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Background <p>Emergency department (ED) nurses manage intense emotional labor that contributes to burnout while simultaneously shaping resilience. Although burnout is a recognized hazard, the dynamic interplay between burnout and resilience within the Saudi Arabian healthcare context remains poorly understood. This study explored how ED nurses experience emotional labor and the relationship between burnout and resilience.</p> Methods <p>A qualitative descriptive study was conducted with 17 ED nurses purposively sampled from three healthcare facilities in Riyadh, Saudi Arabia. Semi-structured interviews, lasting 38–67&#xa0;min, were conducted between December 2025 and February 2026. Data were analyzed using reflexive thematic analysis, informed by emotional labor and Conservation of Resources theories. Trustworthiness was ensured through member checking, peer debriefing, and an audit trail. Reporting followed COREQ guidelines.</p> Results <p>Five themes were generated: (1) demands of emotional labor, including high-acuity care and emotional suppression; (2) manifestations of burnout, such as exhaustion and depersonalization; (3) resilience mechanisms, comprising peer support and professional meaning-making; (4) organizational influences, involving leadership quality and resource adequacy; and (5) participant-generated recommendations for systemic reform. Burnout and resilience were experienced as concurrent, dynamic processes modulated by the organizational environment.</p> Conclusions <p>Burnout and resilience coexist as concurrent dynamic processes in Saudi ED nurses, with organizational factors, staffing adequacy, leadership quality, and mental health support, acting as decisive determinants of occupational wellbeing. Strengthening organizational accountability, rather than individual adaptation alone, is essential for sustainable emergency nursing practice.</p>

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Between burnout and resilience: a qualitative exploration of emotional labor among emergency department nurses in Saudi Arabia

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月15日

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  • Abdulaziz M. Alodhailah,
  • Bader M. Almutairy,
  • Faihan F. Alshaibany,
  • Waleed M. Alshehri,
  • Thurayya Eid

摘要

Background

Emergency department (ED) nurses manage intense emotional labor that contributes to burnout while simultaneously shaping resilience. Although burnout is a recognized hazard, the dynamic interplay between burnout and resilience within the Saudi Arabian healthcare context remains poorly understood. This study explored how ED nurses experience emotional labor and the relationship between burnout and resilience.

Methods

A qualitative descriptive study was conducted with 17 ED nurses purposively sampled from three healthcare facilities in Riyadh, Saudi Arabia. Semi-structured interviews, lasting 38–67 min, were conducted between December 2025 and February 2026. Data were analyzed using reflexive thematic analysis, informed by emotional labor and Conservation of Resources theories. Trustworthiness was ensured through member checking, peer debriefing, and an audit trail. Reporting followed COREQ guidelines.

Results

Five themes were generated: (1) demands of emotional labor, including high-acuity care and emotional suppression; (2) manifestations of burnout, such as exhaustion and depersonalization; (3) resilience mechanisms, comprising peer support and professional meaning-making; (4) organizational influences, involving leadership quality and resource adequacy; and (5) participant-generated recommendations for systemic reform. Burnout and resilience were experienced as concurrent, dynamic processes modulated by the organizational environment.

Conclusions

Burnout and resilience coexist as concurrent dynamic processes in Saudi ED nurses, with organizational factors, staffing adequacy, leadership quality, and mental health support, acting as decisive determinants of occupational wellbeing. Strengthening organizational accountability, rather than individual adaptation alone, is essential for sustainable emergency nursing practice.