (r=-0.186, p < 0.01). However, in the hierarchical regression model controlling for demographic variables, only emotional labor (β = 0.304, p < 0.001) and perceived organizational support (β = 0.439, p < 0.001) remained significant predictors, collectively explaining 44.5% of the variance in leadership scores (adjusted R²=0.445). The initially observed association with psychological detach...